Pharmacokinetics and Pharmacodynamics: .

04/06/2000

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Table of Contents

Pharmacokinetics and Pharmacodynamics: .

Aims and Objectives (1)

Aims and Objectives (2)

Pharmaceutical

Pharmacokinetics

Pharmacodynamics

Routes of drug administration

Drug transfer across membranes

Drug transfer across membranes

Drug transfer across membranes: Examples

Plasma protein binding of drugs

Drugs and ionisation : Theory

Drugs and ionisation: Practise

Characteristics of Un-ionized and .Ionized Drug Molecules

Why we need to study pharmacokinetics

Why we need to study pharmacokinetics..I.V. bolus and intermittent i.m. injections

PCA versus 4 hourly i.m. analgesic regime

Why we need to study pharmacokinetics:.I.V. infusions and steady state levels.

Calculating the volume of distribution.of a container using a dye

Calculating the apparent volume of a container with sponge

Why do we need to know the volume of distribution?

Two compartment pharmacokinetic model

The central compartment: characteristics

Cimetidine pharmacokinetics: .

Drug metabolism and elimination

Hepatic activation of inactive drugs (‘pro’ drugs)

Hepatic clearance and extraction ratio

Influence of hepatic blood flow and clearance and the hepatic extraction ratio (E.R.).

Hepatic enzyme induction and inhibition

Effects of hepatic blood flow and enzyme induction/inhibition

Bioavailability

Bioavailability

Measuring bioavailability

Why do we need to know the bioavailability of a drug?

Drug metabolism: .Zero and first order kinetics

The elimination rate constant in first order kinetics and relationship to the half life

Clearance

Why do we need to know the drug clearance?

The elimination half life

Half life and % of drug removed (wash out)

Half life and onset of action using maintenance dose and no loading dose (wash in)

The context sensitive half life

Opioid pharmacokinetics (sample)

Effect of context sensitive half life on blood concentrations when infusion is stopped

Drug excretion: Role of the Kidneys

Drug excretion: Role of the Kidneys

Pharmacokinetic parameters.Summary

Pharmacokinetics: the key relationship

Pharmacodynamics

Drug receptors

Agonists, antagonists and partial agonists

Partial agonists: high, medium and low efficacy

Difference between potency and efficacy.

Drug interactions

Putting theory into practise: A few examples …...

Cimetidine pharmacokinetics: .

Cimetidine pharmacokinetics

Calculating the elimination half life

Calculating the rate constant

Calculating the volume of distribution

Calculating the volume of distribution

Calculating the clearance

Calculating the clearance

Pharmacokinetics: Aminophylline (question)

Pharmacokinetics: Aminophylline (answer)

Pharmacokinetics: Penicillin (question)

Pharmacokinetics: Penicillin (answer)

Bioavailability and hepatic clearance of verapamil.Question

Bioavailability and hepatic clearance of verapamil.Answer

Aims and Objectives (1).Have they been achieved?

Aims and Objectives (2)

That’s all folks,.

Author: David Green

Email: david@dr-green.co.uk

Home Page: http://www.dr-green.co.uk/