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Introduction to Pharmacology
Course Coordinator Jamaluddin Shaikh, Ph.D. School of Pharmacy, University of Nizwa Lecture-1 September 17, 2011
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What is Pharmacology? Study of how drugs function inside the body
Composition Use Effects
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What is Drug? Chemical substance
Used in the treatment, cure and diagnosis of diseases
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Pharmacokinetics and Pharmacodynamics
Pharmacokinetics (PK) : Effects of body on the drugs Absorption Distribution Metabolism Excretion Pharmacodynamics (PD): Effects of the drugs on body
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Bound Free Free Bound ABSORPTION Free Drug EXCRETION Bound Drug
LOCUS OF ACTION “RECEPTORS” TISSUE RESERVOIRS Bound Free Free Bound ABSORPTION Free Drug EXCRETION SYSTEMIC CIRCULATION Bound Drug BIOTRANSFORMATION
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PK vs PD Dose Site of action Plasma Concentration Effects PK PD
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How Do Drugs Work? Work by interact with endogenous protein
Some antagonize, block or inhibit endogenous proteins Some activate endogenous proteins A few endogenous proteins have unconventional mechanisms of action
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Receptor Macromolecular endogenous protein
Primarily located on the plasma membrane It binds the drugs and initiates its effects
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Ligand Molecules that bind to receptor is called ligand
A ligand may be Peptides Neurotransmitters Hormones Drugs
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Drug-Receptor Binding
Drug-receptor interaction produce pharmacological response Pharmacological response depends on: Nature of the drug No. of receptors Amount of drug at the receptor site
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Agonist and its Action Chemical binds to a receptor of a cell
Triggers a response by the cell Can be endogenous or exogenous Types of agonists Full agonist Partial agonist Inverse agonist
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Antagonist and its Action
Binds to receptor but produce no biological response Blocks the agonist mediated effects Interactions are reversible or irreversible Can compete with endogenous ligands
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Agonists vs Antagonist
Receptor Effect No Effect
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How Do Agonist Interacts with Receptors?
Extracellular Compartment Unbound Endogenous Activator (Agonist) Cell Membrane Inactive Receptor Intracellular Compartment
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How Do Agonist Interact With Receptors?
Extracellular Compartment Bound Endogenous Activator (Agonist) Cell Membrane Active Receptor Intracellular Compartment Cellular Response
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How Do Agonist Drugs Produce Cellular Activity
Displaced Endogenous Activator ( Agonist) Extracellular Compartment Bound Agonist of Receptor (Drug) Cell Membrane Active Receptor Intracellular Compartment Cellular Response
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How Do Drugs Work by Antagonizing Receptors?
Displaced Endogenous Activator ( Agonist) Extracellular Compartment Bound Antagonist of Receptor (Drug) Cell Membrane Inactive Receptor Intracellular Compartment
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Two Drugs Given Together: Different Effects
Work independently and produce own effects May produce similar effects Addition Synergism Potentiation May produce opposite effects Competitive antagonism Non-competitive antagonism Chemical antagonism Functional or physiological antagonism
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Competitive Antagonism
Common drug antagonism Antagonist competes with agonists for same receptors Pharmacological effects depends on the concentration of either agonists or antagonists Antagonism may be reversible or irreversible Reversible: loose binding Example: antihistamines, β-blocker Irreversible: covalent bonding Example: phenoxybenzamine
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Non-competitive Antagonism
Antagonists and agonists bind to the different sites
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Competitive vs Non-competitive Antagonism
Antagonist Antagonist Agonist Agonist Antagonist Competitive Antagonism Binds same site Chemical similarity Maximum response with increasing dose of agonist Non-competitive Antagonism Binds different site No chemical similarity Maximum response with increasing dose of agonist
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Chemical Antagonism Involves a direct interaction between an agonist and antagonist in such a way that the effect of agonist is lost
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Physiological Antagonism
A form of antagonism which occurs when two drugs, each tends to oppose or cancel the effects of other
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