Principles of Pharmacology Flashcards
What makes a drug a ‘medicine’?
The intention of being given with therapeutic effect
What is a drug?
A chemical compound that produces biological effects
What is the term for drug substances that are already present in the body? Give two examples.
Endogenous
- Insulin
- Adrenaline
What is the 4-step pathway for discussing and studying the pharmacological effects of a drug?
- Pharmacodynamics
- Pharmacokinetics
- Clinical Uses
- Adverse effects and Contraindications
Define Pharmacodynamics
The drug’s mechanism of action upon the body
Define Pharmacokinetics. Include an explation of the ADME acronym
The body’s mechanism of action upon the drug.
Absorption-Distribution-Metabolism-Excretion.
What is the difference between Adverse Effects and Contraindications?
Adverse Effects are the non-theraputic, unwanted physiological effects of the drug.
Contraindications are the physiological/social/psychological factors in the patient that act as reasons NOT to prescribe the drug
What are the primary and secondary pharmacodynamic effects of Aspirin/NSAIDs?
- Analgesic
- 2 Anti-pyretic (anti-fever)
- 3 Anti-inflammatory
- Anti-platelet aggregation
Describe the pharmacodynamic mechanism of Aspirin
- Inhibits Cyclooxygenase (COX)
- COX catalyses Arachidonic Acid into Prostaglandings and Thromboxanes
Describe the 4 main physiological roles of Prostaglandins
- Sensitise pain nerve endings
- Dilates blood vessels (redness/inflammatory)
- Increases blood vessel permeability (swelling of Int. fluid comp)
- Induces fever
Describe the main physiological role of Thromboxanes
Induces increased platelet-aggregation
Drugs often act at ________ which are expressed only in selective tissues, and have the correct chemical structure to bind the drug.
Receptor Sites
Name three key effects of drug action as perpetuated by the ‘receptor site’ system.
Tissue Selectivity
Chemical Selectivity
Action Amplification (even at v. Small concentrations)
What name is given to the type of drug in which the drug binds to a receptor but DOES NOT induce a biological effect?
Antagonist
Define an ‘Agonist’ drug.
A drug which binds to a receptor to produce a biological cellular response
Draw a diagram to show the steps and relationship between drug ‘affinity’ and ‘efficacy’ in both agonists and antagonists.