A1 Flashcards
Drugs can have
- affinity: ability to bind to receptor
2. efficacy: produce measurable response (0, + or -)
True or false drugs that bind to receptor often resemble endogenous ligand
True
name 4 qualities of receptors
- ~high degree of drug/ligand specificity
- bind only molecules w/ a unique 3D topography & chemistry
- receptors don’t bind to closely related molecules
- binding to multiple receptors accounts for the appearance of unwanted side effects
low potency drugs are prone to what
bind to a range of receptors (unwanted side effects)
Drug targets
Ion channels
Enzymes
Transporters & carriers
Receptors
Drugs are studied via
Cell based systems (high put through screening)
In vitro: tissue sample
In vivo: animal
Drug trial phases
Phase I: determines if drug is safe to check for efficacy
Phase II: test for efficacy (presumed not therapeutic)
Phase III: determine therapeutic effect
Phase IV: watch drugs long term effect (2yrs min)
True or false therapeutic range should be v. large
True: Desire large margin between therapeutic & toxic effect
Define 1. Latrogency 2. Tetraogency
- Capacity to produce disease from side effects or inappropriate prescribing of drugs
- Capacity to produce abnormalities of the unborn child or foetus