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Pharm Week 2 - JN
Definitions
| Term | Definition |
|---|---|
| Low Dose-Effect Curve – | Measuring the response to the dose of the drug |
| Potency – | The amount of drug required to produce an effect. |
| Efficacy | – related to the maximal effect of a drug regardless of dose |
| Therapeutic action/effect | – the intended or desired results |
| Therapeutic range – | range between the dose causing the minimum effect and the dose causing the minimum adverse effect. |
| Therapeutic index (TI) | – number that determines the safety of a drug. (the greater the TI, the safer the drug) |
| Efficacy – | is the maximum intensity of effect or response that can be produced by a drug |
| Renal– Kidney | kidney |
| hepatic | liver |
| Biotransformation | – is the body’s way of changing a drug so that it can be more easily excreted by the kidneys. |
| Tolerance – | the need for an increasingly larger dose of the drug to obtain the same effects as the original dose |
| Duration– | is the length of a drug’s effect |
| Half-Life – | the half-life of a drug is the amount of time that passes for its concentration to fall to half (50%) of its original blood level. |
| Median effect dose (ED50) – | is the dose required to produce a desired clinical effect in 50% of test subjects. A low effective dose is preferred because it means less drug is needed to achieve the desired therapeutic effect. |
| Lethal Dose (LD50) – | is the amount of a substance that causes death in 50% of a test population. A lower LD means the substance is more toxic |
| Intravenous: | Drug directly enters the systemic circulation |
| intramuscular: | Drug is injected into muscles because of the high volume of blood flow in those areas |
| Subcutaneous: | Drug is injected under the skin but not into the muscles |
| Cell Membranes | are composed of Lipids (fats), Proteins, and Carbohydrates. |
| Lipids- | Make the membrane relatively impermeable to ions and polar molecules |
| Proteins | – Help move the molecules across the membrane |
| carbohydrates – | are combined with either proteins or lipids |
| pKa = | acid dissociation constant of drugs |
| Phase I reactions: | require very little energy. Lipid soluble molecules go through this phase. They are metabolized by three processes: 1) Oxidation, 2) reduction and 3) hydrolysis |
| Phase II reactions: | Involves conjugation, most common conjugation is with glucuronic acid termed glucuronidation. This mechanism allows the body to convert a lipid-soluble drug to a more polar compound with the use of enzymes called transferases. |
| Additional Excretion Routes | Extrarenal routes: • Lungs • Bile • Gastrointestinal tract • Saliva • Gingival crevicular fluid • Sweat • Mammary Glands (Breast Milk) • Breath |
| Half-life: | The time it takes for body to eliminate half of drug present in the body |
| FACTORS THAT ALTER DRUG EFFECTS | Patient adherence Psychological factors Tolerance Pathologic state Time of administration Route of administration Sex Genetic Variation Drug interactions Age and weight Environment |