Pulmonary drug delivery (PDD) systems were recently introduced into the pharmaceutical field to treat both the local and the systemic types of lung diseases. PDD systems are known to be able to simply deliver the drug to the required site in the body directly or to other distant sites through the bloodstream.
Introduction
Anatomy and physiology of lungs
Advantage and disadvantage of Pulmonary Drug Delivery system.
Aerosols , propellants & container types.
Current technologies for pulmonary drug delivery.
New technologies for pulmonary drug delivery.
Evaluation of Pharmaceutical Aerosols & PDDS.
Pulmonary drug delivery is primarily used to treat conditions of the airways, delivering locally acting drugs directly to their site of action.
Delivery of anti-asthmatic and other locally acting drugs directly to their site of action reduces the dose needed to produce a pharmacological effect, while the low concentrations in the systemic circulation may also reduce side-effects.
The drugs which are administered by pulmonary route are not only for lungs delivery but it goes to systemic circulation and produce the effect where it is desired through out the body. For Eg. A product containing ergotamine tartrate is available as an aerosolized dosage inhaler for the treatment of migraine & Volatile anesthetics, including, halothane, are also given via the pulmonary route.
Used for inhalation and topical aerosols .
Manufactured by impact extrusion process.
Light in weight, less fragile, Less incompatibility due to its seamless nature.
Greater resistance to corrosion .
Pure water and pure ethanol cause corrosion to Al containers.
Added resistance can be obtained by coating inside of the container with organic coating like phenolic , vinyl or epoxy and polyamide resins.
Biopharmaceutic considerations in drug product design and In Vitro Drug Produ...PRAJAKTASAWANT33
Introduction, biopharmaceutic factors affecting drug bioavailability, rate–limiting steps in drug absorption, physicochemical nature of the drug formulation factors affecting drug product performance
Introduction
Anatomy and physiology of lungs
Advantage and disadvantage of Pulmonary Drug Delivery system.
Aerosols , propellants & container types.
Current technologies for pulmonary drug delivery.
New technologies for pulmonary drug delivery.
Evaluation of Pharmaceutical Aerosols & PDDS.
Pulmonary drug delivery is primarily used to treat conditions of the airways, delivering locally acting drugs directly to their site of action.
Delivery of anti-asthmatic and other locally acting drugs directly to their site of action reduces the dose needed to produce a pharmacological effect, while the low concentrations in the systemic circulation may also reduce side-effects.
The drugs which are administered by pulmonary route are not only for lungs delivery but it goes to systemic circulation and produce the effect where it is desired through out the body. For Eg. A product containing ergotamine tartrate is available as an aerosolized dosage inhaler for the treatment of migraine & Volatile anesthetics, including, halothane, are also given via the pulmonary route.
Used for inhalation and topical aerosols .
Manufactured by impact extrusion process.
Light in weight, less fragile, Less incompatibility due to its seamless nature.
Greater resistance to corrosion .
Pure water and pure ethanol cause corrosion to Al containers.
Added resistance can be obtained by coating inside of the container with organic coating like phenolic , vinyl or epoxy and polyamide resins.
Biopharmaceutic considerations in drug product design and In Vitro Drug Produ...PRAJAKTASAWANT33
Introduction, biopharmaceutic factors affecting drug bioavailability, rate–limiting steps in drug absorption, physicochemical nature of the drug formulation factors affecting drug product performance
Computational modelling of drug disposition lalitajoshi9
computational modelling of drug disposition is the integral part of computer aided drug design. different kinds of tools being used in the prediction of drug disposition in human body. This topic in the CADD explains the details about the drug disposition, active transporters and tools.
Pulmonary route used to treat different respiratory diseases from last decade.
The inhalation therapies involved the use of leaves from plants, vapours from aromatic plants, balsams, and myhrr.
Pulmonary drug delivery is primarily used to treat conditions of the airways, delivering locally acting drugs directly to their site of action.
Delivery of drugs directly to their site of action reduces the dose needed to produce a pharmacological effect.
Administration of drug through nasal route is referred as Nasal drug delivery system.
Nasal administration is a route of administration in which the drug are insufflated through the nose for either local or systematic effect.
Nasal route is an alternative to invasive administrations and provides a direct access to the systemic circulation.
