This presentation deals with the basic pharmacology orientation course everyone (newbies which may include MBBS undergrads, nursing staff, b. pharma. students, etc.) must get themselves acquainted with
2. Definition
• Pharmacology Study of drugs & their effects on
life processes
• Pharmakon
Earlier Magic charm for treating disease
Later Remedy or drug
3. History of pharmacology
• 1st phase Noxious plant & animal prep. Were
admin. To diseased patient to rid the body of evil
spirits believed to cause illness
• 2nd phase Experience enabled people to
understand which subst. were beneficial in relieving
particular disease symptoms
• 3rd phase Rational or scientific phase (Advances
in chemistry & physiology; understanding of
disease mechanisms)
4. • 1st effective drugs Simple external prep. (cool
mud or soothing leaf)
• 1500 BC Egyptian presc. (castor oil, opium)
• China Ancient scrolls (herbal medicines)
• Dioscorides (Greek army surgeon) > 600
medicinal plants that he collected in his trip
• Susruta (Hindu physician) Ayurvedic medicine
• Isolation of pure drug compounds from natural
sources
1. Isolation of morphine from opium 1804
2. Magendie & Bernard Curare eff. On NMJ
5. • 1st med school Pharma lab Rudolf Buchheim in
Estonia
• Buchheim & 1 of his students (Oswald
Schmiedeberg) trained many others including John
Jacob Abel
• Sir Colonel Ram Nath Chopra 1st to establish a
center of study and research in pharmacology in
India, at the Calcutta School of Tropical Medicine
• 1st pharmacology dept. Estd. At University of
Michigan (1891) by John Jacob Abel
6. 20th century developments
• Isolation & use of insulin for DM
• Discovery of antimicrobials
• Discovery of antineoplastic drugs
• Advent of modern psychopharmacology
7.
8. • Pharmacology & its subdivisions Pk, pd
• Toxicology Study of poisons and organ toxicity
• Pharmacotherapeutics Use of drugs in the
treatment of disease
• Pharmacy Science and profession concerned
with the preparation, storage, dispensing, and
proper use of drug products
9. • Pharmacognosy study of drugs isolated from
natural sources including plants, microbes, animal
tissues, and minerals.
• Medicinal chemistry Specializes in the design
and chemical synthesis of drugs
• Pharmaceutical chemistry or pharmaceutics
Formulation and chemical properties of
pharmaceutical products, such as tablets, liquid
solutions and suspensions, and aerosols
10.
11. Natural sources of drugs
• Alkaloids Substances that that contain nitrogen
groups and produce an alkaline reaction in aqueous
solution
• Structure-activity relationship Relationship
among the drug molecule,its target receptor, and
the resulting pharmacologic activity Eg inhibit
angiotensin synthesis, treat hypertension, and anti
(HIV).
12. Drug preparations
• Crude drug preparations Obtained from natural
sources
• Pure drug compounds From natural sources or
synthesized in the laboratory
• Pharmaceutical preparations Intended for
administration to patients
13. Crude drug preparations
1. Drying or pulverizing a plant or animal tissue
2. Extracting substances from a natural product with
the aid of hot water or a solvent such as alcohol.
Eg. coffee and tea, made from distillates of the
beans and leaves of Coffea arabica and Camellia
sinensis plants, and opium, which is the dried
juice of the unripe poppy capsule of the plant
Papaver somniferum.
