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20 Cards in this Set
- Front
- Back
Pharmacokinetics
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To be effective, a drug must reach its site of action
In order to do so, a drug must: 1.Enter the body 2.Enter the bloodstream 3.Be carried to the organs they act on 4.Leave the blood stream 5.Contact the molecules with which they will interact 6.For most of the drugs we will be addressing this also means they must enter the CNS 7.Also once they enter the body, drugs begin to be metabolized (broken down by enzymes and dispersed or eliminated) |
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Routes of Administration: Intravenous
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Injection into a vein
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Routes of Administration: Intraperitoneal
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Injection into a peritoneal cavity
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Routes of Administration: Intramuscular
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Injection into a muscle
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Routes of Administration: Subcutaneous
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Injection beneath the skin
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Routes of Administration: Oral
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Administration into the mouth and swallowed
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Routes of Administration: Sublingual
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Placed beneath the tongue
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Routes of Administration: Intrarectal
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Administration into the rectum
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Routes of Administration: Inhalation
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Vaporous substance into the lung
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Routes of Administration: Topical
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Administration onto the skin
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Routes of Administration: Intracerebral
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Administration directly into the brain
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Routes of Administration: Intracerebroventricular
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Into the cerebral ventricles
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Other Distribution Issues
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Drugs that are lipid soluble pass the blood brain barrier much quicker that drugs which are water soluble
Drugs also often bind with tissues or proteins in the blood, this is known as depot binding Drugs do not remain in the body indefintely Many are broken down by enzymes All are eventually excreted The liver plays an especially active role in the enzymatic deactivation of drugs |
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Sites of Drug Action
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Location of effect
On production of neurotransmitters On storage and release of neurotransmtters On receptors On reuptake or destruction of neurotransmitters (See diagram on page 109) |
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Antagonist
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A drug that opposes or inhibits the effect of a particular neurotransmitter on the postsynaptic cell
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Agonist
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A drug that facilitates the effects of a particular neurotransmitter on the postsynaptic cell
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Serotonin
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Six major pathways from the mid brain looping around the various parts of the brain
Believed to influence a great deal of our behavior, particularly the way we process information Regulates our behavior, moods, and thought processes Low levels associated with aggression, suicide, impulsive overeating, and excessive sexual behavior Although not directly responsible for these behaviors, low serotonin activity may make us more vulnerable to certain problematic behaviors |
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Dopamine
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Implicated in such disorders as schizophrenia - it is thought that in schizophrenia dopamine circuits may be too active
In the two major dopamine pathways in the mesolimbic and mesostriatal regions of the brain dopamine seems to act as a switch that turns on various brain circuits that are then inhibited or facilitated by other neurotransmitters Dopamine circuits merge and cross with serotonin circuits at many points and therefore influence many of the same behaviors Dopamine is associated with exploratory, outgoing, & pleasure seeking behaviors – serotonin is associated with inhibition and constraint, Thus in a since they balance each other |
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Norepinephrine
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Primarily stimulates two groups of receptors called alpha-andrenergic and beta-andrenergic receptors
A number of norepinephrine circuits have been identified – one major circuit begins in the hind brain, in an area that controls basic bodily functions such as respiration Another appears to influence emergency reactions or alarm responses Thus norepinephrine may bear some relationship to states of panic Beta-blockers help regulate hypertension or heart rate |
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Gamma Aminobutyric Acid
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GABA for short, reduces post synaptic activity, which in turn, inhibits a wide variety of behaviors and emotions
Its best known effect is to reduce anxiety The GABA pathways seem to reduce levels of anger, hostility, aggression, and perhaps even positive emotional states such as eager anticipation and pleasure |