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What is a key advantage of modified release drug delivery systems?
What is a key advantage of modified release drug delivery systems?
Which issue does conventional drug therapy commonly face?
Which issue does conventional drug therapy commonly face?
What is one potential problem with conventional dosage forms?
What is one potential problem with conventional dosage forms?
What is the significance of maintaining steady-state drug levels?
What is the significance of maintaining steady-state drug levels?
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Which approach is considered to be more effective and safer for drug delivery?
Which approach is considered to be more effective and safer for drug delivery?
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What does maintaining a therapeutic 'steady-state' plasma concentration aim to achieve?
What does maintaining a therapeutic 'steady-state' plasma concentration aim to achieve?
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What is a disadvantage of developing new drugs with long half-lives?
What is a disadvantage of developing new drugs with long half-lives?
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Why is optimizing the rate and extent of drug absorption important?
Why is optimizing the rate and extent of drug absorption important?
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What primarily influences the rate of drug release in swelling controlled delivery systems?
What primarily influences the rate of drug release in swelling controlled delivery systems?
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Which component separates the rubbery region from the glassy region in swellable matrices?
Which component separates the rubbery region from the glassy region in swellable matrices?
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Which component of the swelling composition is responsible for separating the matrix from the solvent?
Which component of the swelling composition is responsible for separating the matrix from the solvent?
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What occurs to the diffusion coefficient of the drug in a swelling matrix during gel formation?
What occurs to the diffusion coefficient of the drug in a swelling matrix during gel formation?
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What characterizes ion exchange resins used for drug delivery systems?
What characterizes ion exchange resins used for drug delivery systems?
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In ion exchange systems, what type of drugs are typically bound to acidic cation ion exchangers?
In ion exchange systems, what type of drugs are typically bound to acidic cation ion exchangers?
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What is the main mechanism by which drug molecules attached to ion exchange resins are released?
What is the main mechanism by which drug molecules attached to ion exchange resins are released?
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Which ions do anionic drugs typically bind to in an ion exchange resin system?
Which ions do anionic drugs typically bind to in an ion exchange resin system?
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What are some factors that influence drug release from resin complexes?
What are some factors that influence drug release from resin complexes?
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In the context of drug release from resins, what role does pH play?
In the context of drug release from resins, what role does pH play?
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How can the release rate of a drug-resin complex be controlled?
How can the release rate of a drug-resin complex be controlled?
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What is the main mechanism by which an osmotic pump system controls drug release?
What is the main mechanism by which an osmotic pump system controls drug release?
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What is a water-permeable feature of the semi-permeable membrane in osmotic pumps?
What is a water-permeable feature of the semi-permeable membrane in osmotic pumps?
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What is a disadvantage of using resin-drug complexes?
What is a disadvantage of using resin-drug complexes?
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Why are resin-drug complexes beneficial for certain medications?
Why are resin-drug complexes beneficial for certain medications?
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What is the role of the orifice in an osmotic pump device?
What is the role of the orifice in an osmotic pump device?
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What is a significant characteristic of bulk erosion?
What is a significant characteristic of bulk erosion?
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Why is surface erosion often preferred over bulk erosion?
Why is surface erosion often preferred over bulk erosion?
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In a swelling-controlled mechanism, what happens when the polymer contacts gastrointestinal fluids?
In a swelling-controlled mechanism, what happens when the polymer contacts gastrointestinal fluids?
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What is one advantage of swelling-controlled matrices?
What is one advantage of swelling-controlled matrices?
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What defines the drug release rate in surface erosion systems?
What defines the drug release rate in surface erosion systems?
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In bulk erosion systems, what complicates the determination of drug release kinetics?
In bulk erosion systems, what complicates the determination of drug release kinetics?
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What is a possible consequence of bulk erosion in drug delivery systems?
What is a possible consequence of bulk erosion in drug delivery systems?
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During bulk erosion, what happens to the permeability of the matrix over time?
During bulk erosion, what happens to the permeability of the matrix over time?
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What is the primary purpose of the electrolyte in the first form of osmotic delivery systems?
What is the primary purpose of the electrolyte in the first form of osmotic delivery systems?
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How does the elementary osmotic pump (EOP) primarily control the rate of water influx?
How does the elementary osmotic pump (EOP) primarily control the rate of water influx?
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What occurs when the solid drug is depleted in an osmotic delivery system?
What occurs when the solid drug is depleted in an osmotic delivery system?
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What characteristic of osmotic systems allows the rate of drug release to remain independent of agitation speed?
What characteristic of osmotic systems allows the rate of drug release to remain independent of agitation speed?
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What is the primary advantage of the elementary osmotic pump for drug delivery?
What is the primary advantage of the elementary osmotic pump for drug delivery?
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In which form does the second type of osmotic delivery system contain the drug?
In which form does the second type of osmotic delivery system contain the drug?
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Which factor does NOT affect the rate of drug release in osmotic delivery systems?
Which factor does NOT affect the rate of drug release in osmotic delivery systems?
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What type of delivery system is described as a controlled porosity osmotic pump?
