Pharmacodynamics & kinetics Flashcards

1
Q

Definition of affinity

A

The tendency of a ligand to bind to a receptor

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2
Q

Definition of efficacy

A

The ability of a ligand to produce a biological response.

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3
Q

What is Intrinsic efficacy?

A

The ability of a ligand to generate the active form of the receptor.

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4
Q

What is an agonist?

A

Ligand that creates a response in the receptor

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5
Q

What is an antagonist?

A

Ligand that binds to the receptor but doesn’t create a response.

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6
Q

What is Bmax?

A

The maximum binding capacity.

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7
Q

What is Kd?

A

Concentration of ligand required to occupy 50% of available receptors.

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8
Q

How does Kd relate to affinity?

A

The lower the Kd the higher the affinity.

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9
Q

What is Emax?

A

The maximum response that can be measured.

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10
Q

What is EC50?

A

Concentration of agonist required to produce half of the maximal response

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11
Q

Definition of agonist potency

A

The concentration of a drug that creates 50% of it’s maximal response.

The lower the value of EC50 the more potent the drug.

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12
Q

What is a partial agonist?

A

An agonist that produces a response that is lower than that produced by a full agonist.

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13
Q

What is reversible competitive antagonism?

A

The antagonist binds to the orthosteric site (competitive).

It binds with weak (non-covalent bonds) hence reversibility.

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14
Q

What is Irreversible competitive antagonism?

A

Antagonist binds to orthosteric site.

With strong bonds which are hard to break. (Possibly covalent bonds)

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15
Q

What is non-competitive antagonism?

A

Binding occurs on the allosteric site.

Interaction could be either low or high affinity.

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16
Q

What does a Kd greater than EC50 indicate?

A

That there are spare receptors

17
Q

What is bioavailability?

A

The fraction of a dose that reaches the target body compartment.

18
Q

What factors affect drug absorption?

A

GI Length
Blood flow in GI
Food pH (low pH can destroy some drugs)
First pass metabolism by GI and liver (drug is broken down)

19
Q

How do you calculate bioavailability?

A

Amount reaching systemic circulation / Total drug given IV

This works because in IV 100% of the drug reaches the target.

20
Q

What is volume of distribution (Vd)?

A

A measure of how well a drug penetrates into interstitial and intracellular compartments.

21
Q

How do you calculate Vd?

A

Drug Dose / Concentration of drug in plasma.