Pharmacology Flashcards
Pharmacokinetics
- the way drugs move through the body; how drugs are handled in the body
- Absorption, distribution, metabolism, elimination of drugs
Absorption
Manner by which drug molecules travel from site of administration, across cell membranes and into the circulatory system. This is affected by pH, blood flow, body surface area, contact time at the absorption surface and tissue thickness.
Distribution
Means by which the drug travels from circulatory system across barrier membranes to the site of action. Affected by drug’s properties, protein binding, and anatomical barriers.
Metabolism
Process involving the conversion of active drugs to a compound that can be easily removed or the conversion of prodrugs to active drugs.
Elimination
Process by which a drug is removed from the body. Drugs are eliminated by the kidney, lung and bowel. Effecting drugs elimination include disease states, a drugs ionization, drug interactions and drugs half life.
Bioavailability
Rate and extent to which active ingredients or active entity is absorbed from a drug product and becomes available at the site of action.
Bioequivalence
Rate and extent of absorption of an active ingredient from a drug product so that it becomes available at its site of action
NTI: Narrow Therapeutic Index
Drugs for which small differences in dose or blood concentration may lead to dose and blood concentration dependent, serious therapeutic failures or adverse reactions.
Characteristics of NTIs
- steep drug dose-response relationship within the usual dose range or narrow span between effective drug concentrations and those associated with toxicity
- subject to therapeutic monitoring to ensure safe/effective use
Example of NTI drugs
- warfarin
- levothyroxine
- carbmazepine
- lithium carbonate
- digoxin
- phenytoin
- theophylline
Biosimilars
Biological products that are “interchangeable”; classified as not similar, similar, highly similar, and highly similar with finger-print like similarity. PURPLE BOOK lists products
Pharmacodynamics
The effect drugs have on the body; drug’s effects on the body
What drug classification is indicated in the treatment of asthma?
B2 agonists