˚₊‧ʚ♡ɞ‎‧₊˚ 𝙿𝚑𝚊𝚛𝚖𝚊𝚌𝚘𝚕𝚘𝚐𝚢 ˚₊‧ʚ♡ɞ‎‧₊˚ Flashcards

1
Q

what is the difference between Pharmacokinetics and Pharmacodynamics?

A

Pharmacokinetics is what the body does to the drug, while Pharmacodynamics is what the drug does to the body.

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2
Q

if a drug is administered topically, how might it be absorbed?

A

move through the skin or mucous membrane to reach the bloodstream.

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3
Q

if administered orally, how will the drug be absorbed?

A

Through the lining of the stomach or intestines.

slower with food

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4
Q

what is bioavailability?

(*hint: proportion of a drug that is successfully absorbed into____)

A

the proportion of a drug successfully absorbed into the systemic circulation.

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5
Q

What are the principles of pharmacokinetics?

(ADME)

A

Absorption: How will it get in?
* the way the drug moves from the site of administration & into the bloodstream.
Distribution: Where will it go?
* where the drug goes after it is in the bloodstream & where it might accumulate.
Metabolism: How’s it broken down?
* ways drugs are broken down/modified as they circulate through the body.
Elimination/Excretion: How does it leave?
* how the drug exits the body.

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6
Q

Drugs are metabolized by enzymes into what?

A

metabolites.

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7
Q

what is a drug metabolite?

A

a byproduct of the body breaking down a drug into different substance.

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8
Q

which organ metabolizes most drugs via enzymes?

A

the LIVER.

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9
Q

Which organ is responsible for the first-pass effect/metabolism? What is the first pass effect?

A

Liver.
First-pass effect: 1st pass of a drug through the liver significantly reduces the bioavailability of a drug.

basically, its like the drug losing some of its strength before it gets the chance to do its intended purpose.

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10
Q

Most drugs are excreted via which organ?

A

The kidney, via urine – which is why many drug tests are urine tests.

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11
Q

Related to excretion, what is the half-life of a drug?

A

time required for a drug to be reduced in the body by 50.

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12
Q

What is first order kinetics?

A

the amount that is eliminated is influenced by how much is in the body.
(calculations start over at half-life of drug)
EXAMPLE: if you take a single does of 16 mg, the half-life would be when 8mg (half of 16) is in the system. AFTER the half-live time duration, the remaining amount of drugs is halved again (from 8 to 4, rather than 8 again) in the same amount of time.

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13
Q

about what percentage of the drug remains after 4.5 half-lives?

A

about 5% remains.

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14
Q

what is zero order kinetics?

A

there is no half-live elimination because they are eliminated at a constant rate; like alcohol.

think of it like a leaky faucet in a bathtub. No matter how full the tub is, the leaky faucet removes water at a constant rate.

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15
Q

what are pros & cons of the oral ROA?

A

-easy & relatively safe.
-Can be slow (positive or negative). -absorption via the digestive tract is highly variable, and it will likely undergo some metabolism by the liver before getting absorbed into the bloodstream (first-pass effect).

First-pass effect: Some medications are broken down by the liver before they reach the bloodstream, reducing their effectiveness (first-pass effect).

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16
Q

in the mucous membranes and/or transdermal ROA, where are they absorbed?

A

Mucous membranes: nose, mouth, eyes, rectum, vagina.
transdermal: skin (patch, cream).

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17
Q

what are the pros and cons of the mucous membranes/transdermal ROA?

A

-Generally faster absorption than oral, very little metabolism prior to getting into the bloodstream.
-Targeted delivery.
-can sometimes damage or irritate tissues.

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18
Q

In the inhalation ROA, where does absorption take place?

A

capillaries in lungs.

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19
Q

what are pros & cons of the inhalation ROA?

A

-absorbed rapidly.
-may damage tissue.
-the fastest route to the brain, often short-acting effects (which is why it’s 1 of the most common ROAs for drug abuse).
-not a possible ROA for many drugs.

20
Q

In the injection ROA, where do the injections go?

A

-Subcutaneous (right beneath skin)
-intramuscular (into the muscle)

21
Q

what is a side effect?

A

Side effect is any effect of a medicine other than the one intended. Common examples include upset stomach, drowsiness, sleeplessness, headache.

