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A H
        Y T
      S A
     A K
  N U
      M
    R A
K A
The respiratory tract, which includes the


    nasal mucosa
    hypopharynx
    large airways &
    small airways


provides a relatively large mucosal surface
  area of approx. 100 m (in normal adult) for
  drug absorption
Cross-sectional view


Nasal site of drug spray & absorption


Pathways for nasal absorption
VIEW




a – nasal vestibule      d – middle turbinate
b – palate               e – superior turbinate (olfactory mucosa)
c – inferior turbinate   f – nasopharynx
Site of drug
   spray &
absorption
Pathways for nasal
               absorption
 Absorption through the olfactory neurons

   - transneuronal absorption. Olfactory epithelium is

     considered as a portal for substances to enter CNS
 Absorption through the supporting cells & the
   surrounding capillary bed

   - venous drainage
 Absorption into the cerebrospinal fluid
Transneuronal absorption




      Olfactory nerve – 1st cranial sensory nerve
Venous drainage
Nasal pH
•Nasal secretion of adult : 5.5-6.5
•Infants and children: 5-6.7
•It becomes alkaline in conditions such as
 acute rhinitis, acute sinusitis.

•Lysozyme in the nasal secretion helps as
 antibacterial and its activity is diminished in
 alkaline pH
Drug concentration

  Factors       Vehicle of drug delivery
 affecting
                  Mucosal contact time
    drug
             Degree of drug’s ionization
absorption
               pH of the absorption site

              Size of the drug molecule

                  Relative lipid solubility
Physiological effects

-   Drug metabolism in the respiratory tract &
    reduction of systemic effect

-   Protein binding

-   Mucociliary transport causing increased
    or decreased drug residence time
Physiological effects....

-    Local toxic effects of the drug

      Eg., edema, cell injury, or altered tissue
     defenses
-     Local or systemic effects of propellants,
     preservatives, or carriers
1. Effect of particle size

2. Effect of molecular size

3. Effect of solution pH

4. Effect of drug lipophilicity

5. Effect of drug concentration
1.Effect of particle size
    (aerodynamic size distribution)
- Access to distal airways is a function of particle size

- Large particles (> 7 microns) will be lost in the

  gastrointestinal tract
- Small particles (< 3 microns) will be lost in exhaled

  breathe
- Intermediate particles (3 to 7 microns) reach the

  actual site of action
2. Effect of molecular size

- Higher the molecular size, lower the nasal absorption



- A good systemic bioavailability can be achieved for

  molecules with a molecular weight of up to 1000

 Daltons when no absorption enhancer is used
2. Effect of molecular size.....

 - With the assistance of absorption enhancer, a good

   bioavailability can be extended to a molecular

   weight of at least 6000 Daltons

    Absorption enhancers: Polyacrylic acid

                             Sodium Glycocholate

                             Sodium Deoxycholate

                             Polysorbate 80 etc.
3. Effect of solution pH
-   Nasal absorption is pH dependent

- Absorption is higher at a pH lower than the

    dissociation constant (pKa) of the molecule

- Absorption is lower as the pH increases beyond

    the dissociation constant
4. Effect of drug
              lipophilicity
- Polar (water soluble) drugs tend to remain on the


 tissues of the upper airway
- Non-polar (lipid soluble) drugs are more likely to

  reach distal airways
- Lipid soluble drugs are absorbed more rapidly

  than water soluble drugs
5. Effect of drug
           concentration
-   Absorption depends on the initial concentration of

    the drug

- The absorption follows first-order kinetics
Nasya dravya
 karmukata
karmukata
 Substances which produces smell uaually have certain
  characterstics.
                1.Volatile
                2.they are atleast slightly water soluble
                3.they are usually highly lipid soluble.
 The cilia of olfactory cellls and the portions of the body of the
  olfactory cells relatively contains large quantities of lipoid
  materials.
 A substance which is lipid soluble can cause marked stimulation of
  an olfactory cell.
 The substance which is given through the nostrils can irritate the
  mucosa of the nose and drains the accumulated phlegm through the
  nostrils.(in teekshna nasya)

