Chapter 1

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Chapter 1

Basic Concepts of
Pharmacology
Chapter 1 Topics

• Receptors
• Mechanisms of Drug Action
• Pharmacokinetics
• Drug Effects
Learning Objectives
• Understand receptors and their function in
mechanisms of drug actions.
• Be aware of the pharmacokinetics
involved in developing and testing drugs.
• Understand that some drug effects are
beneficial whereas others can be harmful.
• Be familiar with the common terms used to
describe drug interactions.
Receptors
• A receptor is a protein molecule on the
surface of or within a cell that recognizes
and binds with specific molecules
Mechanisms of Drug Action
Agonist

An agonist is a drug that binds to a particular


receptor site .
Mechanisms of Drug Action
Antagonist

An antagonist is a drug that binds to a


receptor site and blocks the action of the
endogenous messenger or other drugs.
Pharmacokinetics
• Activity of a drug within the body over a
period of time.
• Includes ADME
Pharmacokinetics
• Activity of a drug within the body over a
period of time
• Includes ADME
– absorption
– distribution
– metabolism
– elimination
Pharmacokinetics
Absorption
Process whereby the drug enters the circulatory
system
Pharmacokinetics
Distribution
Process by which a drug moves from the blood
into other body :organs and tissues .
Pharmacokinetics
Metabolism
Process by which drugs are chemically converted
to compounds and then excreted through
metabolic pathways.
Pharmacokinetics
Elimination
Clearance is the rate at which a drug is
eliminated from a specific volume of blood per
unit of time.
Discussion
What are the primary sites of
elimination in the body?
Discussion
What are the primary sites of
elimination in the body?

Answer: The kidney and the liver, but


can also be exhaled by the lungs.
Pharmacokinetics
Therapeutic Range
Pharmacokinetics
Duration of Action
Discussion
How is a drug’s volume of
distribution, clearance, and half-life
used in dosing drugs?
Discussion
How is a drug’s volume of distribution,
clearance, and half-life used in dosing
drugs?

Answer: Volume of distribution is


important for calculating the loading dose,
clearance for calculating the maintenance
dose, and half-life for determining the
dosing interval.
Pharmacokinetics
Pharmacokinetic Modeling
Method of describing the process of ADME of a
drug within the body
Drug Effects
Beneficial Responses
Drug Effects
Beneficial Responses
– Therapeutic Effect
The action for which the drug is prescribed
Drug Effects
Beneficial Responses
– Therapeutic Effect
The action for which the drug is prescribed
– Local Effect
Confined to a specific part of the body
Drug Effects
Beneficial Responses
– Therapeutic Effect
The action for which the drug is prescribed
– Local Effect
Confined to a specific part of the body
– Systemic Effect
Generalized
Discussion
What are some of the issues a
healthcare practitioner considers
when selecting a drug for an
individual patient?
Drug Effects
When choosing a drug for a patient, a
healthcare practitioner considers:
Indications
The diseases, symptoms, and conditions for which the
drug is known to be of benefit
Contraindications
The diseases, symptoms, and conditions for which the
drug will not be beneficial and may do harm
Drug Effects
Side Effects
Secondary responses to a drug other than the
primary therapeutic effect for which the drug was
intended
• Allergic responses
• Drug dependence, addiction, abuse, and tolerance
Common Drug Relationships
Addition The combined effect of two drugs.

Antagonism The action of one drug combined


the action of a second drug.
Discussion
Why is it important for the pharmacy
to have a complete list of all of the
prescription drugs, medications,
vitamins, that a patient is taking?
Questions?
Thanks

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