Pharmacology Flashcards
What is the definition of bioavailability?
It is the fraction of given dose that reaches the systemic circulation in an unchanged form
Which factors affect bio availability?
Absorption and first pass metabolism.
If absorption is more by availability, will be more at first past metabolism is more bio availability will be less and vice versa
What does AUC(area under graph) tells us about plasma, concentration versus time graph?
Tells us extent of absorption
Acidic drug binds to which protein and basic drugs bind to which protein?
Acid drugs, bind to albumin and basic drugs, buy into alpha1 acid glycoprotein
Which drugs are acidic?
Aspirin and barbiturates
How to remember that drug is basic?
All the drugs that ends with ‘ine’
Dialysis is done for which drugs?
M- methanol
L- lithium
A- aspirin
What is the formula for volume of distribution? (Vd)
Vd = amount given /plasma, concentration
How to calculate maintenance dose?
MD = clearance x target plasma, concentration
What is the most common reaction in phase 1 reaction of metabolism ?
Oxidation
What is the most common reaction phase to metabolic reactions?
Glucuronidation
Name enzyme inducer drugs?
G - Griseofulvin
P - Phenytoin
R - Rifampicin
S - Smoking
Cell - Carbamazepine
Phone - Phenobarbitone
Name the drugs that are enzyme inhibitors.
Vit - Valproate
K - Ketoconazole
Can’t - Cimetidine
Cause - Ciprofloxacin
Enzyme - Erythromycin
Inhibition - Isoniazid
Which are the drugs that act on CYP3A4?
C - Cyclosporine
T - Tacrolimus
S - Statins
C - CAT (Cisapride, Astemizole & Terfenadine)
A - Amiodarone
N - Navirs
Drugs that act in CYP2D6
2 - Beta blockers
D - antidepressants.
6 - Anti arrhythmic except Amiodarone
Which anti-arrhythmic drug do not act on CYP2D6 enzyme?
Amiodarone
Drugs that act on CYP2C19
Clopidogrel
Drugs that can on CYP2C9
Warfarin
Heparin
Why are PPI avoided with clopidogrel?
Because Roton pump and bitters inactivate the enzyme CYP2C19 which makes the clopidogrel active
If there is poisoning of weak acid in the body such as aspirin, what is the non invasive treatment to be given?
We should make the urine alkaline by adding NaHCO3
Is there is weak base poisoning in the body such as an amphetamine overdose. what is the non invasive treatments to be done?
We should make the urine acidic by giving NH4Cl
Which drug prolongs the action of penicillin by inhibiting tubular secretion?
Probenecid
Half-life is constant in which order kinetics?
First order Kennett
How to calculate half-life (T1/2)?
0.693/k
Where k= Cl/Vd
So, t1/2= 0.693 X Vd/Cl
Majority of drugs follow of which order kinetics?
First order kinetics
Name the drugs that follow zero order kinetics
Zero - zero order kinetics
W - Warfarin
A - Alcohol/Aspirin
T - Theophylline
T - Tolbutamide
Power - Phenytoin
Lineweaver Burke plot also known as
Double reciprocal plot
If the lines intersect at X axis it is which type of inhibition?
Competitive
If the lines are intersecting at Y axis, which type of inhibition is it?
Noncompetitive
What is the shape of log dose response curve?
Sigmoid shape
In log DRC which drug is more potent and which is more efficacious?
H - height tells about
E - efficacy
L - left side drugs are more
P - potent
How to calculate therapeutic index of a drug?
LD50/ED50
Which application is to be submitted for starting clinical trials for a drug?
INDA(in investigational new drug application)
In which phase of clinical trials, is it done in healthy individuals
Phase 1
Essy cannot be tested in which phase of clinical trials?
Phase 1