basic principles of pharmacology Flashcards
Pharmacology
the study of the harmful effects of chemicals
Pharmacotherapeutics
the use of specific drugs to prevent, treat, or diagnose a disease
toxicology
the study of harmful effects of chemicals
pharmacodynamics
analysis of what drug does to the body, inc the mechanism by which the drug exerts its effects
* absorption
* distribution
* elimination
pharmacokinetics
study of how the body absorbs, distributes, and eliminates the drug
* systemic effects
* cellular effects
What is trade name for accetaminophen?
- tylenol
- paradol
What is trade name for levodopa?
larodopa
What is trade name for phenobarbital?
- luminal
- eskabarb
What is trade name for diazepam?
valium
Why is a generic drug prescribed?
- generic form should be safe and effective as original; should undergo testing for bioequivalence
- less expensive; help reduce healthcare costs
- people may respond differently; healthcare cost may increase b/c of decreased effects and higher incidence of adverse effects
What is an orphan drug?
for relatively small population <200K people with rare disease
What is off label prescribing?
- use of a drug to treat conditions other than those that the drug was originally approved to treat
- insurance companies might refuse to reimburse cost of drug
Prescription vs OTC
OTC:
* minor problems: chances of toxic effects usually small
* less expensive
* actual cost might be greater b/c of directly out of pocket
* PT does not prescribe or administer OTC
* PT can provide into about use and benefits
Drug Schedule
from highest potential for abuse to lowest
1. schedule 1
2. schedule 2
3. schedule 3
4. schedule 4
5. schedule 5 (lowest relative abuse potential)
Why do we need drugs to modify one or more functions in a living organisms?
- restore normal physiological function
- to prevent a disease process from occurring
Threshold dose
response begins to occur and continues to increase in magnitude before reaching plateau
ceiling effect or maximal effect
point at which there is no further increse in response no matter increase in dosage
purpose of dose response curve?
provides info about the dosage range over which the drug is effective as well as the peak response that can be expected from the drug
Potency
related to the dose that produces a given response in a specific amplitude
* more potent drug requires lower dose (less of the compound) to produce same effect
Maximal efficacy
max effect expected from drug
Quantal dose response curves
the % of people that exhibits a specific response (either present or absent) as the dosage is increased
Median effective dose (ED50)
dose at which 50% of people responds to the drug (absence of their headaches)
Median toxic dose (TD50)
- as dosage continues to increase, adverse or toxic effect may become apparent
- TD50: dose at which 50% of people exhibit adverse effect
- LD50: medial lethal dose: seen in animal studies
Therapeutic Index (TI)
an indicator of drug safety
TI=TD50 divided by ED50
the greater the safer.
large TI= takes larger dose to evoke toxic response than it does to cause beneficial effect
what is acetaminophen good for and need to know?
- headache
- fevers
- not for swelling; no anti inflammatory effects
Combination to other drug products
avoid with alcohol
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