Podcast
Questions and Answers
What is a significant disadvantage associated with the oral route of drug administration?
What is a significant disadvantage associated with the oral route of drug administration?
- Minimal variation in drug absorption
- Ability to easily reverse therapy
- First-pass metabolism in the liver (correct)
- Immediate effect of drug onset
Which of the following is NOT an advantage of using the oral route for drug administration?
Which of the following is NOT an advantage of using the oral route for drug administration?
- High surface area for absorption
- Good blood supply to the area
- Most common and safe method
- Immediate drug delivery with no lag time (correct)
What could be a consequence of drug formulation that makes it susceptible to first-pass metabolism?
What could be a consequence of drug formulation that makes it susceptible to first-pass metabolism?
- Higher bioavailability
- Improved gastrointestinal irritation
- Decreased potency in systemic circulation (correct)
- Increased therapeutic window
Which factor can contribute to variability in drug effects when administered orally?
Which factor can contribute to variability in drug effects when administered orally?
What is a common physiological challenge for drug absorption through the oral route?
What is a common physiological challenge for drug absorption through the oral route?
How does the liver's role in first-pass metabolism affect oral drug dosing strategies?
How does the liver's role in first-pass metabolism affect oral drug dosing strategies?
What is one limitation of modified release forms of drugs administered orally?
What is one limitation of modified release forms of drugs administered orally?
Which statement regarding the oral route of drug administration is incorrect?
Which statement regarding the oral route of drug administration is incorrect?
What percentage of solid dosage formulations are accounted for by tablets?
What percentage of solid dosage formulations are accounted for by tablets?
Which type of tablet coating is designed to protect the drug from stomach acid and prevent release until it reaches the intestine?
Which type of tablet coating is designed to protect the drug from stomach acid and prevent release until it reaches the intestine?
Which dosage form is characterized as a homogenous one-phase system where a drug is dissolved in a solvent?
Which dosage form is characterized as a homogenous one-phase system where a drug is dissolved in a solvent?
What is the primary form of gelatine used in capsules?
What is the primary form of gelatine used in capsules?
Which dosage form is most suitable for drugs that are poorly released from tablets and that need to mask taste or smell?
Which dosage form is most suitable for drugs that are poorly released from tablets and that need to mask taste or smell?
What is a characteristic of parenteral drug administration?
What is a characteristic of parenteral drug administration?
Which of the following best describes emulsions?
Which of the following best describes emulsions?
Which type of vehicle is used for suspensions?
Which type of vehicle is used for suspensions?
What is one potential issue associated with parenteral administration?
What is one potential issue associated with parenteral administration?
Which of the following is NOT a characteristic of solutions as a liquid dosage form?
Which of the following is NOT a characteristic of solutions as a liquid dosage form?
What is the primary purpose of dosage forms in drug administration?
What is the primary purpose of dosage forms in drug administration?
Which of the following correctly describes local and systemic routes of administration?
Which of the following correctly describes local and systemic routes of administration?
Why might a drug have different doses for different formulations?
Why might a drug have different doses for different formulations?
Which of the following is NOT a requirement of dosage forms?
Which of the following is NOT a requirement of dosage forms?
What is one critical material attribute that affects the manufacture and performance of a dosage form?
What is one critical material attribute that affects the manufacture and performance of a dosage form?
Which of the following routes of administration would likely lead to the most localized effect?
Which of the following routes of administration would likely lead to the most localized effect?
What formulation can be used for rectal administration?
What formulation can be used for rectal administration?
Which formulation type is appropriate for pulmonary delivery?
Which formulation type is appropriate for pulmonary delivery?
Flashcards
Route of Administration
Route of Administration
The way a drug is delivered to the body, like swallowing a pill or getting an injection.
Formulation
Formulation
How a drug is packaged and prepared for use, like a tablet, capsule, or liquid.
Dose
Dose
The amount of a drug needed to have a beneficial effect with minimal side effects.
Local Action
Local Action
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Systemic Action
Systemic Action
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Reproducible Performance
Reproducible Performance
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Patient Acceptance
Patient Acceptance
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Physical and Chemical Stability
Physical and Chemical Stability
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Particle size
Particle size
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Biopharmaceutical considerations (ADME)
Biopharmaceutical considerations (ADME)
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Drug routes of administration
Drug routes of administration
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Oral route of drug administration
Oral route of drug administration
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First-pass metabolism
First-pass metabolism
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Dosage adjustment and routes for drugs susceptible to first-pass metabolism
Dosage adjustment and routes for drugs susceptible to first-pass metabolism
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Tablets
Tablets
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Capsules
Capsules
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Solutions
Solutions
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Suspensions
Suspensions
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Emulsions
Emulsions
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Parenteral Route
Parenteral Route
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Subcutaneous Injection
Subcutaneous Injection
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Intramuscular Injection
Intramuscular Injection
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Intravenous Injection
Intravenous Injection
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Study Notes
Routes of Administration
- Medicine is a drug with excipients
- Dose: amount needed for therapeutic effect with minimal side effects
- Different drugs have different doses
- Formulation: presentation to achieve predictable response; easily administered, convenient and controlled
- Examples of routes of administration and their formulations include:
- Oral: tablets, capsules, granules, powders, solutions, syrups, suspensions, emulsions, gels
- Rectal: suppositories, creams, enemas, foams
- Urethral: solutions
- Vaginal: ointments, pessaries
- Topical (skin): ointments, creams, pastes, lotions, gels, solutions, topical aerosols, patches
- Parenteral: injections (solutions, suspensions, emulsions), implants
- Pulmonary (respiratory): aerosols (solutions, suspensions, emulsions, powders), inhalations
- Nasal (nose): solutions, inhalations
- Ocular (eye): solutions, ointments, creams, inserts, lenses
- Aural (ear): solutions, suspensions, ointments, creams
- Local vs Systemic: Local acts on a target; Systemic goes everywhere via bloodstream
- Dosage forms need: reproducibility, patient acceptance, large-scale production, stability, preservation
Dosage Form Design
- New drug substance information helps design the dosage form
- Drug factors are critical attributes affecting manufacture and performance
- Biopharmaceutical considerations (ADME) are important
- Routes include oral, rectal, topical, parenteral, respiratory, nasal, eye, ear
Oral Route
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Advantages: most common, safe, good blood supply
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Disadvantages: lag time, hostile environment (pH, enzymes), first-pass metabolism, difficulty reversing therapy, irritation
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First-pass metabolism (pre-systemic clearance): drug metabolized by liver before systemic circulation, potentially requiring dose adjustment
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Solid dosage formulations include tablets and capsules
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Liquid dosage formulations include solutions and suspensions
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Emulsions: Mixture of two immiscible liquids, one dispersed in the other
Parenteral Route
- Injected into the body, rapid onset, avoids first-pass metabolism
- Three main routes: subcutaneous, intramuscular, intravenous
Topical Route
- Applied to skin, limited side effects, poor absorption
- Formulation includes creams, ointments, gels, patches
Rectal Route
- Rectal suppositories (less liquid- absorption ↓), local and systemic delivery, alternative to oral, avoid first-pass metabolism, erratical absorption
Respiratory Route
- Local effect, delivered in gaseous form, minimal side effects, drug deposition, drug particle size
- Formulations: pressurized metered-dose inhaler (PMDI), dry powder inhaler (DPI), nebulizer
Choice of Administration
- Based on drug characteristics and desired effects
- Bypassing hepatic metabolism, targeting specific sites are considerations
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