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Zero Order First Order

Zero-order kinetics is described when a First order kinetics occur when a constant
constant amount of drug is eliminated per proportion of the drug is eliminated per unit
unit time. time.
The rate is independent of the It is a concentration-dependent process
concentration of the drug.

Bioequivalence Therapeutic Equivalence


In Bioequivalence the two drugs release Drug products are considered to be
the active ingredient into the bloodstream therapeutic equivalents only if they are
at the same amount. pharmaceutical equivalents and have
same effects.
It has the same rate and quality. It has the same clinical effect and safety
profile when administered to patients .

pH pKa
pH is simply the measure of acidity (or The pKa of a drug is the hydrogen ion
alkalinity/basicity) of a solution. concentration (pH) at which 50% of the
drug exists in its ionized hydrophilic form .
when pH is equal to pKa, the drug is The pKa of a drug influences lipophilicity,
ionized halfly. and permeability which in turn
directly affects pharmacokinetic
characteristics.

Therapeutic Index Margun of Safety


The therapeutic index is a quantitative In margin of safety of a drug we can use a
measurement of the relative safety of a drug for therapeutic purposes without
drug. risking too many adverse effects at the
same time.
It is a comparison of the amount of The margin of safety is estimated by
a therapeutic agent that causes something known as the therapeutic index
the therapeutic effect to the amount that .
causes toxicity.

Pre Oral Sublingual Route


A majority of the drugs are administered Sublingual administration of drug refers to
orally as it is a convenient, safe and the placement of drug under the tongue.
affordable route of administration.
The effect of the drug in the body is It involves placing a drug under your
dependent on its absorption in the tongue to dissolve and absorb into your
digestive system. blood through the tissue there.

Potency Efficacy
It is an expression of a drug in terms of the Efficacy judges the therapeutic
conc of the drug required to produce a effectiveness of the drug in humans.
defined effect
Potency denotes the amount of drug It refers to the relative ability of a drug-
needed to produce a given effect. receptor complex to produce a maximum
functional response.

Competitive Antagonist Non-Competitive Antagonist


A competitive antagonist binds to the A non-competitive antagonist binds to an
same site as the agonist but does not allosteric (non-agonist) site on the receptor
activate it, thus blocks the agonist's action to prevent activation of the receptor.
Atropine is a competitive antagonist of the ketamine is a non-competitive antagonist .
actions of acetylcholine and other
muscarinic agonists.

Bioequivalence Bioavailability
In Bioequivalence the two drugs release Bioavailability refers to the extent and rate
the active ingredient into the bloodstream at which the active moiety enters systemic
at the same amount. circulation, thereby accessing the site of
action.
It has the same rate and quality. It is largely determined by the properties of
the dosage form, which depend partly on
its design.

Phase I Phase II
Phase I reactions of Phase II reactions involve conjugation by
drug metabolism involve oxidation, coupling the drug or its metabolites to
reduction, or hydrolysis of the parent drug, another molecule, such as glucuronidation,
resulting in its conversion to a more polar acylation, sulfate, or glicine.
molecule.
This phase perform the functionalization This phase perform the biosynthetic
reactions. reactions.

H.E Inducer H.E Inhibitor


Hepatic enzyme induction is generally an Drugs that cause CYP450 drug interactions
adaptive response associated with increases are referred to as
in liver weight either inhibitors or inducers.
It help in induction of gene expression, and An inducing agent can increase the rate of
morphological changes in hepatocytes another drug's metabolism by as much as two-
to threefold that develops over a period of a
week.

Pharmacokinetics Pharmacodynamics
Pharmacokinetics is the study of what the Pharmacodynamics is the study of what
body does to the drug, the drug does to the body. ...
It refers to the movement of any drug The drug interactions occur
going into, through, and out of the body. on pharmacodynamic
Oral Route Patental Route
Oral administration of drugs is the most Parenteral products are liquid preparations
used method of drug therapy. Absorption administered directly into body tissues
of these drugs is given by the membrane
permeability.
For drugs administered orally, absorption Administration of parenteral includes the
may begin in the mouth and stomach. following routes:
• Subcutaneous (under the skin)
• Intramuscular (in a muscle)
• Intravenous (in a vein)
• Intrathecal (around the spinal cord)

SHORT ANSWERS
ANS NO - 01

IMPORTANCE OF FIRST PASS EFFECT:

The first pass effect is a phenomenon in which a drug gets metabolized at a specific
location in the body. The liver metabolizes many drugs, sometimes to such an extent
that only a small amount of active drug emerges from the liver to the rest of the
circulatory system. This first pass through the liver thus may greatly reduce the
bioavailability of the drug.

ANS NO – 02

PHYSICO-CHEMICAL PROPERTIES OF DRUGS

Solubility and permeability are considered as the major physicochemical factor


that affect the rate and extent of oral drug absorption, moreover other physicochemical
properties always show their effects to drug absorption via affecting solubility and
permeability.

ANS NO – 03

URINARY EXCRETION OF BASIC DRUG

Excretion of a drug is dependent on intrinsic properties of the drug, such as pH and


size. For example, weakly acidic drugs display increased excretion in basic urine, while
weakly basic drugs are excreted more readily in acidic urine. Alkalinization of urine has
the opposite effect. In some cases of overdose, these principles are used to enhance
the excretion of weak bases or acids.
ANS NO – 04

MECHANISM OF UP AND DOWN REGULATION

UP REGULATION:

An increase in the number of receptors on the surface of target cells, making the cells
more sensitive to a hormone or another agent. For example, there is an increase in
uterine oxytocin receptors in the third trimester of pregnancy, promoting the contraction
of the smooth muscle of the uterus.

DOWN REGULATION:

An decrease in the number of receptors on the surface of target cells, making the cells
less sensitive to a hormone or another agent. For example, insulin receptors may be
downregulated in type 2 diabetes.

ANS NO – 05

INTRACELLULAR RECEPTORS WORKING

Intracellular receptors. Once stimulated by lipid-socluble ligands, intracellular


receptors translocate to the nucleus and bind to response elements of the spacer DNA,
altering the rate of gene expression. The hormone-receptor complex binds to promoter
regions of responsive genes and stimulate or sometimes inhibit transcription from those
genes.

ANS NO – 06

IMPORTANCE OF SECOND MESSENGER

Second messengers are intracellular signaling molecules released by the cell in


response to exposure to extracellular signaling molecules the first messengers. Second
messengers trigger physiological changes at cellular level such as proliferation,
differentiation, migration, survival, apoptosis and depolarization.

ANS NO – 07

IMPORTANCE OF ION TRAPPING

Ion trapping alters the urine pH to inhibit reabsorption of toxins across the renal tubular
membranes. The principle behind this approach is to “trap” the toxin in its ionized form
in the urine where it can be excreted.

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