intro pharmacology Flashcards

0
Q

What are branches of pharmacology?

A
  • Medical pharmacology

- Toxicology

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1
Q

What is pharmacology?

A

The study of substances that interact with living systems through chemical processes by binding to molecules that activate or inhibit normal bodily processes

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2
Q

What does medical pharm deal with?

A

substances to prevent, diagnose, and treat diseases

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3
Q

what does toxicology pharm deal with?

A
  • undesirable side effects of chemicals on living systems

- primary side effects

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4
Q

What is pharmacodynamics (PD)?

A
  • What the drug DOES to the body

- bind to receptor and brings about a response

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5
Q

What is pharmacokinetics (PK)?

A

What the BODY does to the drug

-how the drug moves through the body

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6
Q

What are the components of PK?

A
  • absorption
  • Distribution
  • metabolism
  • excretions
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7
Q

Describe receptor binding

A
A drug (the key) has to have the appropriate chemical structure to bind the receptor (the lock) and bring about a response
**NOTE: there are numerous receptor types that exist throughout the body
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8
Q

What is a receptor?

A

A component of a cell or organism that interacts with a drug and initiates the chain of biochemical events leading to the drug’s observed effects

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9
Q

What are pharmacologic effects?

A

-cellular process by which a response is produced is termed the “mechanism of action” of a drug

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10
Q

What does the cellular action result in?

A

a physiological effect

-also the same as the pharmacological effect

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11
Q

are therapeutic pharmacological effects a desired or undesired response?

A

they are desired

-Pharmacological effects that result in desired response are therapeutic

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12
Q

are non-therapeutic or adverse pharmacological effects a desired or undesired response?

A

They are undesired

-Pharmacological effects that result in non-desired responses are non-therapeutic and may result in adverse effects

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13
Q

What are types of expected responses?

A

Full agonist: turns receptor on and binds very well
partial agonist: Sometimes binds
inactive compound: doesn’t do anything (don’t normally give these to pts)
Inverse agonist: blocks receptor and doesn’t have an effect

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14
Q

What is efficacy?

A

A measure of the MAXIMUM effect of a drug regardless of the amount of drug required to achieve it

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15
Q

What is potency?

A

a measure of how much drug is required to achieve a specific effect, relative to the amount of another drug required to achieve the same effect

16
Q

What is absorption?

A
  • the movement of drug from the site of administration to the systemic circulation and the extent to which this occurs
  • the route of administration can influence rate and extent of absorption
17
Q

What are examples of routes of drug administration?

A

-oral, topical/transdermal, sublingual/buccal, rectal, opthalmic, otic, intranasal, pulmonary, intravenous, intramuscualr, subcutaneous, intrathecal

18
Q

what are factors that affect oral drug absorption?

A
  • solubility and dissolution of dosage form (extended release)
  • pH of stomach/intestines (weak acids absorb better in acidic environment/weak base absorbs better in more basic intestines)
  • other factors
19
Q

What is bioavailability?

A

The proportion of administered drug that reaches the systemic circulation
-invravenous=100% bioavailability
_oral= less than 100% because it is incomplete absorption
**NOTE: dependent upon physiochemical properties of the drug

20
Q

Describe distribution?

A
  • After absorption, drugs are distributed throughout the body
  • is is the process that examines transport of drug throughout the body
21
Q

if the distribution is more localized how will the side effects be?

A

more localized

22
Q

The more systemic the distribution how will the side effects be?

A

more undesirable and more systemic the effects are

23
Q

What are factors that affect drug distribution?

A
  • Blood flow to tissues
  • volume of distribution (Vd)/lipid solubility
  • protein binding
  • blood brain barrier
24
How does blood flow affect distribution?
- drug must get to site of action to exert effects | - greater blood flow to the vital organs than the extremities
25
How does lipid solubility and volume of distribution affect drug distribution?
- extent to which drug is present in tissue but not in plasma - dependent upon degree of water vs. fat solubility (partition coefficient) - high lipid soluble drug (high Vd) more easily passes tissues and pass blood brain barrier - low lipid soluble drug (low Vd) more likely to stay in blood
26
How does protein binding affect drug distribution?
- the binding of the drug to protein in the systemic circulation - free drug (that is not protein bound) is active - highly protein bound drugs have smaller fraction free
27
How does the blood brain barrier (BBB) affect drug distribution? what is the BBB
- lipid soluble drugs can pass this barrier and penetrate CNS - a very selective protective layer that surrounds the CNS (brain and spinal cord) that keeps toxins out
28
Describe metabolism
the process of chemical transformation of a drug - it is essential for elimination of drug from the body as well as termination of a drug's pharmacological activity * *NOTE: some drugs need to be metabolized to be activated
29
What is prodrug in terms of metabolism?
an inactive precursor of a drug, converted to its active form in the body by normal metabolic processes
30
What is the livers roll in all this metabolism shit?
- it is the major organ involved in metabolism - it is consisted of multiple biotransformation reactions (i.e. oxidation) - drugs can be substrates, inhibitors, or inducers leading to possible drug-drug interactions when administered concurrently
31
What is significant about CYP450?
- it is a genetic polymorphisms - Some individuals may lack or have reduced activity of certain CYP450 enzyme and be considered poor metabolizers - Some individuals may exhibit an over-expression of certain CYP450 enzyme and be considered ultra-rapid metabolizers
32
describe excretion?
-is the removal of a drug and its metabolites form the body
33
What is the primary organ responsible for excretion?
- the kidneys | - other sites are skin, lungs, breath, liver
34
When do you need to adjust dome drugs? and why?
renal and hepatic impairment because they don;t excrete and metabolize as well
35
What is steady state?
- the condition where the amount of drug delivered into the systemic circulation equals the amount that is being eliminated - with repeated dosing, steady state plasma concentration are achieved within approximately 5-7 half lives
36
What is the importance of all of this?
- clinical pharm consists of pharmacodynamics/kinetic principles - understanding these principles is the basis of understanding how medication acts in the body - clinical pharm provides the basis for making sound therapeutic decisions and allows for individualized medication therapy