CH1 Flashcards
The study of the actions of drugs and their effects on living organisms
Pharmacology
Prescribes medicinal drugs, knows therapeutic effects, side effects, contraindications
pharmacist
Creates molecules that bind to targets in body/brain
medicinal chemist
Identifies chemical substances that act on the nervous system to alter behaviour
Neuropsychopharmacology
Neuropsychopharmacology uses ______ agents as _____ to gain an understanding of the neurobiology of behaviour. It ranges from ______ (studies in cells/animals) to _____ (working with human patient populations)
chemical, probes, pre-clinical, clinical
Primary goals of neuropsychopharmacology
- understand the neural/neurochemical basis of normal behaviour, 2. identify the causes / treatments of behaviour abnormalities in psychiatric illnesses
Study of drug induced changes in the nervous system cell functioning
neuropharmacology
emphasizes drug-induced changes in mood, thinking and behaviour
psychopharmacology
molecular changes produced when a drug binds to a receptor/target
drug action
alterations in physiological/psychological functions induced by drug action
drug effect
the drug-receptor interaction produces desired physical or behavioural changes
therapeutic effects
Physiological/biochemical interactions of drug with target site in living tissue; what the drug does to the body that nothing else can do (e.g. alcohol depressing neural activity)
specific effects
based on unique characteristics of individual background, mood, expectation of effect, perceptions (e.g. alcohol can augment pleasant moods or amplify unpleasant ones, placebo effect)
nonspecific effects
Factors that contribute to bioavailability
pharmacokinetics
the amount of drug free to bind at target sites
bioavailability
five main factors contributing to bioavailability
- route of administration, 2. absorption / distribution, 3. binding, 4. inactivation, 5. excretion
drug effect also depends on how ____ the drug reaches its target, and ____/______ of prior drug use
rapidly, frequency, history
Oral administration is the most popular method, because it is ____, ______ and economical. The disadvantages are that it is _____, has variable _____, and _____ levels. Drugs taken orally are absorbed from the ____ into circulation. Some are absorbed from the ____ but most are taken up through the ____ ____. These drugs must be resistant to destruction by ____ ____ and _____.
safe, self-administered, slow, absorption, plasma, gut, stomach, small intestine, stomach acid, enzymes
through oral administration, the factors that influence absorption include
- amount/type of food in the stomach, 2. rate that stomach empties, 3. physical activity
potentially harmful chemicals (taken orally) pass through the liver (via portal vein) where they are chemically altered
first pass metabolism
the liver may render some drugs _______, with the need to administer by _____ or in higher doses. Other drugs are metabolized into _______ forms by the liver and need to be taken orally to have an effect
inactive, injection, active
Injection routes deliver drugs into the _____, which bypass the _____. The advantages are that it is ______, and has the most accurate blood _______. The disadvantages is that there is the greatest risk of _______.
bloodstream, first pass metabolism, fast, concentration, overdose
______ or _____ methods of intake allow absorption through capillaries around skin/muscles which allow for _____ and _____ absorption
subcutaneous, intramuscular, slow, even
_______ is when the drug is absorbed rapidly from the lungs, which can provide ______ and _____ to nasal passages and ______
inhalation, irritation, damage, lungs
The route of administration alters the rate of ____ and ___ ____ of a drug. The ______ that a drug is dissolved in can impact how long it stays in the system after _______. Other factors affecting absorption are the _____ and ____ of an individual
absorption, blood levels, vehicle, injection, size, sex
An intramuscular injection delivered through oil takes _______ to take effect, and drug concentration in the blood declines at a ______ rate. The same method but using ______, results in faster _______ and ______
longer, slower, saline, drug concentration, decline
A larger person has more ______ to dilute a drug, thus needing a higher dose. Likewise, women tend to have less, and a different physiology, resulting in a ______ dose required
body fluid, lower
A key factor determining plasma brain drug levels is the rate of passage by molecules through _____ ______. These prevent most molecules from passing through unless they are ______ soluble. ______ are completely soluble.
cell membranes, lipid, steroids
_______ (heroin), is more lipid soluble than _____, has a more rapid ____ and more potent reinforcing properties
diacetylmorphine, morphine, onset
Once the drug is in the bloodstream, it is carried throughout the body within _______ minutes. Capillaries in the body are very _____, allowing drugs to enter tissues regardless of _____ ______. However, in the brain, many substances would have ____ effects on brain function if permitted to cross freely. The ______ reduces the diffusion ______ particles, as brain capillaries have no _____/_________ sites.
1-2, porous, lipid solubility, disruptive, blood brain barrier, ionized, clefts, pinocytotic
fills the subarachnoid space around the brain, spinal cord, ventricles, and canals
cerebrospinal fluid
separates the brain capillaries and the CSF
blood brain barrier
extensions of glial cells that surround brain capillaries restricting movement of non lipid soluble molecules
astrocytes
Molecules that the brain needs, such as _____, are carried in via _______ ______ transport
glucose, carrier mediated
For a drug to be centrally active, it typically needs to be ________ _____, in both _____ and _____ environments
lipid soluble, acidic, basic
Some regions have a weaker blood brain barrier, such as the ____ ______ “vomit center” which senses noxious molecules in the blood, the _____ ___, which release neurohormones in the blood, and parts of the ______
area postrema, median eminence, hypothalamus
the elimination of drugs via bio-transformation and metabolites and excretion
drug clearance
Drug clearance is usually _______ (first order kinetics), meaning only a small fraction of _____ ____ are occupied, so the rate is __________
exponential, clearance sites, concentration dependent
time required to remove 50% of the drug in the system
half life
some drugs are eliminated via ______ kinetics, meaning that they are eliminated at a constant rate regardless of concentration. This occurs when drug levels are ____, and routes of metabolism elimination are _______ (aka more ____ than there are clearance sites)
zero order, high, supersaturated, molecules
_____ and ____ have relatively long half lives, while _____ ____ and ____ have shorter half lives, requiring frequent administration
caffeine, ibuprophen, nicotine, morphine, cocaine
Most biotransformation occurs in the ______. The _______ enzyme family are responsible for oxidizing most psychoactive drugs, making them easier to _____
liver, cytochrome P450, clear