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26 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

For a drug to produce an effect in the CNS, a drug must pass barriers namely the tissues that comprise the ____, the walls of the ____ that ____, and the ____

Wall of the intestine


Capillaries


Perfuse the gut


Blood brain barrier

These are the walls of the capillaries that perfuses the brain

Blood brain barrier

The filtering mechanism of capillaries of brain and spinal cord

BBB

5 factors affecting drug Distribution

Blood flow


Capillary permeability


Protein binding


Drug-Drug interaction


Depot binding

BCPDD

Relationship of blood flow and Distribution

Higher blood perfusion&cardiac output = higher distribution

Relationship of capillary permeability and distribution

Higher CP = higher distribution

It is the capacity of the blood vessel wall to allow for the flow of small molecules in and out of the blood vessel

Capillary permeability

Once the drug enters the systemic circulation, it may: (2)

Stay in solution


Bound to serum proteins

Drugs that bound to albumin

Acidic drugs


Neutral drugs

4 acidic drugs

Phenytoin


Warfarin


Tolbutamide


Phenobarbital

PWTP

5 basic drugs

Lidocaine


Quinidine


Propranolol


Chlorpromazine


Pentazocin

LQPCP

Brand name and use of phenytoin

Dilantin


Anticonvulsant

Brand name and use of warfarin

Coumadin


Anticoagulant

Brand name and use of tolbutamide

Orinase


Antidiabetic

Use of phenobarbital

Anticonvulsant

Brand name and use of lidociane

Lidopen


Local anesthetic

Brand name and use of quinidine

Quinaglute


Antimalarial

Brand name and use of propranolol

Inderal


Antidisrhythmic

Brand name and use of chlorpromazine

Thorazine


Antipsychotic

Brand name and use of pentazocin

Talwin


Analgesic

Serum proteins that is usual carrier of basic drugs

Alpha 1 glycoprotein

If a drug molecule detached from the protein, it is then called ____ which is pharmacologically active

Free/unbound drug

Drugs can also be stores in depot sites or tissue depots or ____ such as ____,____,____

Silent receptors


Fat


Muscle


Bones

____ fat constitutes some ____ of body weight and constitutes a depot of considerable importance

Neutral


20%-50%

Generic name of Depo-Provera

Medroxyprogesterone acetate

Dose of depo provers

150mg every 3 months