The use of specific drugs to prevent, treat, or diagnose disease is known as
Pharmacotheraputics
Toxicology is
The study of harmful effects of chemicals
The generic name of a drug
Is known as the “official” or “nonproprietary” name
Is often derived from the chemical name
Tends to be somewhat shorter than the drugs chemical name
The generic form of a drug is considered to be as safe and effective as the original, brand-name product if the generic form _________ as the brand-name drug.
Has the same type and amount of active ingredients
Uses the same administration route
Has the same pharmacokinetic profile
Produces same therapeutic effect
Regarding drug development and approval, an “orphan drug” is a drug that is
given special funding for development because it is used in a small patient population with a relatively rare disease
Prescription use of a drug to treat conditions other than those that the drug was originally approved to treat (off label prescribing)
Is legal and quite common in the U.S.
When two drugs are compared, the drug that requires a lower dosage to produce the same effect as a higher dose of the second drug is said to
Be more potent
The ______ effect occurs when drugs are transported initially to the liver where a significant amount of the drug may be metabolized and destroyed before the drug reaches its primary site of action.
First-pass
The extent to which a drug reaches the systemic circulation is referred to as
Bioavailability
Osmosis refers to the special case of diffusion where the diffusing substance is
Water
A drug that has a volume of distribution of approximately 42 L in a healthy 70-kg man will typically be
Distributed uniformly throughout all of the body fluids
Drug developers are exploring nanotechnology (i.e., the use of very small particles with specific physical properties) as a way to
Target and deliver drugs to specific tissues within the body
Facilitate drug absorption
Enables drugs to cross the blood brain barrier more easily
Drug metabolism that occurs when a drug is changed chemically following administration is also known as
Biotansformation
Most drugs are metabolized by _____ to the drug molecule, and the enzymes that catalyze these reactions are typically located at the ____ of specific cells.
Adding an oxygen or removing a hydrogen; smooth endoplasmic reticulum
Prolonged administration of therapeutic drugs and other substances (alcohol, nicotine) may enhance the liver’s ability to metabolize certain drugs, thus decreasing their therapeutic effect. This process is known as _______ .
Enzyme induction
Drugs and their metabolites are excreted from the body primarily by
Kidneys
To calculate drug elimination rates, blood flow to an organ and the fraction of drug removed from the plasma as it passes through the organ are measured to determine drug
Clearance
Drug metabolism by the liver and other organs typically creates a more ____ compound, thus enabling the compound to be ____ when it reaches the nephrons in the kidney.
Polar
Excreted
The acetylcholine receptor located on the postsynaptic membrane of the skeletal neuromuscular junction is an example of a membrane receptor that
Functions as an ion channel or pore
Some drugs affect the function of the adenylate cyclase, an enzyme located on the inner surface of the cell membrane. This enzyme is responsible for hydrolyzing adenosine triphosphate (ATP) into _____, which acts as a second messenger that activates other enzymes (i.e., protein kinases) throughout the cell.
Cyclic adenosine monophosphate (cAMP)
A drug that binds readily to available receptors even if the concentration of drug is relatively low is said to have _______ for that receptor.
High affinity
The ability of a drug to bind to its receptor can be influenced by local chemicals such as guanine nucleotides, ammonium ions, and divalent cations. These local regulators are commonly known as _____.
Allosteric modulators
In contrast to an agonist, a pharmacologic antagonist
Has affinity for the receptors, but lacks efficacy
Is also known as a “blocker”
Can be used to prevent endogenous chemical from overstimulating the receptor
A drug that fails to evoke a maximal response even though it occupies all available receptors is known as
A partial agonist