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Pharmacology Ch. 2
Chapter 2 Pharmacologic Principles
71
Pharmacology
Undergraduate 3
08/31/2013

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Term

Additive effects

Definition
Drug interactions in which the effect of a combination of two or more drugs with similar actions is equivalent to the sum of the individual effects of the same drugs given alone. For example, 1+1=2 (compare with synergystic effects).
Term

Adverse drug event

Definition
Any undesirable occurance related to administering or failing to administer a prescribed medication.
Term

Adverse drug reaction

Definition
Any unexpected, unintended, undesired, or excessive response to a medication given at therapeutic dosages (as opposed to overdose).
Term

Adverse effects

Definition
A general term for any undesirable effects that are a direct response to one or more drugs.
Term

Agonist

Definition
A drug that binds to and stimulates the activity of one or more receptors in the body.
Term

Allergic reaction

Definition
An immunologic hypersensitivity reaction resulting from the unusual sensitivity of a patient to a particular medication; a type of adverse drug event.
Term

Antagonist

Definition
A drug that binds to and inhibits the activity of one or more receptors in the body. Antagonists are also called inhibitors.
Term

Antagonistic effects

Definition
Drug interactions in which the effect of a combination of two or more drugs is less than the sum of the idividual effects of the same drugs given alone (1+1=less than 2); it is usually caused by an antagonizing (blocking or reducing) effect of one drug on another.
Term

Bioavailability

Definition
A measure of the extent of drug absorption for a given drug and route (from 0% to 100%).
Term

Biotransformation

Definition
One or more biochemical reactions involving a parent drug. Biotransformation occurs mainly in the liver and produces a metabolite that is either inactive or active. Also known as metabolism.
Term

Blood-brain barrier

Definition
The barrier system that restricts the passage of various chemicals and microscopic entities (e.g., bacteria, viruses) between the bloodstream and the central central nervous system. It still allows for the passage of essential substances such as oxygen.
Term

Chemical name

Definition
The name that describes the chemical composition and molecular structure of a drug.
Term

Contraindication

Definition
Any condition, especially one related to a disease state or other patient characteristic, including current or recent drug therapy, that renders a particular form of treatment improper or undesirable.
Term

Cytochrome P-450

Definition
The general name for a large class of enzymes that play a significant role in drug metabolism.
Term

Dependence

Definition
A state in which there is a compulsive or chronic need, as for a drug.
Term

Dissolution

Definition
The process by which solid forms of drugs disintegrate in the gastrointestinal tract and become soluble before being absorbed into the circulation.
Term

Drug

Definition
Any chemical that affects the physiologic processes of a living organism.
Term

Drug actions

Definition
The cellular processes involved in the interaction between a drug and body cells (e.g., the action of a drug on a receptor protein); also called mechanism of action.
Term

Drug effects

Definition
The physiologic reactions of the body to a drug. they can be therapeutic or toxic and describe how the function of the body is affected as a whole by the drug. The terms onset, peak, and duration are used to describe drug effects (most often referring to therapeutic effects).
Term

Drug-induced teratogenesis

Definition
The development of congenital anomalies or defects in the developing fetus caused by the toxic effects of drugs.
Term

Drug interaction

Definition
Alteration in the pharmacologic activity of a given drug caused by the presence of one or more additional drugs; it is usually related to effects on the enzymes required for metabolism of the involved drugs.
Term

Duration of action

Definition
The length of time the concentration of a drug in the blood or tissues is sufficient to elicit a response.
Term

Enzymes

Definition
Protein molecules that catalyze one or more of a variety of biochemical reactions, including those related to the body's own physiologic processes as well as those related to drug metabolism.
Term

First-pass effect

Definition
The initial metabolism in the liver of a drug absorbed from the gastrointestinal tract before the drug reaches systemic circulation through the bloodstream.
Term

Generic name

Definition
The name given to a drug by the United States Adopted Names Council. Also called the nonpropriety name. The generic name is much shorter and simpler than the chemical name and is not protected by trademark.
Term

Half-life

Definition
In pharmacokinetics, the time required for half of an administered dose of drug to be eliminated by the body, or the time it takes for the blood level of a drug to be reduced by 50% (also called elimination half-life).
Term

Idiosyncratic reaction

Definition
An abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an individual patient.
Term

Incompatibility

Definition
The characteristic that causes two parenteral drugs or solutions to undergo a reaction when mixed or given together that results in the chemical deterioration of at least one of the drugs.
Term

Intraarticular

Definition
Within a joint (e.g., intraarticular infection)
Term

Intrathecal

Definition
Within a sheath (e.g., the thca of the spinal cord, as in an intrathecal injection into the subarachnoid space).
Term

Medication error

Definition
Any preventable adverse drug event involving inappropriate medication use by a patient or health care professional; it may or may not cause patient harm.
Term

Medication use process

Definition
The prescribing, dispensing and administering of medications, and the monitoring of their effects.
Term

Metabolite(s)

Definition
A chemical form of a drug that is the product of one or more biochemical (metabolic) reactions involving the parent drug. Active metabolites are those that have pharmacologic activity of their own, even if the paren drug is inactive. Inactive metabolites lack pharmacologic activity and are simply drug waste products awaiting excretion from the body (e.g., via the urinary, gastrointestinal, or respiratory tract).
Term

Onset of action

Definition
The time required for a drug to elicit a therapeutic respsonse after dosing.
Term

