P3 PHARMACOLOGY Flashcards

1
Q

any foreign compounds we refer to them as

A

xenobiotics

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

xenobiotics are normally polar or non polar

A

non polar , lipophilic

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

in order for xenobiotics to get excreted from body they need to be

A

polar , hydrophilic

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

most common site for drug biotransformation

A

liver

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

other sites fro drug biotransformation

A

kidney , lung , brain , intestines

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

most common type of drug biotransformation

A

from active drug to inactive metabolite

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

other 3 types of drug biotransformation

A

inactive to active
active drug to active metabolite
Active drug to toxic metabolite

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

Example of transforming inactive drug to active drug

A

Prednisone to prednisolone

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

phase 1 of biotransformation includes processes such as

A

Oxidation
Reduction
hydrolysis

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

the drug after phase 1 will be

A

Slightly hydrophilic

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

phase 2 processes

A

Methylation
glucuronidation
sulfation , acetylation
glutathione conjugation
amino acids conjugation

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

why not all drugs get biotransformed

A

Depends on the hydrophilicity

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

organ eliminating lipophilic drugs

A

liver

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

organ eliminating hydrophilic drugs

A

kidney

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

most of phase 1 reactions are achieved by this enzyme

A

Cytochrome P450

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

the CYTO part comes from

A

the enzyme attachment to ER membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

the CHROME & P part comes from

A

the enzyme containing heme pigment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the 450 represents

A

the peak activity detected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

the CYP represents

A

the superfamily

20
Q

Number 3 represents

A

the family

21
Q

how many cytochrome families are there

22
Q

the letter A represents

A

the subfamily

23
Q

how many subfamilies are there

24
Q

the number 4 represents

A

the isoenzyme

25
how many isoenzymes are there
around 57 - 60
26
more than 50% of drugs in phase 1 are metabolised by what enzyme
CYP3A4/5
27
most of the drugs in phase 2 are metabolised by
UDP-glucuronosyltranfase
28
most important factors affecting drug metabolising enzymes
Polymorphisms liver diseases Drug to drug interactions
29
the genetic polymorphism can result in either ...... or .....
slow metabolism or ultra rapid metabolism
30
Increased risk of adverse effects happen due to
drug binding to cytochrome enzyme , the drug will not undergo metabolism
31
how many doses are needed in drugs that increase the expression of CYP450
Several doses
32
Mention some drugs that induce enzyme expression
rifampicin and isoniazid
33
mention some drugs that inhibit the enzyme expression
sulphamethoxazole , cimetidine , clarithromycin , erythromycin
34
nelfinavir or amprenavir are administered with ritonavir to
enhance their activity and reduce the risk of resistance
35
Phenobarbital is used to treat
Neonatal kernicterus
36
Phenobarbital induces formation of conjugated bilirubin by inducing
UDP gulcuronyl transferase
37
Mention at least 4 factors altering drug effect in liver disorders
1-portal systemic shunting 2- alterations in plasma protein binding 3- alterations in liver blood flow 4- alterations in intestinal absorption 5- alterations in hepatic enzymatic activity 6- alterations in biliary excretion 7- alterations in renal excretion
38
why is lidocaine and hydrocortisone administered parenterally
to avoid first bypass effect
39
give an example of a drug give via nasal route
Desmopressin
40
give an example of a drug given as pulmonary delivery
insulin
41
drug given as buccal / sublingual / gingival
ISDN
42
drug given as suppository / rectal delivery
Diazepam
43
Examples of drugs given vaginally
Contraceptives / intravaginal ring
44
drugs that can cause hepatocellular injury
Isoniazid & amiodarone
45
drugs that can cause cholestatic injury
rifampicin & erythromycin