Lecture 03-Pharmacology Flashcards

1
Q

___ is the branch of medicine concerned with the use, effect, and modes of action of a drug.

A

Pharmacology

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2
Q

What factors can affect pharmacokinetics?

A
  • comorbidities
  • demographics (age, gender, etc.)
  • genetics (body type)
  • other chemicals
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3
Q

The ___ of the drug refers to its ability to exert their actual effects or even side-effects after its chemical make-up has changed.

A

The ACTIVITY of the drug

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4
Q

___ is the branch of pharmacology associated with the movement of a drug on a body.

A

Pharmacokinetics

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5
Q

___ is the branch of pharmacology associated with the effects of a drug and mechanisms of action.

A

Pharmacodynamics

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6
Q

What is the difference between enteral and parenteral administration of drugs?

A

Enteral = administered into the mouth and digestive tract (easy, less predictable absorption)

  • sublingual
  • buccal (orallly)
  • rectal

Parenteral = administered elsewhere in the body than the digestive tract (difficult, more predictable absorption)

  • inhalation
  • topical
  • transdermal
  • injection
  • drops
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7
Q

The following have to deal with ___:

  • administration
  • absorption and distribution
  • storage
  • elimination
A

Pharmacokinetics

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8
Q

Concerning absorption and distribution of a drug in the body, all pharmaceuticals are affected by:

A

-administration route
-chemical properties of the drug
-barrier and carriers of the drug in the body
=> barriers = restrict movement of drugs
=> carriers = active transport systems at cell membrane

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9
Q

True or false: storage of a drug in tissues (fat, muscle, bones, organs, etc.) is typically associated with tissue damage as it can disrupt function of the tissue.

A

True.

Note; storage of the drug in tissues can cause chemical redistribution = uncontrolled delivery of medication into bloodstream after treatment ends

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10
Q

___ is the percentage of the administered dose that appears in the bloodstream.

___ is how much of the drug remains at is passes through the liver first before it gets to the bloodstream.

A
  1. Bioavailability - i.e, if you give 50 mg of a drug and 25 mg of the drug appears in the bloodstream, the drugs is 50% bioavailable
  2. First-pass metabolism
    - dependent on whether-or-not the drug was given enterally or not (if not, it doesn’t generally go through first-pass metabolism as it is directly delivered to the site)
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11
Q

What are the phases of drug testing?

A

Animal trials: typically completed on rodents and can progress to other, larger animals dependent on the type of drugs or the results of the animal trials (significant side-effects)

Human trials

  1. Small number of health subjects (several months) -establishes dosages and side-effects
  2. Intended population (small; months to years) -establishes whether the drug is effective in treating what it is intended to treat (efficacy)
  3. Intended population (large; months to years)
  4. Long-term effectiveness (compares to other drugs on the market and cost-effectiveness)
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12
Q

When a drug is metabolized it is called ___.

This process occurs in the ___.

A
  1. Bio transformation
  2. Liver

Note; drugs are also designed to break down certain ways in our bodies
also note; metabolites can still exert changes on the body

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13
Q

What is an orphan drug?

A

A drug that is reluctantly sponsored for FDA approval because of its limited scope of treatment
-generally used to treat rare diseases

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14
Q

What does the half-life of a drug refer to?

A

The amount of time it takes for 50% of the active form of the drug to be eliminated by the body (where 50% of the drug is eliminated in each half-time period).

-primary way we can determine how long a drug will stay active in the body

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15
Q

What does if mean for generic and brand name drugs to be bioequivalent to each other?

A
  • same amount and type of active ingredient
  • some administration
  • same pharmacokinetics
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16
Q

Why is the half-life of a drug important?

A

It helps determine dosing.

17
Q

During elimination of the drug, what is happening and by what processes?

A

-active form of the drug is turned into a less active form (metabolite) and is removed from the body
=> first-pass metabolism
=> excretion (i.e, urine, breast milk, sweat, etc.)
=> note; may also be called an “active metabolite” if it still has therapeutic effect