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Nasya karmukata

  • 1. A H Y T S A A K N U M R A K A
  • 2. The respiratory tract, which includes the  nasal mucosa  hypopharynx  large airways &  small airways provides a relatively large mucosal surface area of approx. 100 m (in normal adult) for drug absorption
  • 3. Cross-sectional view Nasal site of drug spray & absorption Pathways for nasal absorption
  • 4. VIEW a – nasal vestibule d – middle turbinate b – palate e – superior turbinate (olfactory mucosa) c – inferior turbinate f – nasopharynx
  • 5. Site of drug spray & absorption
  • 6. Pathways for nasal absorption  Absorption through the olfactory neurons - transneuronal absorption. Olfactory epithelium is considered as a portal for substances to enter CNS  Absorption through the supporting cells & the surrounding capillary bed - venous drainage  Absorption into the cerebrospinal fluid
  • 7. Transneuronal absorption Olfactory nerve – 1st cranial sensory nerve
  • 9. Nasal pH •Nasal secretion of adult : 5.5-6.5 •Infants and children: 5-6.7 •It becomes alkaline in conditions such as acute rhinitis, acute sinusitis. •Lysozyme in the nasal secretion helps as antibacterial and its activity is diminished in alkaline pH
  • 10. Drug concentration Factors Vehicle of drug delivery affecting Mucosal contact time drug Degree of drug’s ionization absorption pH of the absorption site Size of the drug molecule Relative lipid solubility
  • 11. Physiological effects - Drug metabolism in the respiratory tract & reduction of systemic effect - Protein binding - Mucociliary transport causing increased or decreased drug residence time
  • 12. Physiological effects.... - Local toxic effects of the drug Eg., edema, cell injury, or altered tissue defenses - Local or systemic effects of propellants, preservatives, or carriers
  • 13. 1. Effect of particle size 2. Effect of molecular size 3. Effect of solution pH 4. Effect of drug lipophilicity 5. Effect of drug concentration
  • 14. 1.Effect of particle size (aerodynamic size distribution) - Access to distal airways is a function of particle size - Large particles (> 7 microns) will be lost in the gastrointestinal tract - Small particles (< 3 microns) will be lost in exhaled breathe - Intermediate particles (3 to 7 microns) reach the actual site of action
  • 15. 2. Effect of molecular size - Higher the molecular size, lower the nasal absorption - A good systemic bioavailability can be achieved for molecules with a molecular weight of up to 1000 Daltons when no absorption enhancer is used
  • 16. 2. Effect of molecular size..... - With the assistance of absorption enhancer, a good bioavailability can be extended to a molecular weight of at least 6000 Daltons Absorption enhancers: Polyacrylic acid Sodium Glycocholate Sodium Deoxycholate Polysorbate 80 etc.
  • 17. 3. Effect of solution pH - Nasal absorption is pH dependent - Absorption is higher at a pH lower than the dissociation constant (pKa) of the molecule - Absorption is lower as the pH increases beyond the dissociation constant
  • 18. 4. Effect of drug lipophilicity - Polar (water soluble) drugs tend to remain on the tissues of the upper airway - Non-polar (lipid soluble) drugs are more likely to reach distal airways - Lipid soluble drugs are absorbed more rapidly than water soluble drugs
  • 19. 5. Effect of drug concentration - Absorption depends on the initial concentration of the drug - The absorption follows first-order kinetics
  • 21. karmukata  Substances which produces smell uaually have certain characterstics. 1.Volatile 2.they are atleast slightly water soluble 3.they are usually highly lipid soluble.  The cilia of olfactory cellls and the portions of the body of the olfactory cells relatively contains large quantities of lipoid materials.  A substance which is lipid soluble can cause marked stimulation of an olfactory cell.  The substance which is given through the nostrils can irritate the mucosa of the nose and drains the accumulated phlegm through the nostrils.(in teekshna nasya)