Exam 1: Principles of Pharmacology

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The specific molecular changes that occur when a drug binds to a particular target site or receptor are referred to as

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B

Due to _______, antidepressants known as monoamine oxidase inhibitors (MAOIs) can cause cardiac arrhythmias and high blood pressure in patients that consume foods high in tyramine.

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List the factors that can influence biotransformation, and briefly explain how they can lead to individual differences in drug response.

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Biotransformation can be influenced by enzyme induction, enzyme inhibition, drug competition, and individual differences in age, gender, and genetics. The increase in metabolizing enzymes (induction) increases the rate of biotransformation, causing tolerance. Inhibition of an enzyme by a drug increases the blood level of other drugs metabolized by that enzyme, causing toxicity. When two drugs compete for the limited number of enzyme molecules, higher blood levels of one or both may occur. Both young and older individuals can have reduced metabolic capacity; men and women vary in enzyme activity, and genetic polymorphisms alter the rate of biotransformation.

People with alcohol addiction have been known to self-administer alcohol rectally instead of orally. What are the dangers this practice?

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In the dose-response curve, a decrease in potency is indicated by a shift

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Both agonists and antagonists have _______ but only agonists have appreciable _______.

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Define and explain receptor up-regulation and down-regulation.

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Depot binding is said to occur when drugs

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_______ refer(s) to specific molecular changes that occur when a drug binds to a particular target site or receptor, while _______ are the resulting widespread alterations in function.

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Which of the following scenarios illustrates the nocebo effect?

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What is state-dependent learning? Why does it occur?

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List and briefly describe the five major factors that determine the pharmacokinetics of drug action.

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While pharmacokinetics describes how the body deals with drugs, _______ describes how drug molecules interact with their targets.

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Which factor does not affect the pharmacokinetics of a drug?

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Ethyl alcohol (ethanol) is an example of a drug that is eliminated

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Toxic substances in the blood trigger a vomiting response by activating the

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_______ tolerance occurs as a result of cellular adaptation to the presence of a specific drug.

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Drug metabolism mostly occurs in the _______ and usually makes a drug more _______ soluble.

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A pharmacoepigenetic approach to drug response

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Define the therapeutic index and describe how it is calculated and why it is important.

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