• 공업화학
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• 제32권5호
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• pp.556-561
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• 2021

최근 산화철 나노입자는 외부의 자기장에 반응하는 자성의 특성과 생체적합성이 뛰어나 약물전달시스템(drug delivery system, DDS)에 관한 많은 연구의 소재로 사용되어져 왔다. 본 연구에서는 마이크로니들(microneedles, MNs)의 매트릭스 물질로 HA (hyaluronic acid)와 CMC (carboxy methyl cellulose)를 이용하여 SIONs (superparamagnetic iron oxide nanoparticles)이 함유된 HA-SMNs (hyaluronic acid-superparamagnetic microneedles)와 CMC-SMNs (carboxy methyl cellulose-superparamagnetic microneedles)를 제조하였으며, SEM (scanning electron microscopic), SQUD-VSM (superconducting quantum interference device-vibrating sample magnetometer), FMMD (frequency mixing magnetic detection), 고분자 및 바이오 멤브레인을 이용하여 SMNs의 다양한 특성을 조사하였다. SQUID-VSM 측정 결과 SIONs이 포함된 HA-SMNs와 CMC-SMNs에서 초상자성의 특성이 나타났으며, FMMD 측정에서는 SIONs 농도가 증가함에 따라 신호 강도에 변화가 확인되었다. 또한 SMNs의 바이오 막을 통한 HA-SMNs와 CMC-SMNs의 투과도 분석에서는 각각 평균 92.5%와 98.5%의 피부 투과율이 조사되었다. 이러한 결과를 통해 SMNs 제형은 경피약물전달시스템(transdermal drug delivery system, TDDS) 및 MR(magnetic mesonance) molecular imaging 분야의 전달소재로 활용될 수 있을 것으로 기대한다.

• The Korean Journal of Pain
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• 제37권1호
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• pp.41-50
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• 2024

Background: Recognizing the seriousness of the misuse and abuse of medical narcotics, the South Korean government introduced the world's first narcotic management system, the Narcotics Information Management System (NIMS). This study aimed to explore the recent one-year opioid prescribing patterns in South Korea using the NIMS database. Methods: This study analyzed opioid prescription records in South Korea for the year 2022, utilizing the dispensing/administration dataset provided by NIMS. Public data from the Korean Statistical Information Service were also utilized to explore prescription trends over the past four years. The examination covered 16 different opioid analgesics, assessed by the total number of units prescribed based on routes of administration, type of institutions, and patients' sex and age group. Additionally, the disposal rate for each ingredient was computed. Results: In total, 206,941 records of 87,792,968 opioid analgesic units were analyzed. Recently, the overall quantity of prescribed opioid analgesic units has remained relatively stable. The most prescribed ingredient was oral oxycodone, followed by tapentadol and sublingual fentanyl. Tertiary hospitals had the highest number of dispensed units (49.4%), followed by community pharmacies (40.2%). The highest number of prescribed units was attributed to male patients in their 60s. The disposal rates of the oral and transdermal formulations were less than 0.1%. Conclusions: Opioid prescription in South Korea features a high proportion of oral formulations, tertiary hospital administration, pharmacy dispensing, and elderly patients. Sustained education and surveillance of patients and healthcare providers is required.

• 한국임상약학회지
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• 제28권2호
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• pp.81-87
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• 2018

Objective: There have been many cases of spontaneous adverse drug reactions to fentanyl at a regional pharmacovigilance center in the hospital. To assess the factors causing the adverse drug reactions reported in patients receiving fentanyl patient-controlled analgesia (PCA) monotherapy or in combination with fentanyl transdermal therapeutic system (TTS) for acute post-operative pain management. Methods: We conducted a retrospective cohort study with all patients prescribed fentanyl PCA for pain management after orthopedic surgery at a single university hospital from June 2012 to May 2013. We analysed the factors causing adverse drug reactions reported by a spontaneous reporting system in patients receiving fentanyl PCA monotherapy and those receiving fentanyl TTS in combination with fentanyl PCA. Results: Based on the spontaneous adverse drug reaction reporting, the risk ratio for the incidence rate of adverse drug reaction in the fentanyl TTS combination therapy group was 3.04 (95 % CI: 2.4-4.00, P < 0.0001), which was approximately 3-fold higher than that reported for fentanyl PCA monotherapy. Only 60 % of the adverse drug reactions were reported. Conclusion: It is inappropriate to add fentanyl TTS to fentanyl PCA to manage post-operative acute pain. There is a need to improve adverse drug reaction reporting. We expect that regular analysis of adverse drug reactions reported at regional pharmacovigilance centre would aid in appropriate drug utilization by patients.

