Pharmacology Intro
Introduction to Pharmacology
Pharmacology: The study of drugs (chemicals) and their interactions with living organisms.
Objectives
Understand the terminology related to drug naming: generic name, official name, chemical name, and trade name.
Analyze advantages and disadvantages of various drug administration routes.
Describe essential information to be found on medication sources and examples of origins (animal, mineral, plant, synthetic, chemical).
Discuss the benefits of inhalation route for pulmonary drug effects compared to oral or parenteral routes.
Explain factors affecting drug levels in the body: absorption, distribution, metabolism, and elimination.
Define "receptor" and explain the "lock and key" theory in drug interaction.
Clarify terms related to biological activity and drug interactions.
Categories of Pharmacology
Pharmacy: Preparation and dispensing of drugs.
Pharmacognosy: Identification of drug sources from plants and animals.
Pharmacogenetics: Study of genetic differences and their effects on drug responses.
Therapeutics: The art of treating disease with drugs.
Toxicology: Study of toxic substances and their pharmacologic effects.
How Drugs are Named
Manufacturers choose drug names for marketing to entice sales, avoiding names that imply medical claims or resemble existing drugs to prevent patient risk.
Naming Process for Prescription Drugs
Chemical Name: Detailed chemical structure description.
Generic Name: Assigned when the drug shows effectiveness and is intended for marketing.
Official Name: Often the same as the generic name.
Trade/Brand Name: Name given by the manufacturer for marketing purposes.
Sources of Drugs
Origins: Animal, plant, mineral, and primarily chemical synthesis in modern pharmacology.
Components of a Prescription
Includes: Patient's name, address, birth date, date of prescription, drug name, quantity, directions for pharmacist, patient instructions, prescriber details, and DEA#.
Parts of a Prescription: 1. Patient info; 2. Rx (directions); 3. Inscription (drug details); 4. Subscription (pharmacist instructions); 5. Sig (directions for patient); 6. Prescriber’s signature.
Common Abbreviations in Prescriptions
a.c. = before meals
ad lib = as much as desired
b.i.d. = twice a day
p.o. = by mouth
p.r.n. = as needed
FDA’s Role in Drug Utilization
Protects human subjects during clinical trials and oversees clinical research.
Involves parties such as product sponsors, Institutional Review Boards (IRB), and clinical investigators.
Sources of Drug Information
USP-NF: Official standards for drugs marketed in the US, includes medication info and dietary supplements.
Physician’s Desk Reference: Contains manufacturer data on drug effects, side effects, and warnings.
Principles of Drug Action
Drug Administration: Routes of drug introduction to the body.
Pharmacokinetic Phase: Drug absorption, distribution, metabolism, elimination.
Pharmacodynamic Phase: Interaction between drug and receptor to produce physiological effects.
Drug Administration Methods
Enteral: Orally, rectally, or sublingually (absorbed along the GI tract).
Parenteral: Intravenous, intramuscular, and other injection methods.
Transdermal: Patches for continuous delivery.
Inhalation: Gas or aerosolized drugs for respiratory delivery.
Advantages of Aerosolized Medications
Rapid onset of action.
Reduced systemic side effects.
Targeted delivery for local pulmonary effects.
Lower doses required compared to systemic administration.
Suitable for patient self-administration.
Local vs. Systemic Effects
Local effect example: Albuterol for bronchodilation.
Systemic effect example: Inhaled morphine for pain control.
Goal: Maximize lung deposition while minimizing systemic absorption.
Pharmacokinetic Phase: Key Concepts
Absorption: Drug movement into the bloodstream.
Distribution: The relationship between drug and tissue concentrations.
Metabolism: Alteration of drugs by the body, primarily in the liver.
Elimination: Removal of drugs from the body via urine, bile, etc.
Factors Influencing Drug Absorption
Gastrointestinal factors such as gastric emptying and first-pass metabolism can affect the bioavailability and onset of action of drugs.
First Pass Effect
Most of the drug’s activity may be terminated in the liver before reaching systemic circulation.
Routes avoiding first-pass effect include injection, buccal, sublingual, transdermal, and rectal methods.
Pharmacodynamics Phase
Focuses on drug effects on the body, emphasizing how drugs may modify physiological processes.
Drug Action and Mechanisms
Lock and key effect with receptor interactions.
Agonists mimic effects of natural substances, while antagonists block these effects.
Types of Drug Effects
Side Effects: Secondary effects not intended therapeutically.
Adverse Effects: Harmful unintended effects, often serious.
Importance of monitoring cardiac and vascular effects when using respiratory medications.
Potency and Maximal Effect
Potency: A lower ED50 indicates a more potent drug.
Maximal Effect: Refers to the greatest therapeutic response obtainable with a drug.
Lethal Dose 50 (LD50): Toxicity level causing death in 50% of population.
Tolerance, Hypersensitivity, and Potentiation
Tolerance: Diminished response to the drug after prolonged use.
Hypersensitivity: Unusually exaggerated responses to medication.
Potentiation: Enhancing the effect of one drug by another.