Parent drug

Definition
The chemical form of a drug that is administered before it is metabolized by the body's biochemical reactions into its active or inactive metabolites. A parent drug that is not pharmacologically active itself is called a prodrug. A prodrug is then metabolized to pharmacoligically active metabolites.
Term

Peak effect

Definition
The time required for a drug to reach its maximum therepeutic response in the body.
Term

Peak level

Definition
The maximum concentration of a drug in the body after administration, usually measured in a blood sample for therapeutic drug monitoring.
Term

Pharmaceutics

Definition
The science of preparing and dispensing drugs, including dosage form design.
Term

Pharmacodynamics

Definition
The study of biochemical and physiologic interactions of drugs at their sites of activity. It examines the physicochemical properties of drugs and their pharmacologic interactions with body receptors.
Term

Pharmacogenetics

Definition
The study of the influence of genetic factors on drug response, including the nature of genetic aberrationsthat result in the absence, overabundance, or insufficiency of drug-metabolizing enzymes (also called pharmacogenomics).
Term

Pharmacognosy

Definition
The study of drugs that are obtained from natural plant and animal sources.
Term

Pharmacokinetics

Definition
The rate of drug distribution among various body compartments after a drug has entered the body. it includes the phases of absorption, distribution, metabolism, and excretion of drugs.
Term

Pharmacology

Definition
The broadest term for the study or science of drugs.
Term

Pharmacotherapeutics

Definition
The treatment of pathologic conditions through the use of drugs.
Term

Prodrug

Definition
An inactive drug dosage form that is converted to an acive metabolite by various biochemical reactions once it is inside the body.
Term

Receptor

Definition
A molecular structure within or on the outer surface of a cell. Receptors bind specific substances (e.g., drug molecules), and one or more corresponding cellular effects (drug actions) occurs as a result of this drug-receptor interaction.
Term

Steady state

Definition
The physiologic state in which the amount of drug removed via elimination is equal to the amount of drug absorbed with each dose.
Term

Substrates

Definition
Substances (e.g., drugs or natural biochemicals in the body) on which an enzyme acts.
Term

Synergistic effects

Definition
Drug interactions in which the effect of a combination of two or more drugs with similar actions is greater than the sum of the individual effects of the same drugs given alone. For example, 1+1 is greater than 2.
Term

Therapeutic drug monitoring

Definition
The process of measuring drug peak and trough levels to gauge the level of a patient's drug exposure and allow adjustment of dosages with the goals of maximizing therapeutic effects and minimizing toxicity.
Term

Therapeutic effect

Definition
The desired or intended effect of a particular medication.
Term

Therapeutic index

Definition
The ratio between the toxic and therapeutic concentrations of a drug.
Term

Tolerance

Definition
Reduced response to a drug after prolonged use.
Term

Toxic

Definition
The quality of being poisonous (i.e., injurous to health or dangerous to life).
Term

Toxicity

Definition

The condition of producing adverse bodily effects due to poisonous qualities.

Term

Toxicology

Definition
The study of poisons, including toxic drug effects, and applicable treatments.
Term

Trade name

Definition
The commercial name given to a drug product by its manufacturer; also called the propriety name.
Term

Trough level

Definition
The lowest concentration of drug reached in the body after it falls from its peak level, usually measured in a blood sample for therapeutic drug monitoring.
Term

Patent life

Definition
Normally is 17 years. This is the length of time from patent approval until patent expiration. Because the research processes for new drug development normally require about 10 years, a drug manufacturer generally has the remaining 7 years for sales profits before patent expiration.
Term

Therapeutic equivalence

Definition
The ability for one drug to be therapeutically substituted for another due to its ability to have the same therapeutic effect in the body.
Term

Transit time

Definition
The time it takes for substances in the stomach to be dissolved for eventual transport to and absorption from the intestines.
Term

Depot drugs

Definition
Specially formulated long acting intramuscular dosage forms that are designed for slow absorption and may be absorbed over a period of several days to a few months or longer.
Term

what are areas of rapid distribution

Definition
The heart, liver, kidneys, and brain. Areas of slow distribution include muscle, skin and fat.
Term

Prophylactic therapy

Definition
Drug therapy provided to prevent illness or other undesirable outcomes during planned events.
Term

Four phases of pharmacokinetics

Definition
  1. Absorption
  2. Distribution
  3. Metabolism
  4. Excretion
Term

Adverse drug withdrawal effect

Definition
An adverse outcome associated with discontinuation of drug therapy, such as hypertension caused by abruptly discontinuing blood pressure medication or return of infection caused by stopping antibiotic therapy too soon.
Term

Teratogenic effect

Definition
  • Result in structural defects in the fetus.
  • Compounds that produce such effects are called teratogens. 
  • The period which the fetus is most vulnerable to teratogenic effects begins with the third week of development and usually ends after the third month.
Term

Mutagenic effect

Definition
Permanent changes in the genetic composition of living organisms and consist of alterations in chromosome structure, the number of chromosomes, or the genetic code of the deoxyribonucleic (DNA) molecule. Drugs capable of inducing mutations are called mutagens.
Term

Carcinogenic effect

Definition
The cancer-causing effects of drugs, other chemicals, radiation, and viruses. Agents that produce such effects are called carcinogens.
Term

The four main sources for drugs

Definition
  1. Plants
  2. Animals
  3. Minerals
  4. Laborator synthesis
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