Mechanism of Drug Action Flashcards

1
Q

What is Tachyphylaxis

What are the 3 Mechanisms of Tachyphylaxis

A

Diminution of receptor response due to continuous stimulation

  1. intracellular proteins G protein access to activated receptor
  2. Agonist bound receptor is internalized by endocytosis; can be reinserted
  3. Substrate depletion of downstream processes
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2
Q

Drug inhibitor of these Neurotransmitter Transporters:

Norepinephrine, Serotonin, Dopamine

A

Tricyclic Antidepressants - Nor-Ser reuptake inhibitor
Fluoxetine - selective Serotonine reuptake inhibitor
Cocaine - Nor-Ser-Dop reuptake inhibitor

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3
Q

What Alpha Glucosidase Inhibitor does

A

Inhibits the breakdown of polysaccharide into monosacch –> decrease Carb absorption

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4
Q

Benzodiazepine: What receptor is affected, mechanism, result, DR Interaction, use

A

GABA-activated receptor, Inc in Cl influx, hyperpolarization, allosteric activator, antiepileptic

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5
Q

Affinity but no efficacy

A

Competitive Inhibitor

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6
Q

Characteristics of Nuclear Receptor Interaction

A

Slow acting, Persisting, has Lag Phase

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7
Q

Functions of Phosphorylation

A

Amplification of signals, Flexible Regulation

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8
Q

3 components of Transmembrane Signaling System

A

Binding, Activation, Effector

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9
Q

Main Effectors of GPCR

A

Adenylyl Cyclase, Phospholipase C

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10
Q

Verapamil: receptor type, MOA, result, use

A

Voltage gated ion channel, inhibit Calcium channels in heart and vascular smooth muscle, anti arrhythmic + lower BP

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11
Q

Barbiturates: receptor type, MOA, result, use

A

GABA activated receptor, bind to receptor to inc Cl influx, hyperpolarization, induce sleep and anesthetic

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12
Q

Carbamazepine, Phenytoin, Lamotrigrine, Valproate: Receptor type, MOA, result, use

A

Ligand Gated, closes Na channels, no depolarization, anti seizure

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13
Q

What determines the concentration of drug required?

A

Receptor affinity

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14
Q

What did Paul Erlich do?

A

Chemotherapy, receptor word

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