lecture 2 - pharmacodynamics Flashcards
(32 cards)
enzymes
biological catalysts that speed up biochemical reactions in cells
competitive inhibition
drug compete with the natural substrate for enzyme’s active site
non-competitive inhibition
drug binds to site other than the active site
carrier molecules
specialised proteins that facilitate passage of substances across cell membrane that would not be able to pass
ion channels
proteins in cell membrane that control the flow of ions within cells
receptors
specialised proteins that respond to chemical message to change the function in the cell
what are the four types of receptors
ligand gated ion channel, g protein coupled receptors, nuclear receptors
what are two factors that affect the responsiveness of receptors
Tachyphylaxis and Desensitisation
Tachyphylaxis
rapid and short term loss of response due to a drug that can occur quickly within initial administration
Desensitisation
more gradual and longer lasting decrease in receptor responsive following prolonged or repeated exposure to drug or endogenous ligand
receptor agonists
functional response initially governed by the affinity of the drug for the receptor
full agonist receptor
drugs that bind to a receptor and activate it to produce the same response as the endogenous ligand
partial agonist receptor
bind to and activate a receptor however, it is unable to elicit the same maximal response as the endogenous ligand for that receptor, even when fully occupied
receptor antagonists
drugs that bind to a receptor, but don’t elicit a response
reverse competitive antagonist
interfere with the binding of endogenous agonist at the active binding site
irreversible competitive antagonist
receptor permanently available for activation by the endogenous agonist
non competitive agonist
block receptor activation either by binding to a site other than agonist active site OR blocking agonist response at some point within the cascade of intracellular events
dose - response curve
graphical representation of the relationship between the dosage or a drug given and amount of effect it produces
potency
measure of how much a drug is required to have an effect
efficacy
measure of how big an effect the drug will have
describe the ways that medications work?
- mouth to stomach, where it is absorbed into the bloodstream, and then distributed around the body
- the drug moves until it finds its target
- the drug causes an effect to the body
- the body breaks down the drug and it is excreted
what are the desired effects when medications are taken
therapeutic effects, drug indication, and contraindication
what are the undesired effects when taking medications
side effects, adverse effects, and toxic effects
simple chemical action
the drug chemically react with a substance to cause an effect