Lecture 1 1/23/24 Flashcards

1
Q

What constitutes a drug product?

A

the active and inactive components

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2
Q

What is a drug?

A

any substance that brings about a change in biologic function through its chemical action

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3
Q

What is a receptor?

A

a specific molecule that a drug molecule interacts with

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4
Q

What are the potential ways to identify a specific drug?

A

-chemical name
-chemical abstracts registry number
-generic name
-trade name

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5
Q

Which agencies are involved in the regulation of animal drugs?

A

-FDA
-USDA
-EPA
-state pharmacy boards
-state veterinary boards

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6
Q

Which products are regulated by the FDA?

A

-human and veterinary drugs
-biological products
-medical devices
-food supply
-cosmetics
-radiation-emitting products

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7
Q

What is the role of the USDA and APHIS?

A

-regulate veterinary biologics
-regulate drug residues in edible animal tissues

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8
Q

Which products are regulated by the EPA?

A

-topically applied parasiticides
-animal facility insecticides/parasiticides

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9
Q

What are the steps of drug approval?

A

-begins with a sponsor that collects and submits all info about a drug
-NADA process to ensure drug safety, efficacy, and potential adverse environmental effects
-presentation of NADA to FDA; drug can be sold if approved

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10
Q

What are the 5 major sections of the NADA?

A

-target animal safety
-effectiveness
-human food safety
-chemistry, manufacturing, and controls
-environmental impact

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11
Q

What are the 2 minor sections of the NADA?

A

-all other information
-labelling

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12
Q

Who determines if a drug is safe for over-the-counter use or must be used under veterinary oversight?

A

FDA

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13
Q

What are the characteristics of an ANADA?

A

-abbreviated NADA application for generic drugs
-drugs must be proven to be the same as approved brand name
-bioequivalence must be proven
-generic labelling must match approved brand labelling

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14
Q

What is pharmacokinetics?

A

-study of the time course of drug absorption, distribution, metabolism, and excretion
-what the body does to the drug

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15
Q

What is kinetic homogeneity?

A

a predictable relationship between plasma drug concentration and concentration at the receptor site

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16
Q

What is pharmacodynamics?

A

-study of biochemical and physiological effects of drugs, their modes of action, and the relationship between drug concentration and effect
-how a drug behaves in the body

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17
Q

What is drug action?

A

initial consequence of drug-receptor combination

18
Q

What is drug effect?

A

biochemical and physiological changes that occur as a consequence of drug action

19
Q

What is the therapeutic window?

A

range of a drug’s serum concentration at which a desired effect occurs

20
Q

How is the therapeutic index calculated?

A

dividing 50% value of toxicity by 50% value of efficacy

21
Q

How does therapeutic index relate to drug safety?

A

the wider the therapeutic index, the safer the drug

22
Q

What values are most important to determine when conducting therapeutic drug monitoring?

A

-peak: maximum drug efficacy
-trough/low: when to give next dose as to not cause toxicity

23
Q

What is therapeutic drug monitoring?

A

-use of assay procedures to determine drug concentrations in plasma
-interpretation of assays to develop safe and effective drug regimens

24
Q

What are the criteria for conducting therapeutic drug monitoring?

A

-narrow therapeutic window
-variable pharmacokinetics
-correlation between concentration and efficacy
-no alternative therapies

25
What is potency?
a measure of drug activity, expressed in terms of the amount required to produce an effect of given intensity
26
How do higher potency drugs differ from lower potency drugs?
-higher potency drugs will evoke a given response at low concentrations -lower potency drugs can only evoke the same response at higher concentrations
27
What is drug efficacy?
-the maximum effect that can be achieved by a drug -how well a drug produces a desired effect
28
What is important about the relationship between potency and efficacy?
high potency does not imply high efficacy
29
What is EC50?
concentration required to achieve 50% maximal effect of a drug
30
When comparing two drugs, how is it possible to determine the more potent drug?
the drug with the lower EC50 has greater potency
31
Which should be favored clinically, efficacy or potency?
efficacy
32
What are agonists?
drugs that occupy receptors and activate them
33
What are antagonists?
drugs that occupy receptors but do not activate them
34
What is a partial agonist?
drug that acts at a receptor but produces less than maximal effect
35
What is competitive inhibition?
inhibition of a pathway due to one substance competing with another substance
36
Is the effect of a competitive antagonist able to be overcome? If so, how?
-yes -increasing the dose of the agonist can negate the effect of the antagonist
37
What are the two potential types of noncompetitive inhibition?
-irreversible binding of antagonist at the receptor -interaction of the antagonist at a site away from the receptor that prevents initiation of effect
38
Is the effect of a noncompetitive antagonist able to be overcome? If so, how?
not completely
39
What are the characteristics of pharmacodynamic tolerance?
-response to a given drug concentration is progressively reduced -concentration needs to keep increasing to maintain the effect
40
What are the potential mechanisms of pharmacodynamic tolerance?
-decreased receptor affinity/response -changes in signaling pathways -decreases in receptor density -engaging compensatory mechanisms