Pharmaco Flashcards

1
Q

Pro drug

A

requires metabolism to become active for therapeutic affect

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2
Q

Example or prodrugs

A

Codeine, Clopidogrel

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3
Q

Active drug

A

already active for therapeutic effect; inactivated by metabolism

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4
Q

example of active drug

A

warafin

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5
Q

codeine gene

A

CYP2D6

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6
Q

Clopidogrel gene

A

CYP2C19

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7
Q

Wafarin gene

A

CYP2C9

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8
Q

Genes that are phase 1 metabolism (ox-redox rxn)

A

CYP genes

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9
Q

Somatic tumor specific variants

A

KRAS, BCR/ABL, EGFR, cKIT, BRAF, ALK

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10
Q

CYP450 catalyze

A

redox rxns

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11
Q

CYP450 are

A

predominately in liver

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12
Q

more than 90% of all common drugs are metabolized by enzymes encoded by 6 CYP450 Genes:

A

CYP1A1, CY1A2, CYP2C9, CYC2C19, CYP2D6, CYP3A4

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13
Q

Types of variants in pharm

A

SNPs, indels, CNVs

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14
Q

*1

A

no variant detected

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15
Q

Diplotype CYP2C191/17

A

Rapid metabolizer, 1 increased function, one normal copy

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16
Q

recommendations for high metabolizer of clopidogrel

A

no recommendation, use standard dose

17
Q

CYP2C19

A

Located on 10q23.33
over 39 alleles

18
Q

Clopidogrel medication

A

prevents platelet aggregation and inhibit blood clots
reduce risk of heart attack and stroke

19
Q

recommendation for intermediate or poor metabolizers in CYP2C19 + Clopidogrel

A

recommend alternative anti-platelet therapy

20
Q

Hawaiian lawsuit drug

A

Plavix