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What is the primary mechanism of action of Azone in enhancing skin permeation?
What is the primary mechanism of action of Azone in enhancing skin permeation?
What is a common side effect of using DMSO at high concentrations?
What is a common side effect of using DMSO at high concentrations?
What is a characteristic of 2-Azone as a permeation enhancer?
What is a characteristic of 2-Azone as a permeation enhancer?
What is a mechanism of action of urea as a permeation enhancer?
What is a mechanism of action of urea as a permeation enhancer?
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What is a characteristic of surfactants as permeation enhancers?
What is a characteristic of surfactants as permeation enhancers?
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What is a common use of urea in pharmaceutical preparations?
What is a common use of urea in pharmaceutical preparations?
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What is a limitation of using cationic surfactants as permeation enhancers?
What is a limitation of using cationic surfactants as permeation enhancers?
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What is a similarity between DMF and DMAC?
What is a similarity between DMF and DMAC?
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What is the main advantage of iontophoresis over passive transdermal systems?
What is the main advantage of iontophoresis over passive transdermal systems?
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What is the principle of iontophoresis based on?
What is the principle of iontophoresis based on?
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What type of drug molecules can iontophoresis allow for transdermal permeation?
What type of drug molecules can iontophoresis allow for transdermal permeation?
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What is the main disadvantage of iontophoresis systems?
What is the main disadvantage of iontophoresis systems?
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What is the term for the process of positively charged drug ions being repelled into the skin?
What is the term for the process of positively charged drug ions being repelled into the skin?
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What is the method of permeation that uses a low voltage external electric current?
What is the method of permeation that uses a low voltage external electric current?
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What is the benefit of synthesizing piperazinyl alkyl ester prodrugs of ketorolac?
What is the benefit of synthesizing piperazinyl alkyl ester prodrugs of ketorolac?
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What is the characteristic of iontophoresis that makes it a non-invasive method?
What is the characteristic of iontophoresis that makes it a non-invasive method?
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What is the main advantage of anionic surfactants compared to cationic surfactants?
What is the main advantage of anionic surfactants compared to cationic surfactants?
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Which of the following is a main disadvantage of ionic surfactants?
Which of the following is a main disadvantage of ionic surfactants?
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What is the order of decreased skin irritation among surfactants?
What is the order of decreased skin irritation among surfactants?
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What is the main effect of skin hydration on drug permeation?
What is the main effect of skin hydration on drug permeation?
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Which of the following increases skin hydration?
Which of the following increases skin hydration?
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What is the main effect of solvents on the skin?
What is the main effect of solvents on the skin?
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Which of the following is an example of non-ionic surfactants?
Which of the following is an example of non-ionic surfactants?
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What plays a major role in successful transdermal drug permeation?
What plays a major role in successful transdermal drug permeation?
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What is the primary reason for aprotic solvents being effective permeation enhancers?
What is the primary reason for aprotic solvents being effective permeation enhancers?
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What is the result of aprotic solvents undergoing intercellular hydrogen bonding with proteins within the skin?
What is the result of aprotic solvents undergoing intercellular hydrogen bonding with proteins within the skin?
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What is the characteristic of aprotic solvents that makes them unable to form hydrogen bonds with themselves?
What is the characteristic of aprotic solvents that makes them unable to form hydrogen bonds with themselves?
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What is the result of aprotic solvents penetrating into lipids of the horny layer?
What is the result of aprotic solvents penetrating into lipids of the horny layer?
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What is the primary advantage of aprotic solvents as permeation enhancers?
What is the primary advantage of aprotic solvents as permeation enhancers?
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What is the characteristic of DMSO that makes it an extremely powerful aprotic solvent?
What is the characteristic of DMSO that makes it an extremely powerful aprotic solvent?
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What is the primary requirement for a permeation enhancer to be effective?
What is the primary requirement for a permeation enhancer to be effective?
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What is the characteristic of an ideal permeation enhancer?
What is the characteristic of an ideal permeation enhancer?
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What is a major advantage of iontophoresis in transdermal patches?
What is a major advantage of iontophoresis in transdermal patches?
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What is the primary mechanism of action of electroporation?
