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HTH 378 Chapter 5 Actions of Drugs
Drugs
77
Health Care
Undergraduate 3
02/19/2013

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Term
Most drugs come from ____ or are ____ ____ __ _____
Definition
plants, chemically derived from plants
Term
Three types of names
Definition
chemical, generic, brand
Term
Chemical name
Definition
complete chemical description of the molecule
Term
Generic name
Definition
Official (legal) name, listed in the United States Pharmacopoeia (USP)
Term
Brand name
Definition
Specific drug or formulation trademarked by manufacturer. Can be patented for 20 years.
Term
Five categories of drugs
Definition
Stimulants
Depressants
Opioids (narcotics)
Hallucinogens
Psychotherapeutics
Term
marijuana
Definition
can be stimulant, hallucinogens
Term
Nicotine
Definition
can cause stimulant and depressant properties
Term
Cannibus
Definition
anything that contains THC like Marijuana, hash, and hashish
Term
Three parts of stimulants
Definition
Increase heart rate
Stay awake longer
Increase body functions
Term
Two parts of depressants
Definition
Slow down body functions
By definition, all narcotics are depressants but not all depressants are narcotics
Term
Opiods
Definition
Primary role is to reduce pain
Term
Hallucinogens
Definition
Causes you to hallucinate
Auditory
Visual
Tactile (touch)
Term
Psychotherapeutics
Definition
Example: mood changing substances like anti-depressants
Normally prescribed for mental health issues
Term
It is important that both legal and illicit drugs be identifiable
Definition
by appearance
Term
The Physician’s Desk Reference (PDR)
Definition
includes color photographs of many legally manufactured pharmaceuticals
Term
Illegal drugs are sometimes shaped, marked, or packaged in an ______ way
Definition
identifiable
Term
Drugs can be tested and identified through
Definition
chemical analysis
Term
It is not uncommon for ecstasy to be sold in forms that look similar to
Definition
valium
Term
Three types of drug effects
Definition
placebo
specific
non-specific
Term
Placebo effects
Definition
perceived effects of a drug that do not actually come from the drug
Term
Specific effects
Definition
what it is intended to do because it is present in the body
Term
Non-specific effects
Definition
not necessarily about the drug being involved in the system. Your background, history, expectations, and environment (setting). Rely on the individual, and their individual reaction to the drug.
Term
Because of nonspecific effects, _______ tests are needed to evaluate the effectiveness of a drug
Definition
double blind
Term
Double-blind
Definition
Neither the test subjects nor the evaluators knows whether a subject is receiving an experimental drug or a placebo until the drug trial is over
Term
Dose response relationship
Definition
correlation between the response and the substance taken
Term
Threshold
Definition
the point of the first response observed by an individual
Term
Effective dose
Definition
ED50 refers to the effective dose for half the animal subjects in a drug test
Term
Lethal dose
Definition
LD50 refers to the lethal dose for half of the animal subjects in a drug test
Term
Therapeutic index
Definition
LD50/ED50
Always greater than one
Term
Potency
Definition
the amount of a drug needed to produce an effect
Term
Toxicity
Definition
the point at which the body can no longer tolerate it
Term
Safety margin
Definition
– a margin between threshold and toxicity
Term
Timing of the _____, ________, and ________ of their effects
Definition
onset, duration, and termination
Term
Time course
Definition
depends on method of administration
Term
Prolonged drug effects
Definition
keep taking it back to back
Term
Cumulative effects
Definition
multiple doses of the drug in a short amount of time
Term
Onset
Definition
when you feel the effects of the drug
Term
Duration
Definition
how long it lasts
Term
Termination
Definition
when you stop feeling the effects
Term
Four routes of of administration
Definition
inhalation
injection
ingestion
topical application
Term
Drugs administered through oral ingestion have to go through
Definition
the GI tract
Term
Drugs administered through oral ingestion must withstand the digestive processes and pass through the
Definition
cells lining the GI tract into the bloodstream
Term
