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68 Cards in this Set

  • Front
  • Back
The Goal of Psychopharm
To place a drug at its site of action in an effective concentration, maintained for an appropriate amount of time to cause a desired effect
Pharmacokinetics
The effects of the body on a drug
-Administration
-Absorbtion
-Distribution
-Biotransformation & metabolism
-Elimination
Pharacodynamics
-The effects of the drug on the body
-binding
-function (effecting heart rate, blood pressure, depression, etc)
Bioavailability
concentration of a drug in the blood that is free to interact w/ target sites
Cell Membranes
-The tails of the phosopholipids are fatty acid tales that are not charged and do not like water
-Water molecules are polar, they are attracted to each other
-the phospholipid portion of the phosophoplipid molecule (the polar head) likes water
Drug movement through the membrane
-fussion through dissolving in the membrane and travelling across
-facilitated diffusion through protien molecules embedded in the membrane
-Active transport takes energy
-Passive diffusion= down the concentration gradient
GI Tract
-Drugs given orally must pass through
-a sealed tube from the mouth to the rectum, sealed in epithelial cells
-Drugs need to pass through the GI tract to get to capillary cells
-drug need to be water soluble
-Drug must be gastric resistent, low pH, must get past enzymes and be lipid soluble
Factors affecting rate of absorbtion by GI Tract
-concentration of the drug (the more you take, the faster it goes)
-whether the drug is a weak acid or a weak base
-pH of absorbing surface
-PKA
-Area of absorbing surface
At low pH
the concentration of H+ is high at...
At high pH
the concebntration of H+ is low at...
PKA
-represents the pH at which 50% of a drug is ionized
-is unique for each drug molecule
Ion Trapping
"Iion Trapping" is the ionization that occurs when an acid enters capillaries lining the GI tract, preventing reabsorbtion into the GI lumen
Factors Favoring Absorption by Small Intestine over Stomach
- Larger surface area
- Molecule will spend more time in small intestine than stomach- Longer transit time
-Less mucous in the small intestine
-Higher pH for weak bases in SI
Why do you have to inhale cigarette smoke, but not cigar smoke, to absorb nicotine?
a. Cigar smoke is more basic
b. Cigarette smoke is acidic and doesn’t get absorbed well by the mouth
Sites of Weak Blood Brain Barrier
o Junctions are a little bigger to allow movement of substances into brain
o Area Postrema- chemical trigger zone/vomiting center
• A noxious substance entering the bloodstream can activate vomiting by acting at this site in the medulla
o Median Eminence
• Hypothalamitic area that regulates anterior pituitary secretion through release of neuropeptides
o Subfornical Organ at Third Ventricle
•Circumventricular structure important for fluid regulation
Area Postrema
* Area of weak blood-brain barrier
*chemical trigger zone/vomiting center
• A noxious substance entering the bloodstream can activate vomiting by acting at this site in the medulla
Median Eminence
* Area of weak blood-bran barrier • * Hypothalamitic area that regulates anterior pituitary secretion through release of neuropeptides
Subfornical Organ at Third Ventricle
* area of weak blood-bran barrier
* Circumventricular structure important for fluid regulation
Methods of drug elimination
Urine, Bile, Feces, Saliva, Sweat, Breast Milk, Expired Air, Hair
Biliary Drug Elimination
o GI Tract → Liver → Bile Duct → GI Tract → Elimination
→ Reabsorption
Aquaporin
pores only large enough for water to get through
ADH
promotes reabsorption of water (antidiaretic hormone)
Aldosterone
-Hormonal Regulator
-Made in adrenal cortex
•Increases sodium reabsorption
Caffeine
-Diuretic
-Increases glomerular flow- more caffeine- more urine, increases excretion
-
Ethanol
-Diuretic
-inhibits ADH release
Drug Elimination
-Uniodized or lipid soluble molecules are reabsorbed
-At higher ph, acids are more ionized and excreted at faster rates
-At lower ph, bases are more ionized and excreted at faster rates
-pH of kidney tubules ranges from 4-8 and varies over time
Common sites of Biotransformation
o Stomach
o Intestine
o Blood
o Kidney
o Brain
o Liver
Drug Half Life
-the time for the plasma drug concentration to decline by 50%
