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Pharmacology
Everything to do with Veterinary Pharmacology
144
Veterinary Medicine
Undergraduate 2
04/18/2013

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Term
Define: Pharmacology
Definition
The of use, effects and modes of actions of a drug
Term
Define: Pharmacodynamics
Definition
The study of the effects the drugs have on the body
Term
Define: Pharmacokinetics
Definition
The study of what the body does to the drug
Term
What are the two types of drugs?
Definition
Selective
Non Selective
Term
What is a selective drug, and give an example?
Definition
NSAIDs, they drugs only target areas of the body where inflammation is present
Term
What is a non selective drug, and give an example?
Definition
ATROPINE - As they drug not only relaxs muscles in the digestive tract, it also relaxes the muscles in the eyes and respiratory tract.
Term
How do drugs cause their effects?
Definition
They cause their effects by binding with special protein receptors on the surface of the cell
Term
Define: Drug Affinity
Definition
This describes how strongly a drugs has binded to the receptor cell. The stronger the fit the better the affinity the better the effect produced
Term
What is a second messenger?
Definition
Carries the drug from the receptor site to the nucleus of the cell
Term
What does cAMP stand for?
Definition
Cyclic Adenosine Monophosphate
Term
Define: Agonist
Definition
This is a drug which binds to the cell fully and triggers a response from the cell
Term
Define: Antagonist
Definition
This is when a drug binds to the receptor site but the drug affinity is poor, therefore a response is not triggered, these drugs usually block an action
Term
Define:Partial Agonist
Definition
These drugs bind to the receptor site, but the affinity is again poor, therefore only a small response is exhibited.
Term
Give one example of a Agonist (Trade and Generic Name)
Definition
Medetomidine - Domitor
Term
Give one example of a Antagonist (Trade and Generic Name)
Definition
Atipamazole - Antisedan
Term
Give one example of a Partial Agonist (Trade and Generic Name)
Definition
Buprenorphine - Vetergesic
Term
What are the four ways drugs can cause an effect?
Definition
1) Interfering with transmitter substances
2) Interacting with the endocrine system
3) Interacting with the cell channels
4)Interfering with enzyme reactions
Term
Give some examples of a transmitter substance?
Definition
Dopamine
Noradrenaline
Acetylcholine
Seartonin
Term
When drugs interact with the endocrine system, what do they do?
Definition
Mimic the hormone produced by the cell to effect the target organ/cell. Drugs can also bind with hormone secreting cells to enhance or inhibit hormone secretions
Term
Give an example of a type of drug which works by influencing the cell channels
Definition
Calcium Channel Blockers - block clacium from entering the smooth muscle in the arterial wall
Term
Define: Drug Metabolism
Definition
This involves the conversion of one drug entity into another
Term
Define: Drug Excretion
Definition
This involves the loss the drugs from the body
Term
Give three ways in which drugs can leave the body
Definition
Urine - Kidenys
Faeces - Hepatobiliary System
Expiration - Lungs
Term
Drugs can leave the body via urine unchanged or metabolised, true or false?
Definition
True
Term
Some drugs are secreted into the bile via the liver and are then eliminated in the faeces, which system is responsible for this?
Definition
The Hepatobiliary System
Term
What are the main aims of drug metabolism?
Definition
To make the drug more hydrophilic and decrease the bioavailability of the drug making it less active.
Term
What happens in phase one of metabolism
Definition
The drug is either:
Oxidised by adding 02 or taking H
Reduced by adding H or electrons
Hydrolysed by adding h20
Term
Where does phase two of metabolism occur?
Definition
In the Liver
Term
What happens in phase two of metabolism?
Definition
Conjugation with a endogenous substances
Term
What is the process of oxidation catalysed by?
Definition
Cytochrome P450s
Term
Breifly describe first pass metabolism
Definition
When ORAL MEDICATION is taken it is absorbed by the gastrointestinal tract where it tavels via the hepatic protal vein to the Liver where some of the drug is metabolised and eliminted while some is reabsorbed into the systemic circulation, this reduces the bioavlibility of the drug
Term
How do bacteria replicate?
