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Lecture 5
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Lecture 5

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Questions and Answers

Which organ is the main site involved in drug metabolism?

  • Heart
  • Kidney
  • Liver (correct)
  • Brain
  • How many phases does drug metabolism go through?

  • Three
  • One
  • Four
  • Two (correct)
  • What is the group of enzymes within the cells of the liver that function to metabolize drugs?

  • Drug Metabolic Ensemble (DME)
  • Metabolic Enzyme Group (MEG)
  • Drug Microsomal Metabolizing System (DMMS) (correct)
  • Hepatic Enzyme Coalition (HEC)
  • Which factor does not alter the drug metabolizing pathway?

    <p>Gender</p> Signup and view all the answers

    Which of the following is not a major site of drug elimination?

    <p>Spleen</p> Signup and view all the answers

    What is the concept used to demonstrate the differences between zero order and first order kinetics?

    <p>Half-life concept</p> Signup and view all the answers

    Which enzyme system utilizes cytochrome P450 enzymes to transform drugs into metabolites through oxidation and reduction reactions?

    <p>Drug Metabolism: Phase I</p> Signup and view all the answers

    What type of metabolism primarily involves oxidation and reduction, yielding slightly polar metabolites that can still be active?

    <p>Phase I (R-OH)</p> Signup and view all the answers

    Where are Cytochrome P-450 Enzymes (3A4) found?

    <p>Both liver and gut lumen</p> Signup and view all the answers

    What is the impact of aging on drug metabolism rate?

    <p>Decreases drug metabolism rate</p> Signup and view all the answers

    What is the time required for the plasma drug concentration to decrease to half of its initial level called?

    <p>Half-life</p> Signup and view all the answers

    Which factor influences the half-life of a drug?

    <p>Volume of distribution</p> Signup and view all the answers

    In a practice scenario, what is used to determine the time it takes to reach a specific plasma concentration of a drug?

    <p>Half-life</p> Signup and view all the answers

    Which type of elimination results in constant elimination rates?

    <p>Zero order elimination</p> Signup and view all the answers

    What is the main process involved in Drug Metabolism: Phase II?

    <p>Methylation and glucuronidation</p> Signup and view all the answers

    What is the effect of neonates/infants on drug metabolism capacity?

    <p>Reduced drug metabolism capacity</p> Signup and view all the answers

    What type of metabolites does Drug Metabolism: Phase II (conjugation) produce?

    <p>Polar, inactive metabolites</p> Signup and view all the answers

    Which enzyme system is responsible for transforming drugs into metabolites through oxidation and reduction reactions?

    <p>Cytochrome P-450 Enzymes (3A4)</p> Signup and view all the answers

    What is the main process involved in Drug Metabolism: Phase II?

    <p>Conjugation</p> Signup and view all the answers

    What factor does not alter the drug metabolizing pathway?

    <p>Elimination kinetics</p> Signup and view all the answers

    Where are Cytochrome P-450 Enzymes (3A4) found?

    <p>Liver</p> Signup and view all the answers

    Which type of metabolism primarily involves oxidation and reduction, yielding slightly polar metabolites that can still be active?

    <p>Phase I metabolism</p> Signup and view all the answers

    What type of metabolites does Drug Metabolism: Phase II (conjugation) produce?

    <p>Water-soluble metabolites</p> Signup and view all the answers

    What is the impact of aging on drug metabolism rate?

    <p>Decreases drug metabolism rate</p> Signup and view all the answers

    Which of the following is not a major site of drug elimination?

    <p>Spleen</p> Signup and view all the answers

    What is the effect of neonates/infants on drug metabolism capacity?

    <p>Reduces drug metabolism capacity</p> Signup and view all the answers

    What is used to determine the time it takes to reach a specific plasma concentration of a drug?

    <p>Half-life</p> Signup and view all the answers

    What is the concept used to demonstrate the differences between zero order and first order kinetics?

    <p>Graphical demonstration concept</p> Signup and view all the answers

    Which type of elimination results in constant elimination rates?

    <p>Zero order elimination</p> Signup and view all the answers

    What is the primary function of Cytochrome P450 enzymes in the Drug Metabolizing Microsome System (DMMS)?

    <p>Transformation of drugs into metabolites through oxidation and reduction reactions</p> Signup and view all the answers

    Which factor contributes to the reduced drug metabolism capacity in neonates/infants?

    <p>High concentration of cytochrome P450 enzymes</p> Signup and view all the answers

    What type of metabolites does Drug Metabolism: Phase I (R-OH) primarily yield?

