PHARMACOLOGY UNIT ONE (1)


 


PHARMACOLOGY 

UNIT ONE (1)

 

DEFINITION:

Pharmacology is science of the drug????It is the science that deals with the mechanism of action, uses, adverse effects, and fate of drugs in animals and humans.


Drug: any chemical agent which effects any biological process

medicines are drugs used to prevent or treat disease



SOURCES OF DRUGS

  1. Minerals: Liquid paraffin, magnesium sulfate,.
  2. Animals: Insulin, antitoxin sera, etc.
  3. Plants: Morphine, digoxin, etc.
  4. Synthetic source: Aspirin, sulphonamides.
  5. Micro organisms: Penicillin, streptomycin and many other antibiotics
  6. Genetic engineering: Human insulin, human growth 6

  hormone etc.

        

 

 DRUG NAMES

Drug is given three names. Each is used in a different area of the drug industry.

1. Chemical Names

2. Generic/Non-Proprietary/Official Names

3. Brand/Trade/ Proprietary Names

Ycal structure of the drug.


Chemical names: describes the chemical structure of the drug.

Not commonly used b/c of their complexity

It is important to chemists, pharmacists, and researchers who

 work with drugs at the chemical level. E.g. N-(4-hydroxyphenyl) acetamide


Generic Name: is the universally accepted name.

It is the approved official non-proprietary name for the drug.

The generic name appears on all drug labels and is used in any country and by any manufacturer.

Each drug has only one generic name.

E.g. Acetaminophen, paracetamol


Brand Name: is the name given by manufacturers

It is the name in which drug companies often select and

copyright.

One drug may have multiple proprietary name

E.g. Tylenol, panadol



2. PHARMACOKINETIC

What the body does to the drug- refers to the study of how the body processes drugs

It includes the 4 basic components of : 1# Absorption

2# Distribution

3# Metabolism (Biotransformation) 

4# Excretion


BIOAVAILABILITY

“Bioavailability is the proportion of the administered dose that reaches the systemic circulation.”


HALF LIFE OF DRUGS

Drug excretion is commonly expressed in terms of half life (t1/2)

This is the time required for the concentration of the drug in the plasma to decrease by one-half of it’s initial value

Drug half life is variable and can be long or short

  

 PHARMACODYNAMIC

What a drug does to the body- refers to the study of the mechanism of drug action on living tissue.


TYPES OF DRUG-RECEPTOR INTERACTIONS

Main types of action at receptor: 

Receptor agonists

Receptor antagonists

Agonists: Drug that has the ability to produce a desired therapeutic effect when bound to the receptor.

Antagonists: Drugs that bind well to the receptor but produce no receptor response. This can prevent other drugs from having an effect, thus they are called blockers.


 Onset of drug action is the time it takes after the drug is administered to reach a concentration that produces a response.

Duration of action is the time during which the drug is present in a concentration large enough to produce a response.

Peak effect is the time it takes for the drug to reach its highest effective action.



THERAPEUTIC RESPONSES

Toxicity studies of drugs determine two dosage levels for drugs.

The effective dose(ED) is the dose of a drug necessary to produce the desired intensity of effect in one-half of all patients.

The lethal dose(LD) is the dose of a drug that elicits an undesirable toxic or lethal reaction in one- half of all patients


THERAPEUTIC INDEX(TI)

TI= LD/ED

A drug with a wide therapeutic index has a high safety margin and is relatively safe; the lethal dose is greatly in excess of the therapeutic dose.

A drug with a narrow therapeutic index is more dangerous for the patient because small increases over normal doses may cause toxic reactions.


Loading doses: higher amount of drug given once or twice to achieve maximum effective dose quickly

Maintenance dose: intermittent doses given to maintain plasma levels


DEFINITION OF TERMS

Affinity: ability of drug to bind to receptor,

Potency: shows relative doses of two or more agonists to produce the same magnitude of effect,

Efficacy: a measure of how well a drug produces a response (effectiveness)


4.ADVERSE DRUGR REACTIONS(ADRS)

Definition

An adverse drug reaction (ADR) (also called an adverse drug event (ADE) can be defined 

as (WHO def.) unintended and noxious (harmful) response that unintended and noxious (harmful) response that occurs at normal doses of the drug used for 

prophylaxis, diagnosis and treatment of 

diseases)’. 

Generally the causality of adverse drug 

reactions is uncertain, making it more 

accurate to refer to ‘suspected ADRs’.


Adverse Effects: are unwanted and unpredictable action of the drug. 

Side Effects: unwanted but predictable and unavoidable effects of a drug. 

Toxic effect- Are high single doses or long-term therapy leading to high cumulative doses.

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