Pharmacology Basics: Drug Absorption and Action
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Questions and Answers

What is Absorption?

  • Transport of drugs throughout the body
  • The process of removing substances from the body
  • The process by which drug molecules move to the blood (correct)
  • The ability of tissues to attract drugs
  • Define Affinity.

    The ability of some tissues to attract, accumulate and store drugs in high concentrations relative to other tissues.

    What is the blood-brain barrier?

    Blood vessels that selectively let certain substances enter the brain tissue and keep other substances out.

    What is diffusion?

    <p>The process by which molecules tend to move from an area of higher concentration to an area of lower concentration.</p> Signup and view all the answers

    Define distribution in pharmacology.

    <p>The transport of drugs throughout the body after they are absorbed.</p> Signup and view all the answers

    What are drug-protein complexes?

    <p>Formed when a drug binds reversibly to a plasma protein, making the drug unavailable for distribution.</p> Signup and view all the answers

    What is enterohepatic recirculation?

    <p>Recycling of drugs and other substances by the circulation of bile through the intestine and liver.</p> Signup and view all the answers

    What is enzyme induction?

    <p>The process by which a drug increases the activity of the hepatic microsomal enzymes.</p> Signup and view all the answers

    Define excretion.

    <p>The process of removing substances from the body.</p> Signup and view all the answers

    What is the first-pass effect?

    <p>The mechanism whereby drugs are absorbed into the hepatic portal circulation and are inactivated by the liver.</p> Signup and view all the answers

    What does the fetal-placental barrier do?

    <p>Inhibits many chemicals and drugs from entering the fetus.</p> Signup and view all the answers

    Define the hepatic microsomal enzyme system.

    <p>Liver enzymes that metabolize drugs as well as nutrients, also called the P-450 system.</p> Signup and view all the answers

    What are isozymes?

    <p>Multiple similar forms of an enzyme that perform slightly different metabolic functions.</p> Signup and view all the answers

    What is a loading dose?

    <p>A relatively large dose of a drug given at the beginning of treatment to rapidly obtain a therapeutic response.</p> Signup and view all the answers

    What are maintenance doses?

    <p>The amount of drug that keeps the plasma drug concentration in the therapeutic range.</p> Signup and view all the answers

    Define metabolism.

    <p>The process used by the body to chemically change a drug molecule.</p> Signup and view all the answers

    What is the minimum effective concentration?

    <p>The amount of drug required to produce a therapeutic effect.</p> Signup and view all the answers

    Define pharmacokinetics.

    <p>The study of drug movement throughout the body.</p> Signup and view all the answers

    What is plasma half-life?

    <p>The length of time required for the plasma concentration of a drug to decrease by one half after administration.</p> Signup and view all the answers

    What are prodrugs?

    <p>Drugs that become more active after they are metabolized.</p> Signup and view all the answers

    Define substrate.

    <p>A drug that is metabolized by a CYP enzyme.</p> Signup and view all the answers

    What is therapeutic drug monitoring?

    <p>The practice of monitoring plasma levels of drugs with low safety profiles.</p> Signup and view all the answers

    Define therapeutic range.

    <p>The dosage that produces the desired effects of a drug.</p> Signup and view all the answers

    What is toxic concentration?

    <p>The level of a drug that results in serious adverse effects.</p> Signup and view all the answers

    What is an agonist?

    <p>A drug that activates a receptor and produces the same type of response as the endogenous substance.</p> Signup and view all the answers

    Define antagonist.

    <p>An agent that blocks the response of another drug.</p> Signup and view all the answers

    What is the dose-response relationship?

    <p>The way a patient responds to varying doses of a drug.</p> Signup and view all the answers

    Define efficacy.

    <p>The maximal response that can be produced from a particular drug.</p> Signup and view all the answers

    What is a frequency distribution curve?

    <p>A graphic representation of the actual number of patients responding to a particular drug action at different doses.</p> Signup and view all the answers

    Define idiosyncratic response.

