semester 1 Flashcards

1
Q

Pharmacokinetics

A

study of how the body affects the drug

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2
Q

4 phases

A

Absorption
Distribution
Metabolism
Excretion

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3
Q

Law of mass action

A

states that the rate of chemical reactions I proportional to the concentration of reacting substances
D+R=DR RT=R+DR

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4
Q

Emax model

A

Emax{D}/EC50+{D}

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5
Q

Therapeutic index

A

TC50/EC50

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6
Q

Pharmacological effect

A

depends on:
active molecule reaching active site
adequate conc at the active site

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7
Q

Enteral administration

A

drug administration via the GI tract e.g.

oral,rectal,sublingual,buccal,nasogastric,nasojejunal,gastrostomy and jejunostomy

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8
Q

Enteral factors

A

Concentration Lipid solubility
Formulation Molecular size
Gastric contents Blood supply

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9
Q

GI tract

A

consists of mouth, oesophagus, stomach, intestines and anus

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10
Q

First pass metabolism

A

when a drug administered via enteral route travels to the liver and its concetration decreases before it reaches systemic circulation

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11
Q

Parenteral administration

A

administration by any other than via Gi tract e.g.

intramuscular(90),intravenous(20),subcutaneous(45), intradermal(5-10)

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12
Q

Bioavailability(F)

A

Its the fraction of drug which reaches systemic circulation unchanged, Iv has a an F of 1/100%
ER-some lost due to first pass metabolism,
F=AUC oral/AUC Iv

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13
Q

Bioavailability(F) factors

A

1)Drug factors 2)Patient factors
Concentration Blood supply
Formulation Motility
Molecular size Absorption surface
Gastric content
Bile

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14
Q

Formulation

A

the process where different chemical substances including the active drug are combined to give a medicinal product

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15
Q

Active ingredient

A

any component of active drug that intends to furnish pharmacological activity

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16
Q

Drug product

A

finished dosage for e.g. tablet

17
Q

Active transport

A

movement of substances against a concentration gradient from an area of low con to an area of high conc, using ATP

18
Q

Facilitated diffusion

A

movement of substances down a conc gradient using a carrier protein

19
Q

Pinocytosis

A

cells engulf liquid droplets by forming vesicles

20
Q

Diffusion

A

movement of substances down a concentration gradient

21
Q

Weak acids

A

Proton donors

HA–>H++A-

22
Q

Weak bases

A

proton acceptors

B+H+–>BH+

23
Q

Pka

A

50% ionised, 50% unionised (drug)
Ka=[H][Weak base]/[weak acid]
pH=pka+log(A/HA) pr pH=pka+log(B/BH)

24
Q

Topical administration

A

1) Local effect- drug applied to the localised area on body surface to prevent systemic side effects ( creams, ointments, sprays and drops)
2) Systemic effect- drug applied to the body surface to provide an alternative route into blood (nicotine patch)

25
Q

Lipophilic

A

Utilises intracellular route
Can dissolve in oils and fats
e.g.ointments

26
Q

Hydrophilic

A

Utilises intracellular route
Attracted and tend to dissolve in water
e.g. creams

27
Q

Transdermal application

A

delivered via the skin for systemic distribution (enter blood) e.g patches

28
Q

Solute carriers

A

Group of membrane transport proteins: uniporter, symporter and antiporter
Organic anion transporter(OAT)- weak acid drugs
Organic cation transporter(OCT)-Weak based drugs

29
Q

ATP binding cassettes

A

They are a transport system superfamily: efflux pump nad p glycoprotein
use ATP

30
Q

ACIDIC DRUGS

A

Highly IONISIED in alkali pH

31
Q

BASIC DRUGS

A

Highly IONISED in acidic pH

32
Q

Bound drugs

A

can bind to plasma proteins.lipids and bone.
However, they remain in the blood, unable to have an effect and cannot be metabolised or excreted
Act as a reservoir when unbound drugs are metablised they can be freed

33
Q

Half-life

A

the time taken for a drug to reach half its concentration

34
Q

Protein binding factors

A

the affinity of the drug to binding sites
Drug concentration
Plasma protein concentration

35
Q

Albumin

A

most important plasma PROTEIN FOR DRUG BINDING
Negatively charged, binds to the acidic drug
High affinity for acidic drugs but has low capacity

36
Q

Volume of distribution

A

Its the apparent volume of drug that disperses in order to produce observed plasma concentration
VD=amount of drug in body (g)/ Plasma conc of drug(g/l)

37
Q

VD factors

A

1)Drug factors 2)Patient factors
plasma binding Age
tissue binding SEX
size Body muscle
charge Level of hydration
pka Water distribution
lipo/hydrophilic