Drug Metabolism Flashcards

1
Q

What are lipophilic drugs

A

Drugs that are soluble in fats oils and organic solvents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does the CNS affect distribution of drug

A

It causes rapid distribution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How does the CNS cause rapid distribution of drugs

A

It has efficient blood flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Give an example of CNS rapid distribution of drug in action

A

Anaesthesia working as soon as it hits the systemic circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hours after drug transfer what happens to the remainder

A

Little of the drug remains in the blood and large amount will be stored in the fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What does the fat act as in relation to drugs

A

Storage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How does fat act as a drug storage

A

It removes the drug from the blood and shorten its action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens if the fat store is full and a second dose of drug is given

A

The drug will not be removed from bloodstream to be stored in the fat. It will stay in the bloodstream and it will exert its action which leads to toxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What transfer barriers are present in the CNS

A

Blood-brain and blood-cerebrospinal fluid barriers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What do the CNS barriers allow

A

They allow for lipid soluble drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What drug isn’t accepted by CNS barriers

A

Penicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What makes penicillin hard to enter the cerebrospinal fluid

A

It has poor penetration unlike with the body’s their tissues where it diffuses well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When would penicillin be able to enter the cerebrospinal fluid (potentially)

A

When the meninges are inflamed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What Parkinson’s disease medication can’t e giving directly into the CNS

A

Dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What form is dopamine given in

A

Levodopa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does levodopa enter the brain

A

It is changed into dopamine by an enzyme

17
Q

What is a transfer barrier in relation to pregnancy

A

The placenta

18
Q

What does the placenta provide a barrier to

A

The mother and foetus

19
Q

Why must drug administrator be careful with for the foetus

A

The foetus kidney and liver can’t metabolise drugs.

20
Q

Why is it beneficial for drugs to be lipid soluble

A

In order to diffuse across membranes

21
Q

Why must the lipid solubility of a drug be higher than the water solubility of the drug

A

The higher the lipid solubility, the quicker the drug we dissolve into tissues

22
Q

What happens when lipid soluble drugs pass through the kidney

A

They are reabsorrbed at the distal tubule and returned to the plasma

23
Q

How does the body excrete drugs

A

The body metabolises them to be more water soluble and then creates them in urine

24
Q

What does the rate of metabolism of a drug determine

A

The duration of the action of a drug.

25
Q

What is the main site of drug metabolism

A

Liver

26
Q

What other sites aid in drug metabolism

A

Kidneys,lungs, blood and intestines

27
Q

What influences the rate of metabolism

A

Enzymes

28
Q

How do enzymes influence the rate of metabolism

A

Enzyme activity can either increase or decrease the metabolism of drugs