L3-4 PHRM20001 Agonists & Antagonists Flashcards
When Kd = D, __% receptors bound
50
in vitro, in vivo, which one is dose = conc
In vitro
EC50 and PEC50 are measures of___
Drug potency NOT affinity. EC50 does not equal KA
EC50 and IC50
EC50 is the concentration of a drug that gives half-maximal response. The IC50 is the concentration of an inhibitor where the response (or binding) is reduced by half.
Potency
How much drug is need for effect
Efficacy
Ability of a drug to activate the receptor. Looks at amount of response that can be elicited.
Antagonists have no efficacy in ____ and is active in ___ if ___ is present and hence have clinical efficacy with a measurable potency
Vitro, vivo, agonist
1) Competitive/Surmountable
2) Insurmountable
3) Non-comp. functional antagonism
1) Parallel, rightward shift, max unchanged - however not all competitive antagonists are surmountable
2) Not parallel, rightward shift, max decreased
3) 2 drugs with opposing actions in the same cell
Gaddums equation
[AR]/[R]Total = [A]/ [A] + KA (1 + [B]/KB)
pA2
approxes pKB, it is the -ve log of the conc of antagonist required to cause a two-fold rightwards shift of agonist conc-response curve.
Schild plot
Plot of the relative shift of the agonist curve against antagonist conc. A linear plot with a slope of 1 indicates a competitive antagonist.
pKB vs pA2
pKB is antagonist affinity, pA2 is antagonist potency. pKB = pA2 when the slope =1
Benzodiazepines
Increases the affinity of the receptor for GABA
Atropine
Muscarinic Cholinoreceptor competitive antagonist
Mepyaramine
Competitive anithistamine