The document discusses the importance of studying pharmacology, which is the scientific study of drugs and their interaction within biological systems. It defines key terms like pharmacology, pharmacist, drug, and outlines the major branches and concepts of pharmacology such as pharmacokinetics, pharmacodynamics, toxicology, and provides a brief history of the evolution of pharmacology from ancient to modern times.
3. Therapeutic methods
⢠Ways to treat diseases.
⢠Most diseases requires a combination of therapeutic methods for successful treatment.
1. Drug therapy
â Txt with drugs
2. Diet therapy
â Tx by diet
â Low salt diet for cardio diseases
3. Physiotherapy
â Tx with natural physical forces (water, light & heat)
4. Psychological therapy
â Identification of stressors and methods to reduce or eliminate stress/use of drugs
3
4. WHAT IS PHARMACOLOGY?
WHAT IS DRUG?
WHAT IS THE RELATION OF PHARMACOLOGY TO
NURSING?
4
6. Pharmacology
⢠Greek word pharmakon = âdrugsâ
⢠Is the scientific study of the origin, nature, chemistry, effects, and
uses of drugs
⢠deals with how drugs interact within biological systems to affect
function
⢠a branch of knowledge that has to do with the chemicals that have
biological effect
6
7. Pharmacologist
â is a scientist who specializes in the study of
pharmacodynamics, employing all kinds of biochemical, physiological,
and other techniques.
7
8. Pharmacy
â is a medical science concerned with the safe and effective use of
medicines.
â the study of techniques involved in the preparation,
compounding, dispensing, preservation and storage of the drugs
for medical use.
8
9. Pharmacist
â who is qualified and licensed
â Functions:
⢠to prepare and dispense drugs;
⢠responsible for the manufacture of the dosage form of drugs (e.g.
tablets, capsules, etc)
9
10. WHAT IS A DRUG?
a.k.a. medications
â any chemical substance which affects living systems
â Dutch word âdroogâ means dry
â used for treatment of disease, for the prevention of illness of
pathologic states and for diagnosing disease condition.
11. What is Clinical Pharmacology?
â study of drugs in humans (patient and volunteers)
11
12. Subdivisions/ Branches of Pharmacology
What is Pharmacognosy ?
⢠the branch of pharmacology dealing with the
economic, biological and chemical aspects
of natural drugs and their constituents.
⢠study of the sources of drugs and the
physical characteristics of crude or
unrefined drugs.
⢠study of drugs derived from herbal and other
natural sources and how the body reacts to
them.
⢠SimplyâŚ
â the study of natural (plant and animal) drug
sources
14. Sources of Drugs Pharmacocognosy
Animals Products
1. Insulin
=Cow and pig pancreas tissue
Use to replace human chemicals not produced caused by disease/genetic
problem
2. Thyroid drugs & growth hormones
= animal thyroid/hypothalamus tissues
14
15. Sources of Drugs Pharmacocognosy
Plants
Important source of chemicals developed into drugs
Digitalis (tx cardiac disorders)
Opiates (for sedation)
Marijuana
â˘Has no legal/accepted medical use
â˘Synthetic formed dronabinol (Marinol) active form of delta-9-
tetrahydrocannabinol found in marijuana
â˘Prevent nausea & vomiting in cancer patient but with less
effect than the leaf is smoked
15
16. Sources of Drugs Pharmacocognosy
Mineral/Inorganic Products
Elements with therapeutic effects in human body
Aluminum â˘Antacids gastric acidity
â˘Mgt hyperphosphatemia
â˘Prevent formation of phosphate urinary stones
Fluoride Prevention of dental cavities
Prevention of osteoporosis
Iron Treatment of IDA
Gold Tx of rheumatoid arthritis
16
17. Sources of Drugs Pharmacocognosy
Synthetic Products
Artificially produced or duplicated substances using different compounds used
to be found in plants/animals/environment
Benefits:
1. Drugs from the sources are produce to eliminate side effects
2. Increase potency of the drug
Examples:
Barbiturates, amphetamines, sulfonamides, aspirin
17
18. Sources of Drugs Pharmacocognosy
Microbial Products
â˘Thru genetic engineering (altering DNA)
â˘Permits the production of human insulin by altering E.coli = less
impurities than animal products
18
19. What is Pharmacokinetics?
⢠The study of what the body does to the drug:
1. Absorption
⢠movement of drug particles from the GI tract to body fluids by passive
absorption, active absorption.
