Buccal

B. typhosus Bubble Breaker Bubble jet technology Bubble memory devices Bubble packs Bubble-point test Bubble shapes Bubbling-bed design Buccal tablets Bucherer-Bergs reaction Bucherer reaction Bucherer synthesis Bucidovir [86304-28-1]... 

Oral mucosal membranes provide a port for systemic therapy as weU. Nitroglycerin sublingual tablets (Nitrostat) abort acute mgina attacks methyl-testosterone [58-18-4] buccal tablets (Android 5) are indicated for testosterone [58-22-0] replacement therapy (39) md nicotine [54-11-5] gum (Nicorette) aids in smoking cessation. 

Oral. The oral route for dmg dehvery includes the gastrointestinal (GI) tract and the oral cavity including the buccal mucosa. The buccal mucosa is considered separately because of differences in the approach to dmg dehvery via this route. 

Transdermal dmg dehvery is associated with a relatively long time lag before the onset of efficacy, and removal of the system is foUowed by a correspondingly extended fall in plasma concentration, which probably results from formation of a dmg depot in the skin that dissipates slowly. The time lag is approximately 3 to 5 h for many dmgs that have low binding in the skin (49—51), but may be considerably longer. In contrast, plasma dmg levels may be obtained between 2 and 5 min by the oral, buccal, or nasal routes. 

The use of a bioadhesive, polymeric dosage form for sustained dehvery raises questions about swallowing or aspirating the device. The surface area is small, and patient comfort should be addressed by designing a small (less than 2 cm ), thin (less than 0.1 mm (4 mil) thick) device that conforms to the mucosal surface. The buccal route may prove useful for peptide or protein dehvery because of the absence of protease activity in the sahva. However, the epithelium is relatively tight, based on its electrophysiological properties. An average conductance in the dog is 1 mS/cm (57) as compared to conductances of about 27 and 10 mS/cm in the small intestine and nasal mucosa, respectively (58,59) these may be classified as leaky epitheha. 

Ambient air entering tbe oral cavity during oral breathing confronts a variety of surface structures. Inspired air initially passes between highly vascular lips and across the teeth, w hich can be viewed as a series of heat transfer fins. The tongue and buccal surfaces (both rough, highly vascular... 

Nasal vasculature may offer some insight into this question, though research to date has been equivocal. Nasal turbinate vessels can be classified as either capacitance vessels or resistive vessels. Capacitance vessels appear to vasodilate in response to infection while resistance vessels appear to respond to cold stimuli by vasoconstriction. Buccal vascular structures also respond to thermal stimuli but appear to respond principally to cutaneous stimuli. How pharyngeal and tracheobronchial submucosal vessels react to thermal stimuli is not known, though cold-induced asthma is believed to result from broncho-spasms caused by susceptible bronchial smooth muscle responding to exposure to cold dry air.- This asthmatic response suggests an inadequate vascular response to surface cooling. 

Bacterial catabolism of oral food residue is probably responsible for a higher [NHj] in the oral cavity than in the rest of the respiratory tract.Ammonia, the by-product of oral bacterial protein catabolism and subsequent ureolysis, desorbs from the fluid lining the oral cavity to the airstream.. Saliva, gingival crevicular fluids, and dental plaque supply urea to oral bacteria and may themselves be sites of bacterial NH3 production, based on the presence of urease in each of these materials.Consequently, oral cavity fNTi3)4 is controlled by factors that influence bacterial protein catabolism and ureolysis. Such factors may include the pH of the surface lining fluid, bacterial nutrient sources (food residue on teeth or on buccal surfaces), saliva production, saliva pH, and the effects of oral surface temperature on bacterial metabolism and wall blood flow. The role of teeth, as structures that facilitate bacterial colonization and food entrapment, in augmenting [NH3J4 is unknown. 

Buccal Pertaining to the lateral inner surface of the oral cavity (cheek). 

Promoting an Optimal Response to Therapy N URATES The nitrates may be administered by die sublingual (under die tongue), buccal (between the cheek and gum), oral, IV, or transdermal route Nitroglycerin may be administered by die sublingual, buccal, to peal, transdermal, oral, or IV route If die buccal form of nitroglycerin has been prescribed, die nurse instructs die patient to place die buccal tablet between die cheek and gum or between die upper lip and gum above die incisors and allow it to dissolve The nurse shows the patient how and where to place die tablet in die mouth. Absorption of sublingual and buccal forms is dependent on salivary secretion. Dry mouth decreases absorption. 

For patients who have difficulty swallowing dilti-azem, tablets can be crushed and mixed with food or liquids. However, the patient should swallow the sus-tained-released tablets whole and not chew or divide them. When nifedipine is ordered sublingually, the capsule is punctured with a sterile needle and the liquid squeezed under the tongue or in the buccal pouch. 

Buccal tablets—Place the tablet between die cheek and molars and allow it to dissolve in die mouth. 

This product is also only available by prescription. The recommended treatment period is up to 24 weeks (McNeil Consumer Products 1997). Using the inhaler by puffing 80 deep inhalations over 20 minutes results in a systemic absorption through the buccal mucosa of 2 mg of nicotine, with maximal nicotine concentrations occurring 15 minutes after the end of inhalation. When the product is used as directed, the patient will likely use 6-16 inhalers per day. This form of NRT is relatively contraindicated in patients with asthma because, although most of the nicotine is absorbed through the buccal mucosa and it is not delivered to the lungs (McNeil Consumer Products 1997), nicotine by inhalation may produce bronchial constriction. 

Baud, C.S., Bang, S. and Very, J.M. 1977 Minor elements in hone mineral and their effects on its solubility. Journal de Biologic Buccale 5 195-207. 

The relationship between serum and tissue concentrations of lutein and zeaxanthin was recently studied by Johnson et al, (2000). Dietary intake of xanthophyll-rich vegetables (for example, spinach and com) resulted in significant increases in lutein concentration in serum, adipose tissue and buccal cells, and this correlated with changes in MP density. However, P-carotene and lycopene are normally the major carotenoids detected in buccal cells (Peng et al, 1994). 

PENG Y s, PENG Y M, MCGEE D L and ALBERTS D s (1994) Carotenoids, tocopherols and retinoids in human buccal mucosal cells intra- and inter-individual variability and storage stability. J Clin Nutr 59(3) 636-43. 

Table I lists the concentrations of nitrosodimethylamine (NDMA) and nitrosodiethylamine (NDEA) in some of the tobacco products which had greater than 0.5% nitrate content. Tobacco with less than 0.5% nitrate content, such as Bright tobaccos, yielded NDMA, NDEA and nitrosopyrrolidine (NPYR) generally below 5 ppb. The relatively high concentrations of NDMA in fine cut tobaccos and in snuff are possibly of significance in the increased risk for oral cancer among snuff dippers who use these tobacco types repeatedly each day by placing a pinch of the product directly into the gingival buccal fold (6,7).

Toubeau G Cotman C. and Bels V. (1994). Morphological and kinematic study of the tongue and buccal cavity in the lizard Anguis fragilis. Anat Rec 240, 423-433. 

Midazolam Midazolam is water-soluble and can be administered intravenously, intramuscularly,13 buccally,14,15 and nasally.16,17 At physiologic pH, it becomes more lipophilic and can diffuse into the CNS. Compared to diazepam and lorazepam, it has fewer effects on the respiratory and cardiovascular systems. Its short half-life requires that it be re-dosed... 

Midazolam (Versed) 0.2 mg/kg 2 mg/minute (IVP) N/A Sedation Can also be given IM, buccally, intranasally expensive... 

---