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Basic principles of pharmacology

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Basic principles of pharmacology

  1. 1. BASIC PRINCIPLES OF PHARMACOLOGY LECTURE 1 & 2 Prepared by Dr. Nisha Shri 9/25/2021 1
  2. 2. Learning Objectives: • To learn and understand terminologies related to pharmacology. • To briefly understand pharmacokinetics. • To know different nomenclatures of drug. • To understand different methods of classifying drugs. • To learn different dosage forms of drugs. • To know different components in dosage forms. 9/25/2021 Prepared by Dr. Nisha Shri 2
  3. 3. What is pharmacology? • Pharmacology is the science of drugs. • It deals with the interaction of exogenously administered chemicals (drugs) with living systems. • Two main areas • Pharmacokinetics • Pharmacodynamics 9/25/2021 Prepared by Dr. Nisha Shri 3
  4. 4. What is pharmacology? • Drug composition and properties • Synthesis & drug design • Molecular & cellular mechanisms • Organ/systems mechanisms • Signal transduction /cellular communication 9/25/2021 Prepared by Dr. Nisha Shri 4 • Molecular diagnostics • Interactions, • Chemical biology • Therapy • Medical applications • Antipathogenic capabilities.
  5. 5. Drug • French: Drogue – a dry herb. • Active chemical entity present in a medicine that is used for diagnosis, prevention, treatment or cure of a disease. • WHO definition: Drug is any substance or product that is used or is intended to be used to modify or explore physiological systems or pathological states for the benefit of the recipient. 9/25/2021 Prepared by Dr. Nisha Shri 5
  6. 6. Pharmacokinetics • Greek: Kinesis – movement • What the body does to the drug. • Refers to movements of drug in and alteration of the drug by the body. • Includes absorption, distribution, binding/localization/storage, biotransformation and excretion of the drug. • ADME 9/25/2021 Prepared by Dr. Nisha Shri 6
  7. 7. 9/25/2021 Prepared by Dr. Nisha Shri 7
  8. 8. Pharmacodynamics • Greek: dynamis – power. • What the drug does to the body. • Includes physiological and biochemical effects of drugs and their mechanism of action at macromolecular / subcellular / organ system. 9/25/2021 Prepared by Dr. Nisha Shri 8
  9. 9. 9/25/2021 Prepared by Dr. Nisha Shri 9
  10. 10. Drug Nomenclature • Drug names – 3 categories: • Chemical name • Non-proprietary name • Proprietary (Brand) name 9/25/2021 Prepared by Dr. Nisha Shri 10
  11. 11. 1. Chemical name: • Describes the substance chemically. Eg: 1-(isopropylamino)-3-(1-naphthyloxy) propan-2-ol Chemical name of propranolol • Not suitable for prescribing. • Code name may be assigned by the manufacturer for convenience & simplicity before an approved name is coined. Eg: RO 15-1788 (for flumazenil) 9/25/2021 Prepared by Dr. Nisha Shri 11
  12. 12. 9/25/2021 Prepared by Dr. Nisha Shri 12
  13. 13. 2. Non-proprietary / generic name: • Name accepted by a competent scientific body such as the United States Adopted Name (USAN) council. • rINN – Recommended International Nonproprietary Name – agreement for newer drugs for uniform usage of non-proprietary name. • Few older drugs – more than one non-proprietary name. Eg: Meperidine (USA) & Pethidine (UK, India) 9/25/2021 Prepared by Dr. Nisha Shri 13
  14. 14. 2. Non-proprietary / generic name: • Until the drug is included in a pharmacopoeia, the non-proprietary name is also called as approved name. • After its inclusion in the official publication, it becomes the official name. 9/25/2021 Prepared by Dr. Nisha Shri 14
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  16. 16. 3. Proprietary / brand name: • Name assigned by the manufacturer and it is the trademark. • One drug → may have multiple proprietary name. • Different brand names in different countries. • Same manufacturer, same drug → market with different brand names in different countries. 9/25/2021 Prepared by Dr. Nisha Shri 16
  17. 17. 3. Proprietary / brand name: 9/25/2021 Prepared by Dr. Nisha Shri 17
  18. 18. 9/25/2021 Prepared by Dr. Nisha Shri 18
  19. 19. Classification of drugs Drugs By pharmacological effect By chemical structure By target system By target molecule 9/25/2021 Prepared by Dr. Nisha Shri 19