Penetration Enhancers:
Mechanism:
Inhibit enzymatic activity
Reduce mucus viscosity
Reduce MCC
Open tight junctions
Solubilize the drug
Computational modelling of drug disposition lalitajoshi9
computational modelling of drug disposition is the integral part of computer aided drug design. different kinds of tools being used in the prediction of drug disposition in human body. This topic in the CADD explains the details about the drug disposition, active transporters and tools.
Pulmonary route used to treat different respiratory diseases from last decade.
The inhalation therapies involved the use of leaves from plants, vapours from aromatic plants, balsams, and myhrr.
Pulmonary drug delivery is primarily used to treat conditions of the airways, delivering locally acting drugs directly to their site of action.
Delivery of drugs directly to their site of action reduces the dose needed to produce a pharmacological effect.
Administration of drug through nasal route is referred as Nasal drug delivery system.
Nasal administration is a route of administration in which the drug are insufflated through the nose for either local or systematic effect.
Nasal route is an alternative to invasive administrations and provides a direct access to the systemic circulation.
Penetration Enhancers:
Mechanism:
Inhibit enzymatic activity
Reduce mucus viscosity
Reduce MCC
Open tight junctions
Solubilize the drug
This presentation gives brief idea about types of inhalation devices, types of DPIs devices, QbD elements, bioequivalence requirement in USA and EU, and marketed DPI products.
Understanding the role of pharmacology in prosthodontics is imperative because this is one of the most neglected parts of research even though there are a large number of dental patients suffering from systemic diseases which have to be taken care of before the commencement of dental treatment.
Another main reason is that the prosthodontist may have to deal with a medical emergency arising on the dental chair.
Skin care is the range of practices that support skin integrity, enhance its appearance, and relieve skin conditions. They can include nutrition, avoidance of excessive sun exposure, and appropriate use of emollients. Practices that enhance appearance include the use of cosmetics, botulinum, exfoliation, fillers, laser resurfacing, microdermabrasion, peels, and retinol therapy.
Intellectual Property Rights (IPRs) are legal rights that protect creations and/or inventions resulting from intellectual activity in the industrial, scientific, literary, or artistic fields. The most common IPRs include patents, copyrights, marks, and trade secrets and Regulatory affair is a profession developed from the desire of governments to protect public health by controlling the safety and efficacy of products in areas including pharmaceuticals, veterinary medicines, medical devices, pesticides, agrochemicals, cosmetics, and complementary medicines, and by the companies
Adhesion describes the attractive forces between a biological material and mucus or mucous membrane. 1. Mucous membranes adhere to epithelial surfaces such as the gastrointestinal tract (GI-tract), the vagina, the lung, the eye, etc. They are generally hydrophilic as they contain many hydrogen macromolecules due to the large amount of water (approximately 95%) within its composition. However, mucin also contains glycoproteins that enable the formation of a gel-like substance. 1. Understanding the hydrophilic bonding and adhesion mechanisms of mucus to biological material is of utmost importance in order to produce the most efficient applications. For example, in drug delivery systems, the mucus layer must be penetrated in order to effectively transport micro- or nanosized drug particles into the body. 2 Bioadhesion is the mechanism by which two biological materials are held together by interfacial forces.
Par-enteral drug delivery systems are the preparations that are given other than oral route. (Para-outside, enteric–intestine). ... The Par-enteral administration route is the most common and efficient for delivery of active drug substances with poor bio-availability and the drugs with a narrow therapeutic index.
Basic knowledge related to BUCCAL i.e The oral cavity is an attractive site for drug delivery due to ease of administration and avoidance of possible drug degradation in the gastrointestinal tract and first-pass metabolism.
There are four potential regions for drug delivery in the oral cavity, namely buccal, sublingual, palatal, and gingival.
Buccal drug delivery specifically refers to the delivery of drugs within/through the buccal mucosa to affect local/systemic pharmacological actions.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
3. • Pulmonary drug delivery is primarily used to treat conditions of the airways,delivering
locally acting drugs directly to their site of action.
• The inhalation therapies involved the use of leaves from plants, vapours from aromatic
plants, balsams, and myhrr.
• The drug used for asthma and COPD e.g..- β2-agonists such as salbutamol (albuterol),
Terbutalin formoterol, corticosteroids such as budesonide, beclomethasone and mast-cell
stabilizers such as sodium cromoglycate or nedocromi.
3
5. • The dose needed to produce a pharmacological effect can be reduced.
