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Module 4 - Pharmacodynamics
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01/07/2024
What is pharmacodynamics?
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How does pharmacodynamics differ with pharmacokinetics?
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Drug-receptor binding is the primary interaction of interest in dynamics. The theory that states that drug effect is proportional to the number of occ…
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The Two-State Receptor Model states that at physiologic baselines, the equilibrium concentrations between these two isoforms determine the constitutiv…
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Distinguish between inactive and active receptors in terms of effect elicited and preferential binding
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The lock-and-key model explains that the preferential binding of a drug with a similar structure as a natural agonist produces a highly ___ effect on …
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How does beta-1-adrenergic receptor antagonists affect epinephrine binding?
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How do glucocorticoids elicit their effects?
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What three factors cause drug response variations?
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Differentiate tolerance from tachyphylaxis
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Why are tolerance and tachyphylaxis important in drug response?
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Distinguish between downregulation and upregulation
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Chronic salbutamol use is an example of receptor ___
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Sudden withdrawal from beta blockers like propranolol causes net positive cardiovascular effects; an example of receptor ___
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What are the four major effect areas of pharmacogenetic variability in drug response?
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Graded dose-response curves (DRCs) are usually ___ in shape and show a proportional relationship between ___
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This is the maximal response of the drug; going beyond this value brings no benefit and potentially causes toxicity
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This is also known as the ability of a drug to achieve a target response or effect
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This is the concentration at which a drug occupies half of all available receptors, eliciting half the maximal response
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The EC50 demonstrates the proportionality between ___
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EC50 is related to this constant, which is also known as a drug "fingerprint"
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In the absence of spare receptors, what is the relationship between magnitude of drug affinity and EC50?
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Another way to show graded DRCs is by using semi-log curves, plotting log doses with linear response and producing a ___ shape
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A full agonist (FA) is a drug that achieves ___
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An FA like isoproterenol binds to beta 2 receptors and have lower Emax than both epinephrine and norepinephrine. How does it work?
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How do competitive antagonists (CAs) affect the DRC of full agonists (FA)?
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Propranolol is a non-selective beta blocker which effectively lowers heart rate, cardiac contractility, and conduction velocity; but is avoided among …
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How do non-competitive antagonists (NCAs) affect DRC of full agonists (FAs)?
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Phenoxybenzamine is given for hypertensive crises among pheochromocytoma patients. Why?
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Ketamine is an NCA of NMDA receptors. How does it work?
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How do partial agonists (PAs) work?
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Acebutolol is a beta receptor PA, causing lower heart rate and blood pressure. How is this a better drug than propranolol for asthma patients?
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What theory provides a mechanism behind acebutolol action?
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Distinguish graded from quantal DRCs.
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Why are quantal DRCs also called all-or-none occurrences?
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What are the axes in a quantal curve?
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What are the three quantal drug parameters?
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Therapeutic effect (ED50) and toxic effect (TD50) values may be generated from what kinds of studies?
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Lethal effect (LD50) values are commonly found in what studies?
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What is the primary consideration in drug selection?
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What is Therapeutic Index?
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How is Margin of Safety better than Therapeutic Index?
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What is the Therapeutic Window?
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01/07/2024
Why should all safety profiles (TI, MOS, TW) be observed in using Digoxin?
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