BP 4 – Antagonist and dose-response curves Flashcards

1
Q

What type of drug is terferadine and at what receptor does it attach?

A

Antihistamine attaching at a H1 receptor

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2
Q

What is the function of a pure drug antagonist?

A

No action by binding to the receptor

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3
Q

What is the function of propranolol as an antagonist?

A

Propranolol attaches to the ß adrenoreceptor, forming a complex and lowers BP

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4
Q

What 3 classes of antagonists are there? and explain them.

A

Chemical - binding of 2 agents making an active drug inactive
Physiological - 2 agents with opposite effects cancelling each other out
Pharmacological - drugs that bind to a receptor and block action of agonist

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5
Q

What antagonist class are chelating agents?

A

Chemical

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6
Q

What is the efficacy of an antagonist?

A

NO efficacy

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7
Q

What happens if a competitive agonist attaches to the active/orthosteric site? and also what happens to the agonist-response curve?

A

Binds and prevents agonist action, however overcome with increased agonist

Curve shifts right

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8
Q

What happens if a non-competitive (irreversible) agonist attaches to the active/orthosteric site? and also what happens to the agonist-response curve?

A

Binds to form irreversible covalent bonds with receptors

Curve shifts right and reduced max asymptote

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9
Q

What happens if a non-competitive (irreversible) agonist attaches to the allosteric site? and also what happens to the agonist-response curve?

A

Signal transduction rather than receptor effects
Downstream responses are blocked

Reduced slope and max asymptote of curve

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10
Q

For an antagonist response curve, an agonist must be present as well, why?

A

Agonist has to be present with the antagonist to be able to drive the experiment and to see the effect of the antagonist, or else there would be no effect on the curve

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11
Q

How does a dose-response curve show the presence of a competitive antagonist?

A
  • Agonist curves have the same form
  • Antagonist curves are displaced to the right
  • Agonist curves have the same maximal response
  • The linear portion of the curves are parallel
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12
Q

If the Schlid plot is equal to 1, what type of antagonist is it?

A

Competitive antagonist

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13
Q

What does antagonist inhibition depend on?

A

Concentration of the competing agonist

Concentration of the antagonists concentration - due to different metabolisms and clearance influence plasma concentrations

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14
Q

What is the difference in dose-response curve of an irreversible antagonist?

A

Reduced max response
Binds irreversibly with the receptor, giving rise to antagonism which can’t be overcome even when increased concentration of agonist
Increased EC50

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15
Q

Which antagonist is more common: Competitive or irreversible?

A

Competitive

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16
Q

What type of agonist/antagonist is Cimetidine? What receptor does it bind to?

A

Competitive antagonist

H2 receptor

17
Q

What is the therapeutic index of a drug?

A

The range of dose concentration that can be used safely and effectively

18
Q

What therapeutic does ….. have?

  1. Penicillin
  2. Warfarin
A
  1. large

2. small