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what are the four main processes of pharmokinetics?
absorption; distribution, metabolism, elimination (ADME) how a drug enters moves through, is changed by, and leaves the body
which drug administration routes bypass first pass metabolism
sublingual and buccal routes bypass first metabolism
drugs enter bloodstream directly from the mouth, avoiding liver initially
function of blood brain barrier
protects brain by restricting passage of large or hydrophilic molecules
allows mainly small lipid soluble substances to cross
drug half life
how long it takes for concentration of a drug in the body to decrease by half
affects dosing intervals and duration of action
factors that cause individual differences in drug metabolism
genetics (enzyme variants)
diet (induce or inhibit enzymes)
main parts of neuron
dendrites - receive signals
soma - cell body
axon - sends signals
terminal buttons - release neurotransmitters
main excitatory neurotransmitter in brain
glutamate - important for learning and memory
difference between ionotropic and metabotropic receptors
ionotropic - ligand gated ion channels that act quickly
metabotropic - g protein coupled act slowly through second messengers
agonist
activates a receptor to produce a response
antagonist
blocks the receptors and prevents a response
therapeutic index
ratio fo toxic dosse to effective dose (TI=TD50/ED50); higher TI means drug is safer
brain regions and reward circuit
VTA (ventral tegmental area)
nucleus accumbens
prefrontal cortex
metabolic tolerance
repeated drug use increases the rate at which body metabolizes the drug, reducing its effect
pharmacodynamic tolerancee
target cells or receptors become less responsive to a drug after repeated exposure
chronic drug use affect on brain’s reward system
reduce sensitivity to natural rewards and increase craving - relapse more likely
main function of transporter proteins in neurotransmission
reuptake neurotransmitters from synaptic cleft back into presynaptic neuron - ending the signal
difference between drug misuse and drug abuse
using drug in way not intended by prescriber
drug abuse is using drug for non medical reasons
discontinuation syndrome
set of withdrawal symptoms that can occur when certain medications, antidepressants are stopped abruptly
pharmacology
science of how drugs affect the body
psychopharmacology
how drugs affect brain and behavior
pharmokinetics
movement of drugs into, through, and out the body
main process of pharmokinetics - adme
absorption, distribution, metabolism, elimination
pharmocodynamics
how drugs interact with body structures to produce effects
drug administration routes
enteral - oral, rectal
parentral - inhalation, mucous membrane, skin injection
routes of administration that bypass first pass metabolism
sublingual, buccal
blood brain barrier
protects brain from toxins and large molecules, lipid soluble drugs cross more easily, p-glycoproteins pump drugs out