Pharmacokinetics And Pharmacodynamics Flashcards
Drug recpetor interactions Transmembrane signaling Concentration effect curve Tolerance and withdrawal Principles in commonly.used drugs
Pharmacodynamics
The study of biological and physiological effects of drugs and their metabolites
Agonist
Bands to and activates receptor
Antagonist
Binds to receptor, competes with and prevents binding of other molecules
Allosteric activator
Binds to another receptor site and increases response to agonist
Allosteric inhibitor
Binds to another receptor site and decreases response to agonist
Agonists potency depends on
Its intrinsic efficacy Affinity
Full agonist
Produces maximal response even when less than 100% 9f receptors are bound
Partial agonist
Produces submaximal response even when 100% of receptors are occupied
Mechanism of transmembrane signaling
Transporters like P glycoprotein Lipid soluble Substrates of transporters and metabolizing enzymes
Types of tolerance
Innate or acquired
Innate tolerance
predisposition to exhibit drug sensitivity or insensitivity due to pharmacogenetic makeup
acquired tolerance
a consequence of repeated drug exposure, and can be subdivided into three general types based on the prevailing mechanism
3 types of acquired tolerance
pharmacokinetic, pharmacodynamic, or learned.
Pharmacokinetic tolerance
Occurs when drug disposition or metabolism is altered as a function of time, often a consequence of the drug being an inducer or inhibitor of a specific metabolic enzyme or transporter system, resulting in a time-dependent decrease in presentation of the active moiety to the receptor biophase.
Pharmacodynamic tolerance
occurs when the intrinsic responsivity of the receptor system diminishes over time