General Flashcards
How are chemotherapeutic drugs found?
Serendipity
Empirical screening of natural products
Synthetic modification
Target driven approaches
Where do drugs come from?
Micro-organisms
Plants
Man-made
Through what mechanisms do chemotherapeutic drugs work?
Inhibition
Pro drugs
False substrates
What is the therapeutic index?
Ratio of the dose that produces toxicity to the dose that produces a clinically desired of effective response
What is better, a larger or smaller therapeutic index?
Larger. Means there is wider margin between doses that are effective and doses that are not toxic.
What are the two types of administration? And what divides them?
Enteral: via the GI tract
Parenteral: avoids first pass effect
What are the types of parenteral administration?
Intramuscular IV Subcutaneous Topical Inhalation Rectal Transdermal Intrathecal
What is the bioavailability of a drug?
The fraction of metabolised drug that reaches the systemic circulation in an unchanged form
What is the definition of distribution?
Process by which a drug reversibly leaves the blood stream and enters the extracellular fluid and or cells of tissues and organs
What are the two forms of drug metabolism?
Conversion of lipophilic drugs into more polar molecules through reactions catalysed by cytochrome P450 system
Conjugation reactions