Pharmacology L3 Flashcards
Barriers to drug delivery
- molecular/ cellular permeation of external protective barriers of the body
- potential difficulties with efficient drug transportation and molecular targeting
- production of drug derivatives and/or swift elimination via biotransformation
- potential problems due to immune response
Molecular/ cellular permeation of external protective barriers of the body
- anatomical barriers demarcate the interior system from its surrounding
- blood-tissue barriers (eg blood brain barrier)
Potential difficulties with efficienct drug transportation and molecular targeting
- delivery via GI-tract: extremely acidic environment in stomach
- delivery via pharynx/ trachea/ bronchioli: mucociloary movement of trapped drug aerosols from pharynx to larynx
- limitations of plasma proteins transportation
- hydrophobic interactions (fatty tissue, membranes)
What is biotransformation
Natural mechanisms that protects the body from ingested molecules
Production of drug derivatives and/or swift elimination via biotransformation
- liver: major organ of drug biotransformation
- kidney: excretory function of drug or metabolite elimination
Potential problems due to immune response
- natural protection against infectious agents; auto-immune complications
- potential allergic reactions, hypersensitivity, anaphylactic shock
Drug administration is carried out by?
- enteral administration
- parental administration
- topical administration
Enteral administration involves
- oral administration (swallowed or topically)
- buccal administration (between gums and cheek)
- sublingual administration (under the tongue)
- rectal administration
How does oral administration occur
Via GI-tract to systemic circulation
How does buccal administration occur
Through fast absorption via buccal mucosa
How does sublingual administration occur
Fast absorption via sublingual mucosa
How does rectal administration occur
Slow absorption through rectal mucosa
Parenteral administration occurs through what?
Through injection or infusion (needle or catheter). Susceptible to high pH of stomach
Types of parenteral administration
- intravenous
- intra- arterial
- intramuscular
- subcutaneous
- intra- articular
- intrathecal
- intradermal
Intravenous
Achieves high drug concentration in circulatory system
Intramuscular
Uniform drug absorption with rapid onset of drug action. If drug is to be given slowly at high conc eg opium overdose
Subcutaneous
Slow drug absorption under the skin with prolonged drug action
Intra-articular
Direct drug administration into inflamed joined cavities
Intrathecal
Delivery into space between spinal cord and its protective sheath
Intradermal
Drug administration within skin layers