Pharmacology Flashcards

1
Q

What is pharmacology?

A

The study of the action of drugs on the function of living systems

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2
Q

What is pharmacodynamics?

A

What the drug does to the body

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3
Q

What is pharmakinetics?

A

What the body does to the drug

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4
Q

What are protein targets for drug binding?

A

Receptors
Ion channels
Enzymes
Transporters

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5
Q

Why do we have receptors?

A

Primarily for the purpose of cell to cell communication

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6
Q

What is a receptor?

A

A recognition molecule for a chemical mediator through which a response is transduced

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7
Q

What is the three parts of the receptor structure?

A

Extracellular domain- ligand binding sites
Transmembrane Domain- Anchors protein in membrane
Intracellular Domain-Interacts with effector mechanisms

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8
Q

What are the steps of signal transduction?

A

Signal
Reception
Transduction
Response

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9
Q

What is an example of a very slow signal receptor?

A

Nuclear receptors

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10
Q

What is a ligand?

A

Any chemical that binds to a receptor

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11
Q

What is an agonist?

A

A drug that binds to a specific site on a receptor, mimics the effect of the endogenous ligand for that site

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12
Q

What is an antagonist?

A

A drug that binds to a specific site on a receptor, blocks the effect of the endogenous ligand on the same or different site as ligand

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13
Q

Do agonists have affinity and efficacy?

A

Yes both

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14
Q

Do antagonists have affinity and efficacy?

A

They have affinity but they lack efficacy

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15
Q

What is affinity?

A

Affinity is a measure of the strength of association between ligand and receptor

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16
Q

What is efficacy?

A

Efficacy is a measure of the ability of an agonist to evoke a cellular response

17
Q

What is an example of a slow signal receptor?

A

Cytokine Receptors

18
Q

What may cause drug variability?

A

Sex
Age
Ethnicity
Liver Function
Pregnancy

19
Q

What is the difference between local and general anaesthetic?

A

General- Loose consciousness and sedates whole body
Local- Sedates a local area and remain consciousness

20
Q

Compare the half life of esters and amides?

A

Esther’s are metabolised quickly which causes a shorter effect (half life)
Amide metabolise slower and have a longer half life

21
Q

What 3 states do Na+ channels exist in?

A

Resting, open and inactivated

22
Q

How does the conduction of a nerve AP come about?

A

Opening of voltage gated Na+ channels, rapid influx of Na+ to depolarise the cell

23
Q

Where do local anaesthetics bind to in the cell?

A

Intracellular side of the Na+ channel

24
Q

How does local anaesthetics prevent Na+ influxes?

A

Blocks channel and stabilises it in inactivated confirmation

25
Q

What does the aromatic group of a local anaesthetic influence?

A

Hydrophobicity of drug

26
Q

What does the amide group of a local anaesthetic influence?

A

The charge on the drug

27
Q

What pKa values do local anaesthetics range from?

A

7.6-9

28
Q

Why are local anaesthetics often given with vasoconstrictors?

A

Less blood loss
Stop going into systematic circulation

29
Q

What are the main things we want to know about the drug?

A

What it does?
Potency
Selectivity

30
Q

What is potency?

A

A measure of the dose of a drug at which it is effective