The document discusses nasal drug delivery systems. Nasal delivery has advantages like easy access, rapid onset of action, and avoidance of first-pass metabolism. Both local and systemic drugs can be delivered nasally. Barriers include mucociliary clearance and enzymatic activity in the nasal cavity. Excipients like co-solvents and suspending agents are used. Liquid drugs are administered via droppers or spray pumps, while performance is tested through parameters like dosage volume and droplet size. Nasal delivery provides local treatment or systemic effects depending on the drug's properties like lipophilicity. Strategies to improve absorption include increasing solubility and permeability.
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.
Nasal Drug Delivery System is a type of delivery system in which the nasal cavity is being used for delivery of medicine. It provides pathway to transfer drug directly to brain by bypassing Blood Brain Barrier through olfactory nerves. My case study is on the delivery of anti-Parkinson disease drug that is dopamine treatment through nasal route .
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.
Nasal Drug Delivery System is a type of delivery system in which the nasal cavity is being used for delivery of medicine. It provides pathway to transfer drug directly to brain by bypassing Blood Brain Barrier through olfactory nerves. My case study is on the delivery of anti-Parkinson disease drug that is dopamine treatment through nasal route .
Introduction to Nasal drug delivery system,Anatomy of Nasal cavity,Advantages n limitataions of Nasal DDS,Mechanism,factors affecting Nasal DDS,Formulation,methods to enhance Nasal DDS,Dosage forms,Evalaution
Introduction to Nasal drug delivery system,Anatomy of Nasal cavity,Advantages n limitataions of Nasal DDS,Mechanism,factors affecting Nasal DDS,Formulation,methods to enhance Nasal DDS,Dosage forms,Evalaution
Nasopulmonary drug delivery system: Introduction to Nasal and Pulmonary routes of drug delivery, Formulation of Inhalers (dry powder and metered dose), nasal sprays, nebulizers
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
Scope of Pharmacy 1 Prof morning Batch 2021Tehmina Adnan
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Introduction and orientation to the Profession of Pharmacy concerning Hospital Pharmacy, Retail Pharmacy, Industrial Pharmacy, Forensic Pharmacy, Pharmaceutical education and research etc
Pharmacy Orientation Gp B Evening Batch 2021Tehmina Adnan
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a. Introduction and orientation to the Profession of Pharmacy in relation to Hospital Pharmacy, Retail Pharmacy, Industrial Pharmacy, Forensic Pharmacy, Pharmaceutical education and research etc
Pharmacy orientation Gp A Evening Batch 2021Tehmina Adnan
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a. Introduction and orientation to the Profession of Pharmacy in relation to Hospital Pharmacy, Retail Pharmacy, Industrial Pharmacy, Forensic Pharmacy, Pharmaceutical education and research etc
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowmanâs Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Prix Galien International 2024 Forum ProgramLevi Shapiro
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June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMENâS HEALTH: FERTILITY PRESERVATION
- WHATâS NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
micro teaching on communication m.sc nursing.pdfAnurag Sharma
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Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Drug Discovery and Development .....NEHA GUPTA
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The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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Are you curious about whatâs new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Womenâs Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
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RESULTS: Overall life span (LS) was 2252.1Âą1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years â 64.8%, 20 years â 42.5%. 513 LCP lived more than 5 years (LS=3124.6Âą1525.6 days), 148 LCP â more than 10 years (LS=5054.4Âą1504.1 days).199 LCP died because of LC (LS=562.7Âą374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0âN12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0âN12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. DOSAGE FORM SCIENCE
PRESENTATION ON NASAL DRUG DELIVERY SYSTEM
⢠GROUP (A)
⢠GROUP MEMBERS NAME:
ALVINA AHMED (R-011), FILZA SAEED (R-026), MAHA AQIL (R-039), WAHAJ AHMED (R-095), MUHAMMAD
HAMZA (R-053).
Presented to: Dr.Tehmina Maqbool
2. NASAL DRUG DELIVERY
INTRODUCTION
The nasal route of delivery has the advantages of easy access (for local delivery) an rapid
onset of action (due to the rich vascularization of the nasal cavity) and is considered
noninvasive (compared to the parenteral route). Both local and systemic acting drugs can be
delivered via the nasal route. Examples of nasally administered drugs include corticosteroids,
antihistamines, decongestants, calcitonin, triptans and vaccines. Nasal formulations are most
often liquid-based (solution or suspension) dosage forms, which may be administered via
drops or sprays to the nasal cavity. Recently, nasal powder formulations have also been
developed. The use of the nasal route for delivery of drugs to the brain is an area of intense
research focus, as the nasal cavity is innervated and may potentially allow for bypass of the
bloodâbrain barrier for drug delivery. The most common reason or introducing a drug into the
nasal cavity is to provide a convenient and accessible route or rapidly and efficiently
managing the localized symptoms associated with allergic rhinitis, nasal congestion and nasal
infection.
3. There are several possible reasons or pharmaceutical companies to consider employing
this route or marketed medicines rather than the much more popular (and pre erred)
oral route. These include:
⢠The potential to elicit a rapid onset of action (e.g. in the
treatment o pain, migraine and erectile dysfunction).
⢠The avoidance of gastrointestinal and hepatic pre-systemic
metabolism (e.g. for susceptible peptides, such as calcitonin
and other drugs such as hyoscine and morphine), despite the
nasal cavity containing inherent enzymatic activity.
