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Related Concept Videos

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FDA Approved Drugs: Changes to Approved Drugs

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Post-approval, manufacturers may modify an approved new or generic drug product. Such modifications can encompass alterations in the Active Pharmaceutical Ingredient (API), manufacturing process, formulation, batch size, manufacturing site, and container closure system (FDA Guidance for Industry, April 2004). Often, a drug product may undergo multiple changes.These modifications require careful evaluation to determine their potential impact on the drug product's identity, strength, quality,...
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The concept of therapeutic equivalence (TE) in drugs with multiple indications is complex. A generic drug may be therapeutically equivalent to a brand-name product for one specific indication, but this doesn't necessarily mean it's equivalent for all other indications. Evidence of TE in one patient group and bioequivalence shown in healthy volunteers can support—but not confirm—TE for other indications. However, definitive proof requires individual clinical studies for each...
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Pharmacokinetics: Drug–Drug Interactions01:25

Pharmacokinetics: Drug–Drug Interactions

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Drug interactions occur when the pharmacological effect of one drug is altered by another substance, either enhancing or diminishing its activity. The drug whose activity is altered is known as the object drug, and the substance causing the alteration is called the agent drug or the precipitant. The net effects of these interactions are mostly undesirable, leading to decreased effectiveness or increased adverse effects. In rare cases, interactions can be beneficial, such as the enhanced...
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Certain drugs can affect how neurotransmitters called catecholamines, are released or taken back up in the adrenergic neuron. They can have different effects on the body's sympathetic transmission. Reserpine, a natural compound found in the Rauwolfia shrub, blocks a transporter called vesicular monoamine transporter (VMAT), which leads to a buildup of catecholamines in the cell and reduces sympathetic transmission. Another drug called guanethidine works in multiple ways, including blocking...
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Trachea01:22

Trachea

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The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
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Related Experiment Video

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Investigating Stress-relaxation and Failure Responses in the Trachea
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Drug uptake in the trachea.

J Widdicombe1

  • 1Department of Physiology, St. George's Hospital Medical School, London, U.K.

Journal of Aerosol Medicine : the Official Journal of the International Society for Aerosols in Medicine
|January 2, 1997
PubMed
Summary

Drug absorption in airways depends on agent properties and blood flow. Epithelial barrier affects hydrophilic drugs, while lipophilic drugs cross easily. Increased blood flow surprisingly reduces drug uptake.

Area of Science:

  • Pharmacology
  • Drug Delivery
  • Respiratory Physiology

Background:

  • The airway epithelium presents a significant barrier to hydrophilic drug diffusion.
  • Lipophilic agents exhibit high epithelial permeability.
  • Mucosal blood flow influences drug absorption from the airway lumen.

Purpose of the Study:

  • To investigate the factors influencing drug diffusion and uptake in the airway mucosa.
  • To determine the impact of epithelial integrity and mucosal blood flow on drug absorption.

Main Methods:

  • Evaluated drug diffusion across the airway epithelium for hydrophilic and lipophilic agents.
  • Assessed the effect of epithelial destruction on drug permeability.
  • Manipulated mucosal blood flow using vasoactive drugs and altered arterial perfusion rates.

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  • Measured drug uptake from the airway lumen into venous blood.
  • Main Results:

    • Epithelial destruction increased hydrophilic agent permeability but not lipophilic agents.
    • Increased mucosal blood flow led to decreased drug uptake from the lumen.
    • Decreased mucosal blood flow resulted in increased drug uptake.
    • Higher vascular pressure and flow increased interstitial fluid volume, creating a greater perfusion barrier.

    Conclusions:

    • Airway drug absorption is modulated by both epithelial permeability and mucosal blood flow.
    • The inverse relationship between mucosal blood flow and drug uptake is likely due to increased interstitial volume and solvent drag.
    • Understanding these factors is crucial for optimizing inhaled drug delivery strategies.