intro to pharmaco pt1 Flashcards
2 phases of tablets or capsules taken by mouth
PHARMACOKINETICS
PHARMACODYNAMICS
processes of PHARMACOKINETICS (adme)
absorption
distribution
metabolism
excretion
PHARMACODYNAMICS responses
biologic response
physiologic response
process of drug movement throughout the body that is necessary to achieve drug action
pharmacokinetics
refers to the movement of drug into the bloodstream after administration
ABSORPTION
used in drug preparation to allow the drug to take a particular size and shape and to enhance drug dissolution
EXCIPIENTS
simple syrup, vegetable gums and aromatic powders are example of what
EXCIPIENTS
tablet has to be broken down into small particles before it is absorbed
DISINTEGRATION
small particles must combine with a liquid to form a solution
DISSOLUTION
Enteric coated drugs are meant to be absorbed in
small intestine
where does absorption happens
mucosal lining of the small intestine
Does not require energy
PASSIVE TRANSPORT
drug moves across the
cell membrane from an area of higher concentration to lower concentration
Diffusion
relies on a carrier protein to move the drug from an area of higher concentration to lower concentration
Facilitated Diffusion
requires energy
requires a carrier such as an
enzyme or a protein
ACTIVE TRANSPORT
cells carry a drug across their
membrane by engulfing the drug particles into a vesicle
PINOCYTOSIS
drugs that do not pass GIT
parenteral
buccal
inhalation
absorption effect on LIVER
metabolized to an inactive form and are excreted thus reducing the amount of drug available to exert a pharmacologic effect
refers to the percentage of
administered drug available
for activity
Bioavailability
FACTORS THAT ALTER BIOAVAILABILITY
drug form
route of administration
gastric mucosa and motility
administration with food and other drugs
changes in liver metabolism
refers to the movement of the drug from the circulation to body tissues
DISTRIBUTION
influenced by the rate of the blood flow to the tissue, drugs affinity to the tissue and protein binding
DISTRIBUTION
drugs that are 90 % bound to protein
Highly protein-bound drugs
drugs that are less than 10 % bound to protein
Weakly protein-bound drugs
The portion of the drug that is bound to the protein
inactive
The portion that remains unbound
free active drug
metabolism or biotransformation
DRUG METABOLISM
process by which the body chemically changes drugs into a form that can be excreted
DRUG METABOLISM
collectively referred to as cytochrome P450 of drug metabolizing enzymes convert drugs to metabolites
Liver enzymes
time it takes for the amount of drug into the body to be reduced by half
Drug half-life
amount of drug being administered is the same amount of drug being eliminated
Steady state
necessary to achieve optimal therapeutic benefit
Steady state
administration of a large initial dose of a medicine used to ensure a quick therapeutic response
Loading dose
given for a short period before therapy continues with a lower maintenance dose
Loading dose
main route is the kidneys
DRUG EXCRETION
drugs are also excreted through
bile
lungs
saliva
sweat
breast milk
in drug excretion, the problem is a profusion of the blood towards the kidney
Prerenal
in drug excretion, the problem is within the kidneys or the formation of urine
Intrarenal
in drug excretion, the problem is the outflow of urine from the
kidneys
Postrenal
study of the effects of drugs in the body
PHARMACODYNAMICS
drugs act within the body to mimic the actions of the body’s own chemical messengers
PHARMACODYNAMICS
is the body’s physiologic response to changes in drug concentration at the site of action
dose-response relationship
amount of drug needed to elicit a specific physiologic response to a drug
POTENCY