Drugs administered through oral ingestion from the GI tract travel
Definition
through veins first to the liver, where they may be metabolized
Term
All substances metabolized by the body go through the
Definition
liver
Term
Six aspects of IV injection
Definition
Effects are rapid
High concentrations can be delivered
Irritating material can be injected
Veins can be damaged over time
Infections can be directly introduced into the bloodstream
Term
Two aspects of subcutaneous injection
Definition
Skin popping
Can cause necrosis
Term
Intramuscular injection
Definition
Absorption is more rapid than skin popping from intramuscular injection due to the greater blood supply in muscles
Term
Which is the fastest route of drug administration
Definition
inhalation
Term
Inhalation: drug moves from the lungs into the bloodstream through
Definition
capillary walls
Term
Inhalation: effects are rapid because
Definition
blood moves quickly from the lungs to the brain
Term
Absorption through the skin can provide
Definition
slow, steady drug delivery
Term
Topical: Absorption through the _____ _______ occurs more rapidly
Definition
mucus membrane
Term
Transport in the blood: some drug molecules attach to ______ molecules; they are ______ in this state
Definition
protien, inactive
Term
Transport in the blood: _____ (unbound) drug molecules can move to _____ __ _____ in the body
Definition
free, sites of action
Term
Transport in blood: Drugs vary in their
Definition
affinity for binding with plasma proteins
Term
Some drugs can’t cross the blood-brain barrier so they act only on
Definition
peripheral nerves
Term
Only ________ substances can leave capillaries in the brain
Definition
lipid soluble
Term
Many brain capillaries are covered with ____ _____, also increasing the difficulty for
Definition
glial cells, compounds to pass out of the capillaries
Term
Active transport systems may be needed to
Definition
move chemicals in and out of the brain
Term
_____ and _______ can impair the blood-brain barrier
Definition
trauma, infections
Term
Drug action has effects on what two things
Definition
Effects on all neurons
Effects on specific neurotransmitter systems
Term
Two drug action effects on neurotransmitter systems
Definition
Drugs may alter the availability of a neurotransmitter by changing the rate of synthesis, metabolism, release, or reuptake
Drugs may activate or prevent the activation of a receptor
Term
Depressants + depressants
Definition
Body slows super far down
Term
Stimulants + antidepressants
Definition
High blood pressure
Arrhythmia
Term
Stimulant + depressants
Definition
People engage in extremely dangerous behaviors. Now they have an extremely alert drunk person. They are not aware they are as drunk as they are
Term
Cocaine + alcohol
Definition
Your body creates Cocaethylene, which may cause harm. No conclusive research.
Term
Drug deactivation
Definition
A drug ceases to have an effect when it is excreted unchanged from the body or is chemically changed
Term
The key drug-metabolizing liver enzymes are a group known as
Definition
CYP450
Term
When the drug has been metabolized by CYP450, what are two aspects of the resulting metabolite?
Definition
The resulting metabolite no longer has the same action as the drug
The resulting metabolite can be excreted by the kidneys
Term
Enzyme Induction
Definition
When the body’s cells detect the presence of a foreign drug, they trigger production of more of the specific metabolizing enzyme
Term
Enzyme induction causes what two things?
Definition
Causes tolerance
Causes interaction of drugs broken down by the same enzyme
Term
Enzyme activity returns to normal some time after
Definition
the inducing drug is no longer being used
Term
Enzyme induction and tolerance can occur after use of (4)
Definition
prescription and OTC drugs, dietary supplements, or illicit drugs
Term
Drug disposition tolerance
Definition
your system metabolizes it differently so you don’t feel the same effect because your body learns to metabolize the drug.
Term
Behavioral Tolerance
Definition
learned behavior. Not the amount in your system, but you learn to adapt your behavior under the influence of that substance
Term
Pharmacodynamic tolerance
Definition
sensitivity of neurons changes through exposure over time. Generally what people who go through withdrawal experience.
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