Definition
By conjugation
By Binary fission
Term
Define: Bactericidal
Definition
These drugs kill the bacteria
Term
Define: Bacteriostatic
Definition
These drugs stop the bacteria replicating and leaves the immune system to remove them
Term
What are the two types of antibiotics which work by inhibiting the peptidogylcan production is the cell wall?
Definition
Penicillins

Cephalosporins
Term
What do some bacteria produces which renders penicillin ?
Definition
Penicillinases
B-Lactamases
Term
Give two examples of Benzyl Penicillin
Definition
Crystapen
Depocillin
Term
Are Benzyl Penicillin's broad spectrum or narrow spectrum?
Definition
Narrow spectrum againest Gram +ve bacteria
Term
Give two examples of Aminopenicillins including the trade and generic name
Definition
Amoxcillin (Bimoxyl)
Ampicillin (Ampifen)
Term
Are aminopenicillins broad spectrum or narrow spectrum?
Definition
Broad spectrum
Term
Are bacteria which produce penicillinase, resistant to aminopenicillins?
Definition
Yes
Term
Give an example of a potentiated drug
Definition
Synulox
Term
What are the active ingredients of Synulox ?
Definition
Amoxicillin and Clavulanic acid
Term
Flucloxacillin is resistant to penicillinase, true or false?
Definition
True
Term
Which penicillins are naturally resistant to penicillinase?
Definition
Oxacillin
Dicloxacillin
Cloxacillin
Term
Why do we add a adjuct to pencillin?
Definition
Pencillin is absorbed and secreted rapidly, therefore by adding a adjuct the rate of absorption can be slowed down
Term
What adjucts do we add to pencillin?
Definition
Procaine
Benzathine
Term
What are the limitations of Penicillin?
Definition
Destroyed by stomach acid
destroyed by penicillinase
Can cause hypersensitivity
Mainly effective againest gram + bacteria
Term
What are the clinical uses of penicillin?
Definition
Skin and soft tissue infections
bone and joint infections
bronchitis
Endocarditis
Term
Give an example of a cephalosporin
Definition
Cephalexin
Term
Which two groups of drugs inhibit protein synthesis within bacteria?
Definition
Tetracyclines
Aminoglycosides
Term
Give three examples of Tetracylines
Definition
Doxycyline
Oxytetracycline
Chlortetracycline
Term
Which tetracyline causes oesophagititous in cats?
Definition
Doxycyline
Term
Are Tetracylines Bacteriostatic or Bactericidal?
Definition
Bacteriostatic
Term
What is the main side effect which owners should be informed of with tetracylines?
Definition
That when given to young animals they can cause discolouration of the teeth and bones
Term
Why should Clindamycin not be given to small furries?
Definition
Because it causes Enterotoxaemia
Term
What is chloramphenicol used for for?
Definition
Ophthalmic Infections
Term
What do we use Lincomycin to treat commonly?
Definition
Bone and Joint Infections
Term
Give three examples of Aminoglycosides
Definition
Gentamicin (Tiacil)
Amikacin
Streptomycin (Duphapen+strep)
Term
What are the main side effects of Aminoglycosides?
Definition
Nephrotoxicity and Ototoxicity
Term
Which group of antibiotics affect cell membranes?
Definition
Polymixins
Term
How do polymixins cause an effect on the bacteria?
Definition
They embed themselves in the cell membrane causing distortion
Term
Give an example of Polymixins
Definition
Surolan
Term
Why should Polymixins not be used if the tympanic membrane is ruptured?
Definition
As these drugs are potentially ototoxic
Term
Which drugs inhibit RNA/DNA synthesis in the bacterium?
Definition
Fluroquinolones
Term
Give two examples of Fluroquinolones
Definition
Enrofloxacin
Olfloxacin
Term
What is the danger with giving Baytril to a young animal?
Definition
This drug can cause cartilage abnormalities in growing animals
Term
What should you never use fluroquinolones with and why?
Definition
They should never be used with NSAIDs because adverse CNS effects have been noted
Term
Which type of antibiotic interferes with folate the enzyme needed for the synthesis of DNA/RNA?
Definition
Sulphonamides
Term
Give an example of a Sulphonamide
Definition
Sulfadiazine
Term
What is Sulfadiazine often potentiated with?
