Pharmaceuticals Flashcards
Pharmacology?
pharmaceutical sciences concerned with drug or medication action
Pharmacodynamics
how the drugs effect the body
pharmacokinetics
How the body effects the drugs
Therapeutic index
The ratio that compares blood concentration at which a drug causes a therapeutic effect to the amount that causes death or toxicity
What does ADME stand for in pharmacology
absorption, distribution,
metabolism and excretion
Side Effect
A secondary undesirable effect of a drug
Adverse Reactions
Any unexpected or dangerous reaction to
a drug
Classification Adverse Drug Reactions TYPE A
augmented reactions
Classification Adverse Drug Reactions TYPE B
- bizarre reactions
Classification Adverse Drug Reactions TYPE C
continuing reactions
Classification Adverse Drug Reactions TYPE D
Delayed reactions
Classification Adverse Drug Reactions TYPE E
end-of-use reactions
describe Suspected Adverse Reactions Surveillance Scheme (SARSS)
run by the VMD, where any unwanted or adverse
reactions to drugs can be reported
VMD
Veterinary medicines directorate
3 factors that are required for drugs to be successful
Reach the site where needed
Reach it at correct concentration
Present for the
correct length of time
Affinity
The “strength” of the bond between a receptor and the drug
Specificity
The ability of the drug to combine with one particular type of receptor
Efficacy
Inherent ability of the drug to induce a physiological response
Potency
activity of the drug in terms of the concentration
or amount needed to produce a defined effect
Agonists
Combine with the receptors, activating them and inducing a response
Antagonists
Combine with the receptors but do not activate them, so blocking a response
by stopping agonist using the receptor
Partial agonists
Combines with receptors allowing for a partial response
1st pass metabolism
The drug gets metabolized resulting in a reduced concentration upon reaching its site of action.
What factors affects Absorption Of Drugs
- Lipid solubility of the drug
- Formulation of the drug
- The drugs stability to gastric acids and enzymes
- The motility of the gut
- Food in the stomach
- First pass metabolism
The rate of absorption depends on:
- Route of administration
- Properties of the drug
- Properties of the formulation
Bioavailability
The proportion of drug administered that reaches the systemic circulation
Distribution
The distribution of the drug throughout the body’s tissues from
the circulation
Blood-brain Barrier limits what? which stops drugs entering the brain
hydrophilic molecules and proteins
What organs have selective uptake of drugs
Brain
Testicles
Placenta
hypoproteinaemia
A decreased concentration of protein in the blood
hypoalbuminaemia
a condition where your body doesn’t produce enough albumin protein
albumin
Plasma Protein- responsible for binding and transporting substances. (e.g. DRUGS)
Drug Elimination occurs by two processes
Metabolised and excreted
What group of drugs are activated after being metabolised
ACE inhibitors
2 main issues arising from First-pass (Pre Systemic) Metabolism
Higher dose needs to be given orally than IV
Patient variations caused due to different metabolism rates
drugs that undergo substantial pre-systemic
elimination include:
- Chlorpromazine (sedative)
- Lignocaine
- Morphine and pethidine
4 main routes (organs) by which drugs and their
metabolites leave the body
Kidney
Biliary system
Gastro-intestinal tract
Respiratory system
Drugs Categories (13)
- Antimicrobial
- cytotoxic
- Immunosuppressive
- Ecto- and endoparasiticides
- Anti-inflammatory (NSAID and cortico-steroids)
- Anti-epileptics
- Diuretics
- Vaccines
- Analgesics (opiates)
- Sedatives/tranquillizers
- Anaesthetics
- Anti-histamines
- Anti-emetics
Endectocides
Drugs effective against ectoparasites and endoparasites
Name 2 types of Endectocides
Avermectins
Milbemycins
Bronchodilator
Dilates the airways
Expectorants
Increase the volume of secretions in airways
Mucolytics
Breaks down secretions making them easier to cough up.
Antitussives
Suppresses the cough
Stimulants
Increase activity of nervous system
Nasal decongestants
Constrict nasal blood vessels, so reducing congestion,
Name GASTROINTESTINAL DRUGS (8)
PAAAAALE
Emetics
Anti-emetics
Anti-ulcer drugs
Prokinetics
Anti-diarrhoeals
Appetite stimulants
Adsorbents
Laxatives
Wide range of effectiveness
BROAD SPECTRUM
DRUGS THAT BLOCK
Occupy the receptor without
stimulating it (antagonist)
An example of a drug that has a rapid decrease in MEC
Propofol
Minimum Effective Concentration (MEC)
lowest concentration level at which there is still therapeutic action
Downregulation
‘resistance’ - prolonged use
Upregulation
Increased sensitivity to prolonged exposure to drug
Synergism
Increases action of 2 or more drugs
Potentiation
The action of an ineffective drug enhances the action of another
Antagonism
A drug inactivates the action of another
Antimicrobials
‘A substance that has the ability of killing or inhibiting the growth of
a micro-organism’
Name the 5 antimicrobials categories of drugs
Antibacterial
Antiviral
Antifungal
Antiprotozoal
Antibiotic
Antibiotic
A substance produced by a micro-organism that kills or inhibits growth of
another micro-organism
Name topical antifungal medication
Miconazole
Clotrimazole
Name the drug that kills Malassezia pachydermatis and ringworm
Miconazole
Drug to treat Toxoplasma gondii
Clindamycin
Minimum inhibitory concentration
(MIC):
A way to determine how sensitive
bacteria are to the antibiotic
Antibacterial Modes Of Action (5)
Inhibit DNA synthesis
Inhibit protein synthesis
Inhibit cell wall synthesis
Inhibit cell membrane function
Inhibit other metabolic processes
Fluroquinolones mode of action
Inhibit DNA synthesis
Tetracyclines mode of action
Inhibit protein synthesis
Penicillin mode of action
Inhibit cell wall synthesis
Polymyxins mode of action
Inhibit cell membrane function
Bactericidal drugs (5)
ß-lactams
Aminoglycosides
Fluoroquinolones
Potentiated sulphonamides
Nitroimidazoles
Bacteriostatic drugs (2)
Tetracyclines
Chloramphenicol
Bacteriostatic & bactericidal drug example
Macrolides
Lincosamides
Beta-Lactams mode of action
Prevent cell wall synthesis
Aminoglycosides
mode of action
Fluoroquinolones
Damage DNA
Tetracyclines
Interfere with protein synthesis
Macrolides
Inhibits bacterial protein synthesis
Potentiated Sulphonamides
Inhibit pathway of folic acid synthesis
Lincosamides
Inhibits bacterial protein synthesis
Nitroimidazoles
Damage bacterial DNA
Chloramphenicol
Inhibits bacterial protein synthesis
Name two emetics
Apomorphine
Xylazine
define Anti-emetics
Used to prevent vomiting in patients
NAme the 5 anti-emetics
Metoclopramide
Phenothiazines
Antihistamines
Anticholinergics
Butyrophenones
When a cell divides, how long does mitosis typically take
1 hour
Alkylating agents
A type of drug that is used in the treatment of cancer
Formula for working out chemotherapy drugs
Surface area = BW0.67 x K /
104
what is (COX)
cyclo-oxygenase
COX-1:
normal physiological function
COX-2
inflammatory response
Antihistamines
These drugs inhibit the action or release of histamine
what is histamine
pro-inflammatory
protein
function of H1 antagonists
block the histamine
responsible for capillary permeability, redness and swelling
H2 antagonists
block histamine associated with gastric acid secretions
What type of antihistamines are chlorphenamine and cetirizine
H1