Pharmacology Basics Flashcards
What does pharmacodynamics include?
Site of action
mechanism of action
receptor binding
post-receptor effects
chemical interactions
What can affect pharmacodynamics?
Diseases
Age
Drug-drug interactions
What are the different receptor subtypes?
Enzymes
Ion channels
Membrane receptors
What allows drugs to bind?
Chemical Interaction:
Electrostatic (H+ bonding)
hydrophobic
covalent
stereospecific
What are the 3 drug properties?
Affinity
Efficacy
Potency
What is drug affinity?
How well the drug binds to the receptor
What is drug efficacy?
How well the drug produces the desired effect
What is potency?
Term used to compare the relative affinity of competing drugs
What are the catagories of drugs?
Agonist
Antagonist
What are the different types of antagonists?
Competitive- reversible
non competitive- irreversible binding or binds allosterically
What is an allosteric antagonist?
diminish the agonists ability to bind to a different receptor
What affects the ability of a drug to give its desired effects?
Concentration
What are some of the parenteral routes?
IV
IM
SQ
Inhalation
What does absorption rate determine?
Time to max concentration at the receptor to produce peak effect
What factors affect bioavailability?
Molecular weight of the drug
Drug formulation
Drug stability (especially pH sensitivity)
First pass metabolism (typically in the liver)
Blood flow
Gastric emptying (food slows this process)
Intestinal motility
Drug interactions
What influences drug distribution?
Blood
Total body water
Extracellular fluids
Lymphatic fluids
Cerebrospinal fluids
Protein-binding
What properties help determine that ability of a drug to be distributed to the desired receptor site?
Drug solubility properties
What does hydrolysis break down?
esters, amides, nitriles