⢠Movement of drug from its site of administration into the blood stream
19
20. What is Pharmacokinetics?
⢠The study of what the body does to the drug:
2. Distribution
⢠Drug molecules from BLOOD TO TISSUES
20
21. Pharmacokinetics
⢠The study of what the body does to the drug:
3. Metabolism/biotransformation
⢠drugs are inactivated by liver enzymes
⢠Then are converted or transformed by hepatic enzymes to inactive
metabolites or water-soluble substance for excretion.
⢠Process of energy and transformation in all living cells.
⢠Liver is the major site of drug metabolism
22. What is Pharmacokinetics?
⢠The study of what the body does to the drug:
4. Excretion
⢠elimination of drugs or its chemical byproducts
⢠bile, feces, lungs, saliva, sweat, breast milk
⢠Primary organ responsible for excretion is the kidney.
22
23. What is Pharmacodynamics ?
â study of the biochemical and physiological effects of drugs as well as their
mechanism of action.
â SimplyâŚ
⢠The study of what the drug does to the body
â The mechanism of drug actions in living tissues
23
24. What is Pharmacotherapeutics ?
â study of how drug may be used in the treatment of disease
â which among the drugs would be most effective or appropriate for a
specific disorder or what dose would be required.
â Use of drugs and clinical indications of drugs to prevent and treat
disease
24
25. What is Pharmacogenetics?
â the study of genetically-determined reactions of drugs
in the human body.
27. ⢠Drug therapy
â the proper administration of drugs used to treat
disease
27
28. Pharmacokinetics Pharmacodynamics
What the body does to drug What the drug does to body
Pharmacology
Pharmacotherapeutics
Pharmacocognosy
The study of the use of drugs
Identifying crude materials as drugs
Toxicology
28
29. ⢠Mechanism of Action
â Pharmacodynamics
⢠Indication
â the use of that drug for treating a particular disease
â example:
⢠diabetes is an indication for insulin
⢠insulin is indicated for the treatment of diabetes
⢠Side effect
â All drugs have the potential to affect more than 1 body system
simultaneously
30. ⢠Adverse effect
â Undesired effects that may be unpleasant or even dangerous
â may occur as:
1. May have other effects on the body besides the therapeutic effect
2. Pt is sensitive to the drug given
3. Drugâs action on the body causes other responses that are
undesirable/unpleasant
4. Pt taking too much/too little of the drug
30
31. ⢠Tolerance
â When a person begins to require higher doses to produce the same
effects that lower doses once provided
â Ex. Heroin addiction
⢠Body metabolize the drug more rapidly than before
31
32. ⢠Dependence
â a.k.a addiction or habituation
â Occurs when a person is unable to control the ingestion of drugs
â Common on scheduled/controlled medications such as opiates &
benzodiazepines
â May be:
⢠physical = withdrawal symptoms
⢠Psychologic = emotionally attached to drug
32
33. ⢠Cumulative effect
â A drug may accumulate in the body if the next doses are
administered before previously administered doses have been
metabolized/excreted.
â May lead to drug toxicity
33
34. ⢠Over-the-counter(OTC)
â Nonprescription drugs sold without a prescription in a pharmacy.
⢠Placebo
â Drug dosage form such as a tablet/capsule that has no pharmacologic
activity because the dosage form has no active ingredients
34
35. ⢠Half- life
â The time it takes for one half of the original amount of a drug in
the body to be removed
â determine how often a drug needs to be given to remain in a
therapeutic range
35
36. ⢠First-pass effect
â absorbed into the mesenteric blood system and go to the liver for
biotransformation before traveling on to the general systemic
circulation.
