04 - Antagonists and Dose Response Curves (pharmacodynamics) Flashcards

1
Q

Pure antagonists don’t cause any…

A

Action by binding to the receptor (they just block it) 🙅‍♂️

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2
Q

3 Classes of antagonist…

A
  1. Chemical
  2. Physiological
  3. Pharmacological
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3
Q

Chelating agents are examples of which type of antagonist?

A

Chemical

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4
Q

Pharmacological (drug) antagonists can be divided into 2 categories based on binding site…

A
  • Active site binding

* Allosteric site binding

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5
Q

Pharmacological (drug) antagonists can be divided into 2 categories based on the nature of the binding…

A
  • Reversible

* Irreversible

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6
Q

Reversible active site antagonists are ( competitive / non-competitive )

A

Competitive

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7
Q

Irreversible active site antagonists are ( competitive / non-competitive )

A

Non-competitive

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8
Q

Both reversible and irreversible allosteric site antagonists are ( competitive / non-competitive)

A

Non-competitive

as they do not bind at the active site

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9
Q

Competitive antagonists will shift the response curve to the…

A

Right

as it will decrease the response at a given dose or concentration

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10
Q

The effectiveness of a competitive antagonist can be quantified with the…

A

Dose ratio

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11
Q

Schild equation

A

r - 1 = [B] / Kb

Where r - 1 is the dose ratio and [B] is concentration of antagonist

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12
Q

The Schild plot only works for…

A

Competitive active site antagonists (because the slope = 1, linear)

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13
Q

pA2 =

A

-log Kb

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14
Q

Irreversible antagonists decrease…

A

EC50

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15
Q

Which type of antagonism is most common, competitive or irreversible?

A

Competitive

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16
Q

An example of competitive antagonism is…

A

Tamoxifen at the estrogen receptor

Cimetidine at H2 receptor

17
Q

An example of irreversible antagonism is…

A

Phenoxybenzamine at alpha-1 adrenoreceptors

18
Q

The dose-response curve of a non-competitive antagonist looks like that of…

A

An irreversible antagonist

19
Q

The dose-response curve of a partial agonists looks like that of…

A

A full agonist with an irreversible antagonist

20
Q

The theraputic index or window the is the area between…

A

The onset of desired affects and adverse effects

21
Q

Theraputic index

A

TD or LD 50 / ED50