pharmacokinetics Flashcards

1
Q

what is the therapeutic effect proportional to

A

the concentration of drug in the plasma

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2
Q

what do membrane pores allow to diffuse through

A

low molecular weights (<200Da) or small ions (Li+)

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3
Q

what drugs are able to diffuse directly across the membrane

A

lipid soluble molecules

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4
Q

what is the condition for carrier mediated absorption of a drug

A

the drug must resemble a natural ligand/substrate

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5
Q

what are the factors affecting absorption

A

lipid solubility
ionisation
formulation
gastro-intestinal function
first-pass metabolism

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6
Q

what does it mean when ionisation is at 50%

A

pH=pKa

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7
Q

what is the Henderson-Hasselbach equation

A

pH – pKa = log [conjugate base]
[conjugate acid]

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8
Q

for acids: what is the difference in absorption between a conjugate acid (COOH) and a conjugate base (COO-)

A

conjugate acid (COOH) - lipid soluble, crosses membranes
conjugate base (COO-) - water soluble, doesn’t cross membranes

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9
Q

for bases what is the difference in absorption between a conjugate acid (NH3+) and a conjugate base (NH2)

A

conjugate acid (NH3+) - water soluble, doesn’t cross membranes
conjugate base (NH2) - lipid soluble, crosses membranes

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10
Q

when are acids most ionised

A

most ionised at high pH
strong acids have pKa of 3 or lower
very poorly absorbed

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11
Q

when are bases most ionised

A

most ionised at low pH
strong bases have a pKa of 10+
strong bases are poorly absorbed

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