drug
psychoactive drug
placebo and placebo effect
pharmacokinetics
administration
pros and cons of the
following
routes:
oral
rectal
parenteral/injection (intramuscular, subcutaneous and intravenous)
topical/transdermal
through mucous membranes (nasal, sublingual, buccal)
absorption into bloodstream and factors affecting it
food-drug interactions
affecting absorption
the grapefruit juice effect
distribution and factors affecting it, such as:
solubility of drug
drug binding to blood proteins
membrane barriers
blood-brain barrier
placental barrier
"first-pass" metabolism of drugs
(drug action - covered in Chapter 2)
metabolism
by liver
cytochrome P450 enzyme families
factors affecting liver function
at the site of drug action
elimination
by kidney
other routes of elimination
drug time course and factors which affect it
drug half-life and how to calculate how much drug is left in body at
different times
steady-state concentration of drug in blood
"therapeutic window"
therapeutic drug monitoring (TDM)
"therapeutic window" for some drugs
(tolerance will be discussed later)