Second Year X Flashcards
What is an agonist ?
What is an antagonist?
What is the difference between competitive and non competitive antagonists
Give an example of a drug that is an antagonist
What is non adherence
What is non adherence
What are the two main types of non adherence
Give reasons / examples for each type of non adherence
Give reasons / examples for each type of non adherence
How can a medical professional improve adherence to
Name various ways of administering different medications
Oral
Sublingual
Rectal
Parental
Topical
What are the two types of adherence
Intentional and non intentional
What are the factors doctors need to consider when their choosing an administration route
If a healthcare professional would have to administer it .
If it would be broken down by the digestive system .
Any side effects due to the method .
How predictable the dosing /absorption is .
How fast the drug can take effect once administered.
How easy it is to do .
Patient preference .
Where the drug is needed
How do doctors decide which is the best medication to prescribe .
Diagnosed correctly ?
Patient choice
Cost effectiveness
Other health concerns
Side effects
Benefits >risks
Patient history
Current medications
How are drugs work on enzymes?
The drugs resemble the natural substrates, bind enzymes and cause change in their activity this can either take place by the activation or inhibition of enzymes.
How do drugs affect transport across membranes ?
As cell membranes are selectively permeable and membrane permeability is key to drug absorption,distribution and elimination effectiveness .
How can drugs affect hormones ?
Medicines are effected by the endocrine system by either : inhibiting , stimulating or interacting with hormone receptors and a big example is with fertility.
How can drugs affect transmitter substances?
Drugs can affect the communication between synapses in the brain by disrupting neurotransmission either by acting by or reducing or enhancing synaptic transmission
What is Polypharmacy?
It describes when a patient is taking more than one medication at the same time , and the effect they can have on each other .
What are the three ways that polypharmacy can affect drug action ?
patient factors, disease‐related factors, and healthcare factors.
What is synergistic polypharmacy ?
When two drugs work on the same body system - can be helpful or harmful .
What is antagonistic polypharmacy?
When drugs work against each other or counteract each other .
What are some common foods that interact with medicine ?
Grapefruit
Black liquorice
Alcohol
Milk
Yogurt
Example of synergistic polypharmacy?
Ramipril with amlodipine . Ramipril is an ACE inhibitor and amlodipine is a vasodilator.
Example of antagonistic polypharmacy?
Propranolol with salbutamol . Propranolol antagonises the receptor that salbutamol normally binds to .
What does drug tolerance mean ?
It means when the body has become used to a specific drug and there is less receptors being produced to bind to the medication.
What are the two mechanisms for developing drug tolerance ?
- Decreased binding affinity between a drug and receptor .
- Decrease in the number of receptors
What are the two mechanisms for developing drug tolerance ?
- Decreased binding affinity between a drug and receptor .
- Decrease in the number of receptors