Module 10: Pharmacology Basics Flashcards
Test 4
What is the difference between Pharmacology, pharmacodynamics, and pharmacokinetics?
Pharmacology: interactions between a drug & organism
pharmacodynamics: how the drug affects the organism
pharmacokinetics: how the organism affects the drug (ADME)
What are 3 things that can affect pharmacodynamics?
- disease/disorder
- age
- drug interactions
What are the receptor subtypes? Main one?
Enzyme (main)
Ion channel
membrane receptor
How do drugs bind to receptors?
Intermolecular forces (electrostatic interactions)
Hydrophobic interactions
Covalent bonds (Intramolecular forces)
Sterospecific interactions
SICH of this…
Covalent bonds are normally _____ therefore we try to avoid them
irreversible
Why are sterospecific interactions important?
some receptors are antiomer specific while some allow multiple stereoisomers. some receptors will illicit a negative effect if bound with a different stereoisomer.
Drugs act as a _______
ligand
What are 4 drug properties that we look at? Describe them. Do we like for them to be low or high?
- Affinity: How well the drug binds to the receptor
- Specificity: How specific the drug is to that receptor
- Efficacy: how well the drug produces desired effects
- Potency: compare drugs to see which has a higher affinity/specificity/efficacy
- We want all of these things to be high
What are the 2 types of drugs and their subtypes?
Agonist
Antagonist: Competitive & noncompetitive (irreversible)
What does allosteric mean?
Outside of active site
What does ADMET stand for?
Absorption
Distribution
Metabolism
Excretion
Toxicity
________ of the drug at the _________ affects the ability of the drug to give its desired effects
concentration
active site
ADMET refers to Pharmaco_____
kinetics
What is LD50?
Lethal dosing to kill 50% of population in animals
T/F: Water has an LD50
T
Everything has an LD50
What are 4 things Pharmacokinetics help us understand?
- Drug administration
- therapeutic dosing
- time intervals between drug dosing
- toxic dosing
What is the unit measurement in toxic dosing?
mg/kg
What is fentanyl’s LD50?
Very low
0.2 mg/kg
This means a very small amount can kill you
The lower the LD50, the easier it is to kill a person with a small dose!!! This is why people wear gloves when there could be a possible exposure to fentanyl
Explain ADME
Absorption: getting drug into the body
Distribution: getting the drug to the place where it needs to work (site of action)
Metabolism: Most metabolized in the liver by enzyme P450
Excretion: Leaving the body by means of mostly urine or feces
What type of reactions are used in the liver for metabolism? What enzyme is used?
REDOX
Cytochrome P450
What are all the ways a drug can be exreted from the body? What are the 2 most common ways?
Urine
Bile
Feces
Sweat
Saliva
What happens if we dont properly excrete drugs from the body?
Toxic build up
What are the methods of drug administration?
Enteral (oral)
Parenteral (non-oral)
–IM
–SQ
–IV
–Inhalation
–Topical
Which method of drug administration bypasses the 1st pass effect?
IV, IM, SQ
Which method of drug administration is the fastest?
IV
Which method of drug administration is most effected by the 1st pass effect?
PO