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540 exam III topical drug delivery
topical DD
39
Sociology
Graduate
11/15/2012

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Term
what are topical drug delivery?


examples?
Definition
they are dermatologic products applied to the skin. Externally used.


ointment, creams, and gels
Term
Types of derm products applied to the skin
Definition
-nonmedication(cosmetics)- protective, moisturizing emollient (soften or soothe the surface of the skin)

-medicated (treatment of skin conditions): bacterial, fungal, viral infections, corn, warts, and contact dermatitis (eczema)
Term
What are advantages of topical drug delivery?
Definition
high drug concentrations at site of application

low risk of systemic side effects

non-evasive, east to use
Term
What are disadvantages of topical DD?
Definition
-contact time for drug is limited
-patients find ointments and creams are messy to use
-a small amount of drug can be absorbed systematically
-formulations can cause skin irritation
-a specialized packaging system is needed to measure and apply and exact dose
Term
Common skin problems
Definition
A. Stratum corneum
-hyper-proliferative thickening, extremely dried out (brittle)
B.viable epidermis
-cell damage and inflammation
c. dermal-epidermal interface
-overgrowth of basement membrane
D.dermis
-abnormal growth of fibroblasts
E. appendages
-hair follicle- hyperactivity
-sebaceous glands- occulsion
-eccrine sweat gland- inflammation
f. other
-fungal infection
Term
what are antipruritics?

examples?
Definition
relieve itching of skin


menthol, phenol, camphor, coal tar, calamine, antihistamines
Term
what are keratolytics?

examples?
Definition
remove or soften the thickened or scaly stratum corneum

ex; 4-10% salicylic acid
Term
what are antieczematous agents? examples?
Definition
assist in removal and treatment of oozing and vesicular excretions

ex- boric acid solution, 2-5% coal tar solution various antiseptics
Term
What are antiparasitics?

examples?
Definition
destroy or inhibit living infestations

ex- 10-30% benzoate, sulfur
Term
what are antiseptics and antibiotics?

examples?
Definition
basteriostatic, bactericidal, fungistatic, fungicidal

ex- 1-5% iodine, chloramphenical, neomycin
Term
what are Antiseborrheics?

examples?
Definition
reduce discharge from sebaceous glands and remove symptoms

ex- antipruritics, resorcinol
Term
what are emollients?

examples?
Definition
Soften or sooth the surface of the skin

ex-cold cream
Term
what are protectives?

examples?
Definition
protect the skin from moisture loss and chemicals

ex- petrolatum, zinc oxide, silicones
Term
What are types of vehicles?
Definition
semisolids-- formulation that retain their shape until acted upon by an outside force
lotions-liquid suspension
ointments-thick, somewhat occlusive
creams- viscous, liquid or emulsion
gels-viscous, clear
pastes-thick, stiff, adhere to skin
Term
examples of each

oil-in-water

water-in-oil

anhydrous absorption

hydrocarbon
Definition
oil-in-water- hydrophilic ointment

water-in-oil- eucerin

anhydrous absorption- aquaphor

hydrocarbon- white petrolatum
Term
what are ointments?
Definition
a translucent appearance, thick, somewhat occlusive, greasy, excellent for emollent efects
Term
what are bases of ointment?
Definition
hydrocarbon (petrolatum, beeswax)- c16-c30+c30-c50

vegetable oils (do not allow inclusion of water)

fatty alcohols (allow inclusion of limited amount of water)

water-soluble base (polyethylene glycol) non-greasy, poor occlusive
Term
What are creams?
Definition
Emulsions of oleanginous substances and water
they spread more easily over skin than ointments
moist, weeping lesions, oozing wounds
Term
What are characteristics of w/o type creams?

what are they incompatible with?
Definition
not water washable, absorb limited amounts of water (cold cream, emollient cream)

imcompatible with agents that alter na+ soaps (heavy metal acids)
Term
What are characteristics of o/w type creams?
Definition
Water washable, absorb some water (shaving cream, hand cream) they contain surfactants.
Term
what are gels?
Definition
Three dimensional networks of inorganic molecules (aluminum hydroxide) and large organic molecules (carbomer) in a liquid (thixotropic)

drug is dispersed or dissolved in water or a water/ethanol mixture in the gel
Term
are gels water-washable?
Definition
yes
Term
is the rate of drug release faster or slower in gels?
Definition
faster
Term
what are examples of gels?
Definition
sunscreen gels, gels for antifungal and anti-inflammatory
Term
what are pastes and how are they different than ointments?
Definition
a larger proportion of solid material than ointment

less greasy than ointment (use less amount of base) zinc oxide paste

pastes are stiffer than ointments
Term
are pastes water washable?
Definition
nope
Term
What is an advantage of pastes?

What is a disadvantage?
Definition
advan- good for absorption of secreions (starch)

Disadvan- not good for application to hair areas because of stiffness
Term
which products receive the vehicle effects of hydrophobic products (directly affect skin) ?
Definition
-enhanced percutaneous drug absorption due to opening up of intra-and inter- cellular channels by hydration of the stratum corneum and increase dissolution of the drug

-ointments containing large amount of oleaginous substances

-creams(w/o types) good emollient property
Term
which products receive the vehicle effects of relatively hydrophilic products (increase drug solubility and diffusion from a vehicle)
Definition
-gels, cream (o/w types), ointments
Term
When are greasy products preferred?
Definition
preferred for dry/chapped skin
Term
What is a disadvantage of greasy products? (oint and w/o creams)
Definition
difficult to wash off and may stain clothing
Term
What is the advantage of greasy products?
Definition
good for the drug that is desired to penetrate into deeper skin layers due to the hydration effect
Term
Whats an advantage of creams compared to other topicals?
Definition
excellent emollient effect and better spread ability (normal skin, humid conditions)
Term
what are advantages of gels compared to other topicals?
Definition
-providing faster drug release, compared with ointments and creams
-useful for immediate local effect
Term
what is a disadvantage of lotions and creams?
Definition
relatively unstable to heat and temperature
Term
Disadvantage or Advantage

Ointment Bases: Hydrocarbon (oleaginous)

will not absorb water

emollient

occlusive

greasy

inexpensive, nonreactive, nonirritating

insoluble in water

not water-washable

anhydrous
Definition
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Term
Disadvantage or Advantage

Ointment Bases: Anhydrous absorption

will not absorb water

emollient

occlusive

greasy

may be sensitizing or sticky

May have compatibility problems

insoluble in water

not water-washable

anhydrous
Definition
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Term
Disadvantage or Advantage

Ointment Bases: Water-in-oil emulsion absorption

will not absorb water(limited)

emollient

occlusive

greasy

may be sensitizing or sticky

May have compatibility problems

may have stability or microbial problems

insoluble in water

not water-washable

contains water
Definition
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Term
Disadvantage or Advantage

Ointment Bases: water-removable (oil-in-water emulsion)

can absorb water

less-emollient

non-occlusive

greasy

non-greasy
May have compatibility problems

May have stability or microbial problems

May "dry out"

insoluble in water

water-washable

contains water
Definition
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