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.