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51 Cards in this Set

  • Front
  • Back

2 functional areas of pharmacology:

1. pharmacokinetics


2. pharmacodynamics

1. absorption


2. distribution


3. metabolism

pharmacokinetics

absorption 2 primary routes:

1. enteral administration


2. parental administration

through the alimentary canal (GIT)

enteral administration

oral


sublingual


rectal

enteral administration

not through the alimentary canal

parental administration

inhalation


injection (IV, IM, intra-arterial, subcutaneous)


topical (ointment)


transdermal (patch)

parental administration

fast absorption (peripheral veins)

intravenous injection

deltoid


vastus lateralis


g. max (low absorption of increase fat)

intramuscular injection

diagnostic procedure (dangerous d/t increase pressure)

intra-arterial injection

local response (allergic to drugs)

subcutaneous injection

drug molecules that will always bind to a specific protein

distribution (pharmacokinetics)

albumin

distribution (pharmacokinetics)

most abundant serum protein

albumin

made in the liver

albumin

distribution (pharmacokinetics)


Ex. Warfarin

99.5% protein bound

bioavailability

distribution (pharmacokinetics)

percentage of drug molecule that reaches the blood stream

bioavailability

bioavailability


ex. 100g aspirin= 50g

50% bioavailability

process of breaking down of the drug molecules

metabolism

first pass

metabolism

liver-> "enzyme" for breakdown

first pass

the drug molecule before entering into the systemic circulation it should pass first the LIVER

first pass

decreasing the effect of the drugs

Liver enzyme

Liver enzyme


decreasing the effect of the drugs


ex.

inderal=70% effect (bioavailability)

inactive - active form

Liver enzyme

inactive - active form


ex:

prodrug

main site: kidneys

elimination (Pharmacokinetics)

half-life

elimination (Pharmacokinetics)

amount of time required for the remaining 50% of drug molecules to be elimated

half-life (elimination)

ex.


half of biogesic 2 hrs


half of antibiotics 3 hrs

half-life (elimination)

action of the drugs on the body

pharmacodynamics

2 drug receptors in pharmacodynamics:

1. agonist drugs


2. antagonist drugs

bind to a specific receptor + activate / stimulate

agonist drugs (pharmacodynamics)

bind to a specific receptor + block/ deacivate

antagonist drugs (pharmacodynamics)

medication for GERD:

1. proton pump inhibitor (PPI)


2. Histamin 2 (H2) receptor blocker


3. antacids

inhibit the H+, K+, ATPase enzyme

proton pump inhibitor (PPI) (GERD)

proton pump= responsible for the formation of the gastric acid

H+, K+, ATPase enzyme

blocks the production of the gastric acid

proton pump inhibitor (PPI) (GERD)

medication ending in "-zole"

proton pump inhibitor (PPI) (GERD)

ex.


omeprazole


pantaprazole


lansoprazole

proton pump inhibitor (PPI) (GERD)

inhibits the H2 receptors

Histamin 2 (H2) receptor blocker (GERD)

stimulates a specific receptor from the parietal cell to increase the release of the gastric acid

H2 receptors

decrease the release of the gastric acid

Histamin 2 (H2) receptor blocker (GERD)

medication ending with "-tidine"

Histamin 2 (H2) receptor blocker (GERD)

ex.


ranitidine (zantac)


cimetidine (tagamet)


famotidine (pepcid)

Histamin 2 (H2) receptor blocker (GERD)

neutralizes the gastric acid

antacids

antacid + HCL=

H2O+ salt

Ex.


maalox


mylanta


tums

antacid

lower cholesterol by inhibiting HMG-COA reductase

statin

statin drug report t the doctor if:

(+) muscle pain