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Diuretics
are drugs that increase the rate of urine flow (diuresis) and the excretion of sodium (natriuresis) and water.
Diuretics
These are primarily used to treat conditions such as
hypertension, heart failure, and edema
Diuretics
MECHANISM OF ACTION
Inhibits the reabsorption of Na+ and Cl- at different segments of the renal tubule, leading to increased solute concentration in the filtrate and subsequent increased water excretion.
LOOP DIURETICS (Furosemide)
Highly efficacious
Inhibit the Na+, K+, and Cl- in the thick ascending limb of the Loop of Henle
Loop of Henle:
site with high Na+ reabsorption capacity
THIAZIDE DIURETIC (Hydrochlorothiazide)
Inhibit the Na+ and Cl- cotransporter in the distal convoluted tubule
POTASSIUM - SPARING DIURETICS (Spironolactone, Amiloride)
Act on the collecting duct.
Spironolactone
Aldosterone antagonist
Amiloride
blocks epithelial Na+ channels.
(diuretics) BASIC PHARMACOLOGIC ASSAY
The main objective is to quantify and compare the diuretic effect of different agents.
(diuretics) BASIC PHARMACOLOGIC ASSAY
test animal
Rats or mice
standardized by weight and fasting status.
(diuretics) BASIC PHARMACOLOGIC ASSAY
pharmacologic assay
Saline-loaded model (Lipschitz method)
Control: saline only
Test Group: saline + drug
Saline-loaded model (Lipschitz method):
Animals are fasted, hydrated with a standard volume of saline (to ensure adequate urine output), and divided into control and test groups
(diuretics) BASIC PHARMACOLOGIC ASSAY
observation & measurement
Animals are placed in metabolic cages (individual housing with collection devices).
The volume of urine excreted over a specific time (e.g., 5 hours) is collected and measured.
Electrolyte concentration (Na+, K+, Cl−) in the urine is measured
(diuretics) BASIC PHARMACOLOGIC ASSAY
calculation
Diuretic Index (ratio of urine volume of test group to control group)
Natriuretic Index (ratio of Na+ excretion in test group to control group)
are calculated and compared
Diuretic Index
(ratio of urine volume of test group to control group)
Natriuretic Index
(ratio of Na+ excretion in test group to control group)
(diuretics) BASIC PHARMACOLOGIC ASSAY
equipment
Metabolic cages
oral gavage needles/feeding tubes
for drug administration
measuring cylinders
for urine volume
Flame Photometer or Ion Selective Electrodes
for electrolyte analysis such as Na+ and K
LOCAL ANESTHESIA
Drugs that produce a reversible loss of sensation (analgesia) in a localized area of the body without causing loss of consciousness. They are classified into esters and amides
LOCAL ANESTHESIA
esters
procaine
LOCAL ANESTHESIA
amides
lidocaine
LOCAL ANESTHESIA
moa
Work by reversibly blocking voltage-gated sodium channels in the neuronal membrane.
LOCAL ANESTHESIA: basic pharmacologic assay
test animal
Typically amphibians (e.g., Frog, Toad) for peripheral nerve block studies
Guinea Pigs/Rabbits for corneal/skin surface anesthesia.
LOCAL ANESTHESIA: basic pharmacologic assay
pharmacologic assay
Frog Sciatic Nerve Block (Plexus Anesthesia):
LOCAL ANESTHESIA: basic pharmacologic assay
observation & measurement
Time of Onset (time from application to complete loss of reflex) and
Duration of Action (time from complete block to full recovery of reflex) are recorded
LOCAL ANESTHESIA: basic pharmacologic assay
other assays
Infiltration Anesthesia (e.g., Guinea Pig Skin Wheal):
Corneal Anesthesia (e.g., Rabbit Eye):
LOCAL ANESTHESIA: basic pharmacologic assay
equipment
Dissecting instruments
Stopwatch
stimulator
for reflex testing
Sterile syringes/needles
Appropriate restraints/animal holders
Infiltration Anesthesia (e.g., Guinea Pig Skin Wheal)
Measures loss of sensation in a localized skin area.
Frog Sciatic Nerve Block (Plexus Anesthesia):
The sciatic nerve is exposed, and the drug solution is applied directly.
The time to loss of a reflex (e.g., withdrawal from a painful stimulus) and the time to recovery are measured to assess potency and duration
Corneal Anesthesia (e.g., Rabbit Eye)
Measures the time taken to abolish the corneal reflex (blinking response to light touch)
ANTIPYRETICS
Agents that reduce an elevated body temperature (fever), such as Paracetamol (Acetaminophen) and Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like Aspirin and Ibuprofen.
Fever is caused by pyrogens (like bacterial toxins), which trigger the release of
pro-inflammatory cytokines (IL-1, IL-6, TNF-alpha). These cytokines stimulate the production of Prostaglandin E2 (PGE2) in the anterior hypothalamus, which acts as a pyrogen to raise the thermoregulatory set point.
Antipyretics primarily work by
inhibiting the enzyme Cyclooxygenase (COX), which is responsible for the synthesis of prostaglandin E2 (PGE2) from arachidonic acid.
NSAIDS
Inhibit:
both COX-1 and COX-2
COX-2 selectively
PARACETAMOL
has a less clear central mechanism but is thought to primarily inhibit COX in the CNS
ANTIPYRETICS: basic pharmacologic assay
The objective is to induce fever in an animal model and assess the drug's ability to reduce the elevated temperature.
ANTIPYRETICS: basic pharmacologic assay
test animal
Rats or Rabbits
standardized by weight
ANTIPYRETICS: basic pharmacologic assay
pharmacologic assay
Pyrogen-Induced Fever Model:
ANTIPYRETICS: basic pharmacologic assay
procedure
Animals are divided into control (pyrogen + vehicle) and test groups (pyrogen + drug).
Basal rectal temperature is recorded before pyrogen and drug administration.
Temperature is monitored at regular intervals (e.g., every 30-60 minutes) for several hours after drug administration
ANTIPYRETICS: basic pharmacologic assay
observation & measurement
Maximum temperature reduction and duration of antipyretic effect are determined. The drop in rectal temperature is compared between control and test groups
ANTIPYRETICS: basic pharmacologic assay
equipment
Rectal Thermometer
accurate, digital thermometer designed for small animals
syringes/needles
for drug and pyrogen administration)
animal restraints/holders.
Pyrogen-Induced Fever Model:
Fever is induced by administering a pyrogen, such as a suspension of Brewer's yeast (subcutaneously) or Lipopolysaccharide (intravenously).
This leads to an increase in body temperature 12-18 hours post-administration.