Principles of Pharmacology Flashcards

1
Q

What is pharmacodynamics?

A

How a drug exerts its effect on the body

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2
Q

List 4 classes of protein drug targets.

A

receptors
enzymes
ion channels
transport proteins

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3
Q

what type of drug target does aspirin work on?

mechanism of action?

A

enzyme
binds to COX
prevents production of prostaglandins

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4
Q

what type of drug target does local anaesthetic work on? mechanism of action?

A

ion channel
blocks Na+ channels
therefore nerve conduction

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5
Q

what type of drug target does prozac (antidepressant) work on? mechanism of action?

A

transport protein
blocks serotonin carrier proteins
prevents removal from the synapse

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6
Q

what type of drug target does nicotine work on? mechanism of action?

A

receptor

binds to/activates nicotinic acetylcholine receptor

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7
Q

Define selectivity.

A

specific to a particular drug target

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8
Q

Peroglide (used to treat Parkinson’s) can have what negative effects at high doses? why is this?

A

hallucinations
hypotension
drug becomes less selective

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9
Q

List examples of drug-receptor interactions.

A

electrostatic
hydrophobic
covalent bonds
stereospecific

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10
Q

drugs that bind and activate receptors are?

A

agonists

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11
Q

drugs that bind and block receptors are?

A

antagonists

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12
Q

The affinity of a drug determines?

A

strength of binding drug to receptor

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13
Q

The efficacy of a drug is?

A

ability of an individual drug molecule to produce an effect once bound to a receptor

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14
Q

What is potency?

A

concentration or dose of a drug required to produce a defined effect (usually 50% tissue response)

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15
Q

When determining dose what is more important: potency or dose?

A

potency

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16
Q

In pharmacokinetic terms, absorption can be defined as?

A

passage of a drug from the site of administration into the plasma

17
Q

Define bioavailability.

A

the fraction of the initial dose that gains access to the systemic circulation

18
Q

List forms of drug administration.

A
intravenous injection
oral 
inhalational
dermal (percutaneous)
intranasal
19
Q

What type of absorption helps insulin access the brain?

A

pinocytosis

20
Q

How do most drugs move across membranes?

A

diffusing across lipid membranes or

via transport proteins

21
Q

List factors that influence tissue distribution.

A

regional blood flow
plasma protein binding
capillary permeability
tissue localisation

22
Q

the amount of drug that is bound to plasma proteins depends on what three factors?

A

free drug concentration
affinity for protein binding sites
plasma protein concentration

23
Q

What is phase 1 and 2 of drug metabolism?

A

introduce reactive group to the drug

add conjugate to reactive group

24
Q

List examples of drug excretion and elimination.

A

lungs
breast milk
kidney (urine)
liver (bile)

25
Q

Define clearance.

A

measure of the ability of the body to eliminate a drug

26
Q

Define elimination half- life.

A

length of time required for the concentration of a particular drug to decreasetohalf of itsstarting dose in the body

27
Q

Define time to peak plasma levels.

A

time required for a drug to reach peak concentration in plasma

28
Q

The faster the absorption rate, the _____ the time to peak plasma concentration.

A

lower