  20. 20. 1. By pharmacological effect: • Depending on the drugs biological or pharmacological effect. Eg: analgesics, antihypertensives, antibiotics, anti- asthmatics, etc., • Drugs included in each class will be numerous & varied chemical structure. 9/25/2021 Prepared by Dr. Nisha Shri 20
  21. 21. 2. By chemical structure: • Drugs having a common chemical skeleton are grouped together. Eg: penicillins, barbiturates, opiates, steroids, etc., • This classification is useful sometimes, because the biological activity & MOA is same for the structures involved. Eg: Penicillins → antibiotics Barbiturates → sedative & hypnotic 9/25/2021 Prepared by Dr. Nisha Shri 21
  22. 22. 2. By chemical structure: • There are few exceptional classes too. Eg: Steroids → similar chemical structure → but different effects on the body. Sulfonamides → similar skeleton → few are antibacterial, hypoglycaemics. 9/25/2021 Prepared by Dr. Nisha Shri 22
  23. 23. 3. By target system: • According to the target system, which the drug affects. Eg. Neurotransmitter synthesis Neurotransmitter release • This method may give a specific classification, but still diversified with more number of targets and different classes of drugs. 9/25/2021 Prepared by Dr. Nisha Shri 23
  24. 24. 4. By target molecules: • According to the molecular target with which they involve. Eg. anticholinesterases carbonic anhydrase inhibitors COX inhibitors 9/25/2021 Prepared by Dr. Nisha Shri 24
  25. 25. Physicochemical properties of drug The ability of a chemical compound to elicit a pharmacological/ therapeutic effect is related to the influence of various physical and chemical (physicochemical) properties of the chemical substance on the bio molecule that it interacts with. • Eg: Physical property → responsible for its action. Chemical property → extracellular reactions. 9/25/2021 Prepared by Dr. Nisha Shri 25
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  27. 27. Dosage forms - overview • Definition: Dosage forms are the carriers through which drug molecules are delivered to sites of action within the body. • Need: • Accurate dose. • Protection e.g. coated tablets, sealed ampules. • Protection from gastric juice. • Masking taste and odour 9/25/2021 Prepared by Dr. Nisha Shri 27
  28. 28. Dosage forms - overview • Need: • Placement of drugs within body tissues. • Sustained release medication. • Controlled release medication. • Optimal drug action. • Insertion of drugs into body cavities (rectal, vaginal) • Use of desired vehicle for insoluble drugs 9/25/2021 Prepared by Dr. Nisha Shri 28
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  30. 30. Excipients / Additives 9/25/2021 Prepared by Dr. Nisha Shri 30
  31. 31. Dosage forms – Classification (based on physical state) 9/25/2021 Prepared by Dr. Nisha Shri 31
  32. 32. Dosage forms – Classification (based on ROA) 9/25/2021 Prepared by Dr. Nisha Shri 32
  33. 33. 9/25/2021 Prepared by Dr. Nisha Shri 33
  34. 34. Routes of drug administration - overview • LOCAL ACTION: • Topical • Skin – ointment, cream, lotion, paste, powder, dressing, spray, etc., • Mucous membrane • Mouth & pharynx – paints, lozenges, mouthwashes, gargles • Eyes, ear & nose – drops, ointments, irrigation, nasal spray 9/25/2021 Prepared by Dr. Nisha Shri 34
  35. 35. Routes of drug administration - overview • GIT – non absorbable oral drugs – sucralfate, magnesium hydroxide • Bronchi & lungs – inhalations, aerosols • Urethra – jelly • Vagina – pesseries, vaginal tablets, inserts, cream, powders, douches. • Anal canal – ointment, suppositories. 9/25/2021 Prepared by Dr. Nisha Shri 35
  36. 36. Routes of drug administration - overview • Deeper tissues – intra-articular injection, intrathecal injection, retrobulbar injection. • Arterial supply – nearby intra-arterial injection. Eg. Angiography. • SYSTEMIC ROUTES: • Oral • Sublingual or buccal • Rectal 9/25/2021 Prepared by Dr. Nisha Shri 36
  37. 37. Routes of drug administration - overview • Cutaneous – TDS • Inhalation • Nasal • Parenteral – s.c., i.m., i.v., i.d., 9/25/2021 Prepared by Dr. Nisha Shri 37
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  39. 39. 9/25/2021 Prepared by Dr. Nisha Shri 39

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