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BMS263

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Term
Definition
show A chemical substance of known structure, other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect. Sourced from microorganisms, plants, human cells and animals, minerals and labs  
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Exogenous   show
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show Made by the body itself  
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show How a drug affects the body (it's mechanism of action)  
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Pharmacokinetics   show
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show Requires non-uniform distribution of the drug molecule within the body or tissue. Molecules must bind with particular constituents of cells and tissue to produce effect. Also involves potency and effacacy  
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show How much of the drug is required to produce a response. Determined by affinity & efficacy of drug. Compared by considering the EC50. Drugs of high amount have higher affinity for receptors & occupy proportion of receptor even at low concentrations  
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EC50   show
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show The ability of a drug to produce its biological response  
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Drug Targets   show
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Drug Specificity   show
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Selectivity   show
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Agonist   show
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show A drug binds to the receptor without causing activation and prevents an agonist from binding. Has zero efficacy. Can be reversible or irreversible  
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Affinity   show
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show How big an effect the drug will have’ when all targets (receptors) are occupied. Describes the tendency of the drug-receptor complex to adopt the active rather than the resting state. The difference between full and partial agonists  
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Full Agonist   show
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show Have some efficacy but are unable to generate a maximal tissue response. Drugs with intermediate levels of efficacy, such that even when 100% of the receptor are occupied the tissue response is sub-maximal  
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Activation   show
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show Drug effect gradually diminishes when given continuously/ repeatedly. Develops in course of minutes. Caused by change in or translocation of receptors, exhausted mediators,increased metabolic degradation, active extrusion from cells & physiological adapt  
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show More gradual decrease in responsiveness to a drug, taking weeks or days to develop  
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show The loss of the therapeutic efficacy  
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show The loss of the effectiveness of antimicrobial or anti-tumour drugs  
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show In regards to desensitisation. A conformation change that inhibits the efficacy of the drug. E.g. agonist binds but can no longer activate it (type 2 diabetes)  
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Translocation of Receptors   show
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Exhaustion of Mediators   show
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show In regards to desensitisation. Body produces more enzymes that catalyse the chemical degradation of drug. Usually induction of hepatic drug metabolising enzymes  
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show In regards to desensitisation. Some drugs need to enter target cells to have an effect. If the target cells expel the drug, a lower intracellular concentration of the drug will occur, decreasing its potency. e.g. Cancer chemotherapy  
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show Readjustment of homeostatic mechanisms occur to compensate for drug action. E.g. Thiazide diuretics increase production of urine, decrease BV &BP. Activation of renin-angiotensin 2 system can occur stimulating physiological mechanisms to increase BP again  
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Pharmacogenetics   show
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show Inherited genes can alter drug response. Can alter pharmacodynamics and pharmacokinetics. A persons environment & stage of life can alter drug responses. Also nutrition, use of other drugs, allergic reactions & idiosyncratic reactions  
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show One drug can increase the activity and/or unwanted effects of another drug. - e.g. The degradation and clearance of two drugs may involve the same enzyme  
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show One drug can decrease the activity of another drug. Four main types: Chemical antagonism, Pharmacokinetic antagonism, Block of receptor or block of receptor-effector linkage (competitive vs non-competitive), & Physiological antagonism  
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Chemical Antagonism   show
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Pharmacokinetic Antagonism   show
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Competitive Antagonist   show
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show Antagonist and agonist bind to receptor at different sites, or one drug inhibits the activity of the other drug by altering cell signalling down-stream of the receptor. Antagonist blocks the chain of events that lead to a response by action of agonist  
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Physiological Antagonism   show
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Created by: Mandyrox300
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