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pharm principles
chapter 2
62
Pharmacology
Undergraduate 3
09/04/2013

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Term
Additive effects
Definition
Drug interactions in which the effect of a combination of two or more drugs with similar actions is equivalent to the some of the individual effects of the same drugs given alone (1+1=2)
Term
Adverse drug event
Definition
Any undesirable occurrence related to administering or failing to administer a prescribed medication
Term
Adverse drug reaction
Definition
Any unexpected, unintended, undesired or excessive response to a medication given at therapeutic dosages
Term
Adverse effects
Definition
A general term for any undesirable effects that are a direct response to one or more drugs
Term
Agonist
Definition
A drug that binds to and stimulates the activity of one or more receptors in the body
Term
Allergic reaction
Definition
An immunologic hypersensitivity reaction resulting from the unusual sensitivity of a patient to a particular medication
Term
Antagonist
Definition
A drug that binds to and inhibits the activity of one or more receptors in the body; inhibitors
Term
Antagonistic effects
Definition
Drug interactions in which the effect of a combination of two or more drugs is less than the sum of the individual effects of the same drugs given alone
Term
Bioavailability
Definition
A measure of the extent of drug absorption for a given drug and route (from 0%-100%)
Term
Biotransformation
Definition
One or more biochemical reactions involving a parent drug. Biotransformation occurs mainly in the liver and produces a metabolite that is either inactive or active; metabolism
Term
Blood brain barrier
Definition
The barrier system that restricts the passage of various chemicals and microscopic entities between the bloodstream and the CNS. It still allows for the passage of essential substances such as oxygen.
Term
Chemical name
Definition
The name that describes the chemical composition and molecular structure of the drug.
Term
Contraindication
Definition
Any condition, especially one related to a disease state or patient characteristic, including current or recent drug therapy, that renders a particular form of treatment improper or undesirable
Term
Cytochrome P-450
Definition
The general name for a large class of enzymes that play a significant role in drug metabolism and drug interaction
Term
Dependence
Definition
A state in which there is a compulsive or chronic need, as for a drug
Term
Dissolution
Definition
The process by which solid forms of drugs disintegrate in the gastrointestinal tract and become soluble before being absorbed in circulation
Term
Drug
Definition
Any chemical that affects the physiologic process of a living organism
Term
Drug interaction
Definition
Alteration in the pharmacologic or pharmacokinetic activity of a given drug caused by the presence of one or more additional drugs; it is usually related to effects on the enzymes required for metabolism of the involved drugs
Term
Drug actions
Definition
The processes involved in the interaction between a drug and body cells; mechanism of action
Term
Drug classification
Definition
A method of grouping drugs; may be based on structure or therapeutic use
Term
Drug effects
Definition
The physiologic reactions of the body to a drug. Can be therapeutic or toxic and describe how the body is affected as a while by the drug. The term onset, peak, and duration are used to describe drug effects
Term
Drug induced teratogenesis
Definition
The development of congenital anomalies or defects in the developing fetus caused by the toxic effects of drugs
Term
Duration of action
Definition
The length of time the concentration of a drug in the blood or tissues is sufficient to elicit a response
Term
Enzymes
Definition
Protein molecules that catalyze one or more of a variety of biochemical reactions, including those related to the body's physiologic processes as well as those related to drug metabolism
Term
First-pass effect
Definition
The initial metabolism in the liver of a drug absorbed by from the Gi tract before the reaches systemic circulation through the blood stream
Term
Generic name
Definition
THe name given to a drug by the United States Adopted Names Council. Also called the nonproprietary name. Much shorter and simpler than the chemical name and is not protected by trademark
Term
Glucose-6-phospate dehydrogenase (G6PD) deficiency
Definition
A hereditary condition in which red blood cells break down when the body is exposed to certain drugs
Term
Half-life
Definition
In pharmacokinetics, the time required for half of an administered dose of a drug to be eliminated by the body, or the time it takes for the blood level of a drug to be reduced by 50%
Term
Idiosyncratic reaction
Definition
An abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an individual patient
Term