• Journal of Pharmaceutical Investigation
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• 제29권3호
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• pp.217-225
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• 1999

These studies were designed to determine the effect of hydroalcoholic gel system (lower alkanol concentration: 40-60%) compared to general hydrogel system (lower alkanol concentration: 10-35%) on transdermal delivery of piroxicam and its anti-inflammatory activity. Piroxicam was incorporated into a hydroalcoholic gel and a hydrogel containing polymers, solvents, and cosolvents. The pH of gel was about 6.3-7.3 and the solvent mixtures were composed of water and various concentrations of ethanol (35, 40, 50, and 60%). For the in vitro study, the skin permeation of piroxicam from the gel formulations was investigated using Franz modified diffusion cells fitted with hairless mouse skin. For the in vivo study, the anti-inflammatory activity of hydroalcoholic gel was compared to other commercial products (piroxicam hydrogel and ketoprofen hydrogel) in rat and human. The anti-inflammatory activity was determined using carrageenan induced foot edema model in rat. For the clinical study, it was evaluated from determining efficacy and acceptability with 98 patients suffering from musculoskeletal pain. A novel piroxicam hydroalcoholic gel was successfully formulated in the range of 40-50% of ethanol as solvent, more than 10% of propylene glycol, 5% of $Transcutol^{\circledR}$ and 1 % of benzyl alcohol. The skin permeation of piroxicam using hydroalcoholic gel system was greater than that of general hydrogel system $(flux\;:\;139.1-148.2\;{\mu}g/cm^2/hr\;vs.43.0-84.5 {\mu}g/cm^2/hr)$ in vitro. In carrageenan-induced edema model, the anti-inflammatory activity of hydroalcoholic gel was better than that of piroxicam hydrogel for edema inhibition (75.1 % vs. 62.9%, p

• 대한전기학회:학술대회논문집
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• 대한전기학회 2004년도 하계학술대회 논문집 C
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• pp.2143-2145
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• 2004

본 논문은 미세공정을 이용하여 다중전극을 배열하여 전압 인가에 의해 선택적으로 약물 방출이 가능한 구역화된 약물 저장용 구조물의 설계 및 제작에 관한 것이다. 두께 525${\mu}m$ 언 (100) Si wafer를 이용하여 TMAH 용액의 조성 및 온도에 따라 Si 식각 기초실험을 하고 그 결과를 이용하여 최적 식각조건을 설정하였다. 구조물 opening 크기를 다양하게 설계하여 미량의 약물을 선택적으로 방출할 수 있게 하고자 역 피라미드 형태의 약물 저장용 구조물을 제작하였다. 전압 인가에 의한 약물 방출시 Au 전극의 특성을 고찰하고자 저장 구조물 위에 anode의 면적과 anode 전극간 거리를 변화시켜서 설계 및 제작하였고, polyimide를 전극 사이의 절연막으로 이용하였다. 제작된 구조품의 전극 특성은 5V의 설정전압을 인가하였을 경우 2500s 동안 0.25mA로 안정적으로 유지되었으나 10V, 15V, 20V일 경우 전극의 산화현상으로 Au 전극이 부식이 되어 전류가 안정적으로 흐르지 않는 것을 알 수 있었으며, 약물전달시스템에서 안정적인 전류 공급을 위해서는 Au 전극이 산화 되지 않는 전압 인가 조건 및 시간은 설정해야 함을 알 수 있었다.

• Journal of Pharmaceutical Investigation
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• 제37권3호
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• pp.149-158
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• 2007

