(3) Pharmacokinetics (Wolff) Flashcards

1
Q

What are the four basic pharmacokinetic processes?

A

ADME

Absorption, Distribution, Metabolism, Excretion

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2
Q

What factors can affect drug absorption?

A

Rate of dissolution

Surface area

Blood flow

Lipid solubility

pH partitioning

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3
Q

What is the most common way that drugs travel accross the membrane?

A

SIMPLE DIFFUSION

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4
Q

What type of drug can readily cross a cell membrane?

A

Non polar drugs

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5
Q

Could these compounds cross the membrane?

A

NO!!!

Quaternary ammonium compounds have a fixed charge and CANNOT readily cross cell membranes

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6
Q

When can weak acids and weak bases cross membranes?

A

ONLY when they are in their unionized form

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7
Q

Aspirin is a weak acid.

Where would it be well absorbed?

Where would it be trapped?

A

Stomach.

Trapped in basic compartments.

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8
Q

Amphetamine is a weak base.

Where would it be well absorbed?

Where would it be trapped?

A

NOT the stomach.

Trapped in acidic compartments

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9
Q

Pharmacokinetic Math Terms

Ka =

S =

F =

Amount absorbed =

A

Ka =rate constant for absorption

S = “salt factor”

F = bioavailability, fraction of drug that reaches the bloodstream

Amount absorbed = S * F * Dose

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10
Q

How do you calculate bioavailability?

A
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11
Q

What are the factors that affect drug distribution?

A

Ability of drugs to enter the cells

Blood flow to tissues

Ability of drugs to exit the vascular system

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12
Q

What is the significance of protein binding of drugs?

A

You can get partial retention of drugs in vasculature

*There are a finite # of protein binding sites in the plasma, due to this, the addition of new drug can displace the bound drug

DRUGS ARE ONLY BIOACTIVE IF FREE (use alpha to denote free)

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13
Q

What are special considerations you must make with drug admin. w/ the blood brain barrier?

A

In an adult, ionized/polar drugs will not cross the BBB unless there is a specific transporter

This is why LIPID drugs are the typical class of drug to target the brain

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14
Q

How do you calculate the concentration of drug in the plasma?

A
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15
Q

How do you calculate the volume of distribution (Vd)?

A
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16
Q

Where is the primary site of biotransformation/metabolism of drugs?

A

LIVER

17
Q

What is a PHASE I reaction in regard to biotransformation/drug metabolism?

*What’s the famous system that performs phase I reactions?

A

Oxidation, reduction, hydrolysis

Goal = Unmask functions

Products are usually more polar

*Cytochrome P-450

18
Q

What is a PHASE II reaction in regard to biotransformation/drug metabolism?

A

Conjugation

***Attaching a charge

Glucuronidation, sulfation, acetylation, methylation

These help INACTIVATE drugs

19
Q

What is the significance of GRAPEFRUIT JUICE in relationship to drug metabolism?

A

Grapefruit juice is an inhibitor of cytochrome P450 CYP34A enzyme

–> Inhibition of this enzyme in the intestinal epithelial cells increases the bioavailability of OTHER DRUGS metabolized by that enzyme since a dose is not destroyed to the same extent before entering the blood

20
Q

What is the major way drugs are excreted?

What are the other ways?

A

RENAL = major route of drug excretion

Others= Bile, sweat, breath, breast milk

21
Q

Elimination Terminology

Define:

Excretion rate

Clearance

A

Excretion rate = the mass eliminated per unit time

Clearance = the plasma volume from which all of the solute is removed per unit time (i.e, ml/min = a flow rate)

22
Q

Describe

Zero order kinetics

A

Constant amount eliminated per unit

eg. Shoveling snow. No matter how much snow there is, you can only shovel so much you know?!

23
Q

Describe

First order kinetics

A

Constant fraction eliminated per unit time

The mass of drug eliminated is directly related to the drug concentration

24
Q

elimination constant * the half life = ???

k * t1/2 =???

A

0.693

25
Q

How do you calculate clearance?

A

Kel = Cl/ Vd

kel= first order elimination rate constant

Cl=clearance

Vd=apparent volume of distribution

26
Q
A