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Questions and Answers
Which of the following is NOT one of the three main phases of drug discovery?
Which of the following is NOT one of the three main phases of drug discovery?
- Clinical trial phase (correct)
- Pharmacokinetics phase
- Pharmacodynamics phase
- Pharmaceutical phase
The pharmacokinetics phase of drug discovery includes the disintegration of a pill in the GI tract.
The pharmacokinetics phase of drug discovery includes the disintegration of a pill in the GI tract.
False (B)
List the four main topics that pharmacokinetics addresses.
List the four main topics that pharmacokinetics addresses.
Absorption, Distribution, Metabolism, Excretion (ADME)
The process by which orally taken drugs pass from the mouth, throat, and stomach into the upper and lower intestines is known as drug ___________.
The process by which orally taken drugs pass from the mouth, throat, and stomach into the upper and lower intestines is known as drug ___________.
Match the following processes with their descriptions:
Match the following processes with their descriptions:
Why is a balance of hydrophilic and hydrophobic character required for a drug to be absorbed?
Why is a balance of hydrophilic and hydrophobic character required for a drug to be absorbed?
According to Lipinski's Rule of Five, orally active drugs generally obey at least two of the rules.
According to Lipinski's Rule of Five, orally active drugs generally obey at least two of the rules.
State three of the rules outlined in Lipinski's Rule of Five regarding molecular properties for orally active drugs.
State three of the rules outlined in Lipinski's Rule of Five regarding molecular properties for orally active drugs.
A drug designed to remain in the GI tract is made highly ______ to avoid being absorbed into the bloodstream.
A drug designed to remain in the GI tract is made highly ______ to avoid being absorbed into the bloodstream.
Match the following terms with their definitions.
Match the following terms with their definitions.
According to Veber's parameters, what property of a molecule is considered important for drug absorption?
According to Veber's parameters, what property of a molecule is considered important for drug absorption?
According to Veber's parameters, all rotatable bonds are counted when considering a molecule's effect on drug absorption.
According to Veber's parameters, all rotatable bonds are counted when considering a molecule's effect on drug absorption.
According to parameters discussed, name two factors that would make a drug more easily absorbed in the body
According to parameters discussed, name two factors that would make a drug more easily absorbed in the body
After a drug crosses the gut wall, it enters the ______ and is distributed throughout the body.
After a drug crosses the gut wall, it enters the ______ and is distributed throughout the body.
Match the following:
Match the following:
What is the 'first-pass effect'?
What is the 'first-pass effect'?
The blood-brain barrier allows polar drugs to easily enter the brain.
The blood-brain barrier allows polar drugs to easily enter the brain.
What is the main factor affecting the distribution that prevents polar drugs from entering the brain?
What is the main factor affecting the distribution that prevents polar drugs from entering the brain?
Drugs are seen as ______ chemicals by the body, leading to metabolic processes that modify them.
Drugs are seen as ______ chemicals by the body, leading to metabolic processes that modify them.
Match the processes of metabolism and if they interfere or prevent binding interactions with a traget:
Match the processes of metabolism and if they interfere or prevent binding interactions with a traget:
Why are non-polar molecules modified by enzyme-catalyzed reactions in the liver?
Why are non-polar molecules modified by enzyme-catalyzed reactions in the liver?
Drug metabolites are always more active than the original drug.
Drug metabolites are always more active than the original drug.
Provide one sentence outlining the importance of phase I reactions.
Provide one sentence outlining the importance of phase I reactions.
Cytochrome P450 enzymes catalyze phase I ______ reactions, which are important in drug metabolism.
Cytochrome P450 enzymes catalyze phase I ______ reactions, which are important in drug metabolism.
Match the terms of the metabolic reactions and their definitions.
Match the terms of the metabolic reactions and their definitions.
What is the primary role of cytochrome P450 enzymes in drug metabolism?
What is the primary role of cytochrome P450 enzymes in drug metabolism?
Individuals have the same types and amounts of cytochrome P450 enzymes in their livers.
Individuals have the same types and amounts of cytochrome P450 enzymes in their livers.
How can some drugs affect the activity of cytochrome P450 enzymes and what are the consequences of this interaction?
How can some drugs affect the activity of cytochrome P450 enzymes and what are the consequences of this interaction?
In phase II metabolism, molecules such as glucuronic acid are added to drugs by ______ enzymes.
In phase II metabolism, molecules such as glucuronic acid are added to drugs by ______ enzymes.
Identify drug-drug interactions:
Identify drug-drug interactions:
Why are drugs ideally designed to be resistant to metabolism?
Why are drugs ideally designed to be resistant to metabolism?
The 'first-pass effect' applies to drugs administered by injection or inhalation.
The 'first-pass effect' applies to drugs administered by injection or inhalation.
Mention three routes of drug excretion.
Mention three routes of drug excretion.
Metabolic reactions often increase the ______ of drugs to facilitate their excretion.
Metabolic reactions often increase the ______ of drugs to facilitate their excretion.
Indicate where the following route of excretion occur:
Indicate where the following route of excretion occur:
Why do hydrophobic structures get reabsorbed down the concentration gradient?
Why do hydrophobic structures get reabsorbed down the concentration gradient?
Sublingual administration involves injecting a drug under the skin
Sublingual administration involves injecting a drug under the skin
What is the name of the drug administration method for anti-asthmatics and general anaethetics?
What is the name of the drug administration method for anti-asthmatics and general anaethetics?
The gastrointestinal tract (GIT) consists of the mouth, throat, stomach, and the small and ______ intestines.