â Therefore, some of the drug is inactivated and not all will be
available for use at its intended site of action.
36
38. Primitive Period
â Primitive people uses drugs for mystical or magic
powers rather than their physiologic effect
â They believed that evil spirits caused diseases
â Alcohol and opium were one of the first medicinal
plants
38
39. Ancient Period
⢠Egypt- cradle of civilization
oldest phase of medicine
⢠Ebers Papyrus- written 3,000 years ago
â an Egyptian medical source
â listed 700 different remedies to treat specific ailments.
â covers different prayers in driving away diseases and specific recipes
for drugs (e.g. aloe, oil, opium, peppermint, and vinegar)
39
40. ⢠Greece- pharmaceutical history begins with legends of
gods and goddesses
⢠Aesculapius- god of healing
⢠Hippocrates- father of medicine
⢠Dioscorides-
â Greek physician who wrote the Materia Medica
Âť described 600 different plants and classified them by substance
rather than by the disease they intend to treat.
Âť became the main source of pharmaceutical knowledge up to the
16th century
40
41. ⢠Rome- after the Roman conquest of Greece, Greek
medicine migrates to Rome
Galen- a Greek physician who established a
system of medicine and pharmacy
-first to prepare the cold cream and rose water
ointment
41
42. Medieval Period
⢠Dark Age
â a period of about 600 years
â characterized by the destruction of old civilization and little
progress in learning
⢠There was a spread in Christianity
⢠the establishment of the Venerable Bede
â a medieval monastery where monks preserved
their works on pharmacy and medicine on
manuscripts
42
43. Medieval Period
⢠Arabian Influence-
â Establishment of schools and hospitals and discovery of many
new drugs.
â Arabs are the originator of syrups, alcohol, and aromatic water.
â Produced the first pharmaceutical formula or set of standards
(Apothecary System)
⢠Geber
â the first great Mohammedan and reputed discoverer of nitric
acid, sulfuric acid, and nitrohydrochloric acid
43
45. 16th Century
⢠Paracelsus- âFather of Pharmacologyâ
Âť Swiss scientist that first advocated the use of a single
drug rather than mixtures and potions
Âť (advantage: the dosage of a single dose can be
regulated more precisely than that of complex
mixtures
Âť Improved pharmacy and therapeutics, introducing
new remedies and compounds and reducing
overdosing
45
46. 17th Century
⢠Great interest was displayed in chemistry and pharmacy
and many preparations are in use.
⢠Ex. Cinchona bark â discovered by the Indians; used
in treating and preventing malaria.
⢠Syrup of ipecac â discovered by the natives of
Brazil; used for amoebic dysentery
⢠William Harvey
â explained how drugs exert beneficial or harmful effects.
â also demonstrated the circulation of blood in the body and introduced a
new way of administering drug â Intravenously
46
47. 18th Century
⢠Edward Jenner â an English physician
who made the first public inoculation of
smallpox vaccine in 1756
ďŽ William Withering â an Englishman who introduced the infusion digitalis for the
treatment of heart disease.
47
48. 19th Century
⢠Friedrich Serturner â a German pharmacist who discovered alkaloid
morphine substance.
⢠Francois Magendie & Claude Bernard â with the use of purified drug, they
demonstrated that certain drugs work at specific sites of action within the
body.
⢠The French Codex was the first important pharmacology book to be
produced in 1818.
⢠Ether and Chloroform were first used as general anesthesia in the 1840s.
49. 20th Century
⢠Important legislation was instituted to control the manufacture and sales of drugs.
â Food and Drug Act of 1906 & 1938 and
â the Harrison Narcotic Drug Act of 1914 &
â Controlled Substance Act of 1970.
⢠Lister & Semmelweis
â introduced the use of antiseptics to prevent infection during surgery
⢠Two early landmarks in the 20th century:
â Ehrlich â introduced Salvarsan for treating syphilis and responsible for the
introduction of antibiotics
â Banting & Bestâs discovery of insulin in treating diabetes.