Exam 1 Flashcards
The study of drugs and their
interactions with living cells and systems
Pharmacology
The study of harmful effect of
drugs on living tissues
Toxicology
synthetically derived compounds,
vitamins, minerals, herbs, prescription, OTC, legal, and illegal
Drugs
Drug, medicine
Pharmaco
Determined by the chemical structure of the compound
Chemical name
What drug name is lower case?
Generic name
What drug name is upper case?
Trade name
Drug Price Competition and Patent Term Restoration Act - Year?
1984
The FDA requires the active ingredient of the generic product to enter the bloodstream at the same rate as of the trade name product - Fact
Two formulations of a drug meet the chemical and
physical standards established by regulatory agencies
Chemically equivalent
Two formulations of a drug produce similar concentrations of the drug in blood and tissues
Biologically equivalent
Two formulations of a drug have an equal therapeutic effect
Therapeutically equivalent
What scheduled drugs require a prescription?
II-IV/V
What schedule drugs must be written in pen with signatures and NO refills, require new written?
Schedule II
drugs may not be refilled more than five times in 6-month period; can be called in
Schedule III-IV
To draw attention to safety
concerns associated with the drug
Black box warning
What indicates that the FDA has approved the drug for specific use?
Labels
What use is use outside the stated FDA indications?
Off-label
Drugs developed to treat rare medical conditions
Orphan drugs
Where the drug dose is increasing sharply
Therapeutic range
Maximum response a drug can exhibit
Maximum response
Pharmacological activity of a drug, related to dose; amount of drug necessary to produce an effect
Potency
When is a drugs potency greater?
When the dose is smaller
Maximum response of a drug, regardless of the dose
Efficacy
Administering more of a drug will not increase the efficacy of the drug - Fact
Ratio of the median lethal dose to the median effective dose
Therapeutic index
dose that causes death in 50% of test animals
Lethal dose
dose required to produce the desired clinical effect in 50% of test animals
Effective dose
How do you know the safer drug?
Greater the therapeutic index
-drugs do not impact a new function of the organism
-Produce same action as endogenous agent
-Block action of endogenous agent
Pharmacologic effect
-Desired effect of a drug - predictable
-Must bind with the receptor site on the cell membrane
Therapeutic effect
-Unwanted effects of a drug
-Actions on nontarget organs – vomiting with antibiotics
Adverse effect
Has affinity for a receptor
Combines with the receptor
Produces an effect
Agonist
Counteracts the action of the agonist
Antagonist
Drugs with stronger affinity will bind to more what?
Receptor
Drugs with what affinity are more potent?
Stronger affinity
the study of how a drug enters the body, circulates within the body, is changed by the body, and leaves the body
Pharmacokinetics
Transfer of a drug from the site of administration to the blood stream
Drug absorption
What is the most rapid form of drug injection?
An IV
When is a drug irretrievable in the body?
When taken by an IV
-The passage of drugs into various body fluid compartments such as plasma, interstitial fluids, and intracellular fluids
-Process by which a drug leaves the blood stream and enters the body systems
Drug distribution
the body’s way of changing a drug so that it can be more easily excreted
Drug metabolism
What is also known as drug metabolism?
Biotransformation
What is the most important site for metabolism?
Liver
What are the 3 ways a drug can be metabolized?
-Active to inactive
-Inactive to active
-Active to active
Impaired liver function
Hepatic portal circulation
Drugs and environmental substances
Factors that affect drug metabolism
The removal of the drug from the body
Drug elimination terminates drug effects
Drug excretion
What organs are used for drug excretion?
Kidneys
lungs
saliva
bile
GI tract
sweat
milk
The time it takes for the concentration of a drug to fall to one-half of its original blood level
Drug half-life
How many half-lives does it take for a drug to be considered eliminated from the body?
4-5
Time it takes for the drug to begin to have its effect
Onset affects
placed directly in the GI tract
Enternal
bypass the GI tract
Parenteral
drug metabolized when first
passes through the liver
First-pass effect
Most rapid response, irretrievable
Intravenous route of drugs
Injected into epidermis - surface level
Intradermal
Allows increased tolerance to irritating drugs
Intramuscular route
Injected into spinal space
Intrathecal
Injected into body cavity
Intraperitoneal
Most effective in non-keratinized areas
Topical route
Extension of the pharmacological effect; dose
related; exaggerated response on target tissues
Toxic reaction
Not part of the desired therapeutic action; dose related; drug acts on non-target tissues to produce undesirable effects
Side effect
Hypersensitivity response to a drug to which the patient was previously exposed; NOT dose related or predictable
Drug allergy
Anaphylactic shock within minutes
Type 1 drug allergy
Swelling in the throat
Laryngeal edema
Drug reaction occurs within hours to days later
Type II cytotoxic drug reaction
Drug reaction 2-3 weeks later
Type III
What type of drug reaction is a serum sickness?
Type III
Reaction delayed, 2-3 days later
Type IV
What drug reaction is {“bad blood”?
Type II
A reaction that is neither the drug’s side effect nor an allergic reaction; genetically related
Idiosyncratic reaction
Clumps of antigen-antibody complexes deposit in the vascular endothelium
Type III reaction
Reactions are mediated by sensitized T lymphocytes and macrophages; antibodies not responsible
Type IV reaction
A drug’s effect on the body’s defense mechanisms can result in an adverse reaction
Interference with natural defense mechanisms
Long term use of corticosteroids can lead to decreased what?
resistance to infection
Agents that cause congenital malformations and developmental abnormalities if introduced during gestation
Teratogenic
What are the safest drugs to use during pregnancy?
Penicillin
Erythromycin
Acetaminophen
Lidocaine
The effect of one drug is altered by another drug
Drug interactions
Reaction from local tissue irritation
Local effect
How do you know a drug is safe on the therapeutic index?
Number further away from 0