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