and development of new agents to treat diseases Drugs- agents intended for use in diagnosis, mitigation, cure, and prevention of diseases in humans/ other animals Receptor- a substance to which a drug must interact with to elicit a pharmacological response Affinity an act in which a drug binds to a receptor
Efficacy/ response- this is when a drug exerts
its pharmacological action Drug design- based on modern computational chemical technique; requires sophisticated knowledge of disease mechanisms and receptor properties -
Requires understanding on how the
drug: o Transported into the body o Distributed throughout the other body compartments o Metabolically altered by the liver and other organs o Excreted by the patient
Drug distribution -
Following introduction of the drug into
the body Drug must pass through many membrane barriers Survive alternate sites of attachment and storage Avoid significantly metabolic destruction before it reaches to the site of action
Oral administration -
The drug must go into solution to pass
through the GIT. Any drug passing the GIT will encounter digestive enzymes which will metabolized it either to its active form or into a metabolite which will then be secreted out of the body. Factors governing drug dissolution o Chemical structure
o Variation in particle size
o Particle surface area o Nature of the crystal form o Type of tablet coating o Type of tablet matrix o Dosage matrix o Physical characteristics Sodium phenytoin- used to treat epilepsy Chemical modification- used to a limited extent to facilitate a drug reaching its desired target Olsalazine- a prodrug of mesalamine ( 5-aminosalicylic acid); is activated pass through the intestinal tract to reach the colon to elicit its effect against ulcerative colitis (inflammation in the colon); it is a dimer of mesalamine; once it reaches the GIT, digestive enzymes/ bacteria will cleaved the olsalazine into two mesalamine Chloramphenicol palmitate a prodrug of chloramphenicol; a product of chloramphenicol + palmitic acid Prodrug- inactive compounds that require metabolic biotransformation to convert it to its active form Prodrug approach enhances the absorption of a drug that is poorly absorbed in the GIT Enalapril a prodrug of enalaprilic acid, an active inhibitor of angiotensin converting enzyme
Parenteral administration -
Intraspinal spine ; intracerebral
brain These routes prevent the drug from passingan epithelial tissue, bloodbrain barrier, which protects the brain from metabolites and other chemicals Local anesthetics- drugs directly to the desired nerve Spinal block a form of anesthesia perform by injecting a local anesthetic into the spine blocking transmissions alog specific neurons SQ and IM produces a tissue depot
Protein binding
Profound effect on the drugs effective
solubility, biodistribution, interaction with other drugs, half-life in the body Drugs enter the systemic circulation and bind to serum proteins usually albumin
Drug + albumin = albumin-drug
complex Albumin-drug complex acts as a reservoir by providing large concentrations of free drug to elicit its pharmacologic effect at its receptor