Therapeutics- Unhelpful Lectures Flashcards

1
Q

What are unlicensed drugs?

A

Drugs that are no licensed for use in the UK
May be used if the clinical need cannot be met by a licensed medicine
Rare in practice- specialists only

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2
Q

What are off-label drugs?

A

Drugs being used for reasons other than their licensed use

This includes a different indication or a different dose

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3
Q

What do the letters of the DRUG mneumonic stand for?

A

Doctors- prescribed medicines
Recreational drugs- inc. tobacco and alcohol
User- Drugs obtained by the user- OTC and complementary therapy
Gynaecological- OCP and hormone therapy
Sensitivities- Any reactions to drugs?

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4
Q

What are the four main goals of good prescribing?

A

Maximise effectiveness
Minimise harms
Avoid wasting healthcare resources
Respect the person’s choice

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5
Q

What is affinity?

A

The probability that a drug will be occupying a receptor at any given time

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6
Q

What is selectivity?

A

The degree to which a drug acts on a specific given site relative to other sites

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7
Q

What is efficacy

A

Relative ability of a drug receptor complex to produce a functional response

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8
Q

What is potency?

A

Measure of the drug activity expressed in terms of the amount required to produce an effect of given intensity. More potent drugs cause effect at lower concentrations

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9
Q

What is tolerance?

A

Response reduces over prolonged period of taking the drug

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10
Q

What occurs when a person stops taking a drug after they have developed tolerance?

A

Withdrawal reaction

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11
Q

What is an on-target response?

A

Drug intended to modulate the function of a specific receptor in a particular tissue

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12
Q

What is an off-target response?

A

Drug and/or metabolites modulate the function of a target for which it was not intended

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13
Q

What is the CHM?

A

Commission for human medicines

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14
Q

What is the MHRA

A

Medicine and Health Care Regulatory Agency

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15
Q

What is an ADR?

A

Adverse drug reaction
Response to a drug which is noxious and unintended and which occurs at doses normally used in man for the prophylaxis, diagnosis or therapy of disease or the modification of physiological function

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16
Q

What is a type A drug reaction?

A

Augmented reactions

These are dose dependent and predictable on the basis of pharmacology of the drug

17
Q

What is a type B drug reaction?

A

Bizarre reactions that are idiosyncratic and not predictable

18
Q

What is the yellow card scheme?

A

This is for reporting ADRs
Includes suspected ADRS associated with misuse, overdose, medication errors or from use of unlicensed and off-label medicines

19
Q

What does the black triangle mean of some drugs?

A

This indicates it is a new drug/vaccine and so encourages reporting of ADRs

20
Q

What are controlled drugs?

A

These are drugs under strict regulation under the Missuse of Drugs Regulations (2001) as they may be subject to abuse