Pharmacology: Antibiotics, Antivirals & Analgesics/Psychiatric Drugs
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Anti-infective drugs plus pain and psychiatric medications.
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- 1PharmacologyThe science of drugs and medications, including a substance's origin, composition, pharmacokinetics, pharmacodynamics, therapeutic use, and toxicology
- 2Two main areas of pharmacologyPharmacodynamics (effects of a drug on biological systems) and pharmacokinetics (effects of biological systems on a drug)
- 3PharmacodynamicsThe effects of a drug on biological systems, discussing how chemicals interact with biological receptors
- 4PharmacokineticsThe effects of biological systems on a drug, including liberation, absorption, distribution, metabolism, and excretion (LADME)
- 5LADME in pharmacokineticsLiberation, Absorption, Distribution, Metabolism, and Excretion - the five main processes describing what the body does to a drug
- 6Drug liberationWhen the active pharmaceutical ingredient is released from its pharmaceutical formulation and becomes available for absorption
- 7Drug absorptionThe process by which a drug enters the bloodstream from its site of administration
- 8Drug distributionHow the drug spreads throughout the body's tissues and fluids after entering the bloodstream
- 9Drug metabolismHow the drug is chemically altered in the body, primarily in the liver
- 10Drug excretionHow the drug and its metabolites are eliminated from the body, mainly through the kidneys
- 11Half-life (t½) of a drugThe time required for the drug's plasma concentration to reduce by half
- 12Volume of distribution (VD)A theoretical volume that relates the total amount of a drug in the body to its measured concentration in the blood or plasma
- 13Total clearance (Cltot)A parameter that quantifies the efficiency with which a drug is irreversibly eliminated from the body, measured as volume of plasma cleared per unit time
- 14Area Under the Curve (AUC)The definite integral of plasma drug concentration versus time, representing total systemic exposure of the body to a drug over time
- 15Receptor binding in pharmacodynamicsMost drugs exert their effects by binding to specific cell receptors (proteins on cell surfaces or inside cells)
- 16Dose-response relationshipThe relationship between different drug doses and the magnitude of a response, illustrated using drug-response curves
- 17Therapeutic windowThe range of doses between the minimum effective concentration and the minimum toxic concentration
- 18AgonistA ligand that binds to receptors and produces a biological response
- 19AntagonistA ligand that has affinity for a receptor but does not produce a biological response
- 20Partial agonistA ligand that produces a biological response lower than that of a full agonist
- 21Drug efficacyThe ability of a ligand to produce a biological response, indicated as percentage where 100% is maximal efficacy (all receptors occupied)
- 22Drug potencyThe measure of a drug's effectiveness; a lower EC50 concentration indicates higher potency
- 23EC50The drug concentration that produces an efficacy of 50%; used to compare potencies of drugs
- 24Therapeutic indexThe ratio of desired effect to toxic effect; describes the safety margin between therapeutic and toxic doses
- 25What characterizes a narrow therapeutic index?The drug exerts its desired effect at a dose close to its toxic dose (close to one), making it difficult to dose
- 26What characterizes a wide therapeutic index?The drug exerts its desired effect at a dose substantially below its toxic dose (greater than five)
- 27Which antibiotics require therapeutic drug monitoring due to narrow therapeutic index?Aminoglycoside antibiotics (e.g., gentamicin, tobramycin)
- 28Binding affinityThe ability of a ligand to form a ligand-receptor complex, either through weak attractive forces (reversible) or covalent bonds (irreversible)
- 29BioavailabilityThe fraction of a drug that reaches the systemic circulation, calculated as the ratio of peak plasma drug levels after oral administration to concentration after IV administration
- 30Why must a drug be lipophilic to pass through biological membranes?Because biological membranes are made up of a lipid bilayer (phospholipids), so drugs must be lipid soluble to cross them
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