Pharmacokinetics Flashcards

1
Q

Ionisation of weak drugs are given by the equation

A

pH=pKa +log [conc. of ionized drug]\ [conc. of unionised drug]

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2
Q

Weak acids are ionized in

A

Alkaline medium

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3
Q

Weak basic drugs are ionized in

A

Acidic medium

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4
Q

Which can’t cross lipid membranes
Ionized or unionised drugs,why?

A

Ionized,coz of its charge (polarity)
Lipids(non polar)

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5
Q

Aspirin is absorbed more in gastric or intestinal medium,why?

A

Gastric medium=acidic=unionised=diffusion through lipid membranes

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6
Q

Atropine is absorbed in gastric or intestinal medium, why?

A

Atropine=basic drug
Intestinal medium=basic=unionised= diffusion through lipid membranes

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7
Q

Ion trapping

A

Is when a weak electrolyte crossing a membrane to encounter a ph from which it is not able to escape easily.

E.g: Aspirin –gasrtic mucosal cell damage

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8
Q

Weak acidic/basic drugs are ph______

A

Dependent

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9
Q

Weak acidic drugs e.g

A

Weak- Warfarin
A- Antiepileptic(phenobarbiton, phenytoin
C- Chlorothiazide
I -Ibuprofen & Aspirin
D- Dopamine pro drug- levodopa

Or
PAPS

Phenobarbiton
Aspirin
Penicillin
Salfadiazine

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10
Q

Weak basic drugs

A

ACE as in pokemon
(Mostly ends with -ine)
Atropine
Chloroquine
Ephedrine

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11
Q

Intracellular ph

A

7.0 -7.4

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12
Q

Plasma pH

A

7.35-7.45

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13
Q

Bioavailability

A

Refers to rate and extent of absorption of a drug from a dosage form administered by any route.
OR
It is a measure of the fraction of administered dose of a drug reaching the systematic circulation in the unchanged form

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14
Q

Bioavailability is determined by

A

Concentration-time curve in blood or by its excretion in urine

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15
Q

Low bioavailability of orally administered drugs

A

1- incomplete absorption
2-absorbed drug any undergo first pass metabolism in intestine or liver or be excreted in bile.

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16
Q

Bioequivalence

A

Two preparation of drugs are said to be bioequivalent when rate and extent of bioavailability of the active drug from them is not significantly different under suitable test conditions

17
Q

Contains of tablets and capsules other than active drug

A

Diluents, stabilizing agents,binders, lubricants

18
Q

Differences in bioavailability may rise due to

A

Disintegration -breaking into individual particles of active drug

Dissolution rate - in aqueous gastrointestinal contents

19
Q

Practical significance of bioavailability variation

A

For
1- drugs with low safety margin-Digoxin
2- where dosage needs precise control - oral hypoglycemics,oral anticoagulant
3- may be responsible for success or failure of an antimicrobial regimen

20
Q

Extant of distribution of a drug and its pattern of tissue distribution depends on

A

+lipid solubility
+Ionisation at physiological ph
+Presence of tissue specific transporter
+Difference in regional blood flow

21
Q

Apparent volume of distribution V

A

The volume that would accommodate all the drugs in the body,if the concentration throughout was as same as in plasma

22
Q

Apparent volume of distribution V, equation

A

V=dose administered i.v/plasma concentration

23
Q

Name some lipid insoluble drugs

A

Streptomycin,
Gentamicin

24
Q

Do lipid insoluble drugs enter cells

25
V of lipid insoluble drugs are
Approximates extra cellular fluid volume
26
V of streptomycin, gentamicin
0.25L/kg, Approximated in extracellular fluid volume, Lipid insoluble drugs
27
V of drugs extensively binded to plasma proteins
Low~.15L/kg Restricted to vascular compartments, Diclofenac and warfarin
28
Example of drugs extensively binded to plasma proteins
Diclofenac, Warfarin
29
Large value of V means
Large quantity of drugs are present in extra vascular tissue
30
V of digoxin, propranolol, morphine
Digoxin=6 L/kg Propranolol=4 l/kg Morphine= 3.5 l/kg Drugs sequestrated in other tissues
31
In case of poisoning,drugs with large volume of distribution are[ easy or not easy] to remove by hemodialysis,why?
Not easy, Coz most are sequestrated to other tissues and plasma concentration is low
32
Pathological states which can alter V
Congestive heart failure, Uraemia, Cirrhosis of liver
33
Redistribution of drugs
Highly lipid soluble drugs>>firstly to high perfusion organs >>then to low perfusion organs>> therefore low plasma conc. >> drug withdrawn from high perfusion sites
34
Acidic drugs bind to
Albumin
35
Basic drugs bind to
Alpha1 acid glycoprotein