Pharmacology Chapter Review
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Drug Elimination in Alkaline Urine

The process by which a drug is removed from the body through urine that has a higher pH than normal.

Enzyme Inhibitor

A substance that slows down or prevents the activity of an enzyme, a protein that catalyzes chemical reactions in the body.

Drug-Drug Interaction: Synergism

When two drugs taken together produce an effect greater than the sum of their individual effects.

Noradrenaline Receptor

A receptor that can be activated by the neurotransmitter noradrenaline, involved in regulating various bodily functions.

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Isoproterenol Action

A drug that directly activates beta-adrenergic receptors, leading to effects like increased heart rate and bronchodilation.

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Drug Elimination in Acidic Urine

The process by which a drug is removed from the body through urine that has a lower pH than normal.

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Adrenaline: Local Hemostatic & Nasal Decongestant

A hormone and neurotransmitter that acts as a local hemostatic (stops bleeding) and a direct-acting catecholamine used as a nasal decongestant.

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Bioavailability

The proportion of a drug that reaches the systemic circulation in an unchanged form after administration.

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Drug-Drug Interaction: Pharmacokinetic

Interactions that affect the absorption, distribution, metabolism, or excretion of drugs, influencing their concentration in the body.

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Intrathecal Route of Administration

The administration of a drug directly into the spinal cord, typically used for treating pain or specific neurological conditions.

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Drug-Drug Interaction: Pharmacodynamic

Interactions that affect the drug's action at the receptor, cell, enzyme, or organ level, leading to altered drug effects.

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Drug Conjugation

A process in drug metabolism where a drug is coupled with an endogenous substrate, such as glucuronic acid, to enhance excretion.

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Drug Half-Life (t1/2)

The time it takes for the concentration of a drug in the body to decrease by half during elimination.

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Drug Bioavailability Explained

The percentage of a drug dose reaching the systemic circulation in its original form, indicating its absorption and first-pass metabolism.

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Drug Agonist

A drug that binds to a receptor and initiates a cellular response, producing a specific effect.

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Dopamine & Adrenaline Receptor Activation

A drug that stimulates both dopaminergic (D1 & D2) and adrenergic (alpha & beta) receptors, leading to various effects on the nervous system and body.

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Drug-Drug Interaction: Chemical Antagonism

An interaction where two drugs combine to form an inactive compound, reducing or eliminating their effects.

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Nasal Decongestant: Adrenaline

Adrenaline, a potent catecholamine, is used as a nasal decongestant to constrict blood vessels in the nasal passages, relieving congestion.

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Pharmacodynamics

The study of the effects of drugs on the body, including their mechanisms of action and how they interact with cellular processes.

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Dual-Acting Adrenergic Drugs: Tachyphylaxis

Drugs that stimulate both alpha and beta-adrenergic receptors and can lead to a rapid decrease in their efficacy with repeated or continuous use.

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Bioavailability: Importance

Knowing a drug's bioavailability helps determine appropriate dosage, predict absorption, and understand the impact of first-pass metabolism.

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Noradrenaline Release Enhancement: Amphetamine

Amphetamine indirectly stimulates the release of the neurotransmitter noradrenaline, leading to increased alertness and energy.

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Isoprenaline Receptor Activation

Isoprenaline selectively activates beta-adrenergic receptors, causing effects like increased heart rate, bronchodilation, and relaxation of smooth muscles.

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Drug Excretion: Alkalinization of Urine

Altering the urine pH to a more alkaline state can enhance the excretion of weakly basic drugs, making them less potent and faster to eliminate.

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Cumulative Effect: Toxicity

The accumulation of a drug in the body over time due to repeated administration, potentially leading to toxic reactions.

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Adrenaline Metabolism: MAO & COMT

Adrenaline is broken down by the enzymes monoamine oxidase (MAO) and catechol-O-methyltransferase (COMT), regulating its activity and preventing excessive effects.

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Local Anesthetic Duration Prolongation: Adrenaline

Adrenaline is often combined with local anesthetics to constrict blood vessels, slowing their absorption and extending their action.

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Drug Biotransformation Outcome

Drug biotransformation often results in the formation of metabolites that are less potent, more water-soluble, and easier to excrete from the body.

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Drug Interaction: Additive Effect

When two drugs with the same effect, taken together, produce an effect equal in magnitude to the sum of their individual effects.

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Enzyme Inducer

A substance that increases the activity of enzymes involved in drug metabolism, potentially leading to faster drug breakdown and reduced effects.

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Study Notes

Pharmacology Review Questions

  • Drug Elimination in Urine: Sulfonamide is eliminated in alkaline urine, while amphetamine is eliminated in acidic urine.

  • Enzyme Inhibitors: Tobacco smoking is an enzyme inhibitor.

  • Drug Interactions: Combining drugs can lead to drug accumulation, synergism (enhanced effect), tachyphylaxis (rapid decrease in drug response), or tolerance (resistance to drug's effect).

  • Noradrenaline Receptors: Noradrenaline can activate both alpha and beta receptors, not just one type.

  • Isoproterenol Action: Isoproterenol is a sympathomimetic drug acting directly on beta-adrenergic receptors.

  • Local Hemostatic/Nasal Decongestant: Adrenaline is a local hemostatic, nasal decongestant, and direct-acting catecholamine.

  • Bioavailability: Bioavailability refers to the fraction of an uncharged drug reaching the systemic circulation after administration, regardless of the route.

  • Drug-Drug Interaction Types: Pharmacokinetic interactions affect absorption, biotransformation, distribution, and excretion.

  • Drug Administration Routes: The intra-thecal route is preferred for administering drugs directly into the spinal cord.

  • Conjugation: Conjugation is the process of coupling a drug with an endogenous substrate, such as glucuronic acid.

  • Drug Half-Life (t 1/2): The half-life (t1/2) is the time needed for a drug in plasma to reduce by half during elimination.

  • Agonist Definition: An agonist is a drug that binds to a receptor and initiates specific effects(changes in cell function.)

  • Chemical Antagonism Definition: Chemical antagonism is when one drug combines with another to form an inactive compound.

  • Additional Pharmacology Terms and Definitions: The remaining questions cover various pharmacology concepts, including drug actions, mechanisms of action, drug interactions, clinical uses, and more. These details are crucial for comprehensive drug knowledge.

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Test your knowledge in pharmacology with this comprehensive review quiz. Topics include drug elimination, enzyme inhibitors, drug interactions, and the action of sympathomimetic drugs. Perfect for students looking to prepare for exams or strengthen their understanding of pharmacological principles.

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