Introduction to pharmacology Flashcards

1
Q

What is pharmacology?

A

Pharmacology is the study of the effects of drugs on living organisms/systems. It looks at the interaction of drugs with living organisms, including what they do (effect) and how they do it (mechanism).

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2
Q

Define the term ‘drug’

A

A drug is a chemical substance (other than a nutrient) that produces a biological effect when administered to a living organism.

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2
Q

What is the origin of the word ‘pharmacology’?

A

The word ‘pharmacology’ comes from the Greek words ‘pharmakon’ meaning ‘drug’ and ‘logos’ meaning ‘science’.

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2
Q

What is pharmacodynamics?

A

Pharmacodynamics is the study of mechanisms by which drugs act to produce molecular, biochemical, and physiological changes in the body. It includes dose-effect relationships, factors affecting drug effects, dosage, drug toxicities, and drug-receptor interactions.

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3
Q

What is pharmacotherapeutics?

A

Pharmacotherapeutics is the application of pharmacological and disease information to prevent and treat diseases. It includes the selection of the most appropriate drug, dosage, and duration of treatment, accounting for specific features of patients.

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3
Q

What are adverse drug reactions and drug allergies?

A

Adverse drug reactions are any unwanted effects of a drug occurring in normal doses. Drug allergies are a type of adverse drug reaction that includes broad-spectrum hypersensitivity reactions, ranging from mild skin rashes to life-threatening anaphylaxis.

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3
Q

What is pharmacokinetics?

A

Pharmacokinetics is the study of the effect of living systems/body on drugs. It includes the study of Absorption, Distribution, Metabolism, and Excretion (ADME) of drugs, as well as the onset and duration of action of drugs.

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4
Q

How are drugs classified?

A

Prescription: Requires a written or electronic practitioner’s order.
Non-prescription (OTC): Can be sold without a prescription.
Body system: E.g., CNS, GIT.
Therapeutic use: E.g., Antihypertensive, Antimicrobial.
Illegal drugs.

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5
Q

What factors influence drug effects?

A

Factors influencing drug effects include age, body weight, metabolic rate, illness, psychological aspects (e.g., placebo effect), tolerance/dependence, and cumulative effect.

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5
Q

What are the natural sources of drugs?

A

Minerals: E.g., Kaolin, chalk, iron (ferrous sulphate), magnesium sulphate.
Microorganisms: E.g., Penicillin, aminoglycosides, chloramphenicol.

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5
Q

What are the main sources of drugs?

A

Plants: E.g., Morphine, digoxin, senna.
Animals: E.g., Heparin, thyroxin.
Minerals: E.g., Kaolin, chalk, iron (ferrous sulphate), magnesium sulphate.
Microorganisms: E.g., Penicillin, aminoglycosides, chloramphenicol.
Synthetic: E.g., Aspirin, paracetamol, thiazide diuretics.
Semi-synthetic: E.g., Human insulin, ethinyl oestradiol.

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5
Q

What are synthetic and semi-synthetic sources of drugs?

A

Semi-synthetic: The nucleus of the drug obtained from a natural source is retained, but the chemical structure is altered. E.g., Human insulin, ethinyl oestradiol.
Synthetic: Prepared synthetically by chemical processes with knowledge of phytochemical investigation. E.g., Aspirin, paracetamol, thiazide diuretics.

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6
Q

What are the three types of drug names?

A

Chemical name
Proprietary/Trade name
International non-proprietary (INN) name

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7
Q

What is a proprietary/trade name?

A

The proprietary/trade name is the name under which a drug is sold by a manufacturer. It is owned by the drug company, and the same drug can have several different brand names, which can complicate drug identification and create confusion.

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7
Q

What is the chemical name of a drug?

A

The chemical name conveys information on the chemical structure of the drug, indicating the arrangement of atoms/groups. It is often long and complicated to write, use, and remember.

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7
Q

What is the International Non-proprietary (INN) name?

A

The INN name is chosen by international regulatory bodies like the World Health Organization (WHO) and is considered the “universal standard.” It is recommended for use and provides uniformity in naming, making it easier to recognize and remember.

8
Q

What are the advantages of using the INN name?

A

Easier to understand and remember.
Provides uniformity in naming across different countries.
Gives relevant information on the drug (grouping).

9
Q

What are the different routes of drug administration?