To investigate the permeability of lidocaine, percutaneous absorption studies were performed using excised hairless mouse skin and the penetration of lidocaine via the skin was determined. To increase the skin permeation of lidocine, the effects of $Labrasol^{(R)}$, $Labrafil^{(R)}$, $Labrafac^{(R)}$ and $Transcutol^{(R)}$ were investigated. The skin permeation of lidocaine was increased when $Labrasol^{(R)}$ and $Transcutol^{(R)}$ were used as permeation enhancer. To evaluate the influence of ultrasound, various factors such as application modes (continuous mode and pulsed mode), frequency (1.0 and 3.0 MHz) and intensity (1.0, 1.5 and 2.0 w/$cm^2$) were investigated with lidocaine hydrogel. The pronounced effect of ultrasound on the skin permeation of lidocaine was observed at all ultrasound energy levels. The influence of frequency having an effect on skin permeation rate was higher in the case of using 1 MHz, 2.0 w/$cm^2$ and continuous treatment. As the intensity of ultrasound increased, the permeation of lidocaine was accelerated. The in vivo anesthetic effects were evaluated by two aspects as mechanical threshold and electrical threshold. Six healthy volunteers consented to the randomized, double-blind, and cross-over designed study in each group. In each subject, 3 groups were adapted such as K group (ultrasound with gel base only), L group (lidocaine gel) and B group (ultrasound with lidocaine gel). In conclusion, lidocaine was potent anesthetic which could be block pain threshold effectively. And ultrasound could accelerate the skin penetration of lidocaine. The phonophoretic delivery system could be a good candidate for lidocaine as a local anaesthetic to improve the skin permeation and in vivo anaesthetic effect.

• The Korean Journal of Pain
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• 제11권2호
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• pp.214-219
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• 1998

Pain is one of the most frequent and disturbing symptom of cancer patients. And almost of cancer patients are afraid of a attacks of pain related to cancer. Caring for the cancer patient can be divided into two phases. The phase of "active treatment" involves various interventions-surgical, chemical or radiological- that are designed to prolong the patient's life. "Terminal care" is the period from the end of active treatment until the patient's death. But in the majority of clinical settings, cancer pain is not being managed adequately results from a lack of education about how to treat the cancer pain management in the safest and most effective way during terminal phase. Althought organic factors represent the most important cause of their pain, it is also important to deal with the patient's psychological reactions and to take account of his or her social and family environment if treatment for chronic cancer pain is to prove adequate. Thus we try to evaluate a kinds of cancer related to pain, degree of pain, effectiveness of drugs, and patient's responses to management. In regard to the satisfaction for pain relief in pain clinics at Pusan National University Hospital(PNUH) are about 70% in patients and 90% in family. Average life expectancy in cancer patients are about 140 days (3 days- 5.7 years). Cancer patients are complained of several discomfortness (above 30 kinds) such as, pain associated with cancer (75%), nausea and vomitting (38%), sleeping disorder (38%), anorexia (38%), dyspnea (32%), constipation (31%), etc. Distributions of cancer associated with pain are stomach cancer (21%), lung cancer (16%), cervix cancer (10%), anorectal and colon cancer (8.6%), hepatoma (8%), pancreatic cancer (3%). About 1/3 of patients are suffer from incident pain in 3~5 times in a day especially in moving, coughing, and exercise. Methods for drug delivering system before death are transdermal fentanyl patch (42%), intravenous PCA (21%), oral intake of opioid (17%), epidural PCA (14%), etc.

• 한국진공학회:학술대회논문집
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• 한국진공학회 2014년도 제46회 동계 정기학술대회 초록집
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• pp.411.1-411.1
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• 2014

This study evaluates the utility of an antibacterial microneedle composed of green tea extract (GT) and hyaluronic acid (HA), for the efficient delivery of GT. These microneedles have the potential to be a patient-friendly method for the conventional sustained release of drugs. In this study, a fabrication method using a mold-based technique to produce GT/HA microneedles with a maximum area of ${\sim}60mm^2$ with antibacterial properties was used to manufacture transdermal drug delivery systems. Fourier transform infrared (FTIR) spectrometry was carried out to observe the potential modifications in the microneedles, when incorporated with GT. The degradation rate of GT in GT/HA microneedles was controlled simply by adjusting the HA composition. The effects of different ratios of GT in the HA microneedles were determined by measuring the release properties. In HA microneedles loaded with 70% GT (GT70), a continuous higher release rate were sustained for 72 h. The in vitro cytotoxicity assays demonstrated that GT/HA microneedles are not generally cytotoxic to chinese hamster ovary cells (CHO-K1), human embryonic kidney cells (293T), and mouse muscle cells (C2C12), which were treated for 12 and 24 h. Antimicrobial activity of the GT/HA microneedles was demonstrated by ~95% growth reduction of gram negative [Escherichia coli (E. coli), Pseudomonas putida (P. putida) and Salmonella typhimurium (S. typhimurium)] and gram positive bacteria [Staphylococcus aureus (S. Aureus) and Bacillus subtilis (B. subtilis)], with GT70. Furthermore, GT/HA microneedles reduced bacterial growth in the infected skin wound sites and improved skin wound healing process in rat model.

