SN2 - Biotechnology and routes of administration Flashcards

1
Q

What is a biopharmaceutical?

A

A protein or nucleic acid based pharmaceutical substance used for therapeutic or in vivo diagnostic purposes which are produced by means other than direct extraction from a native (non-engineered) biological source.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe 6 ways in which biopharmaceutical are different from conventional drugs

A
  1. Size - proteins are larger, cannot give orally- injected
  2. Complexity - post translational modifications (PEGylation)
  3. synthesis - cells genetically engineered (cell biology)
  4. purity
  5. stability
  6. immunogenicity - need to test for autoimmunity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is PEGylation

A

you add polyethylene glycol to drugs to increase solubility, prolong biological half life and increase stability. PEG is a polymer that is even bigger than the protein itself (eg interferon)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

New HEP C treatment

A

Alpha interferon prevents replication of Hep C - with PEGylation preventing rapid degradation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How are biotech drugs manufactured - 7 steps

A
  1. expression of construct in host cell (transfection)
  2. generation of host cell bank (clone)
  3. production of recombinant protein (fermentator tanks)
  4. Purification (decontamination), low yield, high cost
  5. Analysis: biological activity/properties
  6. Pharmaceutical formulation - preservatives, buffers etc
  7. Storage - low temps, avoiding agitation.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define non specific and neutralising antibodies

A

Non specific antibody; bind to any part of the drug
Neutralising antibodies: binds the target, diminishing / negating the effects of the drug altering its kinetics an dynamics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Biosimilar - define

A

biological product referring to an existing one and after time of patent expired (like generic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is epoetin alpha

A

recombinant erythropoetin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define pharmacokinEtics and what it involves

A
What the BODY does to the drug: ADME
Absorption
Distribution
Metabolism
Elimination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define PharmacoDynamics

A

What the DRUG DOES (to the body) - mechanism of action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the 3 processes that determine the active concentration of the drug

A
  1. entry into organism
  2. drug inactivation
  3. Exit
    Considered as occurring at same time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Name 2 forms of drug in the body

A

Bound - protein

Free (active)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

First pass effect - describe it.

Common to which route of administration?

A

hepatic metabolism of the agent when it is absorbed from the gut and delivered to liver via portal circulation. The greater the first pass effect, the less the agent will reach the systemic circulation. It is thus defined as pre-systemic. Oral disadvantage.
Absorbed mostly in the first part of intestine because of high surface area of microvilli.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define absorption

A

when drugs get into the blood stream

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define bioavailability

A

How much of the drug gets into circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do we use nitroglycerine for

A

treatment of angina due to coronary heart disease (sublingual tablet), before exercise and sex too.

17
Q

What is desmopressin?

A

hormone taken through the nose/mouth/injection to control frequent urination associated with diabetes insipidus

18
Q

Is a transdermal patch (like nicotine) topical?

A

NO!!! it’s absorbed systemically, crosses the skin and into general circulation

19
Q

Name 7 factors affecting the choice of route

A
  1. Physical and chemical properties of the drug
  2. Site of desired action
  3. rate and extent of absorption from different routes
  4. effect of digestive juice and first pass metabolism
  5. rapidity with which the response is desired
  6. accuracy of the dosage required
  7. Condition of the patient
20
Q

What is an enteric coated preperation

A

coated to protect against stomach acid

21
Q

What is haloperidol decanoate

A

antipsychotic given to schizophrenics, lipid lasts a long time, injected intramuscular