⢠The lower costs incurred by the pharmaceutical industry (in
comparison to parenteral products) since there is no
requirement of sterilization of the final product.
⢠The management of chronic disorders; providing the
medicine does not induce irritation then it can be used or
prolonged periods (perhaps alternating the use of nostrils).
4. Barriers for Nasal Drug Delivery
⢠The nasal cavity contains a mucociliary clearance system that functions to filter large
particles. Ciliated epithelial cells move the mucus layer covering the nasal epithelium
forward toward the nasopharynx.
⢠This can potentially lead to rapid clearance of deposited drug and may reduce drug
absorption. To improve retention of deposited drug on the nasal epithelium, the use
of gelling agents and bio adhesive polymers (i.e., a natural polymer with adhesive
properties)
⢠Droplet or particle size distribution of the nasal spray or powder upon actuation from
the device can affect the area of the nasal cavity in which the drug is deposited and
subsequently the therapeutic effect of the delivered drug.
⢠In general, particles/droplets that are greater than 10 Οm in diameter are retained in
the nasal cavities and do not enter the lungs upon inspiration.
6. ⢠If the drug has low aqueous solubility, the inclusion of co-solvents may be necessary in
order to keep the drug dissolved.
⢠Suspending agents, such as carboxymethylcellulose sodium and microcrystalline cellulose,
or surfactants, such as polysorbate and polyethylene glycol, may be required if the
formulation is a suspension.
Methods of Nasal Administration
ď§ Liquid nasal formulations may be delivered via droppers, squeeze bottles, pressurized
delivery systems, or mechanical spray pumps systems.
ď§ Many over-the-counter nasal formulations are administered through droppers or squeeze
bottles.
ď§ This dosage form may be better suited for infants, who have a smaller nasal mucosa that is
more easily covered by the drops.
ď§ Squeeze bottles that deliver a spray formulation can reach a larger surface area of the nasal
mucosa than drops but are not a closed system, and microbes can enter the container from
the tip of the bottle and through backďŹow after administration.
7. Alternative Method
⢠Alternative to droppers and squeeze bottles are :
1. Metered dose: is defined as the release of a specific amount of
drug by the device upon eachdevice actuation.
2. Nasal spray pumps: are responsible for metering, atomization,
containing and delivery of the formulation to the patient.
8. Nasal Device Performance
Testing
⢠Performance of nasal delivery systems are affected by the dosage volume, the
spray angle, spray/plume geometry, the size distribution of droplets in the spray,
and in the case of a suspension formulation, the particle size distribution of
suspended particles within the formulation.
⢠These device and formulation performance parameters vary depending upon the
drug product and are influenced by the viscosity and surface tension of the liquid
formulation as well as the dimensions and mechanics of the device.
⢠It is particularly important that these parameters remain consistent and
reproducible throughout the lifetime of the drug product, as they affect the
delivery of the drug to the therapeutic target.
9. Local delivery
⢠For conditions affecting the nose, it is logical to deliver the drug directly to its
site of action. This permits the rapid relief of symptoms with a much lower
dose of drug than would be necessary if it were delivered by the oral route,
and reduces the chance of systemic side effects.
Systemic delivery
⢠The rationale for the use of the nasal cavity or systemic delivery includes its
accessibility, avoidance of pre-systemic metabolism and potential to provide a
rapid onset of action. Its use for peptides has been successful since, although
only a very low percentage of administered drug is absorbed (i.e. low
bioavailability), the attained plasma levels are sufficient for therapeutic effcacy.
10. Lipophilicity/Hydrophilicity And
Molecular Size
⢠Lipophilic drugs such as pro-pranolol, progesterone and fentanyl are
rapidly absorbed from the nasal cavity by the transcellular route and
have a nasal bioavailability similar to that obtained after intravenous
administration (almost 100%).
⢠The absorption of hydrophilic (polar) drugs occurs via the paracellular
route (between the epithelial cells via the tight junctions) and the
rate and extent of absorption is inversely proportional to the
molecular weight of the drug. Since the paracellular route provides a
much smaller area for absorption than the transcellular route (the
paracellular route comprises about 0.01% of the transcellular route in
the gastrointestinal tract), the absorption of hydrophilic compounds is
much slower than that of lipophilic drugs.
11. Formulation Factors Affecting
Intranasal Systemic Delivery
However, additional strategies can be employed to increase absorption across
the nasal epithelium. In essence, the bioavailability of nasally administered
drugs can be limited by:
⢠Low aqueous solubility.
⢠Rapid and extensive enzymatic degradation of the drug in the nasal cavity.
⢠Short contact time between the drug and the absorptive epithelium of the
turbinates due to mucociliary clearance
⢠Poor permeability of the drug across the respiratory epithelium.
12. Advantages And Disadvantages Of
Intranasal Drug Delivery For
Systemic Activity
Advantages Disadvantages
Large surface area for absorption (approximately
160 cm2).
Limited to small delivery volumes (25â200 ÂľL)
therefore require potent drugs.
Good blood supply and lymphatic system. Mucociliary clearance, mucus barrier.
Avoids hepatic First-pass metabolism. Enzymatic activity (pseudo first-pass effect).
Epithelium is permeable to small, lipophilic drug
molecules; rapid absorption and onset of action.
Non-invasive, so minimal infection risk during
application and low risk of disease transmission
(unlike parenteral route).
Easy to sel -administer and adjust dose.