    <p>An unpredictable and unexplained drug reaction.</p> Signup and view all the answers

    What is intrinsic activity?

    <p>The ability of a drug to bind to a receptor and produce a strong action.</p> Signup and view all the answers

    Define margin of safety (MOS).

    <p>The amount of drug that is lethal to 1% of animals divided by the amount that produces a therapeutic effect in 99% of animals.</p> Signup and view all the answers

    What is median effective dose (ED50)?

    <p>The dose of a drug required to produce a specific therapeutic response in 50% of a group of patients.</p> Signup and view all the answers

    Study Notes

    Pharmacological Concepts

    • Absorption: Movement of drug molecules from administration site into the bloodstream.
    • Affinity: Tissues' ability to attract and store drugs in higher concentrations compared to other tissues.
    • Blood-Brain Barrier: Selective permeability of capillary blood vessels, allowing only certain substances to enter brain tissue.
    • Diffusion: Movement of molecules from areas of higher concentration to lower concentration.
    • Distribution: Transport of drugs throughout the body after absorption.

    Drug Interaction and Processing

    • Drug-Protein Complexes: Occur when drugs bind reversibly to plasma proteins like albumin, rendering them unavailable for action.
    • Enterohepatic Recirculation: Recycling process of drugs and substances through bile circulation between intestine and liver.
    • Enzyme Induction: Stimulating the activity of liver microsomal enzymes by a drug.
    • Excretion: Removal of substances from the body.
    • First-Pass Effect: Drugs are metabolized in the liver after absorption, reducing their bioavailability before reaching circulation.

    Biological Barriers and Metabolism

    • Fetal-Placental Barrier: Anatomical barrier that restricts many chemicals and drugs from entering the fetus.
    • Hepatic Microsomal Enzyme System: Liver enzymes, often referred to as P-450 System, involved in drug metabolism and processing.
    • Isozymes: Variants of an enzyme that execute slightly different metabolic functions.

    Dosing Information

    • Loading Dose: Initial large dose for quick therapeutic response.
    • Maintenance Doses: Consistent drug amount that keeps plasma concentration within the therapeutic range.
    • Metabolism: Process of chemically altering a drug within the body, also called biotransformation.

    Drug Concentration and Effects

    • Minimum Effective Concentration: The smallest amount of a drug needed to produce a therapeutic effect.
    • Pharmacokinetics: Study of how drugs move through the body.
    • Plasma Half-Life: Time for the plasma concentration of a drug to reduce by half after administration.
    • Prodrugs: Inactive drugs that become active after metabolism.
    • Substrate: A drug that is metabolized by a specific CYP enzyme.

    Therapeutic Monitoring

    • Therapeutic Drug Monitoring: Monitoring plasma levels for drugs with low safety profiles to predict effectiveness or toxicity.
    • Therapeutic Range: Dosage range producing the desired effects without toxicity.
    • Toxic Concentration: Drug levels that lead to serious adverse effects.

    Pharmacodynamics

    • Agonist: Drugs that activate receptors, mimicking endogenous substances.
    • Antagonist: Agents that block receptor responses to other drugs.
    • Dose-Response Relationship: Patient response to different drug doses.
    • Efficacy: Maximum response achievable by a specific drug.
    • Frequency Distribution Curve: Graphical representation of patient responses at varying doses.

    Unique Responses

    • Idiosyncratic Response: Unpredictable and unexplained reactions to drugs.
    • Intrinsic Activity: Drug's ability to bind to receptors and elicit a strong action.
    • Margin of Safety (MOS): Lethal dose for 1% of animals divided by the dose effective for 99%.
    • Median Effective Dose (ED50): Dose required for therapeutic response in 50% of patients.

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    Description

    This quiz covers essential pharmacological concepts, including drug absorption, affinity, and the blood-brain barrier. Additionally, it explores drug interactions and processing mechanisms such as enterohepatic recirculation and enzyme induction. Test your knowledge on how drugs are distributed, excreted, and interact within the body.

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