-90% of the drug is lost in 3.32 half-lifes
-eah person has a personalized half-life for each drug concentration affected by weight, health & gender
Age's affects on a drug's half-life
reduced on the very young and the very old
Gender/Sex affects on a drug's half-life
Genetic/hormonal diferences
Drug potency
-dose necessary to give a desired affect
-Accessibility, Affinity & Intrinsic activity
Accessibility
How fast/well does a drug get to its receptor?
-pharmacokinetics
AED
affective dose of a drug
Therapeutic Index (TI)
-Based on ED50/TD50 or ED99/TD1
-can change over time w/ drug tolerance, curves become closer and the ratio becomes smaller
-Ti can vary from person to person (someone metabolizes differently, age factors, taking other drugs)
Higher TI Ratio
Safer drug
Most drug targets are..?
Protiens!
-receptors, enzymes, transporters, ion channels
Neurotransmitter (NT) Receptor
-sit in the membrane
-sequence of amino acids that cross the membrane
Membrane Receptors
-Proteins for drugs that are not lipid soluble and so are placed on the surface of the cell
-More common
Intracellular Receptors
-drugs interact with receptors inside of cell
-lipid soluble steroid hormones pass through the cell
immunocytochemistry
-presence of protein in a cell
Western Blotting
-presence of protein in a tissue sample w/ several ground up cells
Kd
-disassociation constant
-low Kd equals high affinity
-determined empirically (k2/k1)
-measure of drug affinity for a specific receptor
a low kd means...?
A drug has a high affinity for that receptor
Drug-Receptor Interaction
-transient and reversible
-k1 is the rate at which drug associates with receptor
-
Kd also defined as
-concentration of radioligand that labels 50% of total receptors in sample
Deuterium
1 proton, 1 neutron
-unstable compound
-isotope of hydrogen used to measure receptor binding
Tritium
1 proton, 2 neutrons
-isotope of hydrogen used to measure receptor binding
-used in lab
Why use radioactive isotopes of hydrogen to measure receptor binding?
The surplus of neutrons makes it want to decay into a more stable condition
-gives off energy as it does this called beta particle emission
-beta particle emission is detectable (has same particle as electrons)
[3H] Ligand
-Take radioactive form of drug that you think has high affinity and measure beta particle emission
Tritiated Radioligand
replace hydrogen with tritium
Buffer
During the process of a competition experiment, medium in which reaction will occur when you add drug
Scintilliation Counting
During the process of a competetion experiment
-Place filters in scintilation tube
-count bound [3H] ligand on filters using scintilation
-so during that 5 minutes how many decays have occured?
Tritiated Radioligand
replace hydrogen with tritium
Buffer
During the process of a competition experiment, medium in which reaction will occur when you add drug
Scintilliation Counting
During the process of a competetion experiment
-Place filters in scintilation tube
-count bound [3H] ligand on filters using scintilation
-so during that 5 minutes how many decays have occured?
A weak base won't be absorbed in the...?
stomach
-theoretically raising the Ph of the stomach could allow a base to be absorbed
14% of blood pumped by the heart
goes to the brain!
Albumin
most common binder in the blood
-plasma binding protein that binds primarily to acids (and some neutrals)
Beta-globulin
-binder in the blood has a higher affinity for basic drugs
Nephrons
basic unit of the kidneys
1.5 million in each kidney
network of tubules blood plasma and proteins don't go in
Bile
-Larger molecules end up in the bile tract
-more lipophillic molecules too
pH of kidney tubules
fluctuate betweens between 4-8 throughout the day due to any # of variables
Drug Biotransformation
The process by which natural metabolism (enzymes) o the body changes the property of the drug (for ex. from acid to base)
The higher the IC50...
the lower the affinity of the competitior drug for the receptor
4 criteria for a NT
1) Must be synthesized or present in cell

2) Release must produce effect in target cell

3) Effect must be the same if artificially placed on cell

4) Mechanism for removal (except for nitric oxcide)
Fight or Flight
Sympathetic nervous system
Rest and digest
Parasympathetic nervous system
ACH
-Parasympathetic nervous system releases
-slows heart beat