Pharmacology Flashcards

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1
Q

What are the two routes a drug can take to cross the skin?

A

Transcellular and intercellular.

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2
Q

What are the three depths of drug administration through the skin?

A

Topical- Local effect
Transdermal- Systemic effects
Subcutaneous- Systemic effects

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3
Q

What is the major barrier to drugs penetrating the skin?

A

Stratum corneum- keratin layer

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4
Q

Out of transcellular and intercellular which route is most common?

A

Intercellular

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5
Q

What must a drug be to pass though the intercellular route?

A

LMW and lipophilic

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6
Q

List the 7 forms topical treatment can take.

A
Ointments
Creams
Gels
Lotions
Pastes
Powders
Foams
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7
Q

What factors must be considered when picking a vehicle?

A

Skin condition
Drug
Patient preferences

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8
Q

Why is there an excess of undissolved drug?

A

As dissolved drug is absorbed the undissolved drug becomes dissolved thus giving a steady supply for a long time.

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9
Q

How can the absorption of drugs be increased topically.

A

Skin hydration
Inclusion of excipients to increase solubility.
Drug salt form
Choice of vehicle

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10
Q

What are the advantages of topical treatments?

A

Direct application to required area

Reduced systemic effect

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11
Q

What are the disadvantages of topical treatments?

A

Time consuming
Dosing difficulties
Messy

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12
Q

What is a cream?

A

Semisolid emulsion of oil in water containing emulsifiers and preservatives. Non greasy with high water content.

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13
Q

What is an ointment?

A

Semisolid grease or oil with no preservatives. Good for preventing water loss.

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14
Q

What is a lotion?

A

Suspension of drug in water or alcohol. Treat hairy areas.

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15
Q

What is a gel?

A

Semi-solid aqueous solution containing high molecular weight polymers. Treat face and hairy areas.

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16
Q

What is a paste?

A

Semisolid grease containing fine powdered materials such as ZnO. Use for cooling and soothing.

17
Q

What is an emollient?

A

A product designed to trap water and rehydrate the skin. Apply after wash and in direction of hair.

18
Q

What are wet wraps?

A

Wetted bandages put on over topical treatment to prevent scratching and provide soothing.

19
Q

What effects do topical steroids have?

A

Vasoconstriction
Anti-inflammatory
Antiproliferative

20
Q

Give an example of a mild steroid.

A

1% Hydrocortisone

21
Q

Give an example of a moderate steroid.

A

0.05% Modrasone Clobetasone Butyrate.

22
Q

Give an example of a potent steroid.

A

0.1% Mometasone Betamathasone Valerate

23
Q

Give an example of a very potent steroid.

A

0.1% Clobetasol Proprionate.

24
Q

What are some side effects of topical steroids?

A

Thinning of skin
Purpura
Cushings syndrome
Rebound inflammation

25
Q

List some antiseptics.

A

Povidone iodine (Betadine)
Chlorhexidine (Savlon)
Triclosan (Aquasept)
Hydrogen peroxide (Crystacide)

26
Q

List some antipuritics.

A

Menthol
Capsaicin
Camphor
Crotamiton

27
Q

What are keratolytics and what are they used for?

A

Soften keratin.
Warts
Hyperkeratotic eczema and psoriasis
Corns and calluses