L33 - overview of absorption via different routes Flashcards
enteral drug delivery
- within or by intestine
parenteral drug delivery
located outside alimentary canal, taken into body or administered in manner other than digestive tract
intradermal injection
into epidermis
intravenous drug delivery advantages
- fast
- precise dosing, large volumes possible
- 100% bioavailability
intravenous drug delivery disadvantages
- can be toxic with rapid Cp elevation (can be controlled by infusion)
- suitable vein
- need professional
- cost
- duration
intramuscular drug delivery
- rich capillary bed
- passive diffusion of drug
- blood flow important
- carrier solvent absorption
advantages of intramuscular drug delivery
- large volume
- sustained release
disadvantages of intramuscular drug delivery
- need professional
- erratic absorption
subcutaneous drug delivery
passive diffusion into capillaries or lymphatics (peptides)
advantages of subcutaneous drug delivery
- slow, sustained delivery
- self adminsiteation
- implants for long term delivery
disadvantages of subcutaneous drug delivery
- small doses
- pain + irritation from repeated injections
where is squamous epithelium found?
alveoli
where is stratified squamous epithelium found?
cornea, skin, mouth
where is columnar epithelium found?
nasal cavity, gi tract
where is cuboidal epithelium found?
ductal lining
nasal drug delivery
- topical delivery
- avoidance of first pass metabolism
- drugs sensitive to intestinal metabolism
- acid-sensitive drugs
- polar compounds with poor oral absorption
what types of drugs can diffuse through nasal epithelium?
small lipophilic drugs, then they enter circulation with up to 100% bioavailability
main function of nasal cavity
- air conditioning
(temp, humidity, filtration + smell)
nasal epithelium & drug deposition
- large SA due to microvilli
- protective mucus layer
- cillia for clearance
- mucus acts as physical barrier + chemical barrier
nose to brain drug delivery
- olfactory epithelium: blood brain barrier not present
- drugs can enter brain directly via paracellular diffusion/ axonal transport via olfactory nerves
ocular drug delivery
- for local condiitons
- not systemic delivery
corneal structure & absorption routes
- corneal route: major route via transcellular (lipophilic) or paracellular (hydrophilic) diffusion
- conjunctival route: drug passes through conjunctiva and sclera, most drugs lost in capillary bed + enter circulation
vaginal drug delivery
- local effect
- can hold 2-3mL fluid
- enzyme activity lower than in gi
pulmonary drug delivery
- treats respiratory conditions
- can reduce dose needed if given by other routes
- drugs delivered by nebulisers, dry powder inhalers, metered dose inhalers
- lungs oxygenate blood so huge potential for systemic delivery
factors affecting pulmonary drug absorption
- mucus
- SA: large, so fast administration possible
- blood supply: large so no hepatic first pass
transdermal drug administration
- skin is barriwe
- no gi metabolism
- no hepatic first pass
- patches deliver in contorledd manner
- easily removed
what does skin prevent?
water + nutrient loss
the stratum corneum
- dead flattened cells
- inside of memb is protein coated
- lipid rafts between cells
- barrier to water loss
factors affecting transdermal drug absorption
- hydration of SC
- pH
- age
- injury + disease
- thickness of site
- cutaneous first pass
transdermal delivery for systemic effects
- for potent drugs
- sustained concentrations
- control of delivery
- reduced dosing frequency
- fewer side-effects are possible
- can be stopped at any time
micro needles
temporarily increase skin permeability