1- Flashcards

1
Q

What is Pharmacokinetics ?

A

A principle of pharmacology : what the body does to the drug.

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2
Q

What is Pharmacodynamic ?

A

A principle of pharmacology : what the drug does to the body.

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3
Q

Why is the mode of administration important in drug ?

A

It allows to act on multiple parameters of the drug : The rapidity of the drug to reach the target organ, the lenght of the effect, the organ to target , what is the final effect, local or systemic effect …

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4
Q

On what depends the effectiveness of the absorbsion ?

A

1) molecular size & shape
2) degree of ionization (mor effective when not ionized)
3) lipid solubility of ionized & non-ionized forms
4) its binding to serum and tissue proteins
5) for oral administration, drug must be soluble and stable in stomach fluid + surface area of the region of absurption (gastro/intestine).

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5
Q

what determines the bioavailability of a drug ?

A

+Absorption, distribution, metabolism and elimination determine the availability of a drug.

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6
Q

What is a xenobiotic ?

A

A chemical substance found within an organism that is not naturally produced or expected to be present in the living organism

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7
Q

What is the fate of the drug ?

A

Administration, absorption, distribution, binding, action and elimination

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8
Q

When the drug is oral, what is the best form for it to be absorbed ?

A

Nonionized and lipophilic form

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9
Q

Is the absorption the same in the estomac and in the intestine ?

A

No, bigger surface in interstie and ph 3 to 6 in intestine

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10
Q

Which one is the largest organ for absurption ?

A

Skin

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11
Q

What is the “drug pass effect” ?

A

Before the drug is available for use (ex: orally, GI tract, hepatic portal vein, liver)

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12
Q

How to measure bioavailability ?

A

Concentration of bioavailable medicine in the body % of dose in time. Calculating area under the curve to compare

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13
Q

What is Cmax ?

A

Maximum concentration of the drug in the body

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14
Q

What is the bioequilence of a drug ?

A

when two drug are equivalent: way of administration, same active ingredient, same strenght and concentration

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15
Q

What is the distribution ?

A

When the drug distribute into te intersticial and intracellular fluid.

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16
Q

What determines rates and amount of distribution ?

A

cardiac output, lipid slubility, transmembr ph gradient, half life, blood flow, plasma protein, capillarity permeability.

17
Q

What are capillaries ?

A

single layer of cells packed tightly together,t hey habe small pores, connect arteriole and venules, enable exchange of water, frug oxyge,beteen blood and surrounding tissues

18
Q

What is the use of the blood brain barrier ?

A

only lipid soluble drugs can nter the brain, prevennt inflitration of patogens thkx to endothelial cells.

19
Q

What is the metabolism of a drug ?

A

the breakdown of the drug

20
Q

Where metabolism happen ?

A

Liver

21
Q

what are the main phases of metabolism ?

A

new ore modified fctal group. parent frug become more polar metabolites (can involve hydrolisis of reduction of the drug, oxidation).
II phase ; cibjugation with an endogenous compoind ? attachment of an ionised grop to the dreg. Convert metabolits more polar and more readily exreted metabolites by renal or biliary eliination. SOme dug are toxic, detoxification at phase 2

22
Q

what is oxidation ?

A

catalised bu cytovhtor P450 enzymes and results in the loss of electrons from the drugs

23
Q

What are cytochrome families ?

A

microsomal superfamily , isoenzymes that transfer electrons and catalize oxidation

24
Q

who are microsomal superfamily , isoenzymes that transfer electrons and catalize oxidation

A

cytochrome

25
Q

3 main action of the metabolism

A

end pharmacological activity, ends toxicity, increases polaritu and water polaritu.

26
Q

Is possible that drugs are not metabolized and secreted in intact way ?

A

yes, is the case of lithium

27
Q

what are route sof elimination ?

A

Renal, lungs, biliary or facal, skin, slaive, tears

28
Q

what is stready state

A

when drug administration approximate the excretion rate

29
Q

what is the therapeutic window ?

A

when there is the right munt of drug and is maintained