Dose-Decision Making Flashcards
(51 cards)
What is Pharmacokinetics (PK)?
The study of what the body does to drugs.
What are the four main components of Pharmacokinetics (ADME)?
- Absorption
- Distribution
- Metabolism
- Excretion
What does PK stand for?
Pharmacokinetics
What does PD stand for?
Pharmacodynamics
What is the sequence of clinical pharmacological events?
- Drug Dose
- Pharmacokinetics
- Drug Concentration at Site of Action
- Pharmacodynamics
- Drug Effect/s
What factors determine optimal drug dosing?
- Optimal plasma concentration
- Route of administration
- Dose
- Dosing interval
What is the definition of Area Under the Curve (AUC)?
The fraction of the dose administered that reaches systemic circulation.
What is the formula to calculate Oral Availability (F)?
F = (AUC oral / AUC IV) x 100
What does a high Volume of Distribution (Vd) indicate?
A drug is well distributed throughout the body.
What is the importance of drug clearance (Cl)?
It determines the maintenance dose-rate to produce a constant plasma concentration (Cp).
What is the definition of Minimum Toxic Concentration (MTC)?
The lowest concentration of drug that produces toxic effects.
What is the definition of Minimum Effective Concentration (MEC)?
The lowest concentration of drug that produces therapeutic effects.
True or False: First Pass Metabolism can reduce oral availability.
True
What are the main routes of drug administration?
- Enteral (oral, sublingual, rectal)
- Parenteral (IV, IA, IM, SC, topical, inhalation)
What are the advantages of oral drug delivery?
- Easy to administer
- Inexpensive formulation
What are the disadvantages of oral drug delivery?
- Slow onset
- Subject to first pass metabolism
- Not suitable for unconscious patients
What is the primary metabolic system involved in drug metabolism?
Liver enzymes, including CYP3A4.
What factors influence drug absorption?
- Drug lipid solubility
- Gastric pH
- Blood flow
- GIT transit time
What does the term ‘steady state plasma concentration (Cpss)’ refer to?
The point at which the overall intake of a drug is in dynamic equilibrium with its elimination.
What is the significance of half-life (t½) in pharmacokinetics?
It determines the duration of action after a single dose.
How is drug distribution affected?
- Membrane permeability
- Organ perfusion
Fill in the blank: The extent of Drug Distribution is dependent on _______.
[Drug Lipid solubility, pH, Plasma and Tissue protein binding]
What is passive transport in drug absorption?
The movement of drugs across membranes without energy.
What is active transport in drug absorption?
An energy-dependent process that moves drugs against a concentration gradient.