Definition
Trimethoprim (trimacare)
Term
What does MIC stand for?
Definition
Minimum Inhibitory Concentration
The lowest concentration of drug needed to inhibit the growth of bacteria
Term
What are the four things that drugs of the gastrointestinal system focus on?
Definition
Emesis
Gastric Secretions
Motility of Intestines
Bile formation
Term
Which hormones regulate HCL production?
Definition
Gastrin
Acetylcholine
Histamine
Term
What inhibits the secretion of hCL and how?
Definition
Prostaglandins inhibit the secretion by stimulating the release of Mucus and Biocarbonate production
Term
What do Parietal cells respond to?
Definition
Gastrin Receptors
Muscarnic receptors
H2 Receptors
Term
In practice when would a gastric acid inhibitor be used?
Definition
Gastric or Duodenal Ulcers
Reflux Oesophagitis
Zollinger Ellison Syndrome
Term
Give two examples of Histamine H2 Antagonists
Definition
Cimetidine (Tagamet)
Ranitidine (Zantac)
Term
What are some common side effects of Histamine H2 Antagonists?
Definition
Hepatotoxicity
Nephrotoxicity
Thrombocytopenia
Hypotension
Cardiac Arryhmias
Term
What does Cimetidine inhibit and how does it work?
Definition
It inhibits Cytochrome P450s and slows metabolism
Term
Give an example of a Proton pump inhibitor and state its trade name
Definition
Omeprazole - Gastrogard
Term
How do Antacids work?
Definition
These work by raising the pH of the stomach and neutralizing gastric acid
Term
Give three examples of Antacids
Definition
Magnesium Hydroxide
Magnesium Trisilicate
Sodium Bicarbonates
Term
What do we use with antacids to treat reflux oesophagitits and why?
Definition
Alginates as they increase the adherence of mucus to the oesophageal mucosa
Term
Give three examples of Mucosal Protectors and their trade names (if applicable)
Definition
Bismuth Chelate
Sucralfate (antepsin)
Misoprostol (Cytotec)
Term
How does Bismuth Chelate work?
Definition
Absorbs Pepsin
Enhances Prostaglandins
Enhances Bicarbonate
Term
How does sucralfate work?
Definition
Prevents the degradtion of mucus and stimulates its production
Term
How does Misoprostol work?
Definition
Stimulates mucus and bicarb production
Term
What are Antiemetics?
Definition
Drugs given to inhibit the vomiting reflex
Term
What is the trade name for Maropitant?
Definition
Cerenia
Term
What is the trade name for Metaclopramide ?
Definition
Emeprid / Maxolon
Term
Which antiemetic is licensed for dogs, cerenia or maxolon?
Definition
Cerenia
Term
What receptor does cerenia work on?
Definition
Neurokin 1 receptor antagonist in the medullary vomitting centre
Term
What receptor does Maxolon work on?
Definition
Dopamine receptors in the chemoreceptor trigger zone in the medulla
Term
What are some of the side effects of metoclopramide?
Definition
Depression
Twitching
Restlessness
Term
What is the function of a purgative?
Definition
To increase the rate of transit of food through the intestines
Term
Give an example of a bulk laxitive
Definition
Bran
Term
How does Bran work as a bulk laxitive?
Definition
Promotes Peristalsis and Retains water
Term
Give an example of a osmotic laxitive
Definition
Lactulose
Term
How does Lactulose work?
Definition
By maintaining water in the intestinal lumen by osmosis
Term
Give an example of a Faecal Softner
Definition
Docusate Sodium (Detergent)
Term
Whats is the function of a Stimulate Purgative?
Definition
They increase the water and electrolyte secretion and increase peristalsis
Term
Give three examples of Stimulate Puragtives
Definition
Bisacodyl
Sodium Picsosulfate
Senna
Term
Gives two examples of Antidiarrhoeals
Definition
Loperamide (Immodium)
Bismuth Subsalicylate
Term
Which drugs do we use when treating Inflammatory Bowl Disease
Definition
Glucocorticoid
Sulfasalazine
Metronidazole
Term
What are the three main actions of NSAIDs ?
Definition
1) Anti-inflammatory
2) Analgesia
3) Anti-pyretic
Term
What enzyme do NSAIDS inhibit?
