pharmacology 2 Flashcards

1
Q

How are drug effects quantified? And how is this relationship described?

A

By studying the relationship between drug concentration (or dose) and the response produced by the drug.

This relationship is described by concentration-response curves.

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2
Q

What are the three main types of pharmacological experiments?

A

In vitro

In vivo

Ex vivo

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3
Q

Experiments in vitro - how are the drug effects studied?

A

On a piece of tissue dissected from an animal (or human) and kept alive outside the body

This is by far the most common type of experiment

Includes experiments on cells grown in tissue culture.

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4
Q

Experiments in vitro - what are the responses that might be measured?

A

Changes in tension of a muscle

Changes in the activity of an enzyme

Changes in the secretion of a hormone or neurotransmitter

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5
Q

In vivo experiments- how are the drug effects studied?

A

In the living animal (or human)

Include clinical trials

Tightly regulated by the Home office in the UK

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6
Q

In vivo experiements - what are the responses that might be measured?

A

Increase in blood pressure

Reduction in pain threshold

Reduction in allergen-induced bronchoconstriction

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7
Q

Ex vivo experiments- how are the drug effects studied?

A

A tissue or organ is removed from an animal that has been treated with a drug

The effects the drug has had on organ function are tested in vitro

This is also very tightly regulated by the Home Office

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8
Q

Examples of ex vivo experiments

A

Examples might include experiments to see whether longterm treatment with a drug induces liver damage or alters some aspect of brain biochemistry

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9
Q

(log) concentration- response curve- the concentration axis

A

Invitro= concentrations are expressed in Moles per litre I.e Molar (M)

1 mole of a drug contains 6.02 x 10^23 drug molecules and weighs the molecular mass, in grams

A 1 Molar solution contains 1 Mole of a drug dissolved in 1 litre of solvent

Most importantly, a 1 Molar solution of a drug “X” will contain the same number of drug molecules as a 1 Molar solution of drug “Y”

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10
Q

What suggests a drug is clinically useful?

A

It acts at a very low concentrations.

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11
Q

At what concentration range do most drugs act at?

A

Most drugs act at concentrations in the range 1 x 10-6M to 1 x 10-12M i.e. they are very potent (see later)

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12
Q

How many drug molecules per litre does a 10-9 M solution of drug contain?

A

Bear in mind however that a 10-9 M solution of drug still contains 6.02 x 1014 or 602000000000000 drug molecules per litre!

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13
Q

Often pharmacologists will use the prefixes milli (m)- micro () - and nano (n)- for 10-3 ,10-6 , and 10-9 respectively. How to convert between them?

A

……

thus 1 micromolar (M) solution is the same as a 1 x 10-6 M solution

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14
Q

Constructing a concentration-response curve

A
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15
Q

Constructing a concentration- response curve

A
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16
Q

Constructing a cumulative concentration-response curve

A
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17
Q

Doses in vivo - why is it not possible to use molar concentrations? How are drug doses expressed?

A

Because the volume of the solvent (e.g blood) is not known

As weight of drug per weight of animal e.g 1mg per kg (1mgkg-1)

This allows an approximate extrapolation of the dose from, for example, a 20-gram mouse to a 70 kg human.

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18
Q

(log) concentration-response curve- what is the maximum effect (Emax)?

A

Indicates the maximum response (effect) the drug can produce

It is the top of the curve, where increasing the concentration of the drug produces no greater effect.

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19
Q

(log) concentration- response curve- What is the EC50?

A

Tells us the position of the curve on the concentration axis.

Defined as “the Molar concentration of a drug that produces 50% of the maximum response for that drug”

Sometimes use other percentage values such as EC90 or EC20

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20
Q

What is potency?

A
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21
Q

What is a potent drug?

A

A drug that is effective in very small amounts

22
Q

What does a lower EC50 mean for the potency of a drug?

A

Lower EC50 value means the drug is more potent.

23
Q

How to calculate the relative potencies of two drugs with the same action ?

A
  • Compare their EC50 values described by the potency ratio (M)
  • Often we will be comparing a new drug (the test drug) with a drug that is already available (the standard drug)
24
Q

M and log M equations

A

M = EC50(test)/EC50(standard)

log M = logEC50(test) – logEC50(standard)

25
Q

What does a value of M less than 1.0 mean?

A

Means that the test drug is more potent than the standard

26
Q

What is bioassay?

A
  • A “bioassay” is any technique where the potency of a drug is determined by measuring the biological response it produces
  • Pharmacologists have developed hundreds of different bioassays, ranging from cells growing in tissue culture to clinical trials in humans to look at different aspects of drug responses
  • Bioassays underpin the development of new drugs in the pharmaceutical industry
27
Q

What is the “2+2” bioassay?

A
  • The simplest bioassay for determining the relative potency of two drugs
  • Makes use of the fact that the middle portion of the log concentration-response curves are almost linear, and if the two drugs are acting by the same mechanism, then the lines should be parallel.
28
Q

How can M be obtained in “2+2” bioassay?

A

By comparing two doses of standard (S1, S2) with two doses of unknown (U1,U2)

29
Q

A clinical example - morphine vs codeine

A
30
Q

What is the therapeutic index?

A

The ratio between the toxic dose of a drug and the dose producing the desired therapeutic effect

31
Q

What does a higher therapeutic index mean for side effects?

A

The higher the therapeutic index, the less chance of the drug producing toxic side-effects in therapeutic use.

32
Q

How is the therapeutic index defined?

A

therapeutic index = LD50/ED50

LD50= Lethal dose in 50% of population

ED50 = Effective dose in 50% of the population

33
Q

Why is the therapeutic index no longer used?

A

It is a meaningless definition from a clinical perspective. Death is a rather extreme side effect.

Ethically it is no longer defensible to obtain LD50 values in animals

34
Q

How can the therapeutic index be calculated in humans?

A

TD50/ED50

35
Q

What is TD50?

A

The”toxic” dose in 50% of the population, where we look for the dose that produces some sign of toxicity e.g. causes nausea.

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38
Q

Therapeutic index - Why do we still have to treat it with caution?

A
  • There is a wide person to person variation in the both toxic and beneficial effects of drugs
  • A drug can have different ED50 values depending on the condition being treated e.g. the effective dose of ibuprofen for treating headache is lower than that for treating arthritis
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