This document discusses factors that affect transdermal drug delivery systems (TDDS). It identifies three main classes of factors: biological factors related to the skin, physicochemical factors related to the drug properties, and formulation factors related to the delivery system. Some key biological factors include skin pH, hydration, and site of application. Important physicochemical factors are a drug's partition coefficient, molecular size and shape, concentration, and stability. Formulation factors involve a drug's release characteristics from the delivery system and use of permeation enhancers. The document also lists ideal properties for drugs delivered via TDDS.
Semisolid dosage forms: Definitions, classification, mechanisms and factors influencing dermal penetration of drugs. Preparation of ointments, pastes, creams and gels. Excipients used in semi solid dosage forms. Evaluation of semi solid dosages forms
Semisolid dosage forms: Definitions, classification, mechanisms and factors influencing dermal penetration of drugs. Preparation of ointments, pastes, creams and gels. Excipients used in semi solid dosage forms. Evaluation of semi solid dosages forms
1)Introduction
2)Advantages and Disadvantages
3)Structure of Skin
4)Permeation through skin
5)Factors affecting permeation
6)Basic Componentes of TDDS
7)Formulation approaches used in the development of TDDS
8)Evaluation of TDDS
9)Reference
Introduction and classification, anatomy of skin and factors affecting absorption, Formulation ,preparation, packaging, labeling and storage of ointments, Formulation, preparation, packaging, labeling and storage of jellies, creams, pastes.
SEMISOLID DOSAGE FORM PRESENTATION.
Pharmaceutics,
B.Pharmacy 1st year
INTRODUCTION OF SEMISOLID DOSAGE FORM,
Semisolid dosage forms are pharmaceutical formulations which contain one or more active ingredients dissolved or uniformly dispersed in a suitable base and any suitable excipients and are normally presented in the form of creams , jells , ointments or pastes..They are traditionally used for treating topical disorders..The majority of them are meant for skin applications.
Mechanism of dermal penetration of drugs,
1)Introduction
2)Advantages and Disadvantages
3)Structure of Skin
4)Permeation through skin
5)Factors affecting permeation
6)Basic Componentes of TDDS
7)Formulation approaches used in the development of TDDS
8)Evaluation of TDDS
9)Reference
Introduction and classification, anatomy of skin and factors affecting absorption, Formulation ,preparation, packaging, labeling and storage of ointments, Formulation, preparation, packaging, labeling and storage of jellies, creams, pastes.
SEMISOLID DOSAGE FORM PRESENTATION.
Pharmaceutics,
B.Pharmacy 1st year
INTRODUCTION OF SEMISOLID DOSAGE FORM,
Semisolid dosage forms are pharmaceutical formulations which contain one or more active ingredients dissolved or uniformly dispersed in a suitable base and any suitable excipients and are normally presented in the form of creams , jells , ointments or pastes..They are traditionally used for treating topical disorders..The majority of them are meant for skin applications.
Mechanism of dermal penetration of drugs,
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
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Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
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Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
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Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
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ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
2. Factors affecting transdermal drug delivery system can be divided into three
classes :
1. Biological factors
2. Physicochemical factors
3. Formulation factors
3. Biological factors
pH of the Skin :
o The pH of the skin is usually acidic i.e., 4-6
o This pH is responsible for regulating permeability of drug.
o According to pH- penetration hypothesis, only the unionised form of
drug can permeate through lipid barrier
Skin hydration
o Hydration is most important factor increasing the permeation of skin.
So use of humectant is done in transdermal delivery.
4. Site of application:
o The site on which the transdermal patches are applied will affect the
permeation.
o The thickness of the skin, nature of stratum corneum vary site to site
which affects permeation.
Age, Sex and Race:
Pathological condition of the skin:
o Injuries that disrupt the continuity of the stratum corneum increases
permeability due to increased vasodilatation.
Lipid film:
o The lipid film on the skin surface acts as a protective layer to prevent
the removal of moisture from the skin and helps in maintaining the
barrier function of stratum corneum.
5. PHYSICOCHEMICALFACTORS
Partition coefficient:
o The optimal partition coefficient (K) is required for good action.( b/w 1
and 4)
o Drugs with high K are not ready to leave the lipid portion of skin. Also,
drugs with low K will not be permeated.
Molecular size and shape:
o Drugs with high molecular weight have low permeation. (<400 daltons)
o Smaller particle size have more permeability than the large particles.
6. Drug concentration:
o The flux is proportional to the concentration gradient across the
barrier and concentration gradient will be higher if the concentration
of drug will be more across the barrier.
Stability and half life :
o Drug should be stable when it comes in contact with the skin.
o It should have low melting point.
o Half life of drug should be less than 10 hrs.
7. FORMULATIONFACTORS
Release characteristics:
o Solubility of drug in dosage form determines the release time.
ph of the vehicle:
o The acidic or alkaline pH may cause irritation to skin and may affect
drug release, degree of hydration of polymers, therefore the
surface pH of patches was determined to optimized both drug
and adhesion.
Permeation enhancers:
o Physical permeation enhancers
o Chemical permeation enhancers
8. IDEAL PROPERTIES OFTDDS
Parameters Properties
Dose Less than 20mg/day
Half-life < 10 hrs
Molecular weight <400 Dalton
Melting point <200°C
Partition coefficient 1 to 4
Aqueous Solubility >1mg/mL
pH of the aqueous saturated solution 5-9
Skin Reaction Non irritating and non-sensitizing