chapter 3: drugs Flashcards
drug
medicine or other substance that has physiological or psychological effect when ingested or introduced into the body
agonist
enhances the effect of a specificed receptor/response
antagonist
blocks/reduces effect of specified receptor/response
what determines how well a drug works?
- bioavailability
- binding affinity
- efficacy
bioavailiability
the amount of drug that is free to bind; how much is able to be “used”; closely linked to drug delivery
drug delivery
ingestion, inhalation, peripheral injection, central injection
what are 2 factors that reduce bioavailability?
first pass metabolism and blood brain barrier
binding affinity
degree of chemical attraction between ligand and receptor; how strongly a drug binds to the receptor
efficacy
ability of a bound ligand to activate the receptor
dose-response curve
graph of relationship between drug doses and the effects; ED50, TD50, LD50
therapeutic index
distance between ED50 and LD50
tolerance
reduced response to the drug
metabolic tolerance
organ systems become more effective at eliminating the drug
functional tolerance
target tissue may alter its sensitivity to the drug by changing number of receptors; down-regulation and up-regulation
cross-tolerance
tolerance to one drug is generalized to other drugs in its class
psychoactive drug
alter mood, perception, and psychological processes
typical antipsychotics
alleviate symptoms by blocking dopamine receptors
atypical antipsychotics
act on receptors other than dopamine receptors and relieve symptoms resistant to typical antipsychotics
monoamine oxidase (MAO) inhibitors
antidepressant; prevent breakdown of monoamines at the synapses
selective serotonin reuptake inhibitors (SSRIs)
act specifically at serotonergic synapses
barbiturates
early anxiolytic drugs and sleep aids that depress nervous activity by binding to GABA
benzodiazepines
agonists on GABA receptors and enhance its inhibitory effects
opiates
primarily for pain relief, bind to opiod receptors
stimulants
increase nervous system activity by increasing excitatory input or decreasing inhibitory activity (i.e. cocaine and metamphetamine)