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)

Other Years Asked


Revise MBBS
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