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systemic circulation
transdermal administration targets ____________________ by diffusion through the skin
epidermis
layer of the skin that is the must superficial; composed of two major layers: the stratum corneum and the viable epidermis
keritonocytes
the live cells of the epidermis that get pushed up
50-100
the viable epidermis is ____________ mcm thick
10-20
the stratum corneum is ____________ mcm thick
corneocytes
dead keratinocytes that make up the stratum corneum
stratum corneum
the rate-limiting step of transdermal drug absorption is passive diffusion through the cornified layer of the _______________________
dermis
the blood vessels in the skin are in the ______________ (where the drug molecules need to get to)
percutaneous
route of administration involving the skin: either topical for direct local applications (cream/ointment) or transdermal application for systemic effects
skin, tissues
molecules have three potential pathways to get from the ______ surface to the viable ___________:
1) through sweat ducts
2) via hair follicles
3) across the intact stratum corneum enclosing them
hydrophobic
____________ drugs are more ideal for transdermal administration because they can pass through the lipid bilayer of the cells
hydrophilic
_______________ drugs are not ideal for transdermal application because they have to pass through proteins
percutaneous absorption mechanism
1) partitioning of the drug from the vehicle into the stratum corneum
2) molecular diffusion through the stratum corneum
3) partitioning from the stratum corneum into the viable epidermis
4)diffusion through the epidermis and capillary uptake
high
lipophilic drugs have a ________________ partition coeffeicient
low
hydrophilic drugs have a _______________ partition coefficient
advantages
_________________ of transdermal administration
-permits self-administration
-allows removal of drug source
-non-invasive
-improves patient compliance
-sustains therapeutic drug levels
-reduces first-pass effect and GI incompatibility
disadvantages
_____________ of transdermal administration
-poor diffusion of large and hydrophilic molecules
-skin irritation
topical
for ____________ application, a large dose must be applied because bioavailability is so low (1-3%)
reservoir system
type of transdermal delivery system in which the active drug is stored in a special patch compartment and released through a rate controlling membrane. The drug concentration gradient across a constant thickness polymer membrane is essentially invariant with time and thus constant release rate

matrix system
type of transdermal delivery system in which the drug is released from a polymer matrix onto the skin where the rate of delivery is dependent on the rate of diffusion through the skin. The concentration gradient is time dependent and decreases progressively in response to the time growing thickness of diffusion

vapour patch
type of transdermal delivery system used in cases of decongestion, improving quality of sleep, and reduces quantity of cigarettes smoked. Release essential oils for up to 6 hours
can
matrix type patches _________ be cut in half
cannot
reservoir type patches __________ be cut in half
first
_____ generation TDDS that includes traditional patches such as clonidine or estrogen
second
_______ generation TDDS include patches plus some type of enhancement to improve drug delivery
third
________ generation TDDS use novel technologies to increase the scope of molecules that can be delivered through the skin
low
ideal drugs for transdermal application should have __________ molecular weight
daily
ideal drugs for transdermal application should have ________ doses
short
ideal drugs for transdermal application should have a _________ half life (10 hours or less - anything longer can be used for oral admin)
200
ideal drugs for transdermal application should have a melting point less than _________ Celsius
C1
Fick's law variable that is the drug concentration of the formulation
C2
Fick's law variable that is the drug concentration in the skin/circulation
Kp
Fick's law variable for partition coefficient
h
Fick's law fariable for thickness of the epidermis
D
Fick's law variable that is the diffusion coefficient
enhancement
_______________ techniques for transdermal drug delivery include prodrugs and ion pairs, use of solvent carriers/vehicles, supersaturated drug solutions, and chemical enhancers acting on the structure of the stratum corneum lipids and keratin
iontophoresis
physical method for enhancement techniques that use electromotive drug administration (EMDA); apply low level electrical current to move charged and uncharged species across the skin - useful for hydrophilic molecules
electrophoresis and electroosmosis
mechanism for iontophoresis
same
the charge of the anode of an iontophoretic patch and the charge of the drug must be ______________
electroportaion
physical method for enhancement techniques that applies short, high voltage electric pulses; safe and painless; allows cellular introduction of large, highly charged molecules across the hydrophobic bilayer core
sonophoresis
acoustical method for an enhancement technique; uses ultrasound energy at a high frequency.
Mechanism:
-increased fluidity in the lipid bilayer
-cavitation or the formation of small gas bubbles
-thermal effects (temperature increase)
microneedles
enhancement technique in which micron dimension needles pierce skin surface to create holes that are large enough for molecule entrance but small enough to avoid pain; used to administer proteins, vaccines, and larger molecules
enhancement
_____________ techniques:
-transdermal diffusion by chemical enhancers
-low-voltage electrical enhancement by iontophoresis
-high-voltage enhancement by electroporation
-microneedles