What type of delivery system is described as a controlled porosity osmotic pump?
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What factor does NOT affect the delivery rate of the drug in an osmotic system?
What factor does NOT affect the delivery rate of the drug in an osmotic system?
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In a push-pull osmotic pump, which of the following components generates the hydrodynamic pressure needed for drug delivery?
In a push-pull osmotic pump, which of the following components generates the hydrodynamic pressure needed for drug delivery?
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Why are drugs with high solubility challenging for sustained release systems?
Why are drugs with high solubility challenging for sustained release systems?
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Which of the following properties is NOT necessary for the design of a controlled delivery system?
Which of the following properties is NOT necessary for the design of a controlled delivery system?
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What is the primary mechanism that regulates the drug release in an osmotic system?
What is the primary mechanism that regulates the drug release in an osmotic system?
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What is a characteristic of the coating used in osmotic drug delivery systems?
What is a characteristic of the coating used in osmotic drug delivery systems?
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Which factor would NOT likely influence the effectiveness of a push-pull osmotic pump?
Which factor would NOT likely influence the effectiveness of a push-pull osmotic pump?
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What undesirable property pertains to drugs with low aqueous solubility in sustained release formulations?
What undesirable property pertains to drugs with low aqueous solubility in sustained release formulations?
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Study Notes
Modified Release Drug Delivery Systems
- Ideal drug delivery systems provide a therapeutic concentration of the drug at the site of action and maintain a constant concentration for the desired duration of treatment.
- Conventional dosage forms are designed for maximum physical and chemical stability and bioavailability.
- However, conventional dosage forms often cause problems such as poor patient compliance, increased chances of missing doses, and big fluctuations in peak and trough plasma drug levels.
- Maintaining steady-state drug levels with minimal fluctuations is important for drugs with narrow therapeutic indices.
Conventional Drug Therapy Problems
- Poor patient compliance is a problem with conventional dosage forms, especially if the drug has a short biological half-life, requiring frequent administration (e.g., 2, 3, or 4 times a day).
- The frequency of drug administration increases the chances of missing doses.
- Big fluctuations in peak and trough plasma drug levels occur when conventional drugs are given repeatedly, leading to undesirable side effects from high peak levels and loss of therapeutic levels from excessively low trough levels.
Modified Release Drug Delivery System Principles
- A modified release product system releases a portion of the drug (initial priming dose) immediately to quickly achieve the desired therapeutic response.
- The remaining dose (maintenance dose) is released slowly to prolong the therapeutic effect.
- The USP uses "controlled-release," "sustained-release," "prolonged-release," and "extended-release" interchangeably with "extended-release."
Principles of Obtaining Prolonged-Action Preparations
- Pharmacokinetic phase: Strategies to prolong absorption, metabolism, or excretion of the drug.
- Chemical reactions: Modifying the drug structure to alter its properties (e.g., creating prodrugs).
- Technological processes: Changing the dosage form to control drug release (e.g., coating, embedding in matrices).
Drug Delivery Systems (Mechanisms of Release)
- Dissolution Systems: Sustained release is inherent in drugs with low aqueous solubility.
- Controlled Release Systems: Drug release is controlled by the diffusion rate through a barrier membrane (e.g., reservoir devices).
- Reservoir Devices: Drug is surrounded by a polymeric membrane.
- Matrix Systems (Monolithic Systems): Drug is distributed uniformly in an insoluble polymeric matrix.
Types of Modified Release Dosage Forms
- Parenteral: Intramuscular injections, implants for subcutaneous tissue, and transdermal devices.
- Oral: Monolithic or matrix system, reservoir or membrane controlled systems, and osmotic pump systems.
Terminology
- Extended-Release: Slowly releases drug from the dosage form for an extended period of time, maintaining therapeutic drug levels for a prolonged time
- Controlled-Release: Drug release having zero-order kinetics (constant rate) over an extended time period.
- Sustained-Release: The drug product is designed to release an initial dose (loading dose) of the drug rapidly to achieve therapeutic effect, followed by a slower constant release of a maintenance dose to maintain levels.
- Delayed-Release: Drug release occurs at a later time or location, such as in the small intestine or in the blood.
- Targeted Release: Drug delivery at or near the intended physiological site of action.
Advantages of Modified-Release Drug Delivery Systems
- More uniform plasma drug levels
- Reduced frequency of administration
- Reduced adverse effects
- Local irritation of the gastrointestinal tract minimized
- Increased reliability of therapy
Disadvantages of Modified-Release Drug Delivery Systems
- Difficult to rapidly terminate therapy if adverse effects occur
- Physician has less flexibility in regulating dosage regimens if the drug delivery system is pre-formulated.
- Increased manufacturing costs
- Potential unpredictable release profiles
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Description
Explore the key aspects and advantages of modified release drug delivery systems in this quiz. Understand the challenges faced by conventional drug therapies and the significance of maintaining steady-state drug levels for effective treatment. Dive into the mechanics behind swelling controlled delivery systems and their role in drug absorption.