• Low concentrations in the systemic circulation are associated with reduced
systemic side-effects.
• Rapid onset of action.
• Avoidance of gastrointestinal upset.
• Avoidance of intestinal and hepatic first-pass metabolism.
• Deliver high drug concentrations directly to the disease site.
5
6. • Complex delivery devices are required to target drugs to the airways and
these devices may be inefficient.
• Aerosol devices can be difficult to use.
• Various factors affect the reproducibility of drug delivery to the lungs,
including physiological (respiratory maneuver) and pharmaceutical (device,
formulation) variables.
• Drug absorption may be limited by the physical barrier of the mucus layer and
the interactions of drugs with mucus.
• Mucociliary clearance reduces the retention time of drugs within the lungs.
6
7. • Low efficiency of inhalation system
particle size-0.5-1mm
• Less drug mass per puff
less than 1000 mcg
• Poor formulation stability for drug
• Improper dosing reproducibility
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8. Physiological factors
1. Thickness of Mucous layer
2. Lung morphology
3. Pulmonary surfactant
4. PH of microenvironment
5. Surface area
6. Tidal volume
7. Blood flow
8
Physico-chemical factors
1. Lipid solubility
2. Pka
3.Particle size (1-3 um)
4. Density -0.4 g cm3
5.Electric charge
6.Shape
7. Hygroscopy
Formulation factor
1. Use of excipient
2. Type of formulation
3.Combination thereapies
4.Aerosol velocity
10. • Pulmonary delivered drugs are rapidly absorbed except large macromolecules drugs, which
may yield low bioavailability due to enzymatic degradation and/or low mucosal permeability.
• Pulmonary bioavailability of drugs could be improved by including various permeation
enhancers such as surfactants, fatty acids, saccharides, chelating agents and enzyme
inhibitors such as protease inhibitors.
Recent advances in Formulations-
• Micronization via jet milling,
• Precipitation,
• Spray drying using various excipients, such as lipids and polymers,Carrier systems like
lactose.
• Liposomes,
• Nanoparticles.
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11. 11
•Definition- A suspension of very fine liquid or solid particles in
a gas.
•Respirable range:1-5 micron
•80%drugs deposited in oropharynx
•10% in walls of inhaler
•10% in the lungs
• The drugs, delivery
• by aerosols is deposited in the airways by:
1.Inertial impaction-greter than
1um
2.Gravitational sedimentation-
0.5um
3.Diffusion-lesst han 1um
12. Recent technologies of pulmonary drug delivery-
1. NEBULISERS
a) Jet Nebulisers
b)ultrasonic nebulizers
2. DRY-POWDER INHALER (DPI)
a)Unit dose Devices
b)Multidose Devices
3.METERED–DOSE INHALER (MDI)
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13. • A nebulizer is a device used to administer medication to patient in the form of a mist inhaled
into the lungs.
• Used in treating cystic fibrosis, asthma, and other respiratory diseases.
• There are two basic types of nebulizers:
• The jet nebulizer functions by the Bernoulli principle by which compressed gas (air or oxygen)
passes through a narrow orifice, creating an area of low pressure at the outlet of the adjacent
liquid feed tube. This results in the drug solution being drawn up from the fluid reservoir and
shattering into droplets in the gas stream.
• The ultrasonic nebulizer uses a piezoelectric crystal, vibrating at a high frequency (usually 1–3
MHz), to generate a fountain of liquid in the nebulizer chamber; the higher the frequency, the
smaller the droplets produced.
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15. • DPIs are bolus drug delivery devices that contain solid drug in a dry powder mix that is fluidized when the
patient inhales.
• They typically formulated as one-phase, solid particle blends. The drug with particle sizes of less than 5µm
is used.
• Either they contain the active drug alone or have a carrier powder (e.g. lactose) mixed with the drug to
increase flow properties of drug.
• They are a widely accepted particularly in Europe, where they are currently used by approximately 40% of
asthma patients.
There are two types of devices-
1. Unit dose Devices
Single dose powder inhalers are devices in which a powder containing capsule is placed in a holder. The
capsule is opened within the device and the powder is inhaled.
2.Multidose Devices
This device is truly a metered-dose powder delivery system. The drug is contained within a storage
reservoir and can be dispensed into the dosing chamber by a simple back and forth twisting action on the
base of the unit.