Definition
Cyclo-oxygenase Enzyme
Term
Where is the Cox-1 enzyme found and what is it involved in?
Definition
Found in most body tissues and is involved in homeostatsis
Term
Where is the Cox-2 enzyme found and what is it involved in?
Definition
Found when inflammatory cells are activated and are responsible for inducing inflammatory mediators
Term
What happens when a NSAID inhibits the COX-1 enzymes as well as the COX-2 enzymes?
Definition
Side effects occur
Term
Which Cox enzymes needs to be inhibited for an Anti-inflammatory effect to take place?
Definition
Cox-2
Term
What substances sensitises the pain receptors?
Definition
Prostaglandins
Term
What action does a NSAID have on Prostaglandins?
Definition
It decreases the production of them
Term
How do NSAID's have a anti-pyretic effect?
Definition
They reset the brains thermoset to the correct temperature
Term
What are the common side effects of NSAID use?
Definition
GI disturbance
Skin Reactions
Renal Disease
Liver Disease
Term
When can't Metacam (Meloxicam) be used?
Definition
In patients that are dehydrated, hypotensive, pregnant or younger that six weeks old
Term
What is the trade name for Carprofen?
Definition
Rimadyl
Term
What is the generic name for previcox?
Definition
Fibroxib
Term
What secretions do the medulla of the adrenal glands secrete?
Definition
Noradrenaline
Adrenaline
Term
What secretions does the cortex of the adrenal gland secrete?
Definition
Steroids
Term
What are the three types of Steroid?
Definition
Glucocoticoids
Mineralcorticoid
Adrenal Sex Steroids
Term
What are the functions of Glucocoticoids?
Definition
Raising BS levels
Control of electrolyte balance
Anti-inflammatory response
Suppress Immune Response
Term
Name a Mineralcorticoid
Definition
Aldosterone (regulating the balance of water in the body)
Term
What are the two most common Adrenal Gland Disorders
Definition
Cushings Disease
Addisons Disease
Term
Name a Phenothiazine
Definition
Acepromazine
Term
How does ACP work?
Definition
Blocks Dopamingic transmission in the brain
Term
Give a example of a Butyrophenone
Definition
Hypnorm
Term
Give two examples of Benzopdiazepine?
Definition
Diazepam (Valium)
Hyponovell (Midazolam)
Term
How do Benzopdiazepines work?
Definition
Enhances GABA in the central nervous system
Term
What is the technical terms for Sedatives ?
Definition
Alpha2 Agonists
Term
Give an example of a sedative
Definition
Domitor
Term
Three examples of Barbiturates
Definition
Thiopentone Sodium
Methohexitone Sodium
Pentobarbitone Sodium
Term
Two examples of a steroid anaesthetic
Definition
Alphaxalone
Alphadolone
Term
Alphaxalone
Alphadolone
Both are insoluble in water and dissolve in which solvent instead?
Definition
Cremephorel
Term
Why should Alphaxalone and Alphadolone not be used in dogs?
Definition
Because the solvent releases Histamine which causes hypotension in dogs
Term
Why should Propofol not be given in a iv rapid bolus?
Definition
As it can cause apneoa
Term
Why must you combine Ketamine with another drug when using it?
Definition
On its own it can cause muscle rigidity making surgery hard
Term
What drugs could you use with Ketamine?
Definition
Domitor
Ketamine
Term
When must ketamine not be used?
Definition
In animals with cardiac problems as this drug has a stimulatory effect
Term
Give two examples of Inhalation gases
Definition
N02 and Cyclopropane
Term
Give several examples of Volatile agents
Definition
Halothane
Isoflurane
Sevoflurane
Term
Describe the cylinder that contains oxygen
Definition
Black cylinders with white necks
Term
What is the 2nd gas effect?
Definition
This is when the drug is very insoluble in blood and leaves the alvelous quickly, therefore the remaining gases increase in concentration
Term
What is diffusion Hypoxia?
Definition
When n02 is turned off levels in the blood are higher than in the alveolar and therefore the n02 returns to the alveolar quickly, diluting the 02 there and causing the patient to inspire hypoxic gas
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