The document discusses drug delivery. It provides an overview of factors considered in drug development like commercial goals, chemical limitations, efficacy studies, pharmacokinetics, and final formulation characteristics. It also discusses barriers to drug delivery like physiological barriers, biochemical barriers, and chemical barriers. Finally, it discusses strategies to overcome these barriers like prodrug modification, formulations, and other approaches.
This document outlines the curriculum for a Bachelor of Pharmacy (B. Pharm) degree at Tribhuvan University Institute of Medicine in Nepal. The goals are to produce qualified pharmacists who can work in various roles like community/hospital pharmacists, herbal drug developers, drug regulators, researchers, and pharmaceutical managers. The objectives are for graduates to demonstrate broad scientific knowledge and skills, apply knowledge professionally and ethically, and work collaboratively. Competencies include dispensing, counseling, communication, quality assurance, research, teaching, and working in retail pharmacies, hospitals, industry, and more. The 4-year program is taught in English with various courses covering topics in anatomy, biochemistry, chemistry, pharmacology and
The WHO Congress on Traditional Medicine held in Beijing in November 2008:
1) Brought together over 70 Member States to discuss traditional medicine.
2) Adopted the Beijing Declaration promoting safe and effective use of traditional medicine.
3) Called on WHO Member States and other stakeholders to take steps to integrate traditional, complementary and alternative medicines into national health care systems.
This document discusses regulatory considerations for over-the-counter (OTC) drugs in India and the United States. It provides definitions of OTC drugs and differences between prescription and OTC drugs in both countries. The key criteria for classifying drugs as OTC in the US and India are described. The document also examines regulations around marketing authorization, labeling, and advertising of OTC drugs. It evaluates the branded bisacodyl product Dulcolax and generic bisacodyl product Bisomer 5 based on tests specified in the Indian Pharmacopoeia. The evaluation found both products met requirements. The document concludes with recommendations for improving OTC drug regulations and classification in India.
Just an attempt to promote pharmacy practice in India. It helps for the students and professionals of pharmacy in healthcare, especially Doctor of Pharmacy and Pharmacy Practice students
1) Fixed-dose combinations (FDCs) containing multiple active pharmaceutical ingredients are increasingly common in India but have faced regulatory issues.
2) A parliamentary report found that many FDCs were approved by state authorities without clearance from the central drug regulator and recommended banning FDCs that could not prove safety and efficacy.
3) In 2016 and 2018, the central government banned over 300 FDCs citing lack of therapeutic justification after expert reviews, though the decisions were appealed by pharmaceutical companies.
This document provides guidance on selecting physical parameters for designing and developing oral solid dosage forms (tablets and capsules) for generic drugs. It discusses key physical attributes like size, shape, tablet scoring and other factors and their impact on generic drug claims and therapeutic outcomes. The document recommends that generic drug manufacturers consider physical attributes like size, shape, scoring and other factors in developing their products to ensure equivalence to the reference brand drug. The physical attributes can impact patient acceptance and compliance. It provides recommendations and criteria for generic drugs to address physical attributes like having similar size and shape as the reference brand and consistent scoring.
The document summarizes FDA's drug review process. Key points:
1. FDA's Center for Drug Evaluation and Research (CDER) ensures drugs marketed in the US are safe and effective. CDER reviews new drug applications but does not test drugs itself.
2. Developing a new drug involves preclinical testing, clinical trials in 3 phases with increasing number of participants, and submitting a New Drug Application for FDA review.
3. The FDA review process evaluates whether clinical trials demonstrate a drug's safety and effectiveness for its intended use. If approved, the FDA continues monitoring the drug for safety after market.
The FDA has warned of rare but serious allergic reactions occurring with products containing chlorhexidine gluconate, an antiseptic commonly used in skin preparations before surgery and injections. While rare, reports of serious allergic reactions have increased in recent years. The FDA identified 52 cases of anaphylaxis associated with chlorhexidine gluconate products applied to the skin between 1969-2015, including two deaths. Health professionals are advised to be aware of the risk of serious allergic reactions when using chlorhexidine gluconate products.
This document outlines the curriculum for a Bachelor of Pharmacy (B. Pharm) degree at Tribhuvan University Institute of Medicine in Nepal. The goals are to produce qualified pharmacists who can work in various roles like community/hospital pharmacists, herbal drug developers, drug regulators, researchers, and pharmaceutical managers. The objectives are for graduates to demonstrate broad scientific knowledge and skills, apply knowledge professionally and ethically, and work collaboratively. Competencies include dispensing, counseling, communication, quality assurance, research, teaching, and working in retail pharmacies, hospitals, industry, and more. The 4-year program is taught in English with various courses covering topics in anatomy, biochemistry, chemistry, pharmacology and
The WHO Congress on Traditional Medicine held in Beijing in November 2008:
1) Brought together over 70 Member States to discuss traditional medicine.
2) Adopted the Beijing Declaration promoting safe and effective use of traditional medicine.
3) Called on WHO Member States and other stakeholders to take steps to integrate traditional, complementary and alternative medicines into national health care systems.
This document discusses regulatory considerations for over-the-counter (OTC) drugs in India and the United States. It provides definitions of OTC drugs and differences between prescription and OTC drugs in both countries. The key criteria for classifying drugs as OTC in the US and India are described. The document also examines regulations around marketing authorization, labeling, and advertising of OTC drugs. It evaluates the branded bisacodyl product Dulcolax and generic bisacodyl product Bisomer 5 based on tests specified in the Indian Pharmacopoeia. The evaluation found both products met requirements. The document concludes with recommendations for improving OTC drug regulations and classification in India.
Just an attempt to promote pharmacy practice in India. It helps for the students and professionals of pharmacy in healthcare, especially Doctor of Pharmacy and Pharmacy Practice students
1) Fixed-dose combinations (FDCs) containing multiple active pharmaceutical ingredients are increasingly common in India but have faced regulatory issues.
2) A parliamentary report found that many FDCs were approved by state authorities without clearance from the central drug regulator and recommended banning FDCs that could not prove safety and efficacy.
3) In 2016 and 2018, the central government banned over 300 FDCs citing lack of therapeutic justification after expert reviews, though the decisions were appealed by pharmaceutical companies.
This document provides guidance on selecting physical parameters for designing and developing oral solid dosage forms (tablets and capsules) for generic drugs. It discusses key physical attributes like size, shape, tablet scoring and other factors and their impact on generic drug claims and therapeutic outcomes. The document recommends that generic drug manufacturers consider physical attributes like size, shape, scoring and other factors in developing their products to ensure equivalence to the reference brand drug. The physical attributes can impact patient acceptance and compliance. It provides recommendations and criteria for generic drugs to address physical attributes like having similar size and shape as the reference brand and consistent scoring.
The document summarizes FDA's drug review process. Key points:
1. FDA's Center for Drug Evaluation and Research (CDER) ensures drugs marketed in the US are safe and effective. CDER reviews new drug applications but does not test drugs itself.
2. Developing a new drug involves preclinical testing, clinical trials in 3 phases with increasing number of participants, and submitting a New Drug Application for FDA review.
3. The FDA review process evaluates whether clinical trials demonstrate a drug's safety and effectiveness for its intended use. If approved, the FDA continues monitoring the drug for safety after market.
The FDA has warned of rare but serious allergic reactions occurring with products containing chlorhexidine gluconate, an antiseptic commonly used in skin preparations before surgery and injections. While rare, reports of serious allergic reactions have increased in recent years. The FDA identified 52 cases of anaphylaxis associated with chlorhexidine gluconate products applied to the skin between 1969-2015, including two deaths. Health professionals are advised to be aware of the risk of serious allergic reactions when using chlorhexidine gluconate products.
The document outlines the curriculum for a Bachelor of Pharmacy program over four years. It includes the course objectives, duration, total credits required, enrollment criteria, course structure by semester, subjects covered, evaluation criteria. The curriculum aims to produce competent pharmacists through courses in pharmaceutical chemistry, pharmacognosy, pharmaceutics, pharmacology, biochemistry etc. over eight semesters. A total of 160 credits are required, including 119 credits of theory, 35 credits of practicals and 6 credits for a project work.
Naila Kanwal's document summarizes the new drug development and approval process. It describes the preclinical research phase involving animal and lab testing to determine safety and effectiveness. It then explains the clinical trial phases involving human subjects to further evaluate these factors. The document outlines the steps of submitting an Investigational New Drug application to the FDA for review and potential approval or requests for additional information before studies can begin. The overall process is designed to demonstrate a new drug is safe and effective for its intended use before being approved and marketed to the public.
Pharmacy is the science and art of preparing and dispensing medications. Pharmacists play an important role in healthcare by providing information about medications to patients and healthcare professionals. They work in various settings like hospitals, community pharmacies, the pharmaceutical industry, and more. The career opportunities in pharmacy are diverse and continue to expand with the growing healthcare sector.
