Basic Pharm 2 Flashcards

1
Q

Preg Category A

A

No risk to animal fetus
No risk to human fetus

Folic acid, B blockers, HIV

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2
Q

Preg Category B1

A

No Risk to Animal fetus

No human fetus studies done

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3
Q

Preg Category B2

A

+ risk for Animal fetus

No risk for human fetus

ZIDOVUDINE

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4
Q

Preg Category C1

A

Risk for animal fetus

No human studies done

Aspirin

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5
Q

Preg Category C2

A

NO studies done on both animal and human fetus

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6
Q

Preg Category D

A

Potential risk in both animal and human fetus

Benefits outweight the risk

E.g. Captopril (hypertension in pregnancy)

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7
Q

Preg Category X

A

Risk in animal and human fetus (teratogens)

X is contraindicated in pregnancy

E.g. Isotretenoin

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8
Q

Administration: Enteral (PO)

A

Oral, Rectal, and Sublingual

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9
Q

Administration: Parenteral

A

IV
IM
Subcutaneous

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10
Q

Administration: Other (5)

A
Topical 
Transdermal 
Inhalation 
Intranasal 
Suppositories
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11
Q

Absorption: IV

A

NOT ASSOCIATED TO ABSORPTION
100% of drug reaches circulation, so
100% of drug is available (bioavailability)

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12
Q

Bioavailability

A

The fraction of administered drug that reaches the systemic circulation in an unchanged form

E.g. If 100 mg of drug is given orally, and 50 mg is absorbed and delivered to systemic circulation unchanged, the bioavailability is 50%

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13
Q

Bioavailability ranges (from greatest to least)

A

IV > IM > SC > PO > rector (PR) > Inhalation > Transdermal

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14
Q

Which route of administration has significant first pass hepatic metabolism?

A

Oral , then rectal

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15
Q

What route of administration used for the lack of first-pass effect and for prolonged duration of action?

A

Transdermal

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16
Q

Absorption determinants (3)

A
  1. Solubility (most drugs lipid soluble to diffuse lipid bilayers)
  2. Concentration Gradient (diffusion down a concentration gradient –> Free, unionized drug
  3. Surface area and vascularity
    the larger the surface area, the better the absorption
    the better the vascularity, the better the absorption
17
Q

What crosses the membrane?

A

Free, UNIONIZED and the lipid soluble

18
Q

Passive diffusion

A

Direction: Down gradient
Energy: No
Carrier: No
Saturable: No

19
Q

Facilitated diffusion

A

Direction: Down gradient
Energy: No
Carrier: Yes
Saturable: Yes

E.g. Glucose by GLUT4 transporter

20
Q

Active transport

A

Direction: Against gradient
Energy: Yes
Carrier: Yes
Saturable: Yes

P-gp (glycoprotein)
Tricyclic antidepressants
Glucose at intestine (SGLT)

21
Q

GI absorption: Where are weak acids absorbed?

A

Stomach

22
Q

GI Absorption: Where are weak bases absorbed?

A

Intestine

23
Q

Drugs that alter gastric pH?

A

Antacids
Proton pump inhibitors
H2 blockers