The gastrointestinal tract (GIT) consists of the mouth, throat, stomach, and the small and ______ intestines.
Match the method of drug administration and it's features:
Match the method of drug administration and it's features:
Which property makes very polar drugs unlikely to cross-cell membranes?
Which property makes very polar drugs unlikely to cross-cell membranes?
Drugs entering the blood supply through the lungs are largely affected by first-pass metabolism in the liver.
Drugs entering the blood supply through the lungs are largely affected by first-pass metabolism in the liver.
What is meant by the "half life of a drug"?
What is meant by the "half life of a drug"?
In order to achieve slow and constant release of a drug and avoid 'spikes' of blood concentration levels, the drug is delivered through the system of ______.
In order to achieve slow and constant release of a drug and avoid 'spikes' of blood concentration levels, the drug is delivered through the system of ______.
Flashcards
Pharmaceutical Phase
Pharmaceutical Phase
Disintegration of a pill, release of the drug, and its dissolution in the GI tract.
Pharmacokinetics Phase
Pharmacokinetics Phase
Absorption of the drug into the bloodstream and factors affecting its progress to the target.
Pharmacodynamic Phase
Pharmacodynamic Phase
The mechanism through which the drug interacts with its molecular target.
ADME
ADME
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Drug Absorption Balance
Drug Absorption Balance
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Lipinski's Rule of Five
Lipinski's Rule of Five
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Lipinski's Rules
Lipinski's Rules
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Lipinski's Exceptions
Lipinski's Exceptions
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Small Polar Molecules
Small Polar Molecules
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Polar molecule absorption
Polar molecule absorption
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Pinocytosis
Pinocytosis
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Pinocytosis
Pinocytosis
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Veber's Parameters
Veber's Parameters
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Drug Entry
Drug Entry
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Drugs Absorbed Orally
Drugs Absorbed Orally
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Drug Distribution
Drug Distribution
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Drug Metabolism
Drug Metabolism
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First-Pass Effect
First-Pass Effect
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Blood Brain Barrier
Blood Brain Barrier
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Drug Metabolism
Drug Metabolism
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Non-polar molecule modification
Non-polar molecule modification
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Drug Metabolites
Drug Metabolites
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Other Routes of Absorption
Other Routes of Absorption
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Phase I Reactions
Phase I Reactions
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Phase II Reactions
Phase II Reactions
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Cytochrome P450
Cytochrome P450
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Cytochrome P450 Activity
Cytochrome P450 Activity
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Oxidations enzymes
Oxidations enzymes
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Oxidation of 'exposed' alkyl groups
Oxidation of 'exposed' alkyl groups
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Reduction reactions
Reduction reactions
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types of reduction reactions
types of reduction reactions
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Phase II Reactions
Phase II Reactions
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Glucuronic Acid Conjugation
Glucuronic Acid Conjugation
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Sulfate Conjugation
Sulfate Conjugation
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Drug-Drug Interactions
Drug-Drug Interactions
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Metabolism Influences
Metabolism Influences
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St Johns Wort
St Johns Wort
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Routes of Excretion
Routes of Excretion
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Free Blood Drug Analysis
Free Blood Drug Analysis
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Study Notes
Three Phases of Drug Discovery
- Drug discovery includes the pharmaceutical, pharmacokinetics, and pharmacodynamic phases.
- The pharmaceutical phase involves the disintegration of a pill or capsule in the GI tract, including drug release and dissolution.
- The pharmacokinetics phase covers drug absorption into the bloodstream with factors affecting its progress to the target.
- The pharmacodynamic phase is the mechanism by which a drug interacts with its molecular target.
- Several factors determine if a drug reaches its target site.
- Active drugs in vitro might be inactive in vivo.
- Drug design should consider both binding interactions and pharmacokinetics.
- Best binding compounds do not necessarily make the best medicine if drugs cannot reach targets.
- Four main topics in pharmacokinetics are absorption, distribution, metabolism, and excretion (ADME).
Drug Absorption
- Orally taken drugs must pass through the mouth, throat, stomach, upper and lower intestines.
- Drugs must pass unabsorbed to the stomach to avoid breakdown there.
- Acid-resistant pills or capsules can protect drugs in the stomach.
- Drugs go to the upper intestine, past digestive enzymes, for absorption through the gut wall.
- Drugs must cross two fatty cell membranes to be absorbed.
- A balance of hydrophilic and hydrophobic character is needed for absorption.
- Orally active drugs must have the correct balance between water and fat solubility.
- Hydrophilic drugs cannot pass through the fatty membranes of the gut wall.
- Hydrophobic drugs will will not be soluble in the gut and will be surrounded by fat globules
- Amine groups are ideal due to their pKas of 6-8, allowing switching between ionized and nonionized forms.
- A general rule for orally available drugs indicates they usually obey Lipinski's Rule of Five.
Lipinski's Rule of Five
- Drugs are orally active if they obey at least three of the following rules:
- The molecular weight (MW) should be less than 500.
- They should have no more than 5 hydrogen bond donor (HBD) groups.
- They should have no more than 10 hydrogen bond acceptor (HBA) groups.
- The log P should be less than +5, measuring a drug's hydrophobicity.
- Lipinki’s rules are guidelines rather than strict rules and have several exceptions.
Lipinski's Rule of Five - Exceptions
- Drugs for the GI(gastrointestinal) tract can be highly polar so they are not absorbed, such as gut infection antibacterials.
- Small polar molecules (MW < 200) cross the gut wall through small pores between cells.
- Amino acids, nucleic acid bases, and some drugs are carried across the membrane by transport proteins; lisinopril is an example.
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