This document provides information about the pharmacy profession. It defines pharmacy as both the art and science of preparing and dispensing medications and providing drug information to the public. A pharmacist is described as an expert in medications who prepares and dispenses drugs and provides drug information to patients and physicians. The document outlines the differences between drugs and medicines and provides reasons for choosing pharmacy as a career such as diverse employment opportunities and a comfortable income. It distinguishes occupations from professions and provides examples of professions including pharmacy. The document concludes by describing some of the career opportunities available to pharmacists in fields such as the pharmaceutical industry, hospitals, retail pharmacies, and teaching.
Fixed dose combination products – rationality, status in india, development i...Dr Sukanta sen
The development of FDCs is becoming increasingly
important from a public health perspective.
•They are being used in the treatment of a wide range of
conditions and are particularly useful in the management of
human immunodeficiency virus/acquired immunodeficiency
syndrome (HIV/AIDS), malaria and tuberculosis, which are
considered to be the foremost infectious disease threats in the world today.
Overview regulatory environment in usa,europe,indiashabana parveen
The document summarizes the process for clinical research and drug approval by the FDA. It describes the multi-step process including pre-clinical research in animals, Phase 1-3 clinical trials in humans to test safety and efficacy, and the submission of a New Drug Application. The FDA rigorously reviews data at each stage before approving progression to the next stage to ensure safety. The overall process aims to establish that new drugs are safe and effective for use by the American public.
The document summarizes several important drug regulatory news and safety updates from regulatory authorities including Health Canada and the US FDA. It provides warnings and updates to healthcare professionals in Nepal about potential drug interactions and risks, including:
1) The risk of high anion gap metabolic acidosis with concomitant use of flucloxacillin and paracetamol.
2) The possible risk of hypothyroidism in infants given iodine-containing contrast agents.
3) The removal of a boxed warning about asthma deaths for medicines containing inhaled corticosteroids and long-acting beta agonists.
4) The rare risk of subacute cutaneous lupus erythematosus with proton
The document discusses career opportunities for pharmacists. It begins by introducing pharmacy as a field linking health sciences with chemical and physical sciences. It then lists many job opportunities for pharmacists, including in industries, hospitals, research, sales, marketing, and more. Specific roles like clinical pharmacists, hospital pharmacists, retail pharmacists, and research pharmacists are then described in more detail. The document concludes by covering the skills and qualifications needed for various pharmacy roles.
Prescribed medication order & Communication Skills for PharmacistDr Manish Pal Singh
The document discusses prescribed medication orders and communication skills for pharmacists. It covers what a prescription is, the parts of a prescription, abbreviations used in prescriptions, legal requirements, and communication skills when interacting with prescribers and patients. Good communication is important for pharmacists to properly handle, interpret, authenticate and record prescriptions and counsel patients.
This document provides an overview of quality control procedures for pharmaceutical products. It discusses quality management systems, quality assurance, good manufacturing practices, good laboratory practices, and validation procedures. It also describes specific quality control tests for solid dosage forms like tablets, including tests for hardness, thickness, friability, weight variation, disintegration, and dissolution. The document provides details on the apparatus and procedures used for each quality control test of tablets.
The document provides summaries of 22 drugs that were approved by the FDA in 2010. The drugs treat a variety of conditions from multiple sclerosis to diabetes to skin infections. Most are small molecules but some are biologics. The largest markets are expected to be in treatments for multiple sclerosis, diabetes, osteoporosis, and replacing the blood thinner warfarin. Manufacturers receiving multiple approvals include Novartis, Amgen, Boehringer Ingelheim, and Genzyme.
The document provides an overview of clinical pharmacy, including:
- The historical background and origin of clinical pharmacy.
- Definitions of key terms like clinical pharmacy, pharmaceutical care, and medication-related problems.
- The objectives and benefits of clinical pharmacy and pharmaceutical care in optimizing patient outcomes.
- The roles and functions of clinical pharmacists in areas like establishing need for drug therapy, selecting medicines, administering therapy, monitoring patients, and providing education.
This document outlines minimum standards for pharmacy services in hospitals. It discusses elements of care like medication use policy development, optimizing medication therapy, and drug procurement. It provides standards for practice management, formulary management, and the pharmacist's role in direct patient care and consulting with other healthcare professionals on medication therapy. The document emphasizes the pharmacist's role in developing policies, serving on committees, and providing drug information to optimize safe and effective medication use in hospitals.
Gaurav Gautambhai Doshi's curriculum vitae provides information about his professional experience and education. He has over 10 years of experience in clinical research and bioequivalence studies at Alembic Pharmaceuticals Limited in Vadodara, India, where he currently serves as Team Leader. He holds an M.Pharm in Pharmacology from Annamalai University and a B.Pharm from North Gujarat University. His roles have included preparing clinical study reports, responding to regulatory queries, supervising study conduct, and managing pharmacy activities. He also completed a post-graduation project on bioequivalence of generic and innovator drug products.
This document provides information about hospital formularies, including their definition, contents, preparation, and revision. It begins by defining a hospital formulary as a list of the most useful and safe medicines for patients in that hospital. It describes the contents of formularies, such as drug information, policies, and indices. It explains that formularies are prepared and revised by a pharmacy and therapeutics committee with input from pharmacists. Drugs are added or removed based on various criteria to ensure efficacy, safety, and cost-effectiveness. Formularies help standardize drug use in hospitals.
This document outlines the Philippine National Drug Policy and provides information about the 7th edition of the Philippine National Drug Formulary (PNDF) Volume I. The five pillars of the Philippine National Drug Policy are described which aim to ensure drug quality, promote rational drug use, develop local pharmaceutical industry, implement targeted government drug procurement, and empower the public. The PNDF Volume I is the country's essential medicines list and is regularly updated by the National Formulary Committee. Key details provided in this document include acknowledgements, definitions, guidelines, and statistics related to the 7th edition of the PNDF Volume I.
Guidelines for Drug Donation to Nepal (DDA)Nabin Bist
1. This document provides guidelines for drug donations in Nepal to ensure donated drugs meet national requirements and are based on expressed needs.
2. Key guidelines include that donated drugs must be approved for use in Nepal, have sufficient shelf life remaining, come from reliable sources that meet quality standards, and be appropriately packaged and labeled.
3. The recipient organization is responsible for informing donors of needs and ensuring proper storage, handling, and administration of donated drugs.
Career scope and opportunities
Pharmacy is the health profession that links the health sciences with the chemical sciences, and it is charged with ensuring the safe and effective use of medication. The scope of pharmacy practice includes compounding and dispensing medications, and it also related to more modern services like patient care, including clinical services, reviewing medications for safety and efficacy, and providing drug information.
The demand for pharma graduates is high in sectors like - healthcare, research, manufacturing, medical marketing, pharmacovigilance etc. As a pharma graduate, you can take up job roles like - drugs inspector, drugs controller, hospital pharmacist etc.
How to access and process FDA drug approval packages for use in researchErick Turner
FDA reviews on new drugs can be used to learn the results of unpublished studies. Unfortunately, the FDA website (Drugs@FDA) is not user-friendly, nor are these review documents. These slides explain how to navigate Drugs@FDA, and they provide tips on how to make documents easier to use.
These slides are based on, and expand upon, an article in the BMJ, available at http://www.bmj.com/content/347/bmj.f5992 .
This slide contains what is generic drug, what is advantages & disadvantages,reason behind unpopularity of generic drug in India, why generic drugs are important in India, why there is a need of generic drug policy, who are the regulatory authority, what are the act & laws, what policy existing in India for generic drug then Conclusion.
This book provides an overview of gamification in education and business with chapters organized into four parts: theory, education, business, and use cases. It includes 34 peer-reviewed chapters from 66 authors across 14 countries examining topics like theoretical foundations of gamification, developing intrinsic motivation through play, designing effective feedback, measuring gamification outcomes, balancing game elements with business goals, and applying behavioral economics concepts to improve app and user experiences. The book aims to advance understanding of gamification and provide direction for further research in its nascent areas of education and business.
Logic made easy how to know when language deceives yousantosh Mr dexter
This document introduces the concept that logical reasoning is difficult for humans despite our self-perception of being logical. It provides examples of common logical mistakes people make in areas like language interpretation and responses to reasoning tasks. Research shows these mistakes are widespread, similar across individuals, and persist despite intelligence. Standardized tests reveal many struggle with logic questions. The document suggests language nuances and familiarity can interfere with logical thinking.
The document outlines the curriculum for a Bachelor of Pharmacy program over four years. It includes the course objectives, duration, total credits required, enrollment criteria, course structure by semester, subjects covered, evaluation criteria. The curriculum aims to produce competent pharmacists through courses in pharmaceutical chemistry, pharmacognosy, pharmaceutics, pharmacology, biochemistry etc. over eight semesters. A total of 160 credits are required, including 119 credits of theory, 35 credits of practicals and 6 credits for a project work.
Naila Kanwal's document summarizes the new drug development and approval process. It describes the preclinical research phase involving animal and lab testing to determine safety and effectiveness. It then explains the clinical trial phases involving human subjects to further evaluate these factors. The document outlines the steps of submitting an Investigational New Drug application to the FDA for review and potential approval or requests for additional information before studies can begin. The overall process is designed to demonstrate a new drug is safe and effective for its intended use before being approved and marketed to the public.
