Pharmacokinetics and Pharmacodynamics Flashcards

1
Q

What is pharmacodynamics?

A

What drug does to body

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2
Q

What is pharmacokinetics?

A

What body does to drug

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3
Q

What are the stages of pharmacokinetics?

A
Liberation
Absorption
Distribution
Metabolism/biotransformation
Excretion
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4
Q

How is lipid solubility of a drug measured?

A

Partition coefficient (P) = [drug]chloroform/[drug]water

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5
Q

What is the equation for the dissociation of a weak acid?

A

HA H+ + A-

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6
Q

What is the equation linking pH and pKa for a weak acid?

A

pH - pKa = log([A-]/[HA])

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7
Q

What is the equation for the dissociation of a weak base?

A

BH+ B + H+

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8
Q

What is the equation linking pH and pKa for a weak base?

A

pH - pKA = log([B]/[BH+])

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9
Q

What is the meaning of pH = pKa?

A

50% of drug ionised

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10
Q

What is the key difference between gastric/intestinal administration and sublingual/rectal administration?

A

Gastric/intestinal drug reaches liver before blood - first pass mechanism
Sublingual/rectal drug enters blood directly

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11
Q

What is bioavailability (F)?

A

Extent of therapeutically-active drug reaching systemic circulation

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12
Q

What are the steps affecting bioavailability?

A
Incomplete drug release from formulation
Enzymatic degradation in stomach
Not absorbed
Destroyed by gut wall
Destroyed by liver - first pass metabolism
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13
Q

Which graph can bioavailability be determined from and how?

A

Plasma conc against time

Area under curve

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14
Q

What are the stages of drug excretion from kidney?

A

Glomerular filtration
Tubular secretion
Tubular reabsorption

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15
Q

What is first order elimination kinetics?

A

Drug conc decreases exponentially with time
Elimination proportional to conc
T0.5 constant

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16
Q

What is zero order elimination kinetics?

A

Drug conc decreases linearly with time
Elimination independent of conc
Constant elimination rate - no T0.5

17
Q

What is the main human biotransformation system?

A

Cytochrome P450 oxidases - on smooth ER