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Chapter 4: Psychopharmacology
Chapter 4: Psychopharmacology
43
Physiology
Undergraduate 4
10/09/2011

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Term
Pharmacy
Definition
The science of the preparation of drugs
Term
Pharmacology
Definition
Study of the fate of drugs in the body and their actions on the body
Term
Psychopharmacology
Definition
Study of the behavioral effects of drugs
Term
Neuropharmacology
Definition
Study of the effects of drugs on the nervous system
Term
Pharmacokinetics
Definition
The effect of the body on the drug; movement of drugs
Term
Pharmacodynamics
Definition
The effect of the drug on the body
Term
What four factors are involved in pharmacokinetics?
Definition
Absorption, distribution, metabolism, excretion
Term
What influences how well a drug passes through a membrane?
Definition
Concentration-drugs move from high to low concentration
Term
What is the most important factor in movement due to concentration?
Definition
Lipid/water solubility
Term
What is the rule for lipid/water solubility?
Definition
Like dissolves in like: membranes are made up of lipids, so if the drug dissolves in fat, it will dissolve into a membrane to move across it
Term
What are the steps of drug distribution?
Definition
1. Enters the bloodstream
2. Binds to plasma proteins
3. Travels through the body

a4. Site of action (brain)
a5. Desired effect

b4. Accumulation in other tissue
b5. Either toxicity or storage depot
Term
Metabolism
Definition
Any process that chemically changes a drug in the body
Term
What is the major site of drug metabolism?
Definition
Liver
Term
What effects could metabolism have on a drug?
Definition
Make the drug more active or less active, or have no effect on drug activity
Term
During excretion, what does the liver do to a drug?
Definition
Turns it into water soluble molecules and passes them into the urine
Term
What is the major site of drug excretion?
Definition
Kidneys
Term
Dose
Definition
Quantity of drug administered
Term
Dosage
Definition
Administrations of drug per unit of time
Term
What determines the effects of a drug, and what are these effects determined by?
Definition
Concentration of drug at site of action, rate of accumulation at site of action

Dose and pharmacokinetics
Term
Dose-response curve
Definition
Shows the relationship between the dose administered and the response observed
Term
How is a dose-response curve graphed?
Definition
X axis: dose
Y axis: response
Term
Asymptote
Definition
Type of dose-response curve where doses and responses increase together
Term
Curvilinear/biphasic function
Definition
Dose-response curve where doses and responses first increase together, but then the effect decreases
Term
ED50
Definition
Effective dose for half of the subjects tested
Term
LD50
Definition
Lethal dose for half of the subjects tested
Term
Side effects
Definition
Unintended effects that accompany the desired effects
Term
Therapeutic index
Definition
How safe a drug is-shown as the ration of the LD50 to ED50. The greater the ratio, the safer the drug (optimally >100)
Term
Efficacy
Definition
How well a drug can produce a given effect (effect)
Term
Potency
Definition
How much of a drug is needed to produce a given effect (Amount)
Term
Why do drugs vary in their effectiveness?
Definition
1. Drugs may have different mechanisms of action
2. Drugs may have different affinities for the molecules they attach to
Term
Affinity
Definition
How well two molecules bind together
Term
How is tolerance viewed in relation to the brain?
Definition
It is the brains attempt at maintaining it's normal level of functioning
Term
Agonist
Definition
A drug that mimics or increases the effects of a neurotransmitter on the postsynaptic cell
Term
Antagonist
Definition
A drug that inhibits the effects of a neurotransmitter on the postsynaptic cell
Term
Direct agonist
Definition
A drug that binds with and activates a receptor
Term
Direct antagonist
Definition
A drug that binds with a receptor and blocks it; prevents the natural ligand from binding to the receptor
Term
Noncompetitive binding
Definition
The binding of a drug to a receptor, but does not interfere with the binding site for the natural ligand
Term
Indirect agonist
Definition
A drug that attaches to a binding site on a receptor and starts the action of the receptor (noncompetitive)
Term
Indirect antagonist
Definition
A drug that attaches to a binding site on a receptor and interferes with the action of the receptor (noncompetitive)
Term
Down-regulation
Definition
Mechanism of tolerance (agonist); decreases the number of functional receptors
Term
Desensitization
Definition
Mechanism of tolerance (agonist); decrease in receptors' ability to cause changes
Term
Up-regulation
Definition
Mechanism of tolerance (antagonist); increase in number of functional receptors
Term
Sensitization
Definition
Mechanism of tolerance (antagonist); increase in receptors' ability to cause changes
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