short answer definition questions Flashcards
(24 cards)
multicentre
testing drugs on groups nationwide, avoids regional trends and increases variation
double-blinded
both the patient and the admin team don’t know which person has the drug or placebo
crossover
half start with the drug, half with placebo, then swap halfway through. allows everyone to get some advantages (if any) of the drug
orphan drugs
drugs that treat diseases that are rare - government funds these trials as they would not be profitable for big pharma
placebo
looks like the drug, but does not contain the active substance
MIC testing
minimum inhibitory concentration
test uses tubes of same conc. bacteria, increasing volumes of antibiotic, see where the antibiotic is effective
MBC
minimum bactericidal concentration
partial agonist
binds and activate the receptor, but only with partial efficacy
potency
measure of effect achieved by given dose of a drug
receptor reserve
number of receptors not bound to anything
competitive antagonist
binds selectively to the receptor, without activating it, but prevents the agonist binding
affinity
tendency of a drug to bind to its receptor
therapeutic index
measure of safety of a drug, the higher the value, the safer it is
inverse agonist
drug that binds to the receptor but prompts a full opposite effect of the normal agonist
bioavailability and how it’s calculated
indicates fraction of orally administered drug that reaches systemic circulation, taking into account absorption and metabolic degradation
(amount absorbed in systemic circulation when taken orally) / (amount absorbed when same dose given via IV)
renal clearance and how it’s calculated
volume of plasma cleared of a substance by kidneys, per unit of time
clearance = (urine drug conc. X rate of urine) / (plasma drug conc.)
bacteriostatic
antimicrobial stops bacterial growth and protein synthesis, immune system finishes breakdown, e.g. macrolides, such as erythromycin
bactericidal
very potent antimicrobials, kills the bacteria, e.g. aminoglycosides, such as streptomycin
broad spectrum
active against a wide range of bacteria – Gram negative and positive, e.g. ampicillin (a penicillin)
narrow spectrum
only effective for a small range of bacteria, e.g. amoxicillin (another penicillin)
parental administration: intramuscular
to specific muscles, large volumes up to 5ml, quickly blood
parental administration: intradermal
15 degree angle, small volumes
parental administration: subcutaneous
45 degree angle, up to 0.5ml
parental administration: intravenous
directly into bloodstream, rapid onset response