basic pharmacology Flashcards
Describe Graph of Dose Response
drug effect / concentration curve.
Drug effect E, Emax
Describe Graph of Receptor Binding
receptor bound drug/ concentration curve
Bmax
what is Pharmacological Efficacy
it is about Receptors having two conformations in equilibrium. Mostly inactive receptor
Agonist
If ligand alters equilibrium of receptor conformations, it is an agonist. From being Ri to being mostly Ra
Partial agonist
If ligand makes a submaximal change in equilibrium, it is a partial agonist. From being Ri to being lite more Ra compared to equilibrium.
inverse agonist
Ligands causing shift to inactive receptor are called “inverse agonists”
Efficacy
Efficacy: ability of ligand to produce effect
Full agonist has efficacy of 1.0
Potency
Potency: dose required for a specific effect
Competitive Antagonists
bind to same site as agonist
•If bound, prevent agonist binding
•Excess agonist will compete off antagonist* •Therefore potency of agonist appears to be lowered
Non-competative antagonist
Don’t share binding site with agonists
•Cannot be competed away by agonist
•Prevent effect upon agonist binding
•Reduce agonist Emax rather than potency
•Effect on agonist dose curve like irreversible antagonist
Desensitisation
Desensitization refers to the common situation where the biological response to a drug diminishes when it is given continuously or repeatedly. It may be possible to restore the response by increasing the dose (or concentration) of the drug but, in some cases, the tissues may become completely refractory to its effec
tachyphylaxis
The term tachyphylaxis is used to describe desensitization that occurs very rapidly, sometimes with the initial dose.
Desensitisation and tachyphylaxis. descirbe the 6 points that get affected
- Change in receptor -phosphorylation of intracellular regions, channels and GPCRs
- Loss of receptor that can accure trough internalization, be broken down and need to senticise the system.
- Exhaistion of mediator- ex. amphetamine that depletes amine stores. need to have mediater, if it used up u dont get effect of drug
- Increased metabolic degradation of the drug -ex. barbiturates, ethanol (opposite for nitrates). drug degraded of differ enzymes. can be upp or down regulated. the enxyme can be effected
- Physiological adaptation -compensation, diuretic compound activate renin angiotensin system, increased blood pressure. ex BP regulated by many system
- Active extrusion of drugs from cells -cancer drugs. enzyme, transporters, different molecules gets upregulated to get rid of the durg