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19 Cards in this Set

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  • Back

pharmacogenetics

effect on individual due to genetics i.e. metabolism, DNA

pharmacogenomics

effect on population - genetics, lifestyle factors, polypharmacy, diet, sex, age

agonist

bind to and activates receptor in place of endogenous ligand (protein binding to receptor)


can be partial or allosteric (creates some effect due to receptor binding vs effect due to non-receptor binding

antagonist

blocks access to the receptor site to the endogenous ligand


competitive reversible or irreversable & non-competitive

affinity (attraction of the drug to the receptor

high affinity = low concentrations of drug required


low affinity = high concentrations of the drug req to bind any to the receptor


no affinity = no binding

efficacy - intrinsic activity

no effect = no efficacy = antagonist (affinity)




at higher concentrations can have same effect as endogenous compount = efficacy = agonist

maximal drug efficacy

maximum response a drug can produce

competitive (reversible) antagonist

bind to receptor site blocking agonist - competitive and so the agonists may still work if in high enough concentrations - degree of inhibition depends on plasma ratio

irreversible antagonist

target receptor becomes permanantly unvaliable - until receptor is replaced

non competitive antagonist

bind to some other site such as ion channel to inhibit electrostatic binding of receptor and endogenous compound/agonist

pharmacokinetics of drug administration

plasma protein binding and affinity

Acidic drugs bind mainly to albumin

Basic drugs bind mainly to a glyco-protein

lipophillic drugs

have a high affinity to fat, are toxic and are distributed slowly

BBB

Blood Brain Barrier - lipid membrane protecting brain and cerebrospinal fluid from toxins

routes of administration

oral drug administration

sublingual admin (bypassing 1st pass)

comparison of bioavaliability

plasma protein binding and avaliability