What is the primary mechanism of action of electroporation?
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What is a key difference between iontophoresis and phonophoresis?
What is a key difference between iontophoresis and phonophoresis?
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What is the typical duration of the high voltage electric current in electroporation?
What is the typical duration of the high voltage electric current in electroporation?
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What is a characteristic of microneedles?
What is a characteristic of microneedles?
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What is a disadvantage of iontophoresis compared to phonophoresis?
What is a disadvantage of iontophoresis compared to phonophoresis?
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What is a type of drug that can be delivered using electroporation?
What is a type of drug that can be delivered using electroporation?
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What is the material used to make microneedles?
What is the material used to make microneedles?
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Study Notes
Ideal Properties of Chemical Permeation Enhancers
- Barrier function of the skin should be diminished with no loss of electrolytes or body fluids
- Unidirectional flow with no leakage of body fluids
- Acceptable upon usage (spreadable and leaves a good skin feel)
- Easily formulated into different semisolid dosage forms
Examples of Chemical Permeation Enhancers
Aprotic Solvents
- Most effective permeation enhancers
- Accelerate skin penetration of many compounds (steroids, antibiotics)
- Examples: Dimethylsulfoxide (DMSO), Dimethylformamide (DMF), Dimethylacetamide (DMAC)
- Mechanism of action: Formation of hydrogen bonds with intercellular proteins, leading to denaturation of keratinocytes within the stratum corneum
Azone
- Smooth, oily, hydrophobic liquid
- Non-irritating to human skin
- Capable of enhancing percutaneous penetration of many compounds
- Mechanism of action: Disrupts the highly ordered lipid packing of the lipid bilayer
Urea
- Promotes transdermal drug permeation by:
- Promoting significant hydration of the stratum corneum
- Forming diffusive channels within the skin layers
- Causing mild stratum corneum disruption
- Advantages: Very effective at low concentrations, non-toxic, and biodegradable
Surfactants or Surface Active Agents (SAA)
- Disrupt the lipid bilayer of the stratum corneum by fluidizing and solubilizing intercellular lipid
- Modify the barrier function of the stratum corneum, enhancing drug permeation
- Examples:
- Cationic surfactants (e.g., Cetyl trimethyl ammonium bromide)
- Anionic surfactants (e.g., Sodium lauryl sulphate and diacetylsulphosuccinate)
- Non-ionic surfactants (e.g., Pluronic F127, Pluronic F68, and Tween 80)
Skin Hydration
- Hydration of the stratum corneum increases permeation of both hydrophilic and lipophilic APIs
- Skin hydration opens up the dense, compact structure of the stratum corneum, leading to swelling of skin cells and tissues
Other Solvents
- Increase penetration by swelling the polar pathway
- Examples: Polyols (alcohols, e.g., methanol and ethanol), propyleneglycol, and glycerol
Physical Permeation Enhancer Methods
Iontophoresis
- Definition: Permeation of ionized drug molecules through intact skin membranes using a low-voltage external electric current
- Mechanism of action: Electrostatic repulsion rule, repelling charged drug ions into the skin
- Advantages:
- Non-invasive
- Rapid onset of action
- Enhanced transdermal delivery for a broad range of APIs
- Eliminates the use of chemical skin enhancers in transdermal patches
- Disadvantages:
- Complicated systems
- Restricted to aqueous media
Electroporation
- Definition: Enhancement of drug permeation through the skin by application of a high-voltage electric current
- Mechanism of action: Temporary hydrophilic pores created in the stratum corneum, allowing passage of large drug molecules
- Examples: Peptide hormones (e.g., vasopressin, neurotensin, and calcitonin)
Microneedle Array
- Definition: Array of micronsized needles applied on a patch (10 to 200 μm in height and 10 to 50 μm in width)
- Mechanism of action:
- Microneedle arrays pierce the upper epidermis, creating hollow pores for drug entry
- Painless due to short length, avoiding nerve endings in the upper dermis
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Description
This quiz covers the ideal characteristics of a substance that can repair the skin's natural barrier function, including diminishing electrolyte loss, being spreadable, and being easily formulated into various semisolid dosage forms.