Pharmacy is the science and art of preparing and dispensing medications. Pharmacists play an important role in healthcare by providing information about medications to patients and healthcare professionals. They work in various settings like hospitals, community pharmacies, the pharmaceutical industry, and more. The career opportunities in pharmacy are diverse and continue to expand with the growing healthcare sector.
This document provides information about the pharmacy profession. It defines pharmacy as both the art and science of preparing and dispensing medications and providing drug information to the public. A pharmacist is described as an expert in medications who prepares and dispenses drugs and provides drug information to patients and physicians. The document outlines the differences between drugs and medicines and provides reasons for choosing pharmacy as a career such as diverse employment opportunities and a comfortable income. It distinguishes occupations from professions and provides examples of professions including pharmacy. The document concludes by describing some of the career opportunities available to pharmacists in fields such as the pharmaceutical industry, hospitals, retail pharmacies, and teaching.
Fixed dose combination products – rationality, status in india, development i...Dr Sukanta sen
The development of FDCs is becoming increasingly
important from a public health perspective.
•They are being used in the treatment of a wide range of
conditions and are particularly useful in the management of
human immunodeficiency virus/acquired immunodeficiency
syndrome (HIV/AIDS), malaria and tuberculosis, which are
considered to be the foremost infectious disease threats in the world today.
Overview regulatory environment in usa,europe,indiashabana parveen
The document summarizes the process for clinical research and drug approval by the FDA. It describes the multi-step process including pre-clinical research in animals, Phase 1-3 clinical trials in humans to test safety and efficacy, and the submission of a New Drug Application. The FDA rigorously reviews data at each stage before approving progression to the next stage to ensure safety. The overall process aims to establish that new drugs are safe and effective for use by the American public.
The document summarizes several important drug regulatory news and safety updates from regulatory authorities including Health Canada and the US FDA. It provides warnings and updates to healthcare professionals in Nepal about potential drug interactions and risks, including:
1) The risk of high anion gap metabolic acidosis with concomitant use of flucloxacillin and paracetamol.
2) The possible risk of hypothyroidism in infants given iodine-containing contrast agents.
3) The removal of a boxed warning about asthma deaths for medicines containing inhaled corticosteroids and long-acting beta agonists.
4) The rare risk of subacute cutaneous lupus erythematosus with proton
The document discusses career opportunities for pharmacists. It begins by introducing pharmacy as a field linking health sciences with chemical and physical sciences. It then lists many job opportunities for pharmacists, including in industries, hospitals, research, sales, marketing, and more. Specific roles like clinical pharmacists, hospital pharmacists, retail pharmacists, and research pharmacists are then described in more detail. The document concludes by covering the skills and qualifications needed for various pharmacy roles.
Prescribed medication order & Communication Skills for PharmacistDr Manish Pal Singh
The document discusses prescribed medication orders and communication skills for pharmacists. It covers what a prescription is, the parts of a prescription, abbreviations used in prescriptions, legal requirements, and communication skills when interacting with prescribers and patients. Good communication is important for pharmacists to properly handle, interpret, authenticate and record prescriptions and counsel patients.
This document provides an overview of quality control procedures for pharmaceutical products. It discusses quality management systems, quality assurance, good manufacturing practices, good laboratory practices, and validation procedures. It also describes specific quality control tests for solid dosage forms like tablets, including tests for hardness, thickness, friability, weight variation, disintegration, and dissolution. The document provides details on the apparatus and procedures used for each quality control test of tablets.
The document provides summaries of 22 drugs that were approved by the FDA in 2010. The drugs treat a variety of conditions from multiple sclerosis to diabetes to skin infections. Most are small molecules but some are biologics. The largest markets are expected to be in treatments for multiple sclerosis, diabetes, osteoporosis, and replacing the blood thinner warfarin. Manufacturers receiving multiple approvals include Novartis, Amgen, Boehringer Ingelheim, and Genzyme.
The document provides an overview of clinical pharmacy, including:
- The historical background and origin of clinical pharmacy.
- Definitions of key terms like clinical pharmacy, pharmaceutical care, and medication-related problems.
- The objectives and benefits of clinical pharmacy and pharmaceutical care in optimizing patient outcomes.
- The roles and functions of clinical pharmacists in areas like establishing need for drug therapy, selecting medicines, administering therapy, monitoring patients, and providing education.
This document outlines minimum standards for pharmacy services in hospitals. It discusses elements of care like medication use policy development, optimizing medication therapy, and drug procurement. It provides standards for practice management, formulary management, and the pharmacist's role in direct patient care and consulting with other healthcare professionals on medication therapy. The document emphasizes the pharmacist's role in developing policies, serving on committees, and providing drug information to optimize safe and effective medication use in hospitals.
Gaurav Gautambhai Doshi's curriculum vitae provides information about his professional experience and education. He has over 10 years of experience in clinical research and bioequivalence studies at Alembic Pharmaceuticals Limited in Vadodara, India, where he currently serves as Team Leader. He holds an M.Pharm in Pharmacology from Annamalai University and a B.Pharm from North Gujarat University. His roles have included preparing clinical study reports, responding to regulatory queries, supervising study conduct, and managing pharmacy activities. He also completed a post-graduation project on bioequivalence of generic and innovator drug products.
This document provides information about hospital formularies, including their definition, contents, preparation, and revision. It begins by defining a hospital formulary as a list of the most useful and safe medicines for patients in that hospital. It describes the contents of formularies, such as drug information, policies, and indices. It explains that formularies are prepared and revised by a pharmacy and therapeutics committee with input from pharmacists. Drugs are added or removed based on various criteria to ensure efficacy, safety, and cost-effectiveness. Formularies help standardize drug use in hospitals.
This document outlines the Philippine National Drug Policy and provides information about the 7th edition of the Philippine National Drug Formulary (PNDF) Volume I. The five pillars of the Philippine National Drug Policy are described which aim to ensure drug quality, promote rational drug use, develop local pharmaceutical industry, implement targeted government drug procurement, and empower the public. The PNDF Volume I is the country's essential medicines list and is regularly updated by the National Formulary Committee. Key details provided in this document include acknowledgements, definitions, guidelines, and statistics related to the 7th edition of the PNDF Volume I.
Guidelines for Drug Donation to Nepal (DDA)Nabin Bist
1. This document provides guidelines for drug donations in Nepal to ensure donated drugs meet national requirements and are based on expressed needs.
2. Key guidelines include that donated drugs must be approved for use in Nepal, have sufficient shelf life remaining, come from reliable sources that meet quality standards, and be appropriately packaged and labeled.
3. The recipient organization is responsible for informing donors of needs and ensuring proper storage, handling, and administration of donated drugs.
Career scope and opportunities
Pharmacy is the health profession that links the health sciences with the chemical sciences, and it is charged with ensuring the safe and effective use of medication. The scope of pharmacy practice includes compounding and dispensing medications, and it also related to more modern services like patient care, including clinical services, reviewing medications for safety and efficacy, and providing drug information.
The demand for pharma graduates is high in sectors like - healthcare, research, manufacturing, medical marketing, pharmacovigilance etc. As a pharma graduate, you can take up job roles like - drugs inspector, drugs controller, hospital pharmacist etc.
How to access and process FDA drug approval packages for use in researchErick Turner
FDA reviews on new drugs can be used to learn the results of unpublished studies. Unfortunately, the FDA website (Drugs@FDA) is not user-friendly, nor are these review documents. These slides explain how to navigate Drugs@FDA, and they provide tips on how to make documents easier to use.
These slides are based on, and expand upon, an article in the BMJ, available at http://www.bmj.com/content/347/bmj.f5992 .
This slide contains what is generic drug, what is advantages & disadvantages,reason behind unpopularity of generic drug in India, why generic drugs are important in India, why there is a need of generic drug policy, who are the regulatory authority, what are the act & laws, what policy existing in India for generic drug then Conclusion.
This book provides an overview of gamification in education and business with chapters organized into four parts: theory, education, business, and use cases. It includes 34 peer-reviewed chapters from 66 authors across 14 countries examining topics like theoretical foundations of gamification, developing intrinsic motivation through play, designing effective feedback, measuring gamification outcomes, balancing game elements with business goals, and applying behavioral economics concepts to improve app and user experiences. The book aims to advance understanding of gamification and provide direction for further research in its nascent areas of education and business.
Logic made easy how to know when language deceives yousantosh Mr dexter
This document introduces the concept that logical reasoning is difficult for humans despite our self-perception of being logical. It provides examples of common logical mistakes people make in areas like language interpretation and responses to reasoning tasks. Research shows these mistakes are widespread, similar across individuals, and persist despite intelligence. Standardized tests reveal many struggle with logic questions. The document suggests language nuances and familiarity can interfere with logical thinking.
