Pharmacodynamics Flashcards
*Principals of Pharmacodynamics
- what a drug does to the body*- how a drug interacts with a specific receptor and triggers a change in biological regulation
the biochemical, physiological, or clinical changes that occurer in response to a drug
*How do drug interactions induce or inhibit a response?
Cells receive multiple stimulatory and inhibitory messages simultaneously–these are interpreted through second messengers
also, by the type of receptor they bind to (agonist or antagonist)
*Importance of the receptor in drug selectivity
Mitigates side effects of the drug being used
*Types of receptors
Transmembrane ion channels
Transmembrane receptor enzymes
GPCR
Cytosolic-nuclear receptors
Types of Drug-receptor interactions
- ) Agonists- activity is increased, leads to function in cell
- ) Partial agonists- drug that cannot produce a full response regardless of concentration
- ) Inverse agonists- activity decreased, can stabalize receptors in the inactive state
- ) Competitive antagonists- binding to receptor does not initiate a response, compete w/ agonist for active site
- ) Noncompetitive antagonists- drug binds receptor and does not produce an effect–allosteric sites: site other than active site that when bound blocks the agonist from binding to active site
*Therapeutic Window Definition & Clinical application
def- doses of a drug which elicit a therapeutic response without toxicity
application- this is the range in which we want the steady state of a drug to remain, the drug is most effective and does not raise any potential threats in regards to toxicity to the body.
*Therapeutic Index
Definition & Clinical application
Quantifies the therapeutic window, provides a relative safety margin of a drug
the greater the TI the safer the drug