Introduction Flashcards
Drug
Chemical compound that may produce physiological, behavioural and physiological effects
Psychoactive effects
Alterations to cognition, behaviour and motor processes
4 drug names
Chemical
Generic (Non-proprietary)
Trade (Proprietary
Street
Heroin
Diacetylmorphine– morphine with 2 acetyl groups so it enters the brain quicker
Pharmokinetics
Administration Absorption Distribution Metabolism Elimination
Pharmodynamics
Interaction between drug and receptors at site of action
Path of oral administration
Stomach
Small intestine
Blood stream
Alkaline Drugs
Bases– Become ionized in stomach acid and can’t pass into bloodstream– go to small intestine which is a more alkaline environment
How do drugs pass into the blood stream in the small inetstine
Passive diffusion following the alkaline concentration gradient
First Pass metabolism
Drugs are routed to the liver where most is metabolized
Cytochrome P-450
Very large group of enzymes in the endoplasmic reticulum of liver cells
Inducible
Activity may be potentiated
Mucous membrane administration
Snorting or absorbing through skin
How fast does inhalation get drugs to the brain?
5-8 seconds
– faster than intravenous
Regions in order of blood supply
Peritoneal cavity
Muscles
Under the skin
What injection site absorbs the quickest
Intraperitoneal– the most blood
Mainlining
Intravenous injection– blood flow in region is irrelevant
Skin popping
Subcutaneous injection
Where do drugs given by injection or pulmonary routes distribute to?
Diffuse through pores in capillary walls and into bloodstream
Oral distribution
Must be lipid soluble to be absorbed by digestive system beacause there are no pores in GI tract lining
How often is total blood volume circulated
Once a minute
Ionization
Weak acids readily ionize in alkaline environments and become less ionized in acidic environments – Reverse is true for bases
Are ionized molecules readily absorbed?
No
What determines rate of absorption
% of non-ionized molecules
What part of the GI tract absorbs drugs better
Further away from stomach where its less acidic
Lipid Solubility
Lipid soluble compounds penetrate cell membranes more readily
What types of molecules does the blood brain barrier limit
Water soluble
Ionized
Fetal blood supply
75-100% of mothers blood concentration in 5 minutes
Receptor binding
Drugs interact with receptors at relevant targets – receptors are oppositely charged from groups on drugs
Agonist
Mimics the effects of a neurotransmitter
– bind to receptors, block reuptake, inhibit breakdown
Antagonist
Reduce the effects of a receptor agonist by binding to active receptors but producing no effect
Dose response curve
Vertical axis– % of subjects exhibiting measured effect
– Allows comparison of potency of drugs