Drug Metabolism Flashcards
Two major ways of Drug Clearance
Renal Clearance
Drug metabolism
Drug Metabolism
Bio transformation of drugs to more polar compounds that can be readily excreted
How does Drug metabolism change PharmacoDynamics
Decreased efficacy or completely inactivated
How does drug metabolism change PharmacoKinetics
Decreased Half-life and increased clearance
How does drug metabolism change the toxic properties of a Drug
Usually it detoxifies
Sometimes more toxic like with Tylenol
What is the primary location of drug metabolism
Liver
Drug MEtabolism Reactions
Phase 1: adding of a polar group (Functionalization)
Phase 2: (Conjugation) of endogenous compounds to more polar conjugates
First-Pass Effect
Following oral drug administration, the drug passes through the portal system first and some drug is lost there before ever reaching circulation.
Glucoronidation
Quantitatively the most important phase 2 (conjugation) reaction
Glutathione Conjugation
Major Detoxification pathway for drugs and carcinogens