Incompatibility
Definition
The characteristic that causes two parenteral drugs or solutions to undergo a reaction when mixed or given together that results in the chemical deterioration of at least one of the drugs
Term
Intraarterial
Definition
Within an artery
Term
Intraarticular
Definition
Within a joint
Term
Intrathecal
Definition
Within a sheath
Term
Medication error
Definition
Any preventable adverse drug event involving inappropriate medication use by a patient or health care professional; it may or may not cause patient harm
Term
Medication use process
Definition
The prescribing, dispensing, and administering of medications, and the monitoring of their effects
Term
Metabolite
Definition
A chemical form of a drug that is the product of one or more biochemical reactions involving the parent drug. Active metabolites are those that have pharmacologic activity of their own, even if the parent drug is inactive. Inactive metabolites lack pharmacologic activity and are simply drug waste products awaiting excretion from the body
Term
Onset of action
Definition
The time required for a drug to elicit a therapeutic response after dosing
Term
Parent drug
(&prodrug)
Definition
The chemical form of a drug that is administered before it is metabolized by the body's biochemical reactions into its active or inactive metabolites. A parent drug that is not pharmacologically active itself is called a prodrug. A prodrug is then metabolized to pharmacologically active metabolites
Term
Peak effect
Definition
The time required for a drug to reach its maximum therapeutic response in the body
Term
Peak level
Definition
The maximum concentration of a drug in the body after administration, usually measured in a blood sample for therapeutic drug monitoring
Term
Pharmaceutics
Definition
The science of preparing and dispensing drugs, including dosage form design
Term
Pharmacodynamics
Definition
The study of the biochemical and physiologic interactions of drugs at their sites of activity. It examines the physiochemical properties of drugs and their pharmacologic interactions with body receptors
Term
Pharmacoeconomics
Definition
The study of economic factors impacting the cost of drug therapy
Term
Pharmacogenomics
Definition
The study of the influence of genetic factors on drug response, including the nature of genetic aberrations that result in the absence, overabundance, or insufficiency of drug-metabolizing enzymes.
Term
Pharmacognosy
Definition
The study of drugs that are obtained from natural plant and animal sources
Term
Pharmacokinetics
Definition
The study of what happens to a drug from the time it is put into the body until the parent drug and all metabolites have left the body. Pharmacokinetics represent the drug absorption into, distribution, and metabolism within, and excretion from the body
Term
Pharmacology
Definition
The broadest term for the study of science of drugs
Term
Pharmacotherapeutics
Definition
The treatment of pathologic conditions through the use of drugs
Term
Prodrug
Definition
An inactive drug dosage form that is converted to an active metabolite by various biochemical reactions once it is inside the body
Term
Receptor
Definition
A molecular structure within or on the outer surface of a cell. Receptors bind specific substances and one or more corresponding cellular effects occurs as a result of this drug-receptor interaction
Term
Steady state
Definition
The physiologic state in which the amount of drug removed via elimination is equal to the amount of drug absorbed with each dose
Term
Substrates
Definition
Substances on which enzymes act
Term
Synergistic effects
Definition
Drug interactions in which the effect of a combination of two or more drugs with similar actions is greater than the sum of the individual effects of the same drugs given alone (1+1>2)
Term
Therapeutic drug monitoring
Definition
The process of measuring drug levels to identify a patients drug exposure and to allow adjustment of dosages with the goals of maximizing therapeutic effects and minimizing toxicity
Term
Therapeutic effect
Definition
The desired or intended effect of a particular medication
Term
Therapeutic index
Definition
The ratio between the toxic and therapeutic concentrations of a drug
Term
Tolerance
Definition
Reduced response to a drug after prolonged use
Term
Toxic
Definition
The quality of being poisonous
Term
Toxicity
Definition
The condition of producing adverse bodily effects due to poisonous qualities
Term
Toxicology
Definition
The study of poisons, including toxic drug effects, and applicable treatments
Term
Trade name
Definition
The commercial name given to a drug product by its manufacturer; proprietary name
Term
Trough level
Definition
The lowest concentration of drug reached in the body after it falls from its peak level, usually measured in a blood sample for therapeutic drug monitoring
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