Pharmacology Flashcards

1
Q

define saturable binding

A

all the sites of a receptor can be filled with drugs, finite binding sites. when all sites are filled, there is no further response

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2
Q

how is total binding defined

A

by high affinity and low affinity binding sites and a non-specific linear component partition. High affinity shows sharp binding.

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3
Q

On rate K on versus off rate K off

A

Kon-2nd order rate at which drug binds to receptor, dependent on concentration
Off rate-First order rate at which drug unbinds, not dependent on concentration

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4
Q

How is half life affected if clearance increases or decreases or distribution volume

A

Half life is increased by an increase in the volume of distribution and increased by a decrease in the rate of clearance

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5
Q

parameters of pharmacokinetics/ what governs the concentration of drugs in the plasma

A

bioavailability(area under the curve)
distribution volume
halflife
clearance

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6
Q

concentratio of drug at plasma is used to show conc of drug at receptor

A

true. Plasma concentration can be easily measured

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7
Q

Define bioavailability

A

How much of the drug taken up by the body reaches the plasma, area under the curve

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8
Q

A drug applied directly into the bloodstream by IV has 100%bioavailability. True/false

A

true. all the amount of the drug enters the plasma

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9
Q

What is the area under the curve

A

integral of plasma concentration over time. Relates amount of drug Q to the clearance Cl
Peak of curve shows max concentration at tmax

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10
Q

Hepatic First pass efffect

A

reduces bioavailability of the drug eg a pill administered goes through absorption in the intestines, metabolism in the liver by biotransformation enzymes, elimination in the gall bladder before going into the plasma/systemic circulation

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11
Q

What does the rea under the curve compare

A

different routes of administraation eg iv versus pill

Different drugs. drug A and B

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12
Q

How do you reach steady state

A

when clearance equates the amount of drug you’re applying

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13
Q

4 waters in distribution volume

A
interstitial water
plasma water
transcellular water
intracellular water
deep fatty layer. clearnace occurs when drug is unbound
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14
Q

Elimination time constant is the slope in the semilogarithmic scale

A

Total clearance divided by distribution volume. The bigger the distribution volume eg into deeper compartments, the longer it takes for the elimination of the drug to be complete. The faster the clearance the faster the elimination of the drug.

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15
Q

amount/initial concentration gives

A

distribution volume.

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16
Q

elimination time constant is also called

A

halflife. follows first order kinetics. rate of elimination depends on drug concentration. Time after which the drug has reached 50% of its initial concentration

17
Q

After 4 to 5 half lives you almost eliminate the drug fully. True/false

A

true

18
Q

How does halflife depend on distribution volume and clearance?

A

Halflife increases with distribution volume and decreases with clearance

19
Q

Halflife does not depend on dose

A

true. different doses, but halflife remains the same

20
Q

O order kinentics

A

elimination rate is independent of the conc of drug eg ethanol. The enzyme alcohol dehydrogenase is saturated

21
Q

Where does biotransformation take place

A

in the liver, preparing substances for elimination. Enzymes eg CYP are highly inducible eg by smoking hence can change a lot. There is a high individual variance. Has drastic consequnces on bioavailability

22
Q

In the case of super fast metabolism, you don’t reach therapeutic level. True/fsle

A

true

23
Q

consequence of dysfunctional biotransformation enzymes

A

increased half life of drug/inc time course in plasma which may lead to toxic levels

24
Q

1st order kinetics are dependent on drug concentration. True/false

A

true