Pharmacokinetics- Metabolism Flashcards

1
Q

What is Metabolism?

A

A process that renders lipid-soluble and non-polar compounds to water-soluble and polar compounds, so that they are excreted by various processes.

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2
Q

What happens to lipid soluble substances in metabolism?

A

Are passively reabsorbed from renal or extrarenal excretory sites into the blood.

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3
Q

Define Biotransformation

A

Chemical transformation of xenobiotics in living organisms.

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4
Q

Biotransformation is needed for:

a. Detoxification
b. Protect the body from injected toxins.
c. Both

A

C. Both

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5
Q

Xenobiotics are….

A

Chemical substances found in living organisms that aren’t naturally produced

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6
Q

The 4 Functions of Biotransformation are:

Hint: PPLT

A
  1. Pharmacological inactivation
  2. Pharmacological activation
  3. Lethal synthesis
  4. Toxicological activation or Bioactivation.
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7
Q

Difference between Pharmacological inactivation (PI) and Pharmacological activation (PA).

A

PI - Conversion of an active drug to inactive or less active metabolite.

PA - Conversion of an inactive drug (pro-drugs) to active metabolite.

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8
Q

What is a Pro-drug?

A

Inactive drug that undergoes metabolism to become an active metabolite.

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9
Q

Difference between Toxicological activation and Lethal synthesis.

A

Toxicological activation - Conversion of an active drug to more active metabolite.

Lethal synthesis - conversion of an inactive to more active metabolite.

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10
Q

Pharmacological inactivation example

A

Phenobarbitone to pHydroxyphenobarbitone

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11
Q

Toxicological activation example

A

Codeine to Morphine

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12
Q

Pharmacological activation example

A

Phenacetin to Paracetamol

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13
Q

Explain ‘No change in pharmacological activity’

A

Conversion of an active drug to equally active metabolite.

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14
Q

Explain ‘Change in pharmacological activity’

A

Conversion of an active drug to active metabolite, but different pharmacological activity.

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15
Q

Major site of drug metabolism is the….

A

Liver

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16
Q

What happens in Phase I of Metabolism?

A

A functional group is generated.

A parent drug is converted to a more polar metabolite by introducing or unmasking small polar functional groups of molecules.

17
Q

Name some Phase I reactions.

A

Oxidation
Reduction
Hydrolysis

18
Q

Phase I results in…

A

Activation, Change or Inactivation of drug.

19
Q

What happens in Phase II of Metabolism?

A

An endogenous radical is conjugated.

Attachment of polar endogenous molecules to the functional group of unchanged drugs

20
Q

Example of endogenous molecule

A

Glucuronic acid

Amino acids