22
Q

What are the differences between acute toxicity vs. chronic toxicity on exposure time, effects, and recovery?

examples of acute toxicitiy: overdose, poisoning | chronic examples: smoking.

A

EXPOSURE TIME:
acute: short-term, single dose.
chronic: long periods of time.
EFFECTS:
acute: effects seen in 1st 2-4 days.
chronic: gradual, may take years.
RECOVERY:
acute: usually possible.
chronic: can be irreversible or difficult to treat.

23
Q

What is potency?

A

Minimum dose for desired effect.

24
Q

What is the ED50?

A

Effective dose for 50% of the population receiving the drug.

25
Q

What is the TD50?

A

Dose that induces a toxic effect for 50% of the population receiving the drug.

26
Q

What is the LD50?

A

The lethal dose for 50% of the population receiving the drug.

27
Q

What is the Margin of Safety? What is the Therapeutic Index (TI)?

A

Margin of Safety = LD1/ED99
TI-LD50/ED50.

The larger the number, the greater the relative safety.

28
Q

What is an Agonist versus Antagonist drug?

A

AGONIST: facilitator – drugs that enhance, mimic, or facilitate the activity of a neurotransmitter.
ANTAGONIST: inhibitor - drugs that decrease, block, or inhibit the activity of a neurotransmitter.

29
Q

What is tolerance? Is it the same for everyone?

A

TOLERANCE: chronic use reduces the effect of some drugs.
It is different for everyone. There is no mathematical equation to show/predict tolerance.

30
Q

What is metabolic tolerance?

A

When the body becomes more efficient at metabolizing a drug.

31
Q

What is cellular tolerance?

A

Adaptations that cells make in response to chronic use of the drug.

32
Q

What is behavioral tolerance?

A

Learning to handle yourself under certain drugs better.
Also, conditioned drug tolerance and the effect of the drug can vary based on the setting where you take the drug. There is more tolerance in familiar settings.

33
Q

What is cross tolerance?

A

When tolerance to 1 drug diminishes the effects of another drug, often observed between members of the same drug class - all opiates display cross-tolerance.

34
Q

What is sensitization?

AKA reverse tolerance.

A

Sometimes, repeated use can increase drug response.

*Tolerance builds to various effects at different rates or tolerance to some effects & sensitization to others - known as selective tolerance.

35
Q

What is withdrawal?

A

When the drug is abruptly discontinued. The body has adapted to the drugs, w/o it is homeostasis is perturbed.

36
Q

Which describes the effects of agnostic drugs versus antagonistic drugs?

  • increases the synthesis of neurotransmitter molecules (e.g., increasing the amount of precursor)
    -blocks the synthesis of neurotransmitter molecules (e.g., by destroying synthesizing enzymes).
A

agonistic drugs increases, antagonistic drugs blocks.

37
Q

Will an agonistic or antagonsitic drug increase the # of neurotransmitter molecules by destroying degrading enzymes?

A

Agonistic.

38
Q

Will an agonistic or antagonistic drug cause the neurotransmitter molecules to leak from vesicles & be destroyed by degrading enzymes?

A

Antagonistic

39
Q

Between agonistic & antagonistic drugs, which increases the release of neurotransmitter molecules from terminal buttons, and which blocks the release?

A

Agonistic drugs increase, antagonistic drugs block.

40
Q

Between agonistic and antagonistic drugs, which activates autoreceptors & inhibits neurotransmitter release?

A

Antagonistic.

41
Q

Between agonistic and antagonistic drugs, which binds to autoreceptors & blocks their inhibitory effect on neurotransmitter release?

A

Agonistic.

42
Q

Between agonistic and antagonistic drugs, which binds to postsynaptic receptors to activate or increase the effect on the neurotransmitter molecules?

A

Agonistic; they can also block the deactivation of neurotransmitter molecules by blocking degradation or reuptake.

43
Q

True or false

A drug that mimics the effects of a neurotransmitter is an antagonist.

A

False.

44
Q

What is the therapeutic index for a drug with an LD50 of 100mg and an ED50 of 25mg?

A

4mg.

Therapeutic index = LD50/ED50, and 100/25=4.

45
Q

Which of the following forms of drug administration typically gets the drug to the brain the fastest?
subcutaneous
oral
inhalation
transdermal

A

Inhalation.

46
Q

True or false

The environment in which a drug is taken has very little influnece on the drug’s effect.

A

False.