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FIU Pharmokinetics
PK
14
Pharmacology
Professional
12/16/2011

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Term
Drug administration types
Definition
Enteral (Oral, sublingual, subrectal), Parenteral (IV, intramuscular, subcutaneous, transdermal, intra osseous, intra rperitoneal, intra thecal, intra pulmonary: never HCO3- this way)
Term
Most common way that drugs move across membranes
Definition
passive diffusion
Term
drugs with a high first pass effect
Definition
lidocaine, morphine, meperidine, aspirin, propranolol, verapamil, cyclosporine, amitriptylin, imipramin
Term
Volume of distribution examples
Definition
imipramine (2100, antidepressant that crosses blood brain barrier), lidocaine (80), Heparin (6: interferes with coagulation, stays in blood)
Term
Volume of distribution formula
Definition
Vd = Dose/C0 (Dose given, Concentration in blood initially)
Term
Phase I and II metabolism are also known as? Where does it take place?
Definition
oxidation (I), conjugation (II) in liver
Term
CYP450 metabolism of these drugs
-1A2
-3A4
-2C9
-2D6
Definition
-Xanthines (1A2)
-Erythromycin (3A4)
-Phenytonin (2C9)
-Debrisoquine (2D6)
Term
3A4 inducers
Definition
barbituates, carbamazepine, glucocorticoids, phenytoin, rifampin (orange color), St. John's wort
Term
3A4 inhibitors
Definition
cimetadine, nefazadone, grapefruit juice, azole antifungals, ciprofloxacin, erythromycin
Term
Clearance ratio formula
Definition
Clearance of drug/Clearance of creatinine (5 is highest, penicillin)
Term
Organic Anion Transporter (used to secrete these substances into proximal tubules)
Definition
Endogenous: cAMP, PG, bile salts
Exogenous: penicillin, probenecid (boosts penicillin plasma levels)
Term
Organic Cation Transporter (used to secrete these substances into proximal tubules)
Definition
Endogenous: Dopamine, norepinephrine, epinephrine, creatinine
Exogenous: cimetidine, ranitidine, morphine
Term
Creatinine clearance formula (for renal impairment)
Definition
CCr = (140-age)(weight in kg)/ (72 x Serum creatinine) 72 -> 84 in females, 0.8 to 1.4 mg/dL is normal.
Term
Clearance formula
Definition
Clearance = Vd * Ke
where Ke = (0.7/t1/2)
t1/2 is half life
Ke is the elimination constant
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