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9 Cards in this Set
- Front
- Back
hydrophilic drug metabolism
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drug --> kidney --> urine
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hydrophobic drug metabolism
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drug --> liver --> hydrophilic metabolite --> kidney --> urine
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esters (local anesthetic) metabolism
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hydrolyzed by esterase in blood
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location of cytochrome P450 system
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smooth ER of hepatocytes
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hydrophobic drug two stage metabolism
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phase I: oxidation/reduction to make more polar
phase II: conjugation reactions to make more polar |
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cytochrome P450 enzymes
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non-specific substrates
bind lipid soluble compds more easily CYP3a in intestinal mucosa metabolizes some drugs |
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dilantin (anticonvulsive)
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upregulates CYP 450 causing metabolism of warfarin
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allopurinol + mercaptopurine
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prevents mercaptopurine metabolism
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factors that influence drug metabolism
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liver disease (cirrhosis, hepatitis) red metabolism
cardiac disease reduces blood perfusion to liver malignant hyperthermia (triggered anesthetics) |