Pharmacology and therapeutics Flashcards

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1
Q

Transdermal means?

A
  • across the skin
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2
Q

Subcutaneous means?

A
  • injected into the body, bypasses the skin
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3
Q

What is another name given to the keratin layer of the skin?

A
  • Stratum corneum
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4
Q

What does the stratum corenum contain?

A
  • corneocytes (differentiated keratinocytes)
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5
Q

In the brick and mortar model what does the mortar represent?

A
  • multiple lamellar structures of intracellular lipids, cholestrol and free fatty acids
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6
Q

Drug delivery into and across the startum corneum is a ___ process

A
  • passive process

- diffusion

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7
Q

Intercellular absorption of a drug is hydro__

A
  • hyprohophic
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8
Q

Transcellular absorption of a drug is hydro____

A
  • hydrophillic
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9
Q

What factors influence absorption of a topical drug?

A
  • permeability coefficent
  • concentration of a drug
  • length of diffusion pathway
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10
Q

What are roles of vehicles?

A
  • contain other properties to allow for drug absorption

- factors affecting vehicles: concentration of drug, movement of drug from vehicle into the keratin layer

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11
Q

Which drug has a higher water content?

Ointments vs lotions?

A
  • lotions
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12
Q

Which drug has a higher water content?

Ointements vs gels?

A
  • Oitments
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13
Q

Drugs which are lipophillic in vehicles that are lipophillic means what?

A
  • soluble in both the vehicle and the skin
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14
Q

Drugs which are lipophillic in hydrophilic bases means what?

A
  • the drug is more soluble in the skin
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15
Q

Hydrophillic drug in a lipophillic base has what solubility?

A
  • limited solubility
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16
Q

What factors affect the rate of absorption of applied drugs?

A
  • nature of the skin (thickness, hydration and integrity)

- drug preperation (concentration, vehicle)

17
Q

Glucocorticoids are used in what skin conditions?

A
  • atopic eczema
  • psoriasis
  • pruirits
18
Q

What features does a glucocorticoid have?

A
  • anti-inflammatory
  • immunosuppressant
  • vasoconstrictor
19
Q

What are some adverse effects of long term usage of steroids?

A
  • skin atrophy
  • spread of infection due to immune suppression
  • steroid rosacea
20
Q

Glucocorticods are lipophillic meaning?

A
  • they can diffuse into the stratum corneum
21
Q

What type of receptor does a glucocorticoid bind to?

A
  • nuclear recepor

- lipophillic

22
Q

Subcutaneous route of administration may be used in what type of drugs?

A
  • proetin drugs
23
Q

What are some advantages of topical treatments?

A
  • direct application

- reduced systemicc effects

24
Q

What are some disadvantages of topical treatments?

A
  • time consumin
  • correct dosage can be difficult
  • messy
25
Q

What is the composition of creams?

A
  • semisolid emulsion

- contains preservatives

26
Q

What is the compostion of lotions?

A
  • liquid formation
27
Q

When would it be appropriate to use a lotion over a cream?

A
  • scalp

- hear bearing areams

28
Q

What is a disadvantage of oitnments

A
  • greasy
29
Q

Ointments contain preservatives true or false?

A
  • FALSE
30
Q

Wet wrapping may be used for what?

A
  • Very dry xeortic skin

- time consuming

31
Q

What is a risk associated with emolients?

A
  • Fire risk is paraffin bases
32
Q

When is it best to apply an emolient

A
  • After bathing
33
Q

What are caliceurin inhibiotrs?

A
  • suppress lymphocyte activation
34
Q

What is an example of a caliceurin inhibiotr?

A
  • tacrolimus
35
Q

What is the weakest topical steroid?

A
  • hydrocortisone
36
Q

What is the strongest topical steroid?

A
  • clobetasol
37
Q

What drugs can be used as antipruritics?

A
  • menthol

- capsacin

38
Q

How does capsaicin work?

A
  • depletes substance P