This document is the introduction and dedication sections of a book titled "In The Trauma of Abuse" by Javvi. It discusses the author's experiences with childhood abuse and trauma, and thanks the many people and resources that helped her heal and improve her life, including motivational speakers, instructors, and her two children. The author is proud of writing this book and helping others dealing with similar struggles by sharing her story of overcoming difficulties through personal growth.
This document provides reasons why Christians should support Israel. It begins by giving context about Israel's small size but large role globally and its history of being surrounded by enemies. The main points are:
1) God says in Genesis 12:3 that he will bless those who bless Israel and curse those who curse Israel. Examples from history support this.
2) Israel shares democratic values with the West that terrorists oppose, and supporting Israel helps fight terrorism which threatens all nations.
3) The Bible shows God has blessed Gentiles like Cornelius who expressed unconditional love and support for the Jewish people. Christians should follow this example by supporting Israel.
This document is the beginning of a novel titled The Fault in Our Stars. It introduces the main character, Hazel, who has thyroid cancer that has metastasized to her lungs. She is forced to attend a weekly cancer support group by her mother. The support group meets in a church basement and is led by Patrick, a cancer survivor. Hazel finds the group depressing but connects with another attendee named Isaac through shared sighs. She tries to get out of attending but her mother insists she go to find friendship and live her life.
This document is an introduction by 50 Cent to the novel Playground. It provides background on 50 Cent's experiences that influenced the story, including having been a bully. The introduction notes that the novel tells the story of a kid who has become a bully, exploring how and why that happened and if he can change. 50 Cent drew on events from his childhood and feelings he remembers from that age. The introduction sets up the novel's exploration of whether living a life on the edge will get a person anywhere or if being a bully will only make things worse.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
This passage describes an event in 1960 where unidentified flying objects were detected on radar at an early warning station in Greenland. This triggered the U.S. Strategic Air Command to prepare its nuclear-armed bombers for potential retaliation against the Soviet Union. However, the objects then changed course and disappeared. It was later learned that a submarine cable connecting the station had been cut by an iceberg at that precise time. The author suggests this was an odd coincidence and part of the mysterious nature of UFO phenomena.
Pharmacological classification of Drug by KD Tripathi.pdfssuserc028cd
This document provides classifications and dosages for drugs acting on the autonomic nervous system, including cholinergic drugs, anticholinergic drugs, ganglionic stimulants, ganglionic blocking agents, adrenergic drugs, α-adrenergic blocking drugs, and β-adrenergic blocking drugs. It lists the generic and brand names, dosages, and administration routes for these drugs in concise tables and charts.
Pharmacological Classification of Drugs with Doses and Preparations ( PDFDriv...NishitJain11
This document provides a classification of drugs according to their pharmacological properties and includes dosages and formulations. It begins with an introduction describing the importance and purpose of drug classification systems. The document then lists explanatory notes for the classifications that follow and provides common abbreviations used.
100 Cases In Clinical Pharmacology Therapeutics And Prescribing 1St EditionScott Bou
This document provides information about a book titled "Clinical Pharmacology, Therapeutics and Prescribing 100 Cases". It was written by Kerry Layne and Albert Ferro, and edited by Janice Rymer. The book contains 100 clinical cases related to pharmacology, therapeutics, and prescribing. It aims to teach readers about safe and effective medication use and management of diseases. The cases cover basic pharmacology principles, therapeutic areas, prescribing skills, and interpreting patient data. The goal is to illustrate pharmacological concepts and show how medications should be applied in real clinical settings.
This document summarizes a presentation on health plan involvement in safe prescribing. It includes:
1) Presentations from medical experts on prescription drug abuse trends from medical examiner data and a tribal health system's safe prescribing program.
2) A discussion of health plan policies to reduce "red flag" medication combinations like opioids plus benzodiazepines through prior authorization, formulary changes, and provider restrictions.
3) Examples of one health plan's implementation of policies like restricting methadone prescriptions to pain specialists and removing carisoprodol from its formulary.
pharmaceutical companies spend money to develop appropriate literature to market their new drugs. ppt throws light on how healthy skepticism will help the health care practitioners to interpret the literature presented by the medical representatives
USMLE Step 1 2023 actualizado en pdf completonady1995
This document is the title page and copyright information for First Aid for the USMLE Step 1 2023, which is a study guide created by Tao Le and Vikas Bhushan to help medical students prepare for the USMLE Step 1 exam. It lists the contributing authors, which include physicians and medical students from around the world. It also provides publisher information and copyright details.
This document discusses approved regulatory bodies and agencies that regulate drugs. It provides information on regulatory authorities in countries like the US, EU, India, Japan, and their functions. The key regulatory bodies mentioned are the US FDA, EU, India's CDSCO under the Ministry of Health and Family Welfare. The functions of regulatory bodies include drug evaluation, monitoring safety and efficacy, licensing, and adverse reaction monitoring. They aim to ensure drug safety, efficacy, and quality. Harmonization of regulatory standards globally and strengthening authorities are needed to regulate the pharmaceutical industry effectively.
EXAMPLEHPI 45 yo female from the virgin islands admitted forBetseyCalderon89
EXAMPLE
HPI: 45 y/o female from the virgin islands admitted for infected left stump. Transferred to ICU for worsening septic shock with respiratory distress. Last night had active bleeding from stump, surgery at beside. Patient in cardiac arrest x2 with ROSC. 4 units PRBC, 2 FFP, 1 of platelets given.
> PMH: chronic- HTN, PVD, DM, Mitral regurgitation, MI, HFrEF 20-25% (8/17), pulmonary hypertension
> FH: Mother HTN, Father DM.
> SH: Denies use of alcohol, drugs or smoking.
> ALL: NKDA
> MEDS: Metformin 500 mg BID, Metoprolol succinate 100 mg PO daily, aspirin 81 mg PO daily
> Objective
> VS: BP 97/55, HR 98, RR 20, MAP: 69, O2: 100%, Ht: 5'3'', Wt 89 kg, BMI 34.9
> LABS: AST 396/ ALT 63 ^, WBC 14.8 ^, H/H 7.6/30, platelets 350, aPTT 40, Glucose 202 ^, Na 144, K+ 3.9, lactic 10^. BUN 40, creat 3.0. Leg wounds culture: achromobacter. Tracheal aspirate: stenotrophomonas (9/9)
> PE: Anasarca. Mechanical ventilation, diminished breath sounds. Wet gangrene of leg stump debrided. Dry gangrene of right lower extremity. Lines: NG tube, PICC, left IJ.
> Assessment: 1. Septic shock 2. Acute Hypoxic respiratory failure 3. Left stump infection, dry gangrene of RLE 4. Post cardiac arrest 5. Apical thrombus
> Plan :
> 1. Septic shock. Continue vasopressors, levophed currently at 15 mcg/min. Analgesia with fentanyl drip, dilaudid 0.5 mg q4h PRN. Monitor CBC/BMP and lactic levels. Daptomycin to be continued for 6 weeks (from 8/25). Mondays check CKP, ESR, CRP levels while on daptomycin. GI prophylaxis with Pepcid 20 mg IV daily. Glucose checks q8h.
> 2. Acute hypoxic respiratory failure. Continue mechanical ventilation and monitoring of patient oxygenation. Fio2 successfully titrated from 60 to 40%.
> 3. Left stump infection, dry gangrene of RLE. Zosyn 3.375 IV to be continued for 6 weeks from 8/25. Consult ID.
> 4. Pending CT brain post cardiac arrest.
> 5. DVT prophylaxis with heparin drip (apical thrombus). Continue to monitor coagulation levels.
EVIDENCE-BASED PRACTICE
FOR NURSES
Appraisal and Application of Research
2
THE PEDAGOGY
Evidence-Based Practice for Nurses: Appraisal and Application of Research,
Third Edition, drives comprehension through various strategies that meet the
learning needs of students, while also generating enthusiasm about the topic. This
interactive approach addresses different learning styles, making this the ideal text
to ensure mastery of key concepts. The pedagogical aids that appear in most
chapters include the following:
3
Chapter Objectives
These objectives provide instructors and students with a snapshot of the key
information they will encounter in each chapter. They serve as a checklist to
help guide and focus study.
Key Terms
Found in a list at the beginning of each chapter and in bold within the chapter,
these terms will create an expanded vocabulary in evidence-based practice.
Critical Thinking Exercises An integral part of the learning process, critical-
thinking scenarios and questions are pres ...
This document is the table of contents for the 6th edition of the textbook "Essentials of Medical Pharmacology" by KD Tripathi. The textbook is divided into 14 sections covering general pharmacological principles and various classes of drugs. Each section contains multiple chapters on specific drug classes or therapeutic areas. The table of contents provides the chapter titles and page numbers for each of the 69 chapters and 2 appendices contained in the textbook. The textbook appears to provide an overview of medical pharmacology targeting medical students and clinicians.
