36 - Pharmacodynamics II Flashcards

1
Q

do u know

A

review

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2
Q

What is pharmacodynamics generally?

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3
Q

How do we describe drug-receptor affinity?

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4
Q

How do we determine the relationship between drug concentration and the biologic effect of the drug?

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5
Q

How do we assess dose vs effect visually? (log)

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6
Q

What are agonists?

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7
Q

What are partial agonists? How does that effect fose vs effect?

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8
Q

What happens when you combine a full agonist with a partial agonist?

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9
Q

What are super agonists?

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10
Q

What are antagonists generally?

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11
Q

Describe competitive antagonists and their modification of a dose/effect curve

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12
Q

Describe non-competitive antagonists and their modification of a dose/effect curve

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13
Q

Describe inverse agonists and their modification of a dose/effect curve

A

essentially an antagonist (but not really since the receptor has intrinsic activity)

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14
Q

What are the classifications of drug-receptor interactions involving agonists and antagonists?

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15
Q

Give a very quick graphical overview of dose-effect curve modification in presence of agonist/antagonist

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16
Q

What is a quantal dose effect curve?

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17
Q

What is the therapeutic index?

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18
Q

What is the therapeutic window?

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19
Q

What is the difference between graded and quantal does effect curves?

A

Dose-response relationships may be graded or quantal.

Graded dose-response relationships:
    a Graded dose-response relationship describes a drug effect which increases in proportion to increasing drug dose.
    A graded response to a drug is seen in an individual, and increases with dose.
    Graded dose-response graphs plot the response to a drug against its concentration
Quantal dose-response relationships:
    a Quantal dose-response relationship describes a drug effect which is binary (either present or absent).
    A quantal response to a drug is observed in a population, and is either present or absent in any single individual.
    Quantal dose-response graphs plot the rate of an outcome occurrence in a population against the drug dose.

aka:

"There is a graded dose-response relationship in an individual and a quantal dose-response relationship in the population. Graded doses of a drug given to an individual usually result in a greater magnitude of response as the dose increases. In a quantal dose-response relationship, the percentage of the population affected increases as the dose is increased; the relationship is quantal in that the effect is judged to be either present or absent in a given individual."