Lecture 5-6 Flashcards

1
Q

T or F: Majority of the lipid-soluble compounds are reabsorbed in the tubular.

A

True. because lipid-soluble compounds can easily pass through plasma membranes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How to calculate the total body clearance?

A

CL= CLrenal+CLhep+CLother

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How much time it take to eliminate the biological activity of the drug?

A

4 times the half-life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

First order kinetics

A

Constant fraction metabolized per unit of time.

Elimination directly proportional to its plasma concentration & dependent on its half-life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Half-life

A

is 50% of the active drug that disappear from the plasma in a amount of time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Zero order kinetics

A

Constant amount metabolized per unit of time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T or F: First order kinetics will sometimes switch over to zero order kinetics.

A

True. Because you no longer have the spare enzymes to metabolize the drug. ex. overdose condition (enzyme are not abundant enough or too saturated)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

T or F: The standard for reaching the steady state is >4 half-life.

A

True. it starts to cycle within a reasonable steady state. Always take the same time to plateau.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

4 types of drug receptors

A

Ion channels
G-protein coupled receoptor
Enzyme-linked receptors (Tyrosine Kinase receptors)
intracellular receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T or F: GPCRs are mainly involved in drugs acting on the ANS (adrenergic receptor)

A

True.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

LGICs and GPCRs subtypes focus on this class

A
LGICs:
Nicotinic
GABA
Glutamate
Serotonin

GPCRs:
Opioid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Kd is

A

affinity constant (concentration of drug that bind half of the receptors.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Low Kd is high or low affinity?

A

High affinity (bc need least concentration of the drug to bind to the half of the receptor)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Potency vs Efficacy

A

Potency is the amount of drug needed to produce an effect of a given magnitude.
Efficacy is the maximal effect produced by the drug.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

T or F: a partial agonist could become a full agonist if there are enough spare receptors

A

True.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

4 physiological different involve in the drug response in different age groups.

A

Total body water
Fraction of the body that is lipid
change in liver metabolism
The capacity for renal drug elimination.

17
Q

Rapidly vs slow diffusing drug on the foetus

A

Rapid will easily get to the fetus after mom taked.

Slow will get to the fetus over time but take LONGER to leave the fetal compartment.

18
Q

Grey baby syndrome

A

Syndrome related to accumulation of Chloramphenicol. (Without glucuronyl transferase, cannot eliminated and accumulated. It affect mitochondrial function and serious toxicity.)

19
Q

Elimination of bilirubin by

A

Glucuronyl transferase enzymes.

20
Q

Thalidomide use in 1960 to tx nausea during pregnancy cause in the children born:

A

Phocomelia (arm/leg defects)

21
Q

The use of Alcohol during pregnancy can have as consequence:

A

Fetal alcohol spectrum disorder (FASD)