This document discusses clinical pharmacy, including definitions, the status of clinical pharmacy in India, the scope and history of clinical pharmacy, activities of clinical pharmacists, clinical pharmacy practice areas, guidelines for pharmacotherapy specialists, clinical pharmacokinetics, drugs that can be monitored through therapeutic drug monitoring, reasons to request TDM, and the responsibilities of clinical pharmacists. It outlines how clinical pharmacy aims to optimize drug therapy for patients through various roles like consulting, drug information provision, and patient monitoring.
The document outlines the syllabus for a pharmacology course, including topics such as introduction to pharmacology, pharmacokinetics, pharmacodynamics, prescription writing, autonomic nervous system, and sources of drug information. It defines key terms like pharmacology, drug, pharmacy, therapeutics, and discusses the various subdivisions of pharmacology like pharmacognosy, toxicology, and clinical pharmacology. It also lists some common reference books and different sources of drugs including minerals, animals, plants, microorganisms, and recombinant technology.
Sổ tay thuốc thú y - tra liều thuốc thú yLuong Manh
Bác sĩ xem phương pháp tra liều thuốc của EduVET để tận dụng hết công hiệu của cuốn sách này
link cách tra liều thuốc: https://www.facebook.com/groups/448168926123166/
Formulation Development and in Vitro Evaluation of Capecitabine Immediate Rel...ijtsrd
The aim of this study is to formulate and significantly improve the bioavailability and reduce the side effects of immediate release tablets Capecitabine. The precompression blends of Capecitabine were characterized with respect to angle of repose, bulk density, tapped density, Carr’s index and Hausner’s ratio. The precompression blend of all the batches indicates good to fair flowability and compressibility. Immediate release tablets were prepared with various disintegrants like PEG 6000, Croscarmellose sodium and Sodium starch glycolate at different concentration ratios and were compressed into tablets. The formulated tablets were evaluated for various quality control parameters. The tablets were passed all tests. Among all the formulations F7 formulation containing, drug and Croscarmellose sodium showed good result that is 98.12 in 45 min. Hence from the dissolution data it was evident that F7 formulation is the better formulation. Dr. G. Jagadish | Dr. Vibhor Kumar Jain | Rama Shukla "Formulation Development and in Vitro Evaluation of Capecitabine Immediate Release Tablets" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-2 , April 2023, URL: https://www.ijtsrd.com.com/papers/ijtsrd55058.pdf Paper URL: https://www.ijtsrd.com.com/pharmacy/pharmaceutics/55058/formulation-development-and-in-vitro-evaluation-of-capecitabine-immediate-release-tablets/dr-g-jagadish
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
TEST BANK For Basic and Clinical Pharmacology, 15th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version
Pharmacy is the study and practice of preparing and dispensing drugs and medicines. It involves the discovery, production, and safe use of medications. A pharmacist requires knowledge of drugs, their mechanisms, side effects, and interactions to properly prepare and dispense them. Pharmacy also involves regulatory affairs to ensure drug quality, safety, and efficacy. There are many career opportunities for pharmacists in industries like pharmaceuticals, hospitals, research, academia, and government services.
This document summarizes a presentation on insights from state policies and interventions to curb prescription drug overdoses. It describes several interventions:
1) PRIMUM, a system in North Carolina that alerts prescribers to patients' risk of misusing or abusing opioids at the point of care.
2) A project in Rhode Island that developed protocols to improve opioid prescription safety for trauma patients, including alerts if prescriptions exceed dosage thresholds and requiring naloxone co-prescriptions.
3) A study in Pennsylvania that used Medicaid claims data to identify risk factors for opioid overdoses, such as high dosage and multiple prescribers/pharmacies, to target high-risk patients.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics ( PDFDrive...InsSilva801685
This document provides a table of contents for the book "Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics". The table of contents lists 50 chapters organized into 6 parts that cover topics such as principles of laboratory medicine, analytical techniques and instrumentation, analytes, pathophysiology, molecular diagnostics, and reference information.
Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics ( PDFDrive...
drug delivery
1. Drug Delivery
Ashim K. Mitra, PhD
Chairman and Curator’s
Professor, Pharmaceutical
Sciences
School of Pharmacy
University of Missouri-
Kansas City
Kansas City, Missouri
E d i t e d b y
Deep Kwatra, PhD
Postdoctoral Research Fellow
School of Medicine
University of Kansas
Medical Center
Kansas City, Kansas
Aswani Dutt Vadlapudi, PhD
Scientist, Technical Services
Mylan Pharmaceuticals, Inc.
Morgantown, West Virginia
9781449674250_FMxx_Pass2.indd 1 10/07/14 2:44 AM
4. Contentsiv
Chemical Barriers 23
Hydrogen-Binding Potential 23
Other Properties 23
Strategies to Overcome Barriers to Drug Delivery 23
Prodrug and Structural Modification 23
Formulations24
Other Strategies 24
Summary24
Review Questions 24
Chapter 3 In Vitro Models in Drug Discovery and Delivery 30
Deep Kwatra, Varun Khurana, and Ashim K. Mitra
Introduction31
Morphology of the Small Intestine 32
Barriers to Intestinal Drug Delivery 33
Physical Barriers 33
Biochemical Barriers 34
Absorption Pathways 34
In Vitro Models of Intestinal Drug Absorption 38
Immobilized Artificial Membrane Columns 38
Parallel Artificial Membrane Permeation Assay 39
Excised Intestinal Tissues 39
Perfused Intestinal Tissues 39
Everted Sacs 39
Intestinal Tissue Mounts on Ussing/Diffusing Chambers 40
Isolated Intestinal Cells (Enterocytes) 41
Membrane Vesicles 41
In Vitro Cell Culture Models 41
In Silico Methods 45
Summary46
Review Questions 46
Chapter 4 Routes of Drug Delivery 50
Sai H. S. Boddu and Ripal Gaudana
Introduction51
Oral Route 52
Parenteral Route 55
Transmucosal Route 59
Inhalation Route 63
Transdermal Route 64
Transport of Drugs Across Membranes 66
Summary68
Review Questions 69
Chapter 5 Novel Drug Delivery Systems 71
Heidi M. Mansour, Zhen Xu, Samantha A. Meenach, Chun-Woong Park,
Yun-Seok Rhee, and Patrick P. DeLuca
Introduction72
Novel Injectable Depot Drug Delivery Systems 72
9781449674250_FMxx_Pass2.indd 4 10/07/14 2:44 AM
5. Contents v
Administration Routes 72
Types of Sustained-Release Injectable Depot Systems 73
Types of Drugs Loaded 74
Types of Polymers Used to Form Injectable Systems 76
Introduction: Pulmonary Aerosols 76
Pulmonary Aerosol Delivery for Local Action 77
Nasal Aerosol Delivery 88
Pulmonary Nanomedicine 93
Summary96
Review Questions 96
Chapter 6 Controlled Drug Delivery 108
Shailendra B. Tallapaka, Vamsi K. Karuturi, Sutthilug Sotthivirat,
and Joseph A. Vetro
Introduction109
Conventional Drug Delivery 112
Controlled Drug Delivery 113
Mechanisms of Drug Release 114
Diffusion-Controlled Systems 114
Erosion-Controlled Systems 118
Swelling-Controlled Systems 120
Osmosis-Controlled Systems 123
Summary126
Review Questions 127
Chapter 7 Polymers in Drug Delivery 129
David Mastropietro, Srinath Muppalaneni, Young Kwon,
Kinam Park, and Hossein Omidian
Introduction130
Polymer Basics 131
Quality and Safety Issues 133
Pharmaceutical Polymers 133
Cellulose Derivatives 134
Hydrocolloids137
Synthetic Polymers 139
Polymers in Pharmaceutical Dosage Forms 143
Polymeric Coatings 143
Polymers as Rheology Modifier 146
Transdermal Delivery 146
Extemporaneous Compounding 147
Polymers for Advanced Drug Delivery Applications 147
Implantable Polymers 148
Injectable Polymers 148
Thermosensitive Biodegradable Polymers 149
Polymers as Extracellular Matrix 150
Pharmacokinetically Modified Actives 151
Targetable Polymeric Systems 151
Polymers as Nonviral Gene Carriers 151
Summary152
Review Questions 152
9781449674250_FMxx_Pass2.indd 5 10/07/14 2:44 AM
6. Contentsvi
Chapter 8 Multifunctional Nanocarriers for Tumor
Drug Delivery and Imaging 157
Gemma Navarro, Sara Movassaghian, and Vladimir P. Torchilin
Introduction158
Nanoscale Delivery Systems Versus Conventional
Formulations160
