Module 1: Foundations Flashcards

1
Q

Pharmacology definition

A

the science of drug action; The study of the actions of drugs and their effects on living organisms

umbrella term meaning what a drug does to body☂️

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2
Q

Pharmacodynamics

A

What the drug does to the body after reaching the binding site

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3
Q

Neuropharmacology

A

study of drug-induced changes in nervous system cell functioning.

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4
Q

Psychopharmacology

A

emphasized drug-induced changes in mood, thinking, and behavior

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5
Q

neuropsychopharmacology

A

drug-induced changes in mood, thinking, behavior, and brain activity and throughout the nervous system cell function.
the study of chemical substances that act on the nervous system to alter behavior that is disturbed due to injury, disease or environmental factors

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6
Q

drug action

A

molecular changes produced by a drug when it binds to its target site or receptor

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7
Q

drug effect

A

molecular changes alter physiological or psychological functions

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8
Q

therapeutic effects (TE)

A

effects on behavior or physiology that are DESIRED

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9
Q

side effects (SE)

A

effects on behavior or physiology that are UNDESIRED

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10
Q

side effects (SE)

A

effects on behavior or physiology that are NOT DESIRED
- caused by drug acting or binding to multiple targets or receptors
- each receptor has many subtypes
- receptors expressed in different areas of the body and in different brain regions

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11
Q

Can TE and SE be flipped depending on the drug or the desired outcome?

A

Yes, depending on how the drug is intended to aid the body, the TE and SE can flip such as amphetamines prescribed for narcoleptics so the TE: insomnia during the day and the SE: appetite suppressant. The same medicine can be used to those needing weight loss so now the TE: appetite suppressant and SE: insomnia during the day.

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12
Q

Why are side effects a thing?

A

because drugs are not specific enough to only hit one receptor and they hit other ones from time to time
- 3 reasons specific on other side effect flash card

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13
Q

Specific drug effects

A

hit a particular receptor - based on physical and biochemical interactions of a drug with a target site in living tissue

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14
Q

Nonspecific drug effects

A

based on certain unique characteristics of the individual (mood, expectations, perceptions, attitudes when taking drug, placebo effect, general molecular effects)
- can’t always be predetermined of the drug

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15
Q

Is there such thing as good and bad drugs?

A

No, some drugs have drug effects that are considered desired vs undesired but it really depends on why u are taking or prescribed the drug, some better treat different things

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16
Q

placebo (NS or S drug effect?)

A

Nonspecific effect since it can produce a physiological change and both a therapeutic and side effects. It is a pharmacologically inert compound.

17
Q

Classical Conditioning

A

Pavlov -> symptom relief in the past (visiting dr office) was effective in relieving symptoms
- belief that a drug may produce real physiological effects despite the lack of a drug action

18
Q

Expectancy effect and how to prevent?

A

those who expect a drug to work, find relief and vise versa
- prevented with double blind trials and placebos help
- ex: doctor smith vs nurse smith - different connotations of the word

19
Q

does the color of pill you give someone cause an effect on the se or te that the patient receives and which color says what?

A

yes color effects how well the patient expects a drug to help
- red and orange: stimulants
- yellow: antidepressants
- green: anxiety
- white: pain
- blue: sedative (except in italy)

20
Q

In what ways do Pharmacokinetic factors determine drug action?

A
  • methods of administration and their impact on the onset of drug action/effects
  • factors that modify drug absorption
  • depot binding
  • biotransformation and elimination
21
Q

Pharmacokinetics

A

what the body does to a drug and the dynamic factors that contribute to bioavailability - if a drug doesn’t reach the site of action, there will be no effect.

22
Q

Bioavailability

A

amount of drug that is free to interact with targets

23
Q

pharmacodynamics

A

what the drug does the body - what effects does it produce

24
Q

What are the Pharmacokinetic factors

A
  • routes of administration
  • absorption and distribution
  • binding
  • inactivation
  • excretion
25
Q

Drug or route administration types

A

Enteral and Parenteral; determines how quickly and how much drug reaches target tissue

26
Q

Enteral administration types

A

oral (PO) or rectal

27
Q

Parenteral administration types

A

Intravenous
Intraperitoneal
Subcutaneous
Intramuscular
Inhalation
*these ways go to the receptor faster than enteral

28
Q

Why and How does inhalation of a drug cause a faster and greater effect on the brain?

A

It skips the liver breakdown bc the body is trying to keep the blood healthy so it has systems in place to break down the outside chemicals like alcohol and such

29
Q

Benefits and Considerations of oral administration (PO)

A

Benefits: Safe (easier to excrete if have bad reaction), self-administered, economical
Considerations:
- degradation by stomach acids and enzymes
- many factors can influence plasma concentration such as absorption and first-pass metabolism
- ex: insulin can’t be orally administered bc it is immediately degraded by the stomach

30
Q

Methods of Administration: Absorption and factors that influence it

A

Movement of the drug from site of administration to the blood circulation
factors influencing it:
- food in stomach
- type of food
- physical activity
- metabolism –> enzymes

31
Q

First-Pass Metabolism

A

Chemical alteration of a drug by the liver prior to reaching the brain or heart
- caused by evolutionary adaptation to reduce toxins in the CS
- Parenteral methods by-pass the liver on initial delivery to organs

32
Q

Rectal Administration (first-pass or bypass metabolism?)

A

the drug may avoid first-pass metabolism depending on placement; therefore it bypasses the liver
- used in infants that can’t take orally