    <p>Slightly polar metabolites that can still be active</p> Signup and view all the answers

    What is the impact of aging on drug metabolism rate?

    <p>Decrease in drug metabolism rate due to reduced liver blood flow and increased body fat</p> Signup and view all the answers

    Which process is involved in Drug Metabolism: Phase II?

    <p>Methylation and glucuronidation</p> Signup and view all the answers

    Which factor influences the half-life of a drug?

    <p>Volume of distribution</p> Signup and view all the answers

    Where are Cytochrome P-450 Enzymes (3A4) found?

    <p>Systemic circulation</p> Signup and view all the answers

    What type of elimination results in constant elimination rates?

    <p>$Zero-order$ elimination</p> Signup and view all the answers

    What is the main process involved in Renal elimination?

    <p>Distal tubular reabsorption</p> Signup and view all the answers

    What is the concept used to demonstrate the differences between zero order and first order kinetics?

    <p>Michaelis-Menten equation</p> Signup and view all the answers

    In a practice scenario, what is used to determine the time it takes to reach a specific plasma concentration of a drug?

    <p>Area under the plasma concentration-time curve (AUC)</p> Signup and view all the answers

    Study Notes

    • The Drug Metabolizing Microsome System (DMMS) utilizes cytochrome P450 enzymes, which transform drugs into metabolites through oxidation and reduction reactions.

    • Drug metabolism can lead to enzyme induction or inhibition, affecting drug duration of action.

    • Drug Metabolism: Phase I (R-OH) primarily involves oxidation and reduction, yielding slightly polar metabolites that can still be active.

    • Drug Metabolism: Phase II (conjugation) involves methylation, glucuronidation, acetylation, and sulfation, producing highly polar, inactive metabolites for renal excretion.

    • Cytochrome P-450 Enzymes (3A4) are found in the liver, gut lumen, enterocytes, and systemic circulation.

    • Neonates/Infants have a reduced drug metabolism capacity, resulting in slower elimination and prolonged drug duration of action. Conversely, aging causes a decrease in drug metabolism rate due to reduced liver blood flow and increased body fat.

    • Renal elimination involves glomerular filtration, proximal tubular secretion, and distal tubular reabsorption.

    • Elimination kinetics include zero order and first order elimination, where zero-order elimination results in constant elimination rates and first-order elimination follows an exponential decay.

    • Half-life is the time required for the plasma drug concentration to decrease to half of its initial level and is essential for determining drug administration frequency.

    • Half-life is influenced by factors like liver and kidney function, volume of distribution, and clearance, making these essential in calculating drug half-life.

    • In a practice scenario, given a drug's half-life (5 hours) and initial plasma drug concentration (24 mg/L), the time it takes to reach a plasma concentration of 3 mg/L can be calculated. The answer is C. 15 hours.

    • The Drug Metabolizing Microsome System (DMMS) utilizes cytochrome P450 enzymes, which transform drugs into metabolites through oxidation and reduction reactions.

    • Drug metabolism can lead to enzyme induction or inhibition, affecting drug duration of action.

    • Drug Metabolism: Phase I (R-OH) primarily involves oxidation and reduction, yielding slightly polar metabolites that can still be active.

    • Drug Metabolism: Phase II (conjugation) involves methylation, glucuronidation, acetylation, and sulfation, producing highly polar, inactive metabolites for renal excretion.

    • Cytochrome P-450 Enzymes (3A4) are found in the liver, gut lumen, enterocytes, and systemic circulation.

    • Neonates/Infants have a reduced drug metabolism capacity, resulting in slower elimination and prolonged drug duration of action. Conversely, aging causes a decrease in drug metabolism rate due to reduced liver blood flow and increased body fat.

    • Renal elimination involves glomerular filtration, proximal tubular secretion, and distal tubular reabsorption.

    • Elimination kinetics include zero order and first order elimination, where zero-order elimination results in constant elimination rates and first-order elimination follows an exponential decay.

    • Half-life is the time required for the plasma drug concentration to decrease to half of its initial level and is essential for determining drug administration frequency.

    • Half-life is influenced by factors like liver and kidney function, volume of distribution, and clearance, making these essential in calculating drug half-life.

    • In a practice scenario, given a drug's half-life (5 hours) and initial plasma drug concentration (24 mg/L), the time it takes to reach a plasma concentration of 3 mg/L can be calculated. The answer is C. 15 hours.

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    Description

    Test your knowledge of drug metabolism and elimination with this quiz based on the fundamentals of pharmacology. Designed for first year M1 students, this quiz covers the major pathways of drug metabolism and related concepts.

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