The Right Carrier for the Right Drug: Opportunities and
Challenges of Available Nanosystems 161
Tailoring Nanocarriers for Tumor Delivery 163
Tumor Microenvironment 163
Tuning of Nanocarrier’s Surface 164
Active/Passive Targeted Nanocarriers: A Prolonged
Circulation and Targetability Combination 168
Adding Local/External Stimuli Sensitivity to Nanocarriers 170
pH-Sensitive Nanocarriers 170
Temperature-Sensitive Nanocarriers 172
Redox Potential-Sensitive Nanocarriers 172
Magnetically Sensitive Nanocarriers 173
Light-Sensitive Nanocarriers 173
Ultrasound-Sensitive Nanocarriers 174
Other Stimuli-Sensitive Nanocarriers 174
Intracellular Penetration and Subcellular
Targeting of Nanocarriers 174
Charge Modification of Nanocarriers 175
Intracellular Delivery of Anticancer Drugs and Genes by CPPs 175
Image-Guided Drug Delivery and Diagnostic Theranostic
Nanocarriers176
Future Perspectives 177
Summary179
Review Questions 179
Chapter 9 Oral Delivery 188
Song Gao, Yong Ma, Zhen Yang, Wen Jiang, and Ming Hu
Introduction189
Bioavailability Barriers to Orally Administered Drugs 190
Physicochemical Barriers 190
Biological Barriers 191
Residence Time 196
Patients in Special Situations (Pediatric and Disabled) 196
Tablets196
Manufacturing Processes and Tablet Properties 196
Excipients198
Types of Tablets 199
Capsules204
Capsule Shell Materials 205
Types of Capsules 207
Transmucosal Drug Delivery Systems 210
Oral Thin Film/Patch 211
Medicated Chewing Gum 211
Oral Liquids (Solution/Suspension) 212
9781449674250_FMxx_Pass2.indd 6 10/07/14 2:44 AM
7. Contents vii
Microemulsions213
Summary214
Review Questions 215
Chapter 10 Ocular Drug Delivery 219
Aswani Dutt Vadlapudi, Kishore Cholkar, Supriya Reddy Dasari,
and Ashim K. Mitra
Introduction220
Anatomy of the Eye 221
Routes of Ocular Drug Administration 224
Role of Efflux and Influx Transporters in the Eye 226
Prodrug Strategies for Increasing Ocular Drug Absorption 228
Colloidal Dosage Forms for Enhancing Ocular Drug Absorption 233
Dendrimers233
Cyclodextrins237
Nanoparticles239
Liposomes242
Nanomicelles244
Microneedles246
Implants246
Nonbiodegradable Implants 247
Biodegradable Implants 247
Contact Lens 249
In Situ Gelling Systems 250
Gene Delivery 252
Adenovirus Vectors 253
AAV Vectors 253
LV Vectors 253
Nonviral Vectors 254
Summary254
Review Questions 255
Chapter 11 Transmucosal Drug Delivery 264
Navdeep Kaur, Amit, Kokate, Xiaoling Li, and Bhaskara Jasti
Introduction265
Anatomy and Structure of the Oral Cavity/Mucosa 266
Biochemical Composition and Permeability Barrier 268
Saliva and Mucus 269
Transport Routes Across Oral Mucosa 270
Methods of Assessing Oral Mucosal Absorption 271
Intraoral Transmucosal Drug Delivery 274
Drug Delivery Systems 274
Solid Dosage Forms 274
Patches276
Aerosols and Sprays 277
Semisolid Dosage Forms 277
Chewing Gums 278
Wafers278
Films and Strips 278
9781449674250_FMxx_Pass2.indd 7 10/07/14 2:44 AM
8. Contentsviii
Liposomes278
Microparticles and Nanoparticles 279
Summary279
Review Questions 280
Chapter 12 Transdermal Drug Delivery 283
Meera Gujjar, Anushree Kishor Herwadkar, and Ajay K. Banga
Introduction284
Skin Structure 285
Advantages of Transdermal Delivery 286
Factors Influencing Transdermal Drug Delivery 286
Physicochemical Factors 286
Formulation Factors 287
Physiological Factors 288
Models for Percutaneous Absorption 288
Diffusion Cells 289
Transdermal Patches 290
Types of Patches 290
Clinical Considerations 294
Product Development and Usage Concerns 294
Quality Control Testing 295
Examples of Transdermal Drug Delivery Systems 297
Active Techniques in Transdermal Drug Delivery 299
Iontophoresis299
Sonophoresis301
Microneedles302
Radiofrequency Ablation 302
Laser Ablation 303
Summary303
Review Questions 303
Chapter 13 Pulmonary and Nasal Drug Delivery 305
Nilesh Gupta, Briejeshkumar Patel, and Fakhrul Ahsan
Introduction306
Anatomy and Physiology of the Respiratory System 307
Drug Delivery via the Pulmonary Route 310
Fate of Inhaled Particles 310
Factors Affecting Particle Deposition in the Lungs 310
Particle Size and Respirability 313
Mechanisms Involved in Deposition of Inhaled Particles 314
Particle Clearance and Drug Absorption From the Lungs 315
Devices for Pulmonary Drug Delivery 316
Strategies for Pulmonary Delivery of Large Molecules 325
Drug Delivery via the Nasal Route 326
Factors Affecting Drug Absorption via the Nasal Route 326
Nasal Formulations 328
Nasal Drug Delivery Devices 329
Patient Counseling 331
Strategies for Nasal Delivery of Proteins and Peptides 331
Summary332
Review Questions 333
9781449674250_FMxx_Pass2.indd 8 10/07/14 2:44 AM
9. Contents ix
Chapter 14 Vaginal Drug Delivery 335
Sanko Nguyen, Gabriella Baki, Jerry Nesamony, and Sai H. S. Boddu
Introduction336
General Anatomy and Physiology of the Human Vagina 337
Anatomical Characteristics 337
Physiology339
Factors Affecting the Vaginal Absorption of Drugs 340
Physiological Factors 340
Physicochemical Factors of the Drug/Dosage Form 341
Conventional Vaginal Dosage Forms 342
Vaginal Solutions 343
Vaginal Creams, Gels, and Foams 343
Vaginal Suppositories, Tablets, Capsules, and Inserts 344
Vaginal Rings 345
Advantages and Limitations 346
Recent Advances in Vaginal Drug Delivery 347
Bioadhesive Drug Delivery Systems for Vaginal Administration 348
New Developments in Vaginal Rings 350
Nanoparticulate Drug Delivery Systems to the Vagina 351
Intravaginal Small Interfering RNA Delivery 353
Novel Disposable Intravaginal Device for Stress
Urinary Incontinence 354
Summary355
Review Questions 356
Chapter 15 Drug Delivery to the Central Nervous System:
Breaking Down the Barrier 359
Mohamed Ismail Nounou, Chris E. Adkins, Tori B. Terrell-Hall,
Kaci A. Bohn, and Paul R. Lockman
Introduction360
Blood–Brain Barrier 362
Drug Delivery to the CNS 363
Importance363
BBB and Drug Development 364
Drugs Classes That Penetrate the CNS and Result in Side Effects 365
Current Strategies for CNS Drug Delivery 366
Interstitial Delivery 366
Chemical Modifications 367
Novel CNS Delivery Systems 369
Summary374
Review Questions 375
Chapter 16 Gene Delivery: An Essential Component for
Successful Gene Therapy 381
Mohammad Al Saggar and Dexi Liu
Introduction382
Methods of Gene Delivery 383
Virus-Based Gene Delivery 383
Chemical-Based Gene Delivery Systems 386
Physical Methods for Gene Delivery 388
9781449674250_FMxx_Pass2.indd 9 10/07/14 2:44 AM
10. Contentsx
Remaining Challenges in Gene Delivery 390
Viral Gene Delivery 390
Nonviral Gene Delivery 390
Physical Gene Delivery 395
Case Studies 396
Case Study 1: Gene Therapy for ADA-SCID Using Retroviral Vector 396
Case Study 2: Gene Therapy for Metastatic Melanoma Using
Lipoplexes System 397
Summary397
Review Questions 398
Chapter 17 Peptide and Protein Drug Delivery 405
Chirs Kulczar, Wyatt Roth, Stephen Carl, Olafur Gudmundsson,
and Gregory Knipp
Introduction406
Physicochemical Differences Between Peptide/Proteins
and Small Molecules 407
Structure407
Physiological Barriers to Peptide and Protein Delivery 412
Oral Route 413
Alternative Routes of Delivery 417
Parenteral417
Pulmonary418
Nasal418
Transdermal419
Buccal420
Oral Insulin: Expectations Versus Challenges 421
Novel Peptide- and Protein-Based Delivery Technology 424
Summary425
Review Questions 425
Chapter 18 Drug Metabolomics and Proteomics Analysis in Drug
Delivery and Discovery 429
Ravinder Earla and Ashim K. Mitra
Introduction430
History of MS 432
MS Ionization Techniques 432
Electrospray Ionization 432
Matrix-Assisted Laser Desorption Ionization 434
Sample Purification and Isolation Techniques 435
Tandem Affinity Purification 435
Isotope-Coded Affinity Tagging 436
Isobaric Tags for Relative and Absolute Quantitation 436
Stable Isotope Labeling by Amino Acid in Cell Culture 437
Instrumentation438
MS Analyzers 438
Metabolomics Analysis by LC-MS 440
MS/MS Conditions 440
Sample Preparation and Extraction 441
9781449674250_FMxx_Pass2.indd 10 10/07/14 2:44 AM
11. Contents xi
Proteomics Analysis 442
Bottom-Up Approach 442
Top-Down Approach 444
MS-Based Proteomics Applications 444
Protein Phosphorylation 445
Protein Glycosylation 446
Post-Translational Modifications 446
Summary448
Review Questions 449
Glossary453
Index467
9781449674250_FMxx_Pass2.indd 11 10/07/14 2:44 AM
13. Preface xiii
Chapter 3, “In Vitro Models in Drug Discovery and Delivery,” discusses various
in vitro and in silico models used in the estimation of pharmacokinetic parameters of drugs
and formulations with a special emphasis on cell culture models.