A

Oral Route: Giving a drug by mouth.
Rectal Route: Drugs administered via the rectum.
Parenteral Route: Administration of drugs by bypassing the gastrointestinal system.
Inhalation Route: Absorbed into the respiratory tract.
Topical Route: Used when a local effect of the drug is desired.

10
Q

What are the main stages of drug development?

A

Pre-clinical trials and clinical trials.

11
Q

What factors influence the selection of the route of drug administration?

A

Properties of the drug: Water or lipid solubility, degree of ionization.
Therapeutic objectives: Need for rapid onset of action, long-term treatment, or restriction of delivery to a local site (local vs. systemic effect).

11
Q

What are the advantages and disadvantages of the rectal route of drug administration?

A

Advantages:

Good absorption.
Suitable for patients unable to take oral medications.
Disadvantages:

Inconvenient for patients.

12
Q

What are the advantages and disadvantages of the oral route of drug administration?

A

Advantages:

Convenient and simple to use.
Low cost.
Can make special formulations.
Disadvantages:

Cannot be used in patients who cannot swallow (e.g., unconscious, vomiting).
Poor/slower absorption.
Some drugs are unstable in the gastrointestinal tract (e.g., benzylpenicillin).

13
Q

What are the advantages and disadvantages of the parenteral route of drug administration?

A

Advantages:

Drugs are not destroyed by digestive enzymes.
Higher concentration of the drug in the blood can be achieved.
Avoids hepatic metabolism due to the first-pass effect.
Useful in emergencies (rapid onset).
Suitable for unconscious, uncooperative, or vomiting patients.
Disadvantages:

Expensive (some preparations need to be sterilized).
Requires skilled personnel to administer.
Painful or irritation might be experienced at the site of administration.
Poor adherence of patients (inconvenient for long-term use).

14
Q

What are the advantages and disadvantages of the inhalation route of drug administration?

A

Advantages:

Rapid absorption.
Less systemic effects (local effect).
Disadvantages:

Difficult to administer the dose.

15
Q

What are the advantages and disadvantages of the topical route of drug administration?

A

Advantages:

Used when a local effect of the drug is desired.
Disadvantages:

Limited to local effects and not suitable for systemic treatment.

16
Q

What factors influence the selection of the route of drug administration?

A

The selection of the route of drug administration is influenced by:

Properties of the drug: Water or lipid solubility, degree of ionization.
Therapeutic objectives: Need for rapid onset of action, need for long-term treatment, restriction of delivery to a local site (local vs. systemic effect).

17
Q

How does the water or lipid solubility of a drug affect its administration route?

A

Water or lipid solubility affects how well the drug can dissolve in water or fats, influencing its absorption and distribution in the body. Drugs that are lipid-soluble may be better absorbed through routes that bypass the gastrointestinal tract.

18
Q

Why is the degree of ionization important in selecting a drug administration route?

A

Water or lipid solubility affects how well the drug can dissolve in water or fats, influencing its absorption and distribution in the body. Drugs that are lipid-soluble may be better absorbed through routes that bypass the gastrointestinal tract.

19
Q

What therapeutic objectives might influence the choice of drug administration route?

A

Need for rapid onset of action: Choosing a route that allows the drug to act quickly, such as intravenous injection.
Need for long-term treatment: Selecting routes that allow for sustained release or easier administration over time, such as oral or transdermal routes.
Restriction of delivery to a local site: Deciding between local (e.g., topical) or systemic (e.g., oral or intravenous) administration based on where the drug needs to act.

20
Q

during clinical trials how many participants are required in each of the 4 phases ?

A

Phase I 20-80
Phase II 100-300
Phase III 1000-3000
Phase IV thousands of participants

21
Q

How long do each of the phases in clinical trials last?

A

Phase I several months
Phase II up to 2 years
Phase III 1-4 years
Phase IV 1 year+

21
Q

What is the success rate of each phase during clinical trials?

A

Phase I 70%
Phase II 33%
Phase III 25-30%
Phase IV 70-90%

22
Q

what is studied in each phase of clinical trials?

A

Phase I- safety of medication/treatment
Phase II- efficacy (ability of a drug to generate a response when bound to a receptor)
Phase III-safety, efficacy and dosing
Phase IV-long term effectiveness and cost effectiveness