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PD
Pharm I - Block 1
28
Pharmacology
Not Applicable
05/17/2010

Additional Pharmacology Flashcards

 


 

Cards

Term

Agonist?

 

Definition

when a drug binds to the receptor and activates it to produce an effect 

 

Will have both Affinity and maximal  Intrinsic activity

Term
Antagonist?
Definition

 when a drug binds to a receptor and prevents the action of an agonist, but does not have an action on its own

 

Will have only Affinity but no  Intrinsic activity

Term

Inverse agonist?

Definition

when a drug activates a receptor to produce an effect in the opposite direction to that of the agonist 

 

Will have  Affinity and negative  Intrinsic activity

Term
Partial agonist
Definition

when a drug binds to the receptor and activates it but produces a submaximal effect (by antagonising the full effect of the agonist)


Will have Affinity but sub maximal Intrinsic activity (between 0 and 1)

Term
Affinity
Definition

It is the ability of a drug to bind to the receptor (just bind)

Term
Intrinsic activity
Definition

It is the ability of a drug to activate a receptor following receptor occupation. (i.e elicit a response)

 

Term
Down regulation of receptors?
Definition
occurs after chronic stimulation of receptors by an agonist
Term
Upregulation of receptors?
Definition
Occurs after chronic administration of an antagonist over a long period of time
Term
Tolerance
Definition

Gradual reduction in response to drugs is called as tolerance
Requirement of higher dose to produce a given response
It occurs over a period of time

Can be either due to enhanced clearance of drug or down regulation of receptors

Term
Tachyphylaxis
Definition

Rapid desensitization to a drug produced by inoculation with a series of small frequent doses. 

Term
Efficacy ?
Definition

is the maximal response produced by a drug

Term

Potency

Definition

is a measure of how much drug is required to elicit a given response
The lower the dose required to elicit given response, the more potent the drug is

 

Term
ED50
Definition

It is the dose of the drug at which it  gives 50% of the maximal response
A drug with low ED50 is more potent than a drug with larger ED50
SAME AS POTENCY (the more left on the graph the more potent)

 

Term
LD50
Definition
(abbreviation for "Lethal Dose, 50%") or median lethal dose of a toxic substance is the dose required to kill half the members of a tested population 
Term
TI / Therapeutic Window or Range
Definition

TI = LD50/ED50, the higher the TI the safer the drug.

TW = describes the dosage range between the minimum effective therapeutic concentration or dose, and the minimum toxic concentration or dose.

Term
Synergism 
Definition

1.Additive effect: the effect of two drugs are in the same direction and simply add up.
Effect of drug 1+1 = 2
2.Supraadditive effect (potentiation): the effect of combination is greater than the individual effect of the components.
Effect of drug 1 + 1 = 3

Term
Physiological antagonism
Definition

two drugs act on different receptors or by different mechanisms, but have opposite,

 

e.g ..bee sting..histamine released  bronchial constriction vasodilatation and adrenaline given leads to bronchodilation and vasoconstriction on bronchial smooth muscle and BP

Term
Competitive antagonism
Definition

Competes with agonist in reversible fashion for same receptor site
Necessary to have higher concentration of agonist to achieve same response 
(look at graph slide 80 PD lecture)

 

Term
Noncompetitive antagonism
Definition

Antagonist binds  to a site different to that of an agonist 
No matter how much agonist -- antagonism cannot be overcome 

Term
Kd
Definition

The concentration of the drug required to bind 50% of the receptor sites is called as Kd
It is the measure of the affinity of the drug molecule
Smaller the Kd greater the affinity of the drug for its receptor

Term
Spare receptors, KD and EC50
Definition

KD is the concentration of the agonist at which 50% of the receptors are occupied
If the number of receptors increase many fold (spare receptors) THEN:
A much lower concentration of agonist is sufficient to produce 50% of maximal response (EC50)
Occupation of spare receptors is determined by comparing the EC50 with Kd
If EC50 is less than Kd, spare receptors are said to exist

Term
Ion Channels
Definition
Ach + nicotinic receptor = entry of Na+
Term
G- Protein Coupled
Definition
7 transmembrane segments, 3- intracellular loops and an intracellular carboxy-terminal tail.... activity is mediated via interaction with a number of GTP bound proteins 
Term
Intracellular Receptors
Definition
These receptors bind their ligand in the cytoplasm and translocate to the nucleus. e.g. steroids
Term
Tyrosine Kinase receptor
Definition

Contain an extracellular ligand binding domain, one transmembrane spanning segment, and an intracellular tyrosine kinase domain.
Binding of a ligand to the extracellular domain causes dimerization of the receptor and stimulates a tyrosine kinase activity within the intracellular domain. e.g. Insulin & cytokines

Term
Quantal dose response curves
Definition

a study of the therapeutic and lethal effects of a new drug in preclinical studies
used to generate information regarding the margin of safety (Therapeutic index)

Term
Chemical Antagonism
Definition

based on chemical properties resulting in an inactive product.
E.g. chelating agents complex metals (used in heavy metal poisoning) I.e antacids.. Alkalize the acidic stomach

Term
Physical Antagonism
Definition

based on physical property of a drug.
E.g. activated charcoal adsorbs alkaloids and prevents their absorption (in alkaloid poisoning)

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