Chapter 4, “Routes of Drug Delivery,” provides a thorough understanding of the
multiple routes of administration utilized to deliver the active ingredient from common
pharmaceutical dosage forms. This understanding is important as the factors that must
be considered in dosage form design and selection are based not only on the patient
being treated but also on the biopharmaceutically relevant advantages and disadvantages
of various drug delivery routes.
The focus of Chapter 5, “Novel Drug Delivery Systems,” is the wide variety of
novel drug delivery systems that are currently being investigated and currently on the
market.
Chapter 6, “Controlled Drug Delivery,” discusses the differences between
conventional and controlled drug delivery technologies. This chapter also differ-
entiates controlled dosage forms currently available in the clinic by mechanism of
release.
Chapter 7, “Polymers in Drug Delivery,” describes the pharmaceutical applications
of polymers in various dosage forms. This chapter allows for better understanding of
polymer properties based on composition, molecular weight, and arrangement to facili-
tate custom design of novel delivery systems.
Chapter 8, “Multifunctional Nanocarriers for Tumor Drug Delivery and Imaging,”
aims to provide an overview of recent progress in the rational design of and the engi-
neering of multifunctional systems and to illustrate the cutting-edge technology being
employed in such carriers with examples of multifunctional liposomes, micelles, and
nanoparticles for cancer diagnosis and treatment.
In the later part of the book, we discuss various aspects of drug delivery technologies
that are utilized for various dosing routes. We also discuss how the drugs can be deliv-
ered specifically to certain organs.
Chapter 9, “Oral Delivery,” provides an overview of physicochemical and biological
barriers in oral delivery. Various oral dosage forms and their performance with respect to
bioavailability are extensively discussed.
Chapter 10, “Ocular Drug Delivery,” delves into detailed anatomy and physiol-
ogy of the eye, the importance of various routes of ocular drug administration, and
constraints on conventional ocular therapy. This chapter will aid in acquiring sound
knowledge of various approaches to increasing ocular drug absorption. It also discusses
recent progress and specific developments relating to various formulation approaches.
This chapter also discusses key advances in the application of nanotechnology for gene
therapy to the eye.
Chapter 11, “Transmucosal Drug Delivery,” provides an overview of the impor-
tance of the transmucosal route and its advantages over traditional methods of drug
delivery. This chapter describes the structure of oral mucosa, permeability barriers to
drug absorption, and methods of assessing oral mucosal absorption. The chapter also
details various drug delivery systems and techniques being used to optimize the delivery
across oral mucosa. Commercialized formulations currently available in the market are
also detailed.
Chapter 12, “Transdermal Drug Delivery,” describes the anatomical and
physiological factors controlling drug transport across skin. Furthermore, active
transdermal technologies available to enhance percutaneous absorption and vari-
ous types of transdermal patches currently available on the market are covered.
This chapter also provides methods for patient counseling with regard to the
9781449674250_FMxx_Pass2.indd 13 10/07/14 2:44 AM
14. Prefacexiv
proper use and precautions necessary with the application of a transdermal drug
delivery system.
Chapter 13, “Pulmonary and Nasal Drug Delivery,” reviews the anatomy and
physiology of the respiratory tract that governs drug delivery via the nasal and pulmonary
routes. This chapter allows the reader to learn pharmaceutical and physiological factors
that may affect drug deposition and absorption upon nasal and pulmonary administra-
tion. Various devices used to administer drug formulations via the respiratory route are
described. A detailed and comprehensive discussion of currently available dosage forms
along with recent advancements in nebulizers and metered dose and dry powder inhalers
are provided. This chapter will acquaint the reader with various spacer devices and their
proper usage, advantages, and disadvantages. Various respiratory drug delivery devices
and formulations, as well as patient counseling for inhalational devices and drug prod-
ucts, are also emphasized.
Chapter 14, “Vaginal Drug Delivery,” offers basic understanding of anatomy
and physiology of the vagina, physiological and physicochemical factors that may
affect vaginal drug absorption, and characteristics of various vaginal drug deliv-
ery systems that are currently available on the market or are in the developmental
stage.
Chapter 15, “Drug Delivery to the Central Nervous System: Breaking Down the
Barrier,” describes the structure and importance of the blood–brain barrier. This chap-
ter offers a detailed understanding of anatomical, physiological, and pharmacological
mechanisms by which the blood–brain barrier protects the central nervous system.
Furthermore, current strategies for CNS drug delivery, flexibility of novel drug delivery
systems, and how they can be tailor-designed to enhance CNS drug delivery are exten-
sively discussed.
Chapter 16, “Gene Delivery: An Essential Component for Successful Gene
Therapy,” details the importance of gene therapy that uses a gene-coding sequence
as a pharmaceutical agent. Gene therapy requires a method effective in delivering a
therapeutic gene into cells and expressing proteins where treatment is needed. Several
delivery systems including viral, chemical, and physical methods are discussed. Further,
this chapter provides a summary on the pros and cons of each gene delivery system
currently available and provides recent perspectives on remaining challenges for future
development.
Chapter 17, “Peptide and Protein Drug Delivery,” discusses physicochemical differ-
ences between small molecules and protein/peptide drugs. This chapter helps in under-
standing the challenges faced when formulating a protein/peptide drug for oral delivery
and why parenteral delivery is most often needed with such drugs. An overview of the
intricacies of insulin that make non-parenteral delivery challenging and the advantages
and disadvantages of different alternative routes for delivering protein/peptide drugs are
discussed.
Chapter 18, “Drug Metabolomics and Proteomics Analysis in Drug Delivery and
Discovery,” describes proteomics and mass spectrometric analysis including sample
preparation, isolation, and purification techniques. This chapter also provides an over-
view of mass spectrometry instrumentation and ionization techniques. It describes top-
down protein and bottom-up (shotgun) peptide sequencing and application of mass
spectrometry in quantitative proteomics, that is, phosphorylation, glycosylation, and
post-translational modifications.
9781449674250_FMxx_Pass2.indd 14 10/07/14 2:44 AM
15. Preface xv
Features and Benefits
Each chapter includes the following elements:
• Learning Objectives present the chapter’s desired outcomes to the reader.
• Chapter Outline provides a preview of the material to be covered.
• Review Questions allow readers to apply what has been learned in the chapter and
assess their understanding of the content.
Instructor Resources
Qualified instructors can receive the full suite of instructor resources, including the
following:
• PowerPoint Presentations, featuring more than 350 slides
• Test Bank, containing more than 500 questions
• Instructor’s Manual, including an Answer Key for the end-of-chapter Review
Questions
Student Resources
The Navigate Companion Website features numerous study aids and learning tools
to help students get the most out of their course and prepare for class, including the
following:
• Chapter Quizzes
• Interactive Glossary
• Crossword Puzzles
• Interactive Flashcards
• Matching Exercises
Acknowledgments
We are very grateful to all the individual authors for their excellent contributions and
massive efforts in sharing their knowledge, concepts, and expertise in various aspects of
drug delivery.
Finally, we would like to acknowledge the support of the publisher and thank the
production team for their relentless efforts.
Ashim K. Mitra
Deep Kwatra
Aswani Dutt Vadlapudi
9781449674250_FMxx_Pass2.indd 15 10/07/14 2:44 AM
17. Foreword xvii
Taken together, this book is a very detailed and complete compilation of all the
major topics in the field of drug delivery and will prove to be a handy go-to reference
for students, teachers, and researchers in academia and the pharmaceutical industry.
W. Daniel Stamer, PhD
Joseph A. C. Wadsworth Professor of Ophthalmology
Professor of Biomedical Engineering
Duke University
9781449674250_FMxx_Pass2.indd 17 10/07/14 2:44 AM
19. About the Editors xix
(AACR) conferences. He was awarded the Young Investigator Award by the American
Association of Indian Scientists in Cancer Research Foundation at the AACR 2012
annual meeting.
Aswani Dutt Vadlapudi
Aswani Dutt Vadlapudi received his PhD in Pharmaceutics and Drug Design in 2013
from the University of Missouri-Kansas City School of Pharmacy. He currently holds
a Managerial Scientist position at Mylan Pharmaceuticals, Inc. Dr. Vadlapudi is actively
engaged in improving drug delivery and drug development strategies with extensive
experience in manufacturing of solid oral dosage forms, process optimization, scale-
up, and investigations. His research accomplishments include transporter targeted drug
delivery, prodrug development, and formulation approaches for improving oral and
ocular drug absorption of both small molecules and macromolecules. He is an active
member of the American Association of Pharmaceutical Scientists (AAPS) and The
Association for Research in Vision and Ophthalmology (ARVO). Dr. Vadlapudi is a
member of review committees and scientific boards of many international journals. He
has authored and co-authored more than 25 peer-reviewed research and review arti-
cles in reputable international journals. Most of his publications are highly cited and
recognized as being among the most downloaded articles in their respective journals.