14. Pure drug compounds
• Frederick Sertürner isolated the fist pure drug from
a natural source when he extracted a potent
analgesic agent from opium in 1804 and named it
morphine, from Morpheus, the Greek god of
dreams
• Frederick Banting and John Macleodi Isolation of
insulin from the pancreas
17. Dosage forms
• Drug products suitable for administration of a
specific dose of a drug to a patient by a particular
route of administration
• Solid dosage forms Tablets, Capsules, SR/ER
• Liquid dosage forms Solutions, suspensions,
syrups, elixirs
18. Tablets & Capsules
• Most common preparations for oral administration
• In the manufacture of tablets, a machine with a punch
and die mechanism compresses a mixture of powdered
drug and inert ingredients into a hard pill
• Inert ingredients include
1. Fillers Specific components that provide bulk
2. Lubricants prevent sticking to the punch and die
during manufacture
3. Adhesives Maintain tablet stability in the bottle
4. Disintegrants Facilitate solubilization of the tablet
when it reaches gastrointestinal fluids
19. Enteric coated tablets
• Consist of polymers that will not disintegrate in
gastric acid but will break down in the more basic
pH of the intestines
• Used to protect drugs that would be destroyed by
gastric acid and to slow the release and absorption
of a drug when a large dose is given at one time, for
example, in the formulation of the antidepressant
floxetine, called PROZAC WEEKLY
20. SR/ER preparations
• Release the drug from the preparation over many hours.
• 2 methods to extend the release of a drug
1. Controlled diffusion Release of the drug from the
pharmaceutical product is regulated by a rate-controlling
membrane
2. Controlled dissolution Done by inert polymers that
gradually break down in body fluids
• Some products use osmotic pressure to provide a sustained
release of a drug. These products contain an osmotic agent
that attracts gastrointestinal fluid at a constant rate. The
attracted fluid then forces the drug out of the tablet
through a small laser-drilled hole
21.
22. Capsules
• Hard capsules Enclose powdered drugs
• Soft capsules Enclose a drug in solution
• The gelatin shell quickly dissolves in gastrointestinal
fluids to release the drug for absorption into the
circulation
23. Solutions and suspensions
• Syrups Sweetened aqueous solutions
• Elixirs sweetened aqueous-alcoholic solutions
are known as elixirs. Alcohol is included in elixirs as
a solvent for drugs that are not suffciently soluble
in water alone.
• Sterile solutions and suspensions Parenteral
administration
• Sterile ophthalmic solutions and suspensions
Eyedropper into the conjunctival sac
24. Skin patches
• Drug preparations in which the drug is slowly
released from the patch for absorption through the
skin into the circulation
• Most suitable for potent drugs, which are therefore
effective at relatively low doses, that have sufficient
lipid solubility to enable skin penetration
25. Aerosols
• Aerosol Administered by inhalation through the
nose or mouth
• Ointment & creams semisolid preparations
intended for topical application . They contain an
active drug that is incorporated into a vehicle (e.g.,
polyethylene glycol or petrolatum) which enables
the drug to adhere to the tissue for a sufficient
length of time to exert its effect
26. • Lotions Liquid preparations often formulated as
oil-in-water emulsions and are used to treat
dermatologic conditions.
• Suppositories Products in which the drug is
incorporated into a solid base that melts or
dissolves at body temperature. Used for rectal,
vaginal, or urethral administration
27. Routes of drug administration
1. Enteral (Drug abs. through GIT)
• Sulblingual under tongue ; no fpm (lipid soluble);
NG, hyoscyamine
• Buccal b/w cheek and gum; no fpm (lipid
soluble); lollypop of Fentanyl (breakthrough cancer
pain)
• Oral PO (per os by mouth)
• Rectal (N/V; little fpm) Local - Haemorrhoids
35. 2. Parenteral
• I.v.
• I.m. and S.c. Drug solns. & particle suspensions
• Intrathecal subarachnoid space (meningitis)
• Epidural Labor & delivery (above the dura)
• Intraart. arthritis ; intrad. all.; insufflation
(intranasal admin.) sinus medications
• Transdermal NG ointment for HF & angina;
Fentanyl transdermal for chr. Pain (skin patch/oint)
• Inhalational Local (Anti-asthma / rhinitis)
systemic (GA Sevoflurane)
• Topical Surface of body (Skin, eyes, nose, mouth,
throat, rectum, vagina)
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41. Drug names
1. Chemical acetylsalicylic acid (chemists)
2. Nonproprietary (generic) USAN (US adopted
name) class to which drug belongs oxacillin is a
type of Pn; INN (Intl. nonpropr. Name); BAN
(British approved name)
3. Proprietary (brand) Flomax for Tamsulosin;
Diuril for chlorothiazide; Maxair Pirbuterol