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Pharmacodynamics
How a drug changes the body
| Question | Answer |
|---|---|
| Median Effective Dose (ED50) | The dose required to produce a specific therapeutic response in 50% of the clients (standard or average dose) |
| Median Lethal dose (LD50) | The dose of a drug that would be lethal in 50% of a group of animals. |
| Drugs therapeutic index is related to it's margin of safety? | The larger the difference between LD50 AND ED50, the greater Therapeutic Index(safety margin) |
| Median Toxicity Dose (TD50) | Don't test the lethal dose on humans, get data from animal trials or determine toxicity from adverse effects reported from human trials. |
| Phase 1 of dose response | very few target cells have been affected by the drug |
| Phase 2 of drug response | shows linear relationship btwn amt of drug administered and degree of response obtained |
| Phase 3 of drug response | plateau, where no further response occurs with higher dose |
| Potency | more powerful, measure of drug activity. More potent the drug will produce a therapeutic effect at the lower dose compared to another drug in the same class. Fentanyl is more potent than oxycodone |
| Efficacy | The ability to produce a desired result; the magnitude of maximal response that can be produced from a druf |
| Affinity | The strength of attraction btwn a receptor and a ligand (like a magnet) |
| Agonist | A drug that produces the same type of response as an endogenous substance (>, or = response) |
| Partial Agonist | A drug that produces a weaker response (but still a response) than an endogenous substance (decrease efficacy than agonist) |
| Antagonist | A drug that binds to a receptor and dose Not induce a cell response (has affinity for the receptor but does not produce in a biochemical response) (blocker) |