• 대한화학회지
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• 제40권9호
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• pp.640-648
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• 1996

Chitin을 epichlorohydrin과 반응시켜 가교 chitin을 합성하고, $C_2$ 위치의 아세트아미드기를 탈아세틸화하여 가교 chitosan을 얻었다. 가교 chitosan을 증류수에 팽윤시킨 다음 글리세린과 silver sulfadiazine을 가하여 고분자 matrix를 제조하였다. 이렇게 제조된 matrix로부터 in vitro에서의 약물 방출 pattern을 고찰하기 위해 pH7.4 인산염 완충용액 중에서 약물의 함유량, 글리세린의 농도 변화 및 matrix 두께변화에 미치는 인자들에 관하여 연구 검토 하였다. 고분자 matrix내의 약물의 함유량과 matrix의 두께가 증가할수록 약물 방출 지속 시간은 지연되었다. 그러나 글리세린의 함유량이 증가함에 따라 약물 방출 지속 시간은 오히려 감소 하였다. 또한 약물의 함유량과 글리세린의 함유량이 증가할수록 겉보기 방출속도상수 (K)값도 증가하였으나, matrix 두께가 증가함에 따라서는 겉보기 방출속도상수(K)값이 일정하였다. 이상과 같이 가교 chitosan은 약품의 방출 조절형 제제로서 사용 가능성을 나타냈으며, 약물로 사용된 silver sulfadiazine의 방출거동은 Higuchi model에 따른 확산으로 생각되었다.

• 한국식품영양과학회지
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• 제43권9호
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• pp.1334-1341
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• 2014

치마버섯 균사체 배양물로부터 분리된 다당류의 생리활성을 알아보기 위해 항보체 활성, NO 생성능, 지질 과산화 억제능, OH radical 제거 효과, 미백효과, 항균효과 및 피부투과도를 측정하였다. 치마버섯 배양균사체 유래 다당류의 항보체 활성은 열수 추출 알코올침전분획(SC-EP)이 $8.9{\pm}0.3%$, 세포내성 다당류(SC-IP)는 $14.7{\pm}1.7%$, 열수 추출 한외여과분획(SC-UP)은 $10.2{\pm}0.8%$, 균사체외성 무처리 분획(SC-NEP)은 $5.2{\pm}0.7%$로 나타났다. 치마버섯 균사체 배양물의 열수 추출 한외여과 처리한 다당류(SC-UP)는 $12.8{\pm}0.7{\mu}M$의 NO를 생성하는 것으로 조사되었다. 양성 대조물질로 사용한 IFN-${\gamma}$와 LPS에서는 각각 $33.4{\pm}1.7{\mu}M$과 $35.1{\pm}1.5{\mu}M$로 나타났다. AsA-$Fe^{2+}$로 유도된 지질 과산화에 대한 영향은 열수 추출 에탄올 처리 분획(SC-EP) 및 UF 처리 분획(SC-UP)의 경우 각각 $28.9{\pm}0.7nM$ 및 $26.5{\pm}0.3nM$의 MDA를 생성시켰다. ADP-NADPH-$Fe^{3+}$로 유도된 지질 과산화에 대한 영향은 배양 균사체 배양물의 열수 추출 에탄올 처리 분획(SC-EP) 및 UF 처리 분획(SC-UP)이 각각 19.8%와 20.8%의 지질 과산화 생성 억제율을 나타내었다. OH radical의 제거 효과로 균사체 배양물의 열수 추출 UF 처리 분획(SC-UP)의 OH radical 제거 효과에 대한 $IC_{50}$은 3.32 mg/mL로 조사되었다. 균사체 배양물의 열수 추출 UF 처리 분획(SC-UP)의 tyrosinase 저해 효과는 1.0 mg/mL의 농도 처리 시에 19.9%로 나타났다. 또한 여드름 균에 대한 항균효과를 위한 MIC 치는 균사체 배양물의 열수 추출 UF 처리 분획(SC-UP)이 10 mg/mL, 균사체외성 다당류(SC-NEP)의 경우는 20 mg/mL 이상인 것으로 조사되었다. 균사체 배양물의 열수 추출 UF 처리 분획(SC-UP)의 피부투과도는 3시간, 6시간 및 9시간 경과 후 각각 0.47%, 0.73% 및 1.20%를 나타내었다. 상기의 결과들로부터 치마버섯 균사체 배양물로부터 분리된 다당류의 면역 활성, 항산화 활성 등의 생물학적 특성을 이용하여 기능성 소재의 개발이 가능할 것으로 판단된다.