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scientific name, describes atomic, molecular structure |
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Trade (brand, proprietary) name |
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selected by drug company, copyright protected |
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1962, Federal government mandated use of one official name per drug Listed in: United States Pharmacopeia National Formulary |
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groups drugs with similar characteristics |
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groups drugs by therapeutic use |
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Plants, Animals, Minerals |
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Metallic, non-metallic [iron, iodine, Epsom salts] |
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Hormones [insulin], oils [cod liver oil], enzymes [pancreatin, pepsin], vaccines [micro-organisms] |
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Alkaloids [caffeine, nicotine], glycosides [digoxin], gums [seaweed extractions], resins, oils [peppermint, castor oil] |
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synthetically made in laboratory |
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Isolate and intensify active component Manipulate molecular structure |
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Method influences the Quantity given Absorption rate Distribution in body |
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Oral (PO): patient conscious, can swallow; drug withstands stomach acids |
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into capillary bed under tongue |
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in pouch between cheek and gum |
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Rectal (PR), vaginal: suppositories, ointments, creams, gels |
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gases rapidly absorbed; metered-dose inhaler |
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local delivery through skin, mucous membrane [dermatologic, ophthalmic, nasal preparations] |
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“patch” applied to skin, drug enters blood through capillaries |
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“patch” applied to skin, drug enters blood through capillaries |
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directly into GI system, patient can’t ingest orally |
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: injected into skin (dermis) |
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* Intravenous (IV): rapid onset, injected directly into blood |
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Intramuscular (IM): injected into muscle; drug enters blood through capillaries |
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Subcutaneous (SubQ, SC): injected into subcutaneous tissue; drug enters blood through capillaries |
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Investigational New Drug (IND): new drug application after animal studies prove safety, effectiveness |
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Phase I: tested on healthy volunteers Phase II: tested on people with specific disease Phase III: more people, look for adverse effects Phase IV: post-market surveillance; reports from doctors on therapeutic or adverse effects |
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New Drug Application (NDA): years later Treatment Investigational New Drug (treatment IND): expedited approval due to public health threat [AIDS drugs] |
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Study of what happens from time drug enters body until it, and all its metabolites, leave body: |
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: rate drug leaves site of administration Fast: seconds, minutes (sublingual, IV, inhalation) Slow: (oral, IM, SC) Slowest: hours, days (rectally, sustained-release) |
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Influenced by: blood flow, stress, diet, drug formulation, drug-drug interaction |
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First-pass effect: liver metabolizes drug Oral drugs absorbed in small intestine - liver (first-pass effect)- circulated to rest of body |
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May inactivate/lower amount of active drug released into circulation Necessitates higher oral drug dosage for desired effect |
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Distribution factors Drug delivery to site of action (body tissues, fluids) |
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Blood flow: faster to heart, liver, kidneys; slower to internal organs, skin, fat, muscle Solubility: lipid-soluble cross cell membrane, blood-brain barrier; water-soluble don’t Protein binding: bound part therapeutically inactive; free (unbound) portion active |
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Body changes drug from dosage form to excretable water-soluble form: Into inactive metabolites Into active metabolites with own pharmacologic action |
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inactive drugs, become active after metabolized |
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Drug elimination from body: Kidneys -urine Lungs -exhalation Exocrine glands -sweat, saliva, milk Skin -sweat Intestinal tract -feces |
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50% of drug in blood eliminated every ½ life Helps determine dosage frequency |
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Drug administration = drug excretion |
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time interval from drug administration to therapeutic effect |
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absorption rate = elimination rate |
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length of therapeutic effect |
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Study of mechanism of drug action on biological system Drug forms chemical bond with specific receptor sites on surface of cell |
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initiate cell response after binding cell receptor |
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incomplete binding, prevents cell response |
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: competes with agonist for receptor site; reversible binding |
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Antagonist Non-competitive: |
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binds receptor, blocking agonist binding; irreversible binding |
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