Summary
Highlights
Pharmacodynamics is defined as the relationship between drug concentration at the site of action and the resulting therapeutic or adverse effects.
Drugs interact with four primary types of receptors: Ion channel receptors, G-protein coupled receptors, enzyme-linked receptors, and intracellular receptors, each with unique signaling pathways.
The dose-response relationship illustrates how drug concentration influences effect intensity. Key metrics include the ED50, representing potency, where a lower ED50 indicates a more potent drug.
Binding affinity is measured by the dissociation constant (KD), where lower values indicate stronger binding. The concept of spare receptors explains that a full physiological response can often be achieved without occupying every available receptor.
Chronic drug exposure leads to receptor adjustment: agonists typically cause down-regulation (decrease in receptor count) due to overstimulation, while antagonists cause up-regulation to compensate for blocked signaling.