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43 Cards in this Set

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What is pharmacology ?

The study of drugs & their actions and effects on living systems

What is the study of how the drug works?

Pharmacodynamics

Dynamics :


D :


Drugs

What is the study of how the body affects the drug?

Pharmacokinetics

Kintetics


K :


AffeKts / aKts

Define drugs.


2 parts.

‘Any substance or product that is used tomodify or explore physiologicalsystems of pathological states for the benefit of the recipient’ ‘Any substancethat acts on living tissue’


What is the "indicator" ?

The condition or disease for which a drug is prescribed.

What are the (4) elements of pharmokinetics.

Absorption


Distribution


Metabolism


Excretion

ADME=Sad facebook guy

What are contraindications?

The diseases or conditions where a drug should not be used e.g. pregnancy is a contraindication for many drugs.

What are pharmacological effects?

The effects of the drug.

What are drug intereactions ?

When two drugs compete with, interfere, cancel each other out, or cause a side effect in combination e.g. warfarin and aspirin

Where do drugs come from? (5) Try give an example of each.

1. Micro-organisms (fungi is antibiotics)


2. Humans & other animals (insulin)


3. Minerals (iron)


4. Substances synthesised in labs (anti-depressants)


5. Plants (cocaine, morphine)

What are the three characteristics of useful drugs?

potent (small but punchy)


selective (act on a particular tissue or receptor or process)


specific



PSS

What are the (4) ways drugs are named?

1. Chemical.


2. Generic. Group name/family name. Drug surnames. e.g. benzodiazepines


3. Approved. Also called "non-propriety/generic". Active ingredient. e.g diazepam


4. Trade. Proprietary or brand name. E.g. valium.

What is the pregnancy safety categorisation?

A, B1, B2, B3, C, D, X




^ A being okay for fetas, X being thalidomide

What does parenteral mean?




What is the formulation?

Injections. (though tech mean anything outside of oral)




Solution.



What are the (10) ways drugs can enter the body?

Parenteral (injection)


Rectal


Oral


Vaginal


Intranasal


Sublingual


Otic (ear)


Transdermal


Opthalamic (eye)


Topical

PROVISO TOT.

What are the formulations of oral administration?

Tablet, capsule, syrup

What are the formulations of vaginal administration?

Pessaries

1. What are the advantages of oral administration? (4)




2. What are the disadvantages of oral administration? (2)



1. natural, uncomplicated, convenient, removable




2. Slow response, irregular absorption

What is the excipient?

The inert binding material that binds the compact powder in tablet

What are sustained-release preparations?

Tablet is formulate in such a way that it slowly releases into the G.I tract e.g resin, another layer, resin etc THEN drug

What are controlled-release preparations?

Drugs/tablets constructed in a way where their release is consistent along the G.I tract an between users

What are enteric coated tablets?

Tablets coated in a substance which protects the tablet/substance from being released within the stomach acids

1. What takes place in sublingual administration?


2. What does this method avoid? (2)

1. The application of the drug to the inguinal mucous underneath the tongue


2. Bypasses the hepatic portal system & avoids mixing with gastric juices/food

1. Why would a drug be administered topically?


2. What are three examples?

1. For local or systemic effects.


2. Patch, pessaries, intranasal spray

1. What are the advantages of rectal drug administration?


2. What are the disadvantages?


3. What are (2) rectal administrations?

1. Good for people with difficulties swallowing, nausea, vomiting


2. Difficulties administering


3. i) suppository (rectal mucosa) ii) enema (also 4 causing bowl motion)

1. What are the advantages of parenteral drug administration? (2)


2. What are the disadvantages? (3)


3. What are some examples (3)?

1. Alternative to oral, much faster.


2. Problems administering, invasive, nonrecoverable


3. Subcutaneous, intramuscular, intravenous

1. What is a dosage regime?


2. What is its aim?


3. What type of ratios exist? (4)

1. The amount + frequency of drugs administered.


2. To achieve therapeutic effects whilst avoiding toxicity


3. Fixed, variable, max dose tolerated or repeated

What are (5) things that alter drug dosage?

1. Age


2. Body weight


3. Pregnancy


4. Other drugs


5. Smoking

What is the definition of therapeutic range?




What does it lie between?



range of drug concentrations having a high probability ofcausing desired therapeutic effect & a low probability ofcausing toxic effects




Lies between minimum therapeutic concentration + minimum toxic concentration

How is the therapeutic index calculated?

When are drugs safe?

Give a bunch to mine - see at what amount 50% die & and what amount is there benefit.

When they have a small therapeutic index.

What is volume of distribution?




e.g. of this!

Theoretical volume


Distribution gets bigger the more areas the drug can enter e.g. just in plasma = distribution is the same volume as plasma (5L). In bones? Distribution greater.




E.G women have less volume of distribution for alcohol because we have less water more fat

1. What is the definition of drug clearance?


2. How does this help calculate dose?

1. The volume of blood cleared irreversibly of a drug per unit of time / how quickly it is eliminated


2. determines the rate required to keep the dose at therapeutic levels

What is drug 1/2 life time?


What is it a determinant of? (3)

- the time for the plasma or blood concentration of drugto decrease by one half


- 1) duration of action of drug after single dose2) time taken to reach steady state concentration3) dosing frequency

[drug] = 1000 mg/l at 0 hr


[drug] = 500 mg/l after 4 hr




*[] = concentration

How many doses does it take a drug to get into steady state concentration?

4 to 5

1. What is the definition of drug absorption?


2. What determines absorption/whether a drug can cross cell membranes @ sites? (2)

1. Passage of a drug from its site of administration into plasma


2. i) nature of absorbing surface. ii) chemical structure of drug (fat soluble better).

1. What is the definition of drug distribution?


2. What are the only drugs that can have an effect?

1. transfer of drug between locations (via blood)


2. "free" drugs / those without charge.

1. What is the definition of drug metabolism? (2)


2. What does this do to drugs?

1. i) enzyme modification of drug molecules ii) start of the elimination process


2. metabolism of drugs by the liver renders drugs hydrophilic(not lipid soluble)

What is bioavailability? What is it expressed as?

amount of drug that is available to the body to produce a therapeutic effect




As a %

1. What is the definition of drug excretion?

1. irreversible loss of unchanged drug or metabolite from bodyeg) in urine

1. What do drugs act on in our body?


2. What via?


3. What do they bind to?

1. DNA


2. Chemical reaction


3. Protein molecules (primary drug targets)

What are the (4) main primary drug targets/protein molecules concerned in drugs?

1. carrier molecules


2. enzymes


3. ion channels


4. receptors

1. What are receptors?


2. What is a ligand?

1. a group of proteins that are drug targets


2. Part of the drug molecule that binds to the receptor

1. How do drugs act on receptors?


2. What is an agonist?


3. What is an antagonist?

1. By binding to them either on the cell membrane or to receptors within the cell in the cytosol


2. Agonist = drug that binds to the receptor and activates it (full or partial).


3. One that binds and blocks our own chems from binding aka beta-blockers