pharmacology Flashcards

1
Q

in topical drugs what drives delivery

A

it’s passive driven by diffusion

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2
Q

what is fick’s law

A

rate of absorption is proportional so SA and inversely proportional to thickness

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3
Q

should topical drugs be lipophillic or phobic

A

lipophillic/ hydrophobic

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4
Q

what are vehicles, what would you put in a hydrophobic vehicle

A

creams, gels, ointments etc with dissolved concentration of the drug, lipophillic drug

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5
Q

what is better for maximising movement of a vehicle

A

solbulised > undissolved

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6
Q

what are excipients

A

enhance solubility - put clingfilm on to avoid water loss

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7
Q

why is excess nondisolved drug added to vehicles

A

increased duration and provide constant rate of delivery

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8
Q

what 4 factors affect absorption

A

site of application (thickness and permeability), hydration, drug conc, vehicle

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9
Q

in subcut route where is the drug injected and how does it enter the blood stream

A

subcut adipose, enters capillaries or lymphatics, slow absorption from poor vascular supply

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10
Q

is subcut first or second pass metabolism

A

avoids first pass

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11
Q

what is transdermal drug delivery and examples of suitable drug criteria

A

adhesive patch to dermis. LMW, lipophillic, potent, short half life

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12
Q

what transdermal patched are available

A

GTN, nicotine

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13
Q

give an example of s subcut drug

A

adrenaline, insulin

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14
Q

what are creams and what are the pros and cons

A

semi solid emulsification of water and oil with preservatives, cooling and moisturising, non-greasy

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15
Q

what are ointments and what are the pros and con

A

semi solid grease with high lipids but no preservatives, limit transdermal water loss, greasy

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16
Q

what are lotions and what are the pros and con

A

liquid formulations suspended in alcohol or water, can sting, used for dry areas eg scalp

17
Q

what are gels and what are the pros and con

A

semi solid aqueous solution, hairy areas and the face

18
Q

what are pastes and what are the pros and con

A

semisolids made up of fine powdered materials eg ZnO, cool and hydrating, difficult to apply

19
Q

what are emollients

A

used to rehydrate dry/ scaly skin (eczema and psoriasis ), apply frequently

20
Q

when is wet wrap therapy used

A

very dry (xerotic skin)

21
Q

what qualities to steroids have

A

vasoconstrictive, anti-inflam, anti proliferative, lipophilic

22
Q

name topical steroids from least to most potent

A

hydrocortisone, eumovate, betnovate, dermovate

23
Q

what conditions are topical steroids commonly used for

A

eczema, psoriasis, lichen planus, keloid scars

24
Q

what are side effects of steroids (7)

A

thin skin, purpura, stretch marks, steroid rosacea, telangestasia, dermatits (acne), tachyphylaxis

25
what are calcineurin inhibitors and when are they used
suppress lymphocytes activation, atopic eczema, no atrophy
26
what would you use to treat candida
antiyeast eg nystatin
27
what would you use to treat ringworm (dermatphytes)
anti-fungal eg clotrimazole
28
what drugs are antipruitic
menthol, capaicin, phenol, crotamiton
29
what are kerolytics used for
soften keratin eg warts, corn and callus
30
in addition to keratolytics what can be used to treat warts
formaldehyde, silver nitrate
31
how can drug reactions present
exanthematous (small pustules on red background, pruititus, pigmentation, photosensitivity, fever
32
what can cause urticarial reactions and how do they present
red wheels and hives "nettle sting', aspirin and NSAIDS
33
what drugs can cause pustular/ bullous reactions
glucocorticoids, androgens
34
what are severe drug reaction conditions
stevens-johnson syndrome, TEN, DRESS, AGEP
35
what are symptoms of photosensitivity
prickled, erythema and pigmentation of skin, excessive sunburn, telangiectasia, fragile skin
36
what drugs can cause photosensitivity
NSAIDs, doxy, amiodarone, quinine