Pharmacodynamics Flashcards

1
Q

Study of detailed MECHANISM OF ACTION by which drugs produce their pharmacologic effects

A

Pharmacodynamics

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2
Q

Pharmacodynamics is the relationship between

A

Drug concentration
Site of action

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3
Q

Receptors are also known as

A

Substrates

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4
Q

Specific molecules in a biological system with which DRUGS INTERACT to produce change

A

Receptors

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5
Q

It is the BIOLOGIC SITE of action

A

Receptors

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6
Q

Are receptors selective or non-selective

A

Selective

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7
Q

Ability of the drug molecule to BIND

A

Affinity

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8
Q

Ability of the drug to GENERATE AN IMPULSE

A

Intrinsic activity

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9
Q

It is the CAPACITY TO BIND
Have AFFINITY and INTRINSIC activity

A

Agonist

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10
Q

Capable of FULLY ACTIVATING the effector organ
Produce ALL EXPECTED EFFECTS

A

Full agonist

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11
Q

Example of full agonist

A

Opioids-morphine

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12
Q

Produce LESS THAN FULL effect when receptors are saturated
Acts as ANTAGONIST with full agonist

A

Partial agonist

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13
Q

Have more AFFINITY to the INACTIVE SITE

A

Inverse agonist

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14
Q

Example of partial agonist

A

Tramadol
Bucrenorphine

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15
Q

Example of inverse agonist

A

Benzodiazepine

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16
Q

Roles of receptors

A

Determine quantitative relationship of drug dose concentration and pharmacologic effects
Responsible for selectivity of drug action
Meditate actions of pharmacologic effect

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17
Q

Has affinity WITHOUT intrinsic activity

A

Antagonist

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18
Q

2 agonists in DIFFERENT receptors=opposite effects

A

Physiological antagonism

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19
Q

Physiological antagonism has no

A

Direct effect

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20
Q

Example of physiological antagonism

A

Epinephrine during anaphylaxis

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21
Q

2 drugs to SAME receptor

A

Pharmacologic antagonism

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22
Q

Example of pharmacologic antagonism

A

Dobutamine and propanolol

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23
Q

INACTIVATION due to chemical interaction

A

Chemical antagonism

24
Q

Example of chemical antagonism

A

Heparin overdose- Protamine sulfate
Dimercaprol- Lead poisoning

25
A British anti lewisite
Dimercaprol
26
ALTERATION of pharmacokinetic parameters
Dispositional or pharmacokinetic interaction
27
Example of dispositional or pharmacokinetic interaction
Activated charcoal and ipecac for poisoning
28
Antagonist binds in NON-COVALENT LINKS
Reversible-competitive
29
Example of reversible antagonism
Naloxone Flumazenil
30
Antagonist binds in COVALENT LINKS
Irreversible/non-competitive
31
Aspirin is irreversible inhibitor of Organophosphate is irreversible inhibitor of Prasugrel is irreversible inhibitor of
COX Acetylcholinesterase P2Y12 receptors
32
Agonist in high concentrations can DISPLACE
Competitive antagonism
33
August in high concentrations CANNOT DISPLACE
Non-competitive
34
Hypothesis of Clark follows what law
Law of mass action
35
The pharmacological effect friends on the PERCENTAGE OF RECEPTORS Must have AFFINITY ALL receptors occupied=MAXIMUM effect
Hypothesis of Clark
36
Effectiveness last as long as the receptor is OCCUPIED
Occupation theory Hypothesis of Ariens and Stephenson
37
Effectiveness does not depend in occupation but on the ATTACHMENT of the drug
Hypothesis of Paton Rate theory
38
The most COMMON FIT into the receptor
Lock and key hypothesis
39
Drug will BIND to the ACTIVE SITE of protein
Target-protein meditate
40
Proteins/biomolecules that form CELL FRAMEWORK/CYTOSKELETON
Structural proteins Example mitotic agents
41
Ability to REGULATE cellular activity or function
Regulatory proteins
42
Conduct changes in ELECTRICAL SIGNALS Movement of IONS
Voltage-gated channels
43
Cell membrane proteins with SPECIFIC BINDING SITES which undergo conformational changes Movement of IONS (SPECIFIC)
Carriers
44
Biological CATALYSTS
Enzymes
45
What receptors have TRANSPORTERS
Ligand-gated ion channel
46
Role of ligand-gated ion channel
REGULATE movement of IONS and produce action
47
Gs Gi Gq
Stimulatory to adenylyl cyclase = increase camp Inhibitory = decrease Releases phospholipase c = release of calcium in SR
48
What is the receptor involved Gs Gi Gq
B1 Tachycardia M2 Bradycardia A2 Contraction
49
Role of G-protein coupled or Metabotropic
REGULATE activity of ENZYMES
50
Role of enzyme linked
Binds with RNA POLYMERASE and REGULATE expression of HORMONES
51
Regulates movement of calcium
Parathyroid hormone
52
Example of an ADH
Vasopressin
53
Role of gene transcription
Cell growth and differentiation
54
No relationship towards drug and protein mechanism
Non target-protein mediated
55
What non target-protein is MANNITOL
Colligative mechanism
56
What non target-protein are ANTACIDS
Direct chemical Acid-base neutralization
57
What non target-protein are ANTIDOTES
Direct chemical Complexation/Chelation