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an active ingredient that is intended to furnish pharmacological activity or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of a disease -or to affect the structure of any function of the human body, but does not include intermediates used in the synthesis of such ingredient |
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single entity that you can isolate |
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manufacturer can only make label claim if |
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nutritional and dietary supplements |
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-not formally regulated by FDA but some authority under DSHEA -focuses on safety not effectiveness -not classified as drugs -don't treat diseases, but "support" function |
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Egyptian clay tablets contained |
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medicinal recipes (prescription) |
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Hippocrates, Galen, Paracelsus |
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-introduced scientific method -used to understand physiology and medicine |
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cultivation and isolation of medicinal agents from plants by natural product chemists |
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Dietary Supplement Health and Education Act of 1994 |
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-from cinchona plant -1830s |
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-US Pharmacopeia -1820 -drug product compendia or collection of standard isolation and manufacturing methods -not affiliated with FDA |
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drugs produced in the lab became a recognized source of new drugs by |
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aspirin produced in the lab in |
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used to determine nature of pharmacological effects |
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-structure-activity relationships -relationship between and chemical and its biological activity (pharmacological effect) |
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group of atoms in a molecule responsible for drugs actions |
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absorption, distribution, metabolism, elimination |
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determination of viable drug candidates |
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-simulation and modeling programs -some can put success rate up to 1/10,000 |
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-development of drug delivery systems (formulations) -testing in vitro (cell culture) and in vivo (whole animal) -INDA filed with FDA -not required for bioequivalent drugs -coded drug names are given generic name |
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-Investigational New Drug Application |
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safety, efficacy, and product quality |
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-US Adopted Names -published by USP,AMA, APhA -generic name stems, prefixes,suffixes |
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HMG-CoA inhibitor antihyperlipidemics |
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sulfonamide-derived antimicrobial drugs |
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anti-inflammatory analgesic agents |
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ACE inhibitor antihypertensives |
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review look alike and sound alike products |
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-formulation development and product stability -testing in humans -FDA approves for a specific use -NDA filed with FDA |
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-20-100 healthy subjects -low dose -safety |
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-100-300 subjects -minimal disease progression -increasing dose -effectiveness, side effects, toxicity |
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-200-3000 subjects -disease progression -multiple dosages -effectiveness, dosage, risk-benefit |
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not required for generic drugs that are bioequivalent |
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-new drug application -generic drugs required to file abbreviated NDA |
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post marketing evaluation |
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-Phase IV -larger number of patients -side effects with low probability -new formulations |
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toxicity, manufacturing defect, contamination, mislabeling |
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