1 General Principles Of Pharm Flashcards

(47 cards)

1
Q

4 areas of pharmacology

A

Pharmacotherapeutics

Pharmacokinetics

Pharmacodynamics

Toxicology

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2
Q

Define pharmacotherapeutics

A

the area of pharmacology that refers to the use of specific drugs to prevent, treat, or diagnose a disease.

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3
Q

Define pharmacokinetics

A

the study of how the body deals with the drugs in terms of the way it is absorbed, distributed, and eliminated.

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4
Q

Define pharmacodynamics

A

the analysis of what the drug does to the body, including the mechanism by which the drug exerts its effects.

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5
Q

Define toxicology

A

the study of the harmful effects of chemicals.

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6
Q

What are the 3 ways to identify a drug?

A
  • Chemical name
  • Generic name
  • Trade name
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7
Q

What is the most effective way to refer to a drug?

A

Generic name/ official name

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8
Q

What is the difference between generic and brand name drugs?

A

They are bioequivalent, but there are different dosages of active ingredient.
BRAND IS STRONGER THAN GENERIC

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9
Q

What is the preclinical stage of creating a new drug?

A

Animal Studies using several different species.

1 - 2 yrs.

Obtained are:
• Pharmacokinetics
• Pharmacodynamics
• Dosage
• Toxicity
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10
Q

What’s an IND? Who determines what one is?

A

IND - Investigational New Drug

The FDA deems the drug safe for human trials

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11
Q

What is phase 1 of human trials?

A
  • Purpose: obtain initial information about PHARMACOLOGIC action, and possible TOXIC effects in humans.
  • Subjects: 20 to 80 HEALTHY volunteers.
  • Time Period: < 1 yr
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12
Q

What is phase 2 of human clinical trials?

A
  • Purpose: evaluate the EFFECTIVENESS of the drug, and assess side effects and other risks.
  • Subjects: 200 to 300 subjects with a specific disease or pathologic condition.
  • Time Period: 2 yrs.
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13
Q

What is phase 3 of a human clinical trial?

A
  • Purpose: obtain additional information regarding the drug’s safety and effectiveness in a large patient population.
  • Subjects: several hundred to several thousand patients with a specific disease or pathologic condition.
  • Time Period: 3 yrs.
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14
Q

What is phase 4 of the drug approval process?

A

Postmarketing Surveillance

  • Purpose: to continue to monitor drug’s safety and effectiveness for public use.
  • Subjects: general patient populations.
  • Time Period: Indefinite.
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15
Q

What makes an OTC drug safe?

A
  • OTC are used to treat minor problems
  • Judged to be safe for use without direct medical supervision if taken properly.
  • Chances of toxic effects are usually small, when taken as recommended.
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16
Q

What is a schedule 1 drug?

A
  • Highest potential for abuse.
  • Not typically used as acceptable medical treatment in US.
  • Restricted to approved research studies. ( marijuana as an antiemetic)
  • Examples: heroin, LSD, mescaline, marijuana
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17
Q

What schedule is heroin?

A

Schedule 1

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18
Q

Which schedule is LSD?

A

Schedule 1

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19
Q

Which schedule is mescaline?

20
Q

Which schedule is marijuana?

21
Q

What are schedule 2 drugs?

A
  • High potential for abuse.
  • Approved for specific therapeutic purpose.
  • Examples: morphine, fentanyl, methamphetamine
22
Q

Which schedule is morphine?

23
Q

Which schedule is fentanyl?

24
Q

Which schedule is methamphetamine?

25
What are schedule 3 drugs?
• Lower potential for abuse. • Possibility of developing mild to moderate physical dependence. • Strong psychologic dependence. • Examples: codeine, anabolic steroids, certain barbiturates, amphetamines
26
Which schedule is codeine?
Schedule 3
27
Which schedule are anabolic steroids?
Schedule 3
28
Which schedule are barbiturates?
Schedule 3 Phenobarbital is 4
29
Which schedule are amphetamines?
Schedule 3
30
What are schedule 4 drugs?
• Lower potential for abuse then III. • Limited possibility of developing physical or psychologic dependence. Examples: certain antianxiety drugs, certain barbiturates (phenobarbital), and depressants and stimulants
31
Which schedule are anxiety drugs?
Schedule 4
32
Which schedule are depressants?
Schedule 4
33
Which schedule are stimulants?
Schedule 4
34
What are schedule 5 drugs?
* Lowest potential for abuse. * Primarily low dose opioids. * Examples: methadone, antitussives, cough medications, and antidiarrheal..
35
Which schedule is methadone?
Schedule 5
36
Which schedule are antitussives?
Schedule 5
37
Which schedule are cough medicines?
Schedule 5
38
Which schedule are anttidiarrheal medications?
Schedule 5
39
What is a median effective dose?
Dose at which 50 % of the population responds to the drug in a specific manner.
40
What is ED50?!
Median effective dose: Dose at which 50 % of the population responds to the drug in a specific manner.
41
What is a median toxic dose?
The dose at which 50% of the group exhibits adverse effects.
42
What is a TD50?!
Median toxic dose: The dose at which 50% of the | group exhibits adverse effects.
43
At which stage of testing is the median lethal dose obtained?
Animal trials!!!
44
What is the median lethal dose?
The dose that causes death in 50% of the animals studied.
45
What is an LD50?!
Median lethal dose: The dose that causes death in 50% of the animals studied.
46
What is a therapeutic index?
The TI is used as an indicator of the drugs safety • The median effective and toxic doses are used to determine the therapeutic index. • The TI is calculated as the ratio of the TD50 to the ED50: TI = TD50/ED50
47
What does a large TI value indicate?
The greater the value of the TI, the safer the drug is considered to be. A larger TI indicates that it takes a much larger dose get a toxic response, then a beneficial response.