LAYERS OF COLON
Major part
Application
In local colonic pathologies
Systemic delivery of protein and
peptide
Potential site for the treatment of diseases
liike asthma,arthritis & angina
For the drugs that are absorbed through
colon such as steroids
For the treatment of disorders like IBS,
colitis,crohns disease where it is
necessary to attain high concentration of
drugs in colon
Target sites
Disease
conditions
Drugs used
Topical/local
action
Inflammatory
bowel disease,
Irritable bowel
syndrome
&crohndisease
Hydrocortisone,
Budenoside,
Prednisolone,
Sulphasalazine,
Olsalazine,
Infliximab
Mesalazine,
Balsalazide, 6Mercaptopurine,
Azathiorprine,
Cyclosporine,etc
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Amoebiasis
Metronidazole,
Ornidazole,
Tinidazole,
Mebandazole, etc
Chronic
pancreatitis,
Pacreatactomy and
Cystic fibrosis
Digestive enzyme
supplements
Colorectal cancer
5-Fluoro uracil
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Systemic
action
To prevent gastric
irritation
NSAIDS
To prevent first
pass metabolism
of orally ingested
drugs
Steroids
Oral delivery of
peptides
Insulin
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Gastro
intestinal
transit time.
PH along GIT .
Colonic Micro Flora.
Drug absorption in the
colon.
GIT disease state.
1.5 2
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6.6 7.5
Ascending colon
Transverse colon
Descending colon
6.4
6.6
7.0
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Colon contentsMore
viscous with progressive
absorption of water & delays
the diffusion of drug
from the lumen to mucosa.
Colonic epithelial
permeability modified by
enhancers.
Ex:-Ca+2 EDTA,
Saponins,Bile
salts, Fatty
DISRUPTION.
acids MODIFICATION.
A. Faktor Fisiologi
Isi Kolon obat akan mempunyai kemungkinan
untuk diabsorpsi lebih besar ketika rektum dalam
keadaan kosong. Untuk tujuan ini diberikan
enema sebelum penggunaan obat melalui rektal.
Rute sirkulasi jika obat diabsorpsi dari
pembuluh darah hemorrhoidal akan langsung
menuju vena cava inferior, sehingga absorpsi akan
cepat dan efektif.
pH dan minimnya kapasitas buffer cairan rektal
pH cairan rektal 7-8 dan tidak memiliki kapasitas
buffer yang efektif.
DISEASE
IBD (Crohns
disease &
Ulcerative
colitis)
Diarrhoea
Constipation
Reduction in bowel
movement & decreases the
avaibility of drug at
absorption site
Gastroenteritis
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Tablet
kolon (peroral)
Enema (rektal bentuk semisolid)
Suppos (rektal bentuk padat)