Содержание
- 2. Medical pharmacology is the science of chemicals (drugs) that interact with the human body. These interactions
- 3. Routes of administration: ADVANTAGES and DISADVANTAGES Oral: the most common and safest, convenient, and economical route
- 5. Rectal: partially bypasses first-pass effect, destruction by stomach acid, ideal if drug causes vomiting, in patients
- 6. Intravenous: can have immediate effects, ideal if dosed in large volumes, suitable for irritating substances and
- 7. Subcutaneous: suitable for slow-release drugs, ideal for some poorly soluble suspensions, but pain or necrosis if
- 9. Transdermal (patch): bypasses the first-pass effect, convenient and painless, ideal for drugs that are lipophilic and
- 11. Inhalation: absorption is rapid; can have immediate effects, ideal for gases, effective for patients with respiratory
- 13. Mechanisms of absorption of drugs Drugs may be absorbed from the GI tract by passive diffusion,
- 14. Diffusion: lipid-soluble drugs readily move across most biologic membranes due to their solubility in the membrane
- 15. Active transport: Energy-dependent, involves specific carrier proteins. It is capable of moving drugs against a concentration
- 18. Bioavailability Bioavailability is the rate and extent to which an administered drug reaches the systemic circulation.
- 19. Determination of bioavailability: Bioavailability is determined by comparing plasma levels of a drug after a particular
- 21. Factors that influence bioavailability First-pass hepatic metabolism: When a drug is absorbed from the GI tract,
- 22. Chemical instability. Nature of the drug formulation (salt form, crystal polymorphism, enteric coatings, and the presence
- 23. Drug distribution Drug distribution is the process by which a drug reversibly leaves the bloodstream and
- 24. Lipid-soluble drugs readily penetrate the CNS because they dissolve in the endothelial cell membrane. Ionized or
- 27. Elimination Once a drug enters the body, the process of elimination begins. The three major routes
- 29. Metabolism in the liver leads to production of products with increased polarity, which allows the drug
- 31. The CYP450-dependent enzymes are an important target for pharmacokinetic drug interactions. Inducers (for example, phenobarbital, rifampin,
- 32. Phase II: This phase consists of conjugation reactions with an endogenous substrate, such as glucuronic acid,
- 33. Drug clearance may also occur via the intestines, bile, lungs, and breast milk, among others. Drugs
- 34. Pharmacodynamics. Effects Local effect occurs at the site of drug’s application . Resorptive (systemic) effect develops
- 35. Drugs “’targets Few drugs (e.g. activated charcoal, osmotic diuretics) act by virtue of their physicochemical properties,
- 36. Enzymes. Drugs that act by inhibiting enzymes include: anticholinesterases, which enhance the action of acetylcholine; carbonic
- 37. Drugs can influence on ion channels (selective pores in the membrane). Among drugs affecting ion channels
- 38. However, most drugs produce their effects by acting on specific proteins. These proteins are called receptors,
- 39. A receptor as any biologic molecule to which a drug binds and produces a measurable response.
- 42. 3) Kinase‐linked receptors are surface receptors that possess (usually) intrinsic tyrosine kinase activity. They include receptors
- 45. Chemicals (e.g. acetylcholine) or drugs that activate receptors and produce a response are called agonists .
- 46. Partial agonists. These are agonists that cannot elicit the same maximum response as a ‘full’ agonist.
- 49. The durability of the “Drug-receptor” bond determines whether the drug action is reversible (characteristic for most
- 50. Potency is a measure of the amount of drug necessary to produce an effect of a
- 51. Efficacy is the magnitude of response a drug causes when it interacts with a receptor. Efficacy
- 52. Drugs interactions Pharmacokinetic Pharmacodynamic: Synergism Antagonism
- 53. In case of synergism drug interaction leads to an increase in effect. Synergism may be direct
- 54. Interaction of drugs Synergism Summation (paracetamol + metamizol sodium) Potentiation (paracetamol + diphenhydramine)) 1 1 2
- 55. Antagonism The ability of a drug to decrease the effect of the other one is called
- 56. Irreversible antagonists have an effect that cannot be reversed by increasing the concentration of agonist. The
- 57. Synergoantagonism occurs when some effects of the combined drugs are intensified and others are weakened. For
- 58. Pharmacokinetic interactions Absorption. Drugs that increase (e.g. metoclopramide) or decrease (e.g. atropine) the rate of gastric
- 59. Metabolism. Induction of hepatic enzymes by a second drug (e.g.phenobarbital, rifampicin) can decrease the efficacy of
- 60. Adverse drug reactions Adverse drug reactions can be divided into those that are predictable and dose‐related
- 61. Cumulation – storage of pharmacological substance in the body. It is typical for slow-acting drugs, that
- 62. Tachyphylaxis, desensitization, tolerance and drug resistance When a drug is given repeatedly, its effects often decrease
- 63. Tolerance refers to a slower decrease in response (days or weeks).
- 64. Tolerance may involve increased metabolism of a drug, e.g. ethanol, barbiturates, or homeostatic mechanisms (usually not
- 65. Drug dependence is a term used when a person has a compulsion to take a drug
- 66. Teratogenesis is the occurrence of fetal developmental abnormalities caused by drugs taken during the first trimester
- 68. Carcinogenesis. Drug‐induced tumours are probably very rare because the pharmaceutical industry makes great efforts to avoid
- 70. Скачать презентацию