Introduction to Pharmacology Flashcards

1
Q

What is a ligand?

A

Refers to any molecule that binds to the receptor

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2
Q

What is a receptor?

A

Protein that binds chemical mediators

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3
Q

What are the four classes of drug receptors?

A
  • Ion channels
  • Enzymes
  • Carriers/Transporters
  • Receptors
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4
Q

Give 3 examples of drugs that bind to ion channels

A

Lignocaine
Apamin
Dihydropyridines e.g. nifedipine

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5
Q

Lignocaine mechanism

A
  • Binds to Na+ channels (responsible for firing of APs)
  • Stops it from firing action potentials when bound
  • -> decreases sensation of pain
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6
Q

Apamin mechanism

A
  • Binds to SK channels (involved in hyper polarisation)
  • Rapid firing of action potentials when bound
  • -> increased sensation of pain
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7
Q

What are SK channels?

A

Small conductance calcium-activated potassium channels

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8
Q

Nifedipine mechanism

A
  • Binds to Ca2+ channels in smooth muscle cells and cardiac muscle
  • Inhibition by blocking Ca2+ entry –> muscle becomes relaxed –> decreases bp
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9
Q

Give examples of 3 drugs that target enzymes

A
  • Acetylsalicylic acid
  • Pargyline and clorgyline
  • Captopril
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10
Q

Acetylsalicylic acid mechanism

A

Binds to cyclooxyrgenase (COX)

COX produces lipid mediators –> promotes inflammation, pain, fever

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11
Q

Pargyline and clorgyline mechanism

A

Binds to monoamine oxidase (MAO)
Stops breakdown of neurotransmitters –> increases [neurotransmitters] so they act longer
Used to treat depression

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12
Q

What is captopril an example of?

A

A drug that targets enzymes

ACE inhibitor

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13
Q

Give 2 examples of drugs that target transporters

A
  • Fluoxetine

- Digoxin

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14
Q

Fluoxetine mechanism

A

Works on transporter in the brain

  • Transporter responsible for the uptake of serotonin and terminates its action
  • Fluoxetine inhibits the transporter so levels of serotonin remain elevated
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15
Q

Should you use fluoxetine or MAO inhibitors?

A

Fluoxetine is more specific in its action and has less side effects than MAO inhibitors

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16
Q

Digoxin mechanism

A

Works on transporter (Na+/K+ pump) found in the membrane of heart cells

  • Once blocked, Na+ builds up inside of heart cells
  • Another transporter which usually exchanges Na+ for Ca2+
  • Heart cells become filled with Ca2+ instead –> increases contraction of heart
17
Q

What kind of transporter does digoxin block?

A

Na+/K+ pump

18
Q

Which enzyme does aspirin bind to?

A

Cyclooxyrgenase