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Pharmacokinetics
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Status
Last Update
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Published
08/30/2023
Three phases of drug development
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08/30/2023
The purpose of clinical trials are to show {{c1::safety}}, {{c2::efficacy}}, {{c3::approval,}} and {{c4::long-term use}} of investigational new drugs.…
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Purpose of Phase I Clinical Trial
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Purpose of Phase II Clinical Trial
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Purpose of Phase III Clinical Trial
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Purpose of Phase IV Clinical Trial
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Pharmacokinetics
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Pharmacodynamics
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Pharmacokinetics is divided into {{c1::absorption}}, {{c1::distribution,}} {{c1::metabolism}}, {{c1::excretion}}. {{c1::ADME}}
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General MOA for an administered drug
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Therapeutic Index (definition)
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Therapeutic Index (formula)
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High ratio of TD50 / ED50 -> {{c1::increased safety}}
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Drug-drug interactions in pharmacokinetics affects {{c1::ADME}} of each drug.
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Drug-drug interactions in pharmacodynamics can have {{c1::synergistic/antagonistic effects}} on intented function.
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enteral administration
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peroral administration
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buccal administration
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rectal administration
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parenteral administration
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intravenous administration
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SC/IM Administration
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topical administration
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Route of administration depends on medication {{c2::stability}} and {{c1::structure}}
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first-pass metabolism
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bioavailability of a drug administed IV
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bioavailability
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dosing regimen
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single dosing
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continuous infusion
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steady state concentration (Css)
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Drugs reach steady-state concentration in {{c1::4-5 half-lives}} (time).
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intermittent dosing
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Maintenance Dosing Rate (mg/h) (formula)
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Maintenance Dose (mg) (formula)
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Meds with {{c1::small Vd}} remain in {{c2::plasma }}
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Meds with {{c1::large Vd}} are {{c2:: distributed extensively }}
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Loading Dose (mg) (formula)
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Maintenance dose and loading dose depend on {{c1::clearance}}, {{c1::bioavailability}}, and {{c1::volume of distribution}}
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Which aspects of prescription writing are affected by pharmacokinetic parameters?
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What three major pharmacodynamic parameters affect dosing?
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How does efficacy affect dosing?
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How does potency affect dosing?
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Phase 1 reactions are carried out by {{c1::CYPs (cytochrome proteins)}}
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Metabolic reaction turns active meds into {{c2::inactive metabolites}} for {{c1::excretion}}
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Phase 1 reactions
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Phase 2 reactions
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Phase 1 and Phase II reactions modify metabolites to {{c2::inactivate and excrete}} them by increasing {{c1::polarity}} and {{c1::solubility.}}&n…
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Oral prodrug
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Absorption (definition)
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Endocytosis
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Most drugs are either {{c1::weak acids}} or {{c1::weak bases}}, and are {{c2::uncharged, lipid-soluble, and non-polar}}
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Weakly acidic medication is best absorbed in {{c1::a low pH environment. }}
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Weakly basic medication is best absorbed in {{c1::a high pH environment. }}
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Drugs absorbed in the {{c3::small intestine}} are transported to the {{c2::liver}} via {{c1::the portal vein}}
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Bioavailabiliy (formula, in terms of AUC)
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Three main factors affecting the distribution of medication
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Volume of Distribution (Vd) (definition)
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A low Vd means {{c1::more of the drug}} remains in {{c2::the plasma}}
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A high Vd means {{c1::more of the drug}} remains in {{c2:: extracellular fluid and interstitial spaces}}
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Weak acidic medications are trapped in {{c1::alkaline (high pH)}} urine
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Weak basic medications are trapped in {{c1::acidc (low pH)}} urine
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Enterohepatic circulation (mechanism of elimination)
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Two surfaces of the nephron tubule are the {{c1::apical}} and {{c1::basolateral}} surface.
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The apical surface faces the {{c1::tubular lumen}}
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The basolateral surface faces the {{c1:: peritubular capillaries}}
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In the Proximal convoluted tubule, the concetration of drugs is {{c1::higher}} in the {{c2::peritublar capillaries}} than the {{c2::tubular lumen}}.&n…
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08/30/2023
In the DCT, the concetration of drugs is {{c1::higher}} in the {{c2::tubular lumen}} than the {{c2:: peritubular capillaries}}.
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Clearance of a medication (definition)
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08/30/2023
First order-kinetics
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Zero-order kinetics
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Steady-state concentration, Css (formula)
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Clearance (formula)
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Loading dose beneficial for {{c1::life-threatening situations}} and {{c1::toxic meds }}
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08/30/2023
In the proximal convoluted tubule, the concetration of drugs is {{c1::higher}} in the {{c2::peritublar capillaries}} than the {{c2::tubular lumen}}.
Published
08/30/2023
In the proximal convoluted tubule, the concetration of drugs is {{c1::higher}} in the {{c2::peritublar capillaries}} than the {{c2::tubular lumen}}.&n…
Status
Last Update
Fields