Inhaled Route of Delivery: Dry Powder Inhaler Flashcards

1
Q

How do they deliver to the drugs?

A

Moves over static powder bed then fluidised
Fluidised particles aggregated by strong aerodynamic force
Enters airway + drug separates from carrier

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2
Q

Where the particles go if they are larger?

A

Throat

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3
Q

Where will the particles go if they are smaller?

A

Deep into respiratory tract

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4
Q

What happens if deep sharp breath?

A

Increased turbulent air
= increased inertial impaction

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5
Q

What happens if controlled respiratory flow rate?

A

Drug move slower + follow air flow to lower respiratory tract

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6
Q

What size are micronized powders?

A

2-5 micrometres

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7
Q

Why must they be shaken?

A

Powders never completely homogenous
= affect dose uniformity

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8
Q

What does micronization do?

A

Reduce drug size
Improve homogeneity + control particle size

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9
Q

How is micronization achieved?

A

Jet milling

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10
Q

Describe jet milling

A

Material fed into shallow circular grinding chamber
High velocity
Turbulence = particle bombarding
= larger particles concentrated at periphery of chamber
Finer particles leave with air stream

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11
Q

What are the powder factors to consider when formulating DPIs?

A

Crystallinity
Hygroscopicity
Polydispersity
Aerodynamic diameter

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12
Q

What is crystallinity?

A

Packing within structure
= increased packing = increased stability BUT decreased dissolution

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13
Q

What happens in crystallinity?

A

Powders transfer to lower energy state
Choose most stable polymorph

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14
Q

What is hygroscopicity?

A

Ability to take up moisture

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15
Q

What happens in crystallinity?

A

Take up moisture
= disrupt crystal structure
= effect dissolution profile + crystallisation

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16
Q

What is polydispersity?

A

Range of particles around the mold

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17
Q

What happens in polydispersity?

A

Inhaled powders = multi-modal
= NOT all particles all same size
= poly dispersed

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18
Q

What is aerodynamic diameter?

A

Influence where particle lands in lung

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19
Q

Why is lactose used?

A

Decrease drug cohesiveness

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20
Q

Describe what happens with excipient lactose

A

Drugs adhere to larger carrier particles by weak electrostatic forces
Particles fly off larger carrier particles
Carrier deposits + remains in mouth
Still feel powder left in mouth

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21
Q

What does adhesion + detachment depend on?

A

Morphology of particle surfaces + surface energies

22
Q

What can a carrier with rough surface do?

A

Hold micronized drug too strongly during storage
= increase overall aerodynamic size

23
Q

What can a carrier with smooth surface do?

A

Increased dispersion during inhalation
BUT may not stay mixed

24
Q

What is an approach to smooth vs rough surface?

A

Mix rough carrier particles first with micronized carrier then with micronized drug
= drug free to detach

25
What is the aim of powder mixing?
Achieve homogeneity
26
What is the major challenge?
Inhaler resistance + inspiratory flow rate
27
What happens when a patient inhales?
Diaphragm generates decreased pressure = air flow
28
How is increased flow rate achieved?
Decreased resistive device
29
What happens if there is a narrow inlet?
Increased turbulence Rapid airflow = deposition in the throat
30
What happens if there is narrow flow stream?
Increased velocity = increased improvement to device performance
31
What happens if there is high resistance?
Better performance
32
What is the problem with high resistance?
Paediatric + elderly patients may have difficulties with insufficient IFR
33
Why is a rapid airflow required?
Increases particle deagglomeration BUT at same time increase oropharyngeal deposition + reduce dose delivered to drug
34
What can DPIs be?
Unit-dose or multi-dose
35
Describe Spinhaler
Contains sodium cromoglicate 1st DPI Unit-dose
36
Describe how each dose in Spinhaler is contained?
In hard gelatin capsule Placed individually into device prior to use
37
Describe how the Spinhaler works
Capsule pierced by 2 metal needles Inhalation = air flows = turbulence flow as rotor rotates Powder dispersed to capsule wall + out into inspired air Through perforations
38
What does the HandiHaler contain?
tiotropium bromide Unit-dose
39
Describe Accuhaler
Multi-dose
40
Describe the dose in Accuhaler
Drug preloaded = 60 doses Each dose packed separately = exposed to ambient conditions
41
What is problem to Accuhaler?
Insensitivity to humidity
42
Describe how the Turbohaler (Symbicort) works
Drug flows on rotating disc unit Excess removed by scarpers
43
Describe the doses of Turbohaler (Symbicort)
200 doses of undiluted, loosley aggregated micronized drug
44
What is not needed in the Turbohaler (Symbicort)?
No carrier No individual dose loading
45
What does the Turbohaler (Symbicort) require?
High inspiratory effort due to high internal resistance
46
What is the problem with Turbohaler (Symbicort)?
More sensitive to humidity
47
Because the Turbohaler (Symbicort) requires high inspiratory effort what does this mean?
May not be suitable for kids or elderly
48
What are breath-assisted devices designed to do?
Reduce or eliminate reliance on patient's inhalation effort to disperse the drug
49
When are breath-assisted devices useful?
Patients who can only achieve low inspiratory flow rates
50
What is an example of breath-assisted devices?
Spiros
51
What was Spiros? DISCONTINUED
Effort-assisted device using a battery-powered impeller to deaggregate + aerosolise the drug powder