He has also contributed to many book chapters in the field of drug delivery and drug
development.
9781449674250_FMxx_Pass2.indd 19 10/07/14 2:44 AM
21. Contributors xxi
Sai H. S. Boddu, PhD
Assistant Professor
College of Pharmacy and Pharmaceutical Sciences
The University of Toledo
Toledo, Ohio
Chapters 4 and 14
Kaci A. Bohn, PhD
Assistant Professor
College of Pharmacy
Harding University
Searcy, Arkansas
Chapter 15
Stephen Carl, PhD
Associate Director of Formulation Development
Enteris BioPharma, Inc.
Fairfield, New Jersey
Chapter 17
Kishore Cholkar, MS
Research Assistant
School of Pharmacy
University of Missouri—Kansas City
Kansas City, Missouri
Chapter 10
Supriya Reddy Dasari
Research Assistant
School of Pharmacy
University of Missouri—Kansas City
Kansas City, Missouri
Chapter 10
Patrick P. DeLuca, PhD
Professor Emeritus
College of Pharmacy
University of Kentucky
Lexington, Kentucky
Chapter 5
Ravinder Earla, PhD
Research Associate
School of Pharmacy
University of Missouri-Kansas City
Kansas City, Missouri
Chapter 18
9781449674250_FMxx_Pass2.indd 21 10/07/14 2:44 AM
22. Contributorsxxii
Song Gao, PhD
Research Assistant Professor
College of Pharmacy
University of Houston
Houston, Texas
Chapter 9
Ripal Gaudana, PhD
Formulation Scientist
Par Pharmaceutical Companies, Inc.
Spring Valley, New York
Chapter 4
Olafur Gudmundsson, PhD
Director
Bristol-Myers Squibb
Princeton, New Jersey
Chapter 17
Meera Gujjar, BS
PhD Candidate
College of Pharmacy and Health Sciences
Mercer University
Atlanta, Georgia
Chapter 12
Nilesh Gupta
PhD Candidate
Chair-elect, AAPS Student Chapter
School of Pharmacy
Texas Tech University Health Sciences Center
Amarillo, Texas
Chapter 13
Anushree Kishor Herwadkar, PhD
Scientist I, PRD
Teva Pharamceuticals
Pomona, New York
Chapter 12
Ming Hu, PhD
Professor
College of Pharmacy
University of Houston
Houston, Texas
Chapter 9
Bhaskara Jasti, PhD
Professor and Chairman
Thomas J. Long School of Pharmacy
9781449674250_FMxx_Pass2.indd 22 10/07/14 2:44 AM
23. Contributors xxiii
University of the Pacific
Stockton, California
Chapter 11
Wen Jiang
Graduate Student
College of Pharmacy
University of Houston
Houston, Texas
Chapter 9
Vamsi K. Karuturi
Research Assistant
University of Nebraska Medical Center
Omaha, Nebraska
Chapter 6
Navdeep Kaur, PhD
Research Assistant
Thomas J. Long School of Pharmacy
University of the Pacific
Stockton, California
Chapter 11
Varun Khurana, PhD
Formulation Scientist
Insys Therapeutics, Inc.
Chandler, Arizona
Chapter 3
Gregory Knipp, PhD
Associate Professor
College of Pharmacy
Purdue University
West Lafayette, Indiana
Chapter 17
Amit Kokate, PhD
Principal Scientist
Teva Pharmaceuticals
Pomona, New York
Chapter 11
Chris Kulczar
Graduate Student
College of Pharmacy
Purdue University
West Lafayette, Indiana
Chapter 17
9781449674250_FMxx_Pass2.indd 23 10/07/14 2:44 AM
24. Contributorsxxiv
Young Kwon, PhD
Assistant Professor
College of Pharmacy
Nova Southeastern University
Fort Lauderdale, Florida
Chapter 7
Xiaoling Li, PhD
Associate Dean and Professor
Thomas J. Long School of Pharmacy
University of the Pacific
Stockton, California
Chapter 11
Dexi Liu, PhD
Panoz Professor of Pharmacy
College of Pharmacy
University of Georgia
Athens, Georgia
Chapter 16
Paul R. Lockman, PhD
Chair, Basic Pharmaceutical Science
School of Pharmacy
Texas Tech University Health Sciences Center
Amarillo, Texas
Chapter 15
Yong Ma, BS
Graduate Student
College of Pharmacy
University of Houston
Houston, Texas
Chapter 9
Heidi M. Mansour, PhD
Assistant Professor
College of Pharmacy
The University of Arizona—Tucson
Tucson, Arizona
Chapter 5
David Mastropietro, BPharm, RPh
Research Assistant
College of Pharmacy
Nova Southeastern University
Fort Lauderdale, Florida
Chapter 7
Samantha A. Meenach, PhD
Assistant Professor
College of Engineering
9781449674250_FMxx_Pass2.indd 24 10/07/14 2:44 AM
25. Contributors xxv
University of Rhode Island
Kingston, Rhode Island
Chapter 5
Sara Movassaghian, PhD
Postdoctoral Fellow
Center for Pharmaceutical Biotechnology and Nanomedicine
Northeastern University
Boston, Massachusetts
Chapter 8
Srinath Muppalaneni, MS
Research Assistant
College of Pharmacy
Nova Southeastern University
Fort Lauderdale, Florida
Chapter 7
Gemma Navarro, PhD
Postdoctoral Fellow
Center for Pharmaceutical Biotechnology and Nanomedicine
Northeastern University
Boston, Massachusetts
Chapter 8
Jerry Nesamony, PhD
Assistant Professor
College of Pharmacy and Pharmaceutical Sciences
The University of Toledo
Toledo, Ohio
Chapter 14
Sanko Nguyen, PhD
Postdoctoral Fellow
College of Pharmacy and Pharmaceutical Sciences
The University of Toledo
Toledo, Ohio
Chapter 14
Mohamed Ismail Nounou, PhD
Postdoctoral Fellow
School of Pharmacy
Texas Tech University Health Sciences Center
Amarillo, Texas
Chapter 15
Hossein Omidian, PhD
Assistant Professor
College of Pharmacy
Nova Southeastern University
Fort Lauderdale, Florida
Chapter 7
9781449674250_FMxx_Pass2.indd 25 10/07/14 2:44 AM
26. Contributorsxxvi
Chun-Woong Park, PhD
Assistant Professor
College of Pharmacy
Chungbuk National University
Cheongju, Republic of Korea
Chapter 5
Kinam Park, PhD
Showalter Distinguished Professor of Biomedical Engineering
College of Pharmacy
Purdue University
West Lafayette, Indiana
Chapter 7
Brijeshkumar Patel, PhD
Research Assistant
School of Pharmacy
Texas Tech University Health Sciences Center
Amarillo, Texas
Chapter 13
Yun-Seok Rhee, PhD
Assistant Professor
College of Pharmacy
Gyeongsang National University
Jinju, Republic of Korea
Chapter 5
Wyatt Roth, PhD
Research Scientist
Eli Lilly and Company
Indianapolis, Indiana
Chapter 17
Sujay J. Shah, BPharm
Research Assistant
School of Pharmacy
University of Missouri-Kansas City
Kansas City, Missouri
Chapter 2
Sutthilug Sotthivirat, PhD
Department of Product Value Enhancement
Merck Company, Inc.
West Point, Pennsylvania
Chapter 6
Shailendra B. Tallapaka, BPharm
Graduate Assistant
University of Nebraska Medical Center
Omaha, Nebraska
Chapter 6
9781449674250_FMxx_Pass2.indd 26 10/07/14 2:44 AM
27. Contributors xxvii
Tori B. Terrell-Hall
School of Pharmacy
Texas Tech University Health Sciences Center
Amarillo, Texas
Chapter 15
Vladimir P. Torchilin, PhD
Director
Center for Pharmaceutical Biotechnology and Nanomedicine
Northeastern University
Boston, Massachusetts
Chapter 8
Ramya Krishna Vadlapatla, PhD
Scientist, Technical Services
Mylan Pharmaceuticals, Inc.
Morgantown, West Virginia
Chapter 2
Joseph A. Vetro, PhD
Assistant Professor
College of Pharmacy
University of Nebraska Medical Center
Omaha, Nebraska
Chapter 6
Zhen Xu, PhD
Postdoctoral Fellow
School of Pharmacy
University of Maryland
Baltimore, Maryland
Chapter 5
Zhen Yang
Graduate Student
College of Pharmacy
University of Houston
Houston, Texas
Chapter 9
9781449674250_FMxx_Pass2.indd 27 10/07/14 2:44 AM