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Pharmaceutics
science of turning a drug substance into a product that patients can safely and effectively use
USP <795>
nonsterile compounding
USP <797>
sterile compounding
USP <800>
hazardous drug handling and compounding
true or false- preparation for compounding can fall under more than one standard
true
parts of drug discovery
two: lead and target
lead in drug discovery
finding a promising compound that may become a drug
methods for lead in drug discovery
natural products
chemical synthesis
combinatorial chemistry
structure-activity relationships
target in drug discovery
finding the biological molecule/pathway that the drug should affect
method for target in drug discovery
genomics
transcriptomics
proteomics
metaabolomics
Drug-development pathway
lead-preclincical testing-IND-clinical trials (phase 1 2 3)- NDA- postmarketing
(refer to flowchart in notes)
phase 1 in pathway
examine safety, tolerability, dose range, side effects, and how the body ADME it
done w small group of volunteers who are healthy
phase 2 pathway
examine whether it works, which dose is best, and side effects; does it acc help?
tested w patients with the condition
phase 3 pathway
tested w much larger patient population to confirm
phase 4 pathway
approved and marketed; look for rare side effects, long term effects, drug interactions, other uses if possible
Drug discovery methods
Bioprospecting, combinatorial chemistry, solid-phase peptide synthesis, recombinant DNA technology
BCSR
Bioprospecting
using biodiversity and natural products to find potential drugs
ex: taxol, cannabinoid products, vinca alkaloids
combinatorial chemistry
rapidly creates a large number of related compounds by combining different chemical building blocks
solid-phase peptide synthesis
peptide is built while attached to solid resin
refer to notes for flowchart
recombinant DNA technology
manipulate and combine DNA from different sources
refer to notes for flowchart
Pharmacogenomics
studies how inherited genetic differences affect a persons response to medication
SNP
“snip”; single nucleotide polymorphism (variation in one DNA nucleotide)
Genetic differences can help predict whether a patient will experience…
a beneficial response
no response
an adverse or toxic response
Dosage Forms
physical product containing active and inactive ingredients that delivers a dose of medication
dosage form characteristics
state of matter
delivery method
release characteristics
route/site
need for dosage forms
protect drugs from oxygen, humidity, stomach acid
accurate dosing
hide taste or odor
more convenient administration
allow insoluble drugs to be given
improve stability and patient acceptability
types of dosage forms
solid
liquid
semisolid
inserts/suppositories
sterile
solid dosage forms
powders, granules, capsules, tablets
ups: accurate doses, better stability, convenient package
downs: difficult to swallow, may disintegrate and dissolve before absorption
liquid dosage forms
solution, syrup, suspension (contains solid particles, needs to be shaken), elixir (hydroalcoholic), tincture (alcoholic), emulsion (immiscible liquid dispersed in another)
semisolid dosage forms
ointments, creams, pastes, gels, foams
local effect
rheology- how a substance flows and deforms, influencing how these spread, release drug, and affect absorption
inserts dosage form
inserted in rectum, vagina, and urethra
melt/soften in body temperature
sterile dosage forms
contains no viable microorganisms
parenteral products (bypass gi tract), ophthalmic products (eye), irrigating solutions (rinsing/washing/flushing)
Immediate release
drug released promptly
delayed release
release begins later
extended release
released over a longer time
controlled release
released at designed, controlled rate
multiple release
separate portions of drug released at different times
delayed vs extended release
delayed: changes when drug release starts
extended: changes how long drug release continues
blood level graphs
MEC: minimum effective concentration
below? drug may not work
MTC: minimum toxic concentration
above? toxicity more likely
Excipients
nonmedicinal ingredients combined with the active drug (inactive ingredients)
MUST BE:
nontoxic
acceptable to reg agencies
available
low cost
physiologically inert
physically and chemically stable
compatible
May be used for:
dissolving
thickening
form an emulsion
stabilize product
preserve product
add color/flavor