Pharmacology Flashcards

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1
Q

What aare adjacent corneocytes held together by?

A

corneodesmosomes

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2
Q

What is conventional transdermal drug delivery driven by?

A

diffusion

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3
Q

What is Fick’s Law?

A

Rate of absorption (flux) is equal to the permeability coefficient times the concentration of drug

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4
Q

What are the important factors in the role of the vehicle?

A

The solubility of the drug in vehicle (Cy)

Maximising the movement of the drug from vehicle to the atratum corneum (drug must escape from vehicle)

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5
Q

What is the permeability coefficient (Km) described as?

A

the equilibrium solubility of the drug in the stratum corneum realtive to its solubility in the vehicle

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6
Q

What is the purpose of excipients?

A

They are put into the vehicle to enhance the solubitliy of the drug and so enhance absorption

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7
Q

Why might excess, non-dissolved drug be included into transdermal patches?

A

increases duration of effectiveness nad porvides a constant rate of delivery- dissolved drug that is removed by absorption is replaced by undissolved drug maintaining a fairly constant soluble concentration

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8
Q

Why are topically applied drugs generally poorly absorbed?

A

only a small fraction partitions into the stratum corneum

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9
Q

Name some factors that can improve partitioning

A

hydration of the skin by occlusion (increases the reservoir with which the drug can be absorbed)
inclusion of excipients which also increase the solubility of hydrophobic drugs

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10
Q

What are the factors that affect the absorption of topically applied drugs in drug preparation?

A
drug conc.
the drug salt (different salts can have varying potencies)
the vehicle (can affect how active a drug is)
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11
Q

What do glucocorticoids combine with in the cytoplasm?

A

GRalpha

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12
Q

What does combination of steroid with GRalpha cause the dissociation of?

A

inhibitory heat shock proteins

they were previously joined to GRalpha but steroid kicks it out

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13
Q

What does the steroid and GRalpha do in the nucleus?

A

bind to the glucocorticoid response elements which switches on or off transcription of specific

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14
Q

Where is subcutaneous drug delivered?

A

adipose tissue just beneath teh surface of the skin

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15
Q

How does subcutaneous drug reach systemic circulation?

A

diffuses into capillaries or lymphatics

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16
Q

What are some advantages to subcut drug administration?

A

absorption is relatively slow (poor vascular supply)

can be used to introduce a depot of drug under the skin that is very slowly released into the circulation

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17
Q

What is an advantage of subcut drug administration?

A

injection volume is limited

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18
Q

What is the skin a good route for a systemic effect?

A

avoids first pass metabolism

drug absorption can be terminated rapidly

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19
Q

What makes a drug suitable for transdermal drug delivery?

A

low molecular weight
moderately lipophilic
potenet
relatively brief half life

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20
Q

What is iontophoresis

A

application of low voltage electrical pulses to the skin via a surface electrode over a prolonged period of time can drive low molecular mass molecules (of the same charge) through the skin- move away from the same charge

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21
Q

What is electroporation?

A

very brief high volatge pulses lead to “pore” formation

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22
Q

What is sonophoresis?

A

use of ultrasound to increase skin permeability

23
Q

What is a cream?

A

semisolid emulsion of oil in water

24
Q

Creams contain both an emulsifier and a..

A

preservative

25
Q

Due to their high water content, creams do what to the skin?

A

cool and moisturise

26
Q

What is an ointment?

A

semisolid grease/oil (soft paraffin)

27
Q

Do ointments contain preservative?

A

no

28
Q

Why do ointments help to moisturise the skin?

A

occlusive- restrict transepidermal water loss

29
Q

What is a lotion?

A

a liquid formulation- suspension or solution of medication in water, alcohol or other liquids

30
Q

What areas are lotions used to treat?

A

scalp and other hair-bearing areas

31
Q

What is a gel?

A

semi-solid, thickened aqueous lotions containing high molecular weight polymers

32
Q

What areas are gels used to treat?

A

scalp, hair bearing areas, face

33
Q

What are pastes?

A

semisolids, contain finely powdered material

34
Q

What are the advantages of pastes?

A

protective, occlusive hydrating

35
Q

What does an emollient do?

A

enhance rehydration of epidermis

36
Q

What kind of conditions are emollients used for?

A

all dry/scaly conditions esp. eczema and psoriasis

37
Q

What is wet wrap therapy used for?

A

very dry (xerotic) skin

38
Q

What are the modes of action of corticosteroids?

A

vasoconstrictive
anti-inflam
antiproliferative

39
Q

What are topical corticosteroids used for treating?

A

eczema
psoriasis
other non-infective inflammatory dermatoses- lichen planus
keloid scars

40
Q

What are the skin side efects of topical steroids?

A

thinning of the skin; purpura; stretch marks; atrophy; steroid rosacea; perioral dermatitis; fixed telangiectasia

41
Q

What are other non-skin related effects of topical steroids?

A

may worsen/ mask infections
systemic absorption
tachyphylaxis- decrease in response to anti-inflam effects
rebound flare of disease (esp. psoriasis)

42
Q

What are antiseptics used for?

A

recurrent infections
antibiotic resistsance
wound irrigation

43
Q

What conditions are topical antibiotics used for?

A

acne
rosacea
impetigo
infected eczema

44
Q

What conditions require an oral antiviral?

A

eczema herpeticum; herpes zoster

45
Q

What are topical antifungals used to treat?

A

candida
dermatophytes (ringworm)
pityriasis versicolor

46
Q

Name 4 antipruritics

A

menthol
capsaicin (red chilli peppers)
camphor/phenol-pruritis ani (around the anus)
crotamiton

47
Q

What are keratolytics used for?

A

viral warts
hyperkeratotic eczema and psoriasis
corn and calluses
to remove keratin plaques in scalp

48
Q

What topical treatments can be used to treat psoriasis?

A

emollients and

  • coal tar
  • vit D analogue
  • keratolytic
  • topical steroid
  • dithranol
49
Q

What is the mode of action of imiquimod?

A

enhances innate and cell- mediated immunity and so has anti-viral and anti-tumour effects

50
Q

What is imiquimod used to treat?

A

viral warts and superficial BCC

51
Q

What do calicneurin inhibitors do?

A

suppress lymphocyte activation

52
Q

what are calicneurin inhibitors used to treat

A

atopic eczema esp face and in children

53
Q

What are the side efects of topical therapies?

A

burning or irritation
contact allergic dermatits
local toxicity
systemic toxicity

54
Q

How many grams is needed for an adult to cover the whole bodyin ointment?

A

30g