1. General principles of pharmacology Flashcards

1
Q

What is pharmacology?

A

-the study of how drugs affect tissue function
-this is split up into pharmacodynamics (what the drug does to the body) and pharmacokinetics (what the body does to the drug)

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2
Q

What is a drug?

A

A drug is a chemical that affects physiological function

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3
Q

How do drugs exert their effects?

A

to affect tissue function drugs need to bind to particular components of cells tissues

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4
Q

What is drug selectivity?

A

-for a drug to function therapeutically it must act selectively on certain targets
-e.g some beta blockers are described as cardio-selective

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5
Q

What are the 4 different levels that drugs act at?

A

-molecular- immediate target for drug

-cellular- biochemical components of cell that participate in signal transduction process

-tissue- how the function of the specific tissue is altered

-system- how the function of the organ system is altered

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6
Q

How do drugs interact with their targets?

A

they interact to initiate a biological change or physiological response, often mimicking or blocking chemical signals found within the body e.g hormones or neurotransmitters

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7
Q

What are the 4 different types of protein targets?

A

-enzymes
-carrier/ transport
-ion channels
-receptors

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8
Q

How do drugs work with ion channel protein targets?

A

-drugs can act to facilitate opening or blocking of the channel

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9
Q

How do drugs work with enzymes as protein targets?

A

-drugs often act as inhibitors at enzymes e.g aspirin and drugs like captopril

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10
Q

How do drugs work with carrier/ transporter protein targets?

A

-drugs can inhibit or facilitate transport of molecules that use carriers e.g furosemide inhibits a carrier for Na/K/Cl in the kidney

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11
Q

How do drugs work with non target proteins e.g plasma proteins?

A

-some drugs bind to plasma proteins such as albumin
-plasma proteins act as transporters, when a drug is bound to a plasma protein it is not free in the plasma

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12
Q

What is a receptor? give examples

A

-a receptor is a protein found naturally in the body that acts as a recognition site for the body’s natural chemical signals
-e.g neurotransmitters, hormones, inflammatory mediators

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13
Q

What is an agonist drug reaction?

A

if a drug mimics the natural chemical signals, producing the same or an enhanced effect as the natural chemical signal e.g insulin

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14
Q

what is an antagonist drug reaction?

A

if a drug blocks the natural chemical signals preventing the effect of natural chemical signals

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15
Q

Explain what the two components interactions between drugs and receptors can be divided into?

A

-binding= binding of a drug to a receptor, governed by affinity (likelihood of drug binding to receptor)

-activation= induction of a response
-this is governed by efficacy (likelihood of the bound drug to elicit a response)

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16
Q

what is drug potency?

A

the combination of affinity and efficacy

17
Q

What is the difference between partial and full agonists?

A

-full agonists elicit the maximal tissue response

-partial agonists may have similar affinity, less efficacy, and are less potent
e.g aripiprazole

18
Q

What are the different ways drug antagonism can occur?

A

-competitive
-irreversible
-non competitive
-chemical
-pharmacokinetic
-physiological

19
Q

What happens in competitive antagonism?

A

-competitive antagonist competes with agonist/ natural chemical signals for receptor binding
-competitive antagonism is surmountable

20
Q

What happens in irreversible antagonism?

A

-in irreversible antagonist dissociates from the receptor only very slowly or not at all
-consequently no change in antagonist binding occurs when additional agonist is added

21
Q

What happens in non-competitive antagonism

A

-antagonist blocks at some point downstream from agonist binding, interrupting the chain of events that an agonist initiates
-ketamine enters the ion channel pre of the NMDA receptor and blocks it

22
Q

What happens in chemical antagonism?

A

-antagonist combines with drug in solution such that the effect of the active drug is lost
-occurs in plasma or GI tract
-forms an insoluble and inactive complex

23
Q

What happens in pharmacokinetic antagonism?

A

the antagonist reduces the concentration of another drug by altering how the other drug is passed through the body
-rifampicin acts to speed up metabolism of many other drugs reducing their activity

24
Q

What happens in physiological antagonism?

A

-antagonist has the opposing biological action of the agonist and so tends to cancel its action out
-most commonly seen in poly pharmacy
-histamine acts on the gastric mucosa to stimulate acid secretion
-omeprazole blocks this effect by inhibiting the proton pump