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This document offers a comprehensive introduction to pharmacology, covering fundamental concepts such as pharmacokinetics, pharmacodynamics, and posology. it details various drug administration routes, including enteral, parenteral, and other methods, explaining their advantages and disadvantages. The text also clarifies the nature of drugs, their interactions with receptors, and the different types of drug names. this resource is valuable for students seeking a foundational understanding of pharmacology principles and drug delivery systems.
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➢ The study of substances that interact with living systems through chemical processes, especially by binding to regulatory molecules and activating or inhibiting normal body processes. ➢ These substances may be chemicals administered to achieve a beneficial therapeutic effect on some process within the patient or for their toxic effects on regulatory processes in parasites infecting the patient. MEDICAL PHARMACOLOGY ➢ defined as the science of substances used to prevent, diagnose, and treat disease. TOXICOLOGY ➢ the branch of pharmacology that deals with the undesirable effects of chemicals on living systems, from individual cells to humans to complex ecosystems. TWO (2) GENERAL PRINCIPLES THAT THE STUDENT SHOULD REMEMBER ARE: (1) that all substances can under certain circumstances be toxic , and the chemicals in botanicals (herbs and plant extracts) are no different from chemicals in manufactured drugs; and, (2) that all dietary supplements and all therapies promoted as health-enhancing should meet the same standards of efficacy and safety as conventional drugs and medical therapies. That is, there should be no artificial separation between scientific medicine and “alternative” or “complementary” medicine. DEFINITION OF TERMS: A. PHARMACOKINETICS ➢ The study of what the body does to the drug. ➢ Absorption, Distribution, Metabolism and Excretion (ADME) B. PHARMACODYNAMICS ➢ The study of what the drug does to the body. ➢ The mechanism of drug actions in living tissues.
➢ The branch of pharmacology and therapeutics concerned with a determination of the doses of remedies ➢ “The science of dosage” D. PHARMACOTHERAPEUTICS ➢ The use of drugs and the clinical indications for drugs to prevent and treat diseases. E. PHARMACOGNOSY ➢ The study of natural (plant and animal) drug sources. THE NATURE OF DRUGS WHAT IS A DRUG? ➢ It is any substance that brings about a change in biologic function through its chemical actions. ➢ The drug molecule interacts as an agonist or antagonist with a specific molecule in the biologic system that plays a regulatory role. ➢ This molecule is called a receptor. ➢ Drugs may be synthesized within the body (eg, hormones) or may be chemicals not synthesized in the body (ie, xenobiotics). ➢ Poisons are drugs that have almost exclusively harmful effects. However, Paracelsus (1493–
➢ are usually quite weak and are probably important in the interactions of highly lipid- soluble drugs. THE PHYSICAL NATURE OF DRUGS: ✓ Drugs maybe: ➢ SOLID at room temp (Ex: Aspirin, Atropine) ➢ LIQUID (Ex: Nicotine, Ethanol) ➢ GAS (Ex: Nitrous oxide) ✓ These factors often determine the best route of administration. PHARMACOLOGIC PRINCIPLES: DRUG NAMES A. CHEMICAL NAME ➢ The drug’s chemical composition and molecular structure. B. GENERIC NAME (nonproprietary name) ➢ Name given by the United States Adopted Name Council C. TRADE NAME (proprietary name) ➢ The drug has a registered trademark; use of the name restricted by the drug’s owner (usually the manufacture) Example: A. Chemical name:
➢ Topical application is used when a local effect of the drug is desired. ➢ This route includes application to the skin, or to the mucous membrane of the eye, nose, throat, airway or vagina for local effect. ➢ Example: o Clotrimazole is a cream applied directly to the skin for the treatment of fungal infections. IV. TRANSDERMAL ➢ This route of administration achieves systemic effects by application of drugs to the skin, usually via a transdermal patch. ➢ The rate of absorption can depends on the physical characteristics of the skin at the site of application, as well as the lipid solubility of the drug. ➢ Example: o Nitroglycerin – antianginal drug o Scopolamine - antiemetic drug o Nicotine - transdermal patches; which are used to facilitate smoking cessation. V. RECTAL ➢ Offers partial avoidance of the 1st pass effect. ➢ Suppositories tend to migrate upward in the rectum and absorption from this higher location is partially into the portal circulation. ➢ This route is also useful if the drug induces vomiting when given orally, if the patient is already vomiting, or if the patient is unconscious. VI. INTRATHECAL/INTRAVENTRICULAR ➢ The blood–brain barrier typically delays or prevents the absorption of drugs into the central nervous system (CNS). ➢ When local, rapid effects are needed, it is necessary to introduce drugs directly into the cerebrospinal fluid. ➢ Example: o Intrathecal amphotericin B is used in treating cryptococcal meningitis.