Vet Pharm
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- What is the RINN of a drug?
- the recognized international non proprietary name of a drug
- What are the requirements for a good drug?
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- efficacy
- safety
- decrease side effects
- decrease in drug residues - What is pharmacokinetics?
- Pharmacokinetics determines what the body does from the time the drug enters the system to when it is excreted.
- What is clinical pharmacokinetics?
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this is when you take the individual animal into consideration.
- liver/ kidney disease - What is pharmacodynamics?
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what the drug does to the body.
- gross effects on HR, BP
- cellular effects including blocking receptors - What is the most common model of kinetics?
- open model
- What does it mean when a drug has first order kinetics?
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- rate of the drug is proportional to the drug concentration
- the body can up regulate or down regulate the amount of absorption or elimination based on the concentration of the drug. - What does it mean when a drug has zero order kinetics?
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- the rate is constant
- no a dependent reaction and elimination is fixed.
- here the drug takes time to be eliminated.
- example: alcohol dehydrogenase - What are the 6 components that determine if a drug moves throughout the body?
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- molecular size
- shape
- degree of elimination
- lipid solubility
- protein binding
- physico- chemical properties - What mechanisms are in place to keep a drug from getting into the brain?
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- BBB
- tight junctions
- membrane transporters - What membrane transporter is found in the brain?
- p- glycoprotein
- What are the mechanisms that allow for movement of a drug across membranes?
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- passive transport
- carrier mediated transport which include active transport and facilitative transport
- What are the effects of ion trapping?
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- most drugs are weak acids
- unionised drugs cross membranes.
- if the ph of a solution is similar to the pka of the drug then the drug will move.
- if the ph of a drug is not the same as the pka of the drug then the drug becomes trapped and can not cross the membrane - what does bioavailability mean?
- quantifies drug absorption
- What does it mean when a drug undergoes first pass metabolism?
- - removal of the drug before it passes through the systemic circulation. this is done when the drug enters portal circulation and is filtered by the liver
- Why would adrenalin lead to a decrease in drug elimination?
- adrenalin causes vasoconstriction
- What is the area under the curve equivalent to?
- bioavailability
- why is plasma protein binding important in pharmacology?
- a bound drug does not move
- What is the advantage of having bound drug?
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it does not get filtered by the kidney so it lasts longer in the system
- What would the volume of distribution be if a drug were distributed into the TBW?
- 0.6 l/kg
- What would the volume of distribution be if a drug were to be distributed into the ECF?
- 0.1-0.3 L/kg
- What are the three things that affect elimination?
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- physico- chemical properties
- lipid solubility
- polarity - What is biotransformation?
- alteration of a substance within the body by enzymes. Mostly done by the liver
- What enzyme facilitates biotransformation in the plasma?
- pseudocholinesterase
- how are drugs metabolized if they undergo phase I metabolism?
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- hydrolysis
- reduction
-oxidation - How are drugs metabolized if they undergo phase II metabolism?
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conjugation which includes:
- acetylation
- glucaronidation
- conjugation to amino acids - how do drugs get into the kidney for elimination?
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- glomerular filtration
- active transport - What does clearance encompass?
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- volume of blood cleared of the drug
- encompasses biotransformation and elimination processes - What is steady state?
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levels of drug remain stable or constant from dose to dose
- takes 5-7 half lives - What is drug action?
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describes drug receptor interaction
- What is drug effect?
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chain of events from drug action
- What is a drug receptor?
- macromolecular structure that can be made of anything
- What is a agonist?
- a drug that binds to a physiological receptor and mimics effect of endogenous ligand
- What is a full agonist?
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the max response without all the receptors occupied
- What is a partial agonist?
- a drug that is incapable o achieving max with all the receptors occupied
- What is a drugs affinity?
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the tendancy of a ligand and receptor to bind
- What is a drugs efficacy?
- the effective response to a drug.
- What is a drugs potency?
- where two drugs are compared and the concentration of each to get a response
- What is an antagonist?
- a drug that has affinity but no intrinsic activity
- name 4 non selective agonist of the SNS?
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- adrenaline
-dopamine
- isoprenaline
- phenylpropanolamine - List the pharmokinetics of epinephrine?
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- both alpha and beta agonists
- increase HR and increase force
- vasoconstriction
- cardiac arrest, anaphylaxis
- taken up by nerve terminals and non neuronal tissue
- degraded by MAO and COMT
- tachycardia, arrhythmias - What are the pharmokinetics of isoprenaline?
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- non selective beta agonist
- positive ionitrophic
- positive chronotrophic
- induce arrhythmias and cause necrosis
- not taken up by nerve terminus but metabolised by liver - what are the pharmokinetics of Dopamine?
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- neurotrasmitter
- some effect on renal clearance so goof for management
- increase intracellular cAMP
- induce vasodilation
- at high leves causes vasoconstriction - What are the pharmokinetics of phenylpropanalamine?
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- alpha properities
- urinary incontinence
- oral
- nasal decongestant
- hyperexcitability in cats
- tyramine like so release of NA from nerve terminal - what are the beta 1 agonists?
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- they are primarily affect cardiac effects
- increase in heartrate, increase in force of constraction
Example is dobutamine - What is dobutamine?
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- b1 agonist
- used in equine anaes
- maintain BP
- used in heart failure fo riontropic support
- is IV
- rapid metabolism
- used for short term crisis - What are b2 agonists?
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- primary for bronchodilation
- tocolytic- causes uterine relaxation and delay partition
- used as growth promoters - what are some examples of B2 agonists?
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- clenbuterol
- terbutaline
- isoxorprine - Describe Clenbuterol?
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- bronchodilation
- uterine relaxation
- COPD
- Use IV or PO
- vasodilation
- tachycardia
- growth promoter
- repartitioning effect - Describe Terbutaline?
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- bronchiodilator
- cardiac side effects
- used for treatment of conduction disterbances
- oral - Describe Isoxorprine.
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- treatment of navicular disease
- vasodilation
- tocolytic drug
- useful - what are alpha 1 agonists?
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- vasocontriction
- increase force of myocardrol contraction
- example is pherylephrine - What is pherylephrine?
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- stimulate sympathetic
- mydriasis
- used in ocular preps - What are alpha2 agonists?
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- central sedative effect
- include xylazine, medetomidine, detomidine
- What is clonidine?
- - diagnosis of growth humone deficency
- What are the 4 antivirals?
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- Acyclavir
- Zidovudine
- omega interferons
- amantadine - What is Acyclavir?
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- acyclic quanine nucleoside
- inhibits viral DNA polymerase
- effective against herpes
- oral and IV
- eliminated in urine
- relatively safe - What is Zidovudine?
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- inhibit RNA dependent DNA polymerase
- HIV
- oral or IV
- gets CSF
- well tolerated
- anemia
- drugs that inhibit glucaronyl transferase
- used in FIV, FELV - What is Omega interferons?
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- interfer with trnaslational protein production and disrupt mRNA
- IV SQ
- decrease VD and increase clearance
- good margin of safely
- hyperthermia, lessions, vomiting
- canine parvovirus
- FELV, FIV - What is amantadine?
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- water soluable, cyclic amides
- narrow spectrum
- myxoviruse, paramyxoviruses, togerviruses, and influences A
- disrupts virus assembly
- good oral avalibility
- manage influenza