Paper I — 2021 May (Supplementary) (2010 Scheme) — Q4
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Paper I
2021 May (Supplementary) (2010 Scheme) · 40 marks · 120 min
Question
Drug antagonism
Q43 marksShort Notes
Answer
Drug antagonism is the phenomenon where one drug (antagonist) diminishes or abolishes the action of another (agonist).
Types
Physical antagonism: Based on physical properties (e.g., activated charcoal adsorbing a poison)
Chemical antagonism: Antagonist chemically combines with agonist forming an inactive compound (e.g., protamine sulphate neutralizing heparin)
Physiological (functional) antagonism: Two agonists act on different receptors producing opposite effects on the same physiological function (e.g., histamine vs. adrenaline on bronchial smooth muscle)
Receptor (pharmacological) antagonism:
Competitive (reversible): Antagonist competes for the same receptor site; surmountable by increasing agonist concentration (e.g., atropine vs. acetylcholine)
Non-competitive (irreversible): Antagonist binds irreversibly/allosterically; not surmountable (e.g., phenoxybenzamine at α receptors)