Pharmacokinetics Flashcards

1
Q

Pharmacokinetics vs pharmacodynamics

A

kinetics = what body does to drug
dynamics = what drug does to body

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2
Q

most oral drug absorption occurs in the…

A

small intestine, after gut absorption enters portal vein and travels to liver

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3
Q

First pass metabolism is when….

A

drug extensively metabolized in liver before reaching systemic circulation

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4
Q

Drug absorption, fastest to slowest

A

IV -> SL -> ODT -> immediate-release tablets -> extended release tablet

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5
Q

Enteric coated drug formulations will…

A

limit drug degradation in the stomach

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6
Q

If drug has poor absorption, can increase dissolution rate by…

A

reduce particle diameter which will increase surface area

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7
Q

Poorly soluble drugs are generally…

A

lipophilic = lipid loving

poor systemic absorption

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8
Q

Freely soluble drugs are generally…

A

hydrophilic = water loving

good systemic absorption

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9
Q

Bioavailability is….

A

extent of drug absorption into systemic circulation

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10
Q

How to calculate bioavailability….

A

area under the plasma concentration time curve (AUC)

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11
Q

factors that impact drug distribution include….

A

drug lipophilicity
molecular weight
solubility
ionization
protein binding

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12
Q

Factors that favor greater drug distribution include….

A

high lipophilicity
low molecular weight
unionized status
low protein binding

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13
Q

Primary sites for drug metabolism

A

gut and liver

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14
Q

Phase I metabolism reactions

A

oxidation
reduction
hydrolysis

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15
Q

Phase II metabolism reactions

A

Conjugation

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16
Q

How to increase renal exertion by adjusting urine acidity

A

for weak base = acidify the urine
for weak acid = alkalinize the urine

17
Q

First order elimination is when…

A

constant percentage of drug is eliminated per unit of time

ie 20% of the dose

18
Q

Zero order elimination is when….

A

constant amount of drug is removed per unit of time

ie 20mg no matter the dose

19
Q

Michaelis-Menten kinetics is when….

A

saturable kinetics

have a max elimination based on drug concentration

20
Q

drugs that exhibit Michaelis-Menten kinetics….

A

Phenytoin
theophylline
voriconazole

21
Q

Elimination rate constant equation

A

Cl/ Vd

22
Q

Half life equiation

A

0.693/ ke

23
Q

How many half lives to reach steady state

A

usually about 5

24
Q

How many half lives to eliminate 95% of a drug

A

5

25
Q

Peak and trough levels for therapeutic drug monitoring

A

Peak is 30min after infusion is finished
Trough is right before or 30min before next dose given

26
Q
A