polymorphism Flashcards
exam 1
first phase once a drug has been taken
distribution phase
how to estimate the volume distribution
backstrapolate
interdose fluctuation
to reduce this we can give the same total dose in a day but more frequent
example: if the dose is 5000 once day we can break it into two 250 doses
vitamin/ supplements can interfere with what?
vitamin interferes with absorption
Example: think about grapefruit and its interaction with cardiovascular medication
aminoglycoside:
absorption
not absorbed orally
aminoglycoside:
distribution:
- low lipid solubility
- little protein binding
- volume distribution is small
aminoglycoside
metabolism
none
aminoglycoside
excretion
primarily renal
gentamicin, tobramycin, amikacin
aminoglycoside
aminoglycoside:
half life
upper limit of kidney function
2-4hr
BCHE deficiency and prolonged neruomuscular blockade
succinylcholine
acetylation status and neurotoxicity
isoniazid
G6PD deficiency and hemolytic anemia
animalarials
Genetic polymorphims [2]
- SNPs
2. Indels–> insertions and deletions
pro-drug anti-platelet drug
clopidrigel (plavix)