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17. •The pMDI containers must withstand high pressure generated by the propellant. Stainless steel has
been used as pMDI container material. Aluminium is now preferred because, compared to glass, it is
lihgter, more compact, less fragile, and light proof.
• In pMDI’s, drug is either dissolved or suspended in liquid propellants together with other
excipients and presented in pressurized cantainer fitted with metering valve.
• The predetermined dose is released as a spray on actuation of the metering valve.
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19. Containers:- Aerosol container must withstand pressure as high as 140-180 psig at
130°F.
Aerosols conatiners-
A.Metals
1.Tinplated steel
2.Aluminium
3.Stainless steel
B.Glass.
1.Uncoated glass
2.Plastic Coated
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20. C. Valves Assembly Consists of;
1.Ferrule or mounting cup
2.Valvebody or housing
3.Stem
4.Dip tube
5.Rubber ring
D. Actuatores-
1.Sprey actuators
2.Foam actuators
3.Solid steam actuators
4.Special actuators
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23. 23
Particle Size Determination -
1.Cascade Impactor
2. Light Scattering Decay.
a). Cascade Impactor- Principle- Stream of particles projected through a series of nozzles and glass slides at
high velocity, larger particle are impacted first on lower velocity stage and smaller particles are collected at higher
velocity stage.
b). Light Scattering Decay- Principle- As aerosol settles under turbulent conditions, the change in the light
intensity of a Tyndall beam is measured.
24. • In Asthma and COPD-eg. bronchodilators corticosteroids.
•Recent role pulmonary delivery in patients on ventilators.
• In cystic fibrosis I- eg. N-Acetylcysteine.
•In migraine- eg. Ergotamine.
• In the Gene therapy via pulmonary route-eg. Cationic-lipid-mediated CFTR gene transfer can
significantly influence the underlying chloride defect in the lungs of patients with CFC.
•In angina pectoris –eg. Nitroglycerine.
•In diabetes mellitus-eg. Insulin nanoparticals.
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25. Dr Reddy's launches 'Dose Counter Inhalers' in India Friday, April 16, 2010
Dr.Reddy's Laboratories (DRL) has launched an innovation in the metered dose inhaler
(MDI) space with launch of 'Dose Counter Inhalers (DCI) for the first time in India.
This the first MDI in India that gives patients an advance indication of when the inhaler is going to
be empty. DCI is a new drug delivery device with a single device having 120 metered doses.
There is a window in the inhaler that changes colour
from green to red.
Green indicates the inhaler is full,
and red indicates the inhaler is empty.
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26. Active ingredient Brand Name Manufacturer Country
Terbutaline 0.25mg Bricanyl AstraZeneca UK
Beclomethasone
dipropionate 250mcg
Becloferte Cipla India
Salbutamol Salbutamol Dry
Powder capsules
Cipla India
Active ingredient Brand Name Manufacturer Country
Salbutamol pressurized
inhalation (100mcg)
Asthalin Cipla India
Albuterol Ventolin Gsk India
Levalbutarol Xopenex 3D Pharmaceuticals U.S.A.
Metered Dose inhaler
Dry Powder Inhaler
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27. • Pulmonary drug delivery is an important research area which impacts the treatment of illnesses
including asthma, chronic obstructive pulmonary disease and various diseases.
• Regional drug targeting is now possible.
• Local application is advantageous by pulmonary route.
• Inhalation gives the most direct access to drug target.
27
28. • John J. Sciarra, Christopher J. Sciarra, Aerosols. In: Alfonso R. Geearo, editor. Remington: Science and practice
of pharmacy, second edition.vol-1.New York: Lippincott Williams and Wilkins publication; 2001.p.963-979.
• Anthony J. Hickey, Physiology of airway. In: Anthony J. Hickey, editor. Pharmaceutical inhalation aerosols
technology, second edition.vol-54.New York: Marcel Dekker;1992.p.1-24.
• Jain N. K, “Advances in Controlled and Novel Drug Delivery” 1st ed.(2010), CBS Publishers and Distributors
Pvt.Ltd. New Delhi, p.120-156.
• Lachman L, Liberman HA, Kaing JL, and Cuttie AJ. The theory and practice of Industrial Pharmacy, 3rd edition,
Varghese Publishing House;1976. p.589 618.
• Indian Pharmacopiea, 2014, Vol-1; p.24.
• Pharmaceutical dosage form; Disperse system. Vol-3, p.495-498.
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