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Introduction to Pharmacology: Principles, Drug Actions, and Administration, Transcriptions of Pharmacology

This document offers a comprehensive introduction to pharmacology, covering fundamental concepts such as pharmacokinetics, pharmacodynamics, and posology. it details various drug administration routes, including enteral, parenteral, and other methods, explaining their advantages and disadvantages. The text also clarifies the nature of drugs, their interactions with receptors, and the different types of drug names. this resource is valuable for students seeking a foundational understanding of pharmacology principles and drug delivery systems.

Typology: Transcriptions

2024/2025

Available from 04/24/2025

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L1: INTRODUCTION TO PHARMACOLOGY
WHAT IS PHARMACOLOGY?
The study of substances that interact with living
systems through chemical processes, especially
by binding to regulatory molecules and activating
or inhibiting normal body processes.
These substances may be chemicals
administered to achieve a beneficial therapeutic
effect on some process within the patient or for
their toxic effects on regulatory processes in
parasites infecting the patient.
MEDICAL PHARMACOLOGY
defined as the science of substances used to
prevent, diagnose, and treat disease.
TOXICOLOGY
the branch of pharmacology that deals with the
undesirable effects of chemicals on living systems,
from individual cells to humans to complex
ecosystems.
TWO (2) GENERAL PRINCIPLES THAT THE STUDENT
SHOULD REMEMBER ARE:
(1) that all substances can under certain
circumstances be toxic, and the chemicals in
botanicals (herbs and plant extracts) are no
different from chemicals in manufactured drugs;
and,
(2) that all dietary supplements and all therapies
promoted as health-enhancing should meet the
same standards of efficacy and safety as
conventional drugs and medical therapies. That is,
there should be no artificial separation between
scientific medicine and “alternative” or
“complementary” medicine.
DEFINITION OF TERMS:
A. PHARMACOKINETICS
The study of what the body does to the drug.
Absorption, Distribution, Metabolism and
Excretion (ADME)
B. PHARMACODYNAMICS
The study of what the drug does to the body.
The mechanism of drug actions in living tissues.
C. POSOLOGY
The branch of pharmacology and therapeutics
concerned with a determination of the doses of
remedies
“The science of dosage”
D. PHARMACOTHERAPEUTICS
The use of drugs and the clinical indications for
drugs to prevent and treat diseases.
E. PHARMACOGNOSY
The study of natural (plant and animal) drug
sources.
THE NATURE OF DRUGS
WHAT IS A DRUG?
It is any substance that brings about a change in
biologic function through its chemical actions.
The drug molecule interacts as an agonist or
antagonist with a specific molecule in the biologic
system that plays a regulatory role.
This molecule is called a receptor.
Drugs may be synthesized within the body (eg,
hormones) or may be chemicals not synthesized
in the body (ie, xenobiotics).
Poisons are drugs that have almost exclusively
harmful effects. However, Paracelsus (1493–
1541) famously stated that “the dose makes the
poison’.
Toxins are usually defined as poisons of biologic
origin, ie, synthesized by plants or animals, in
contrast to inorganic poisons such as lead and
arsenic
DRUGS INTERACT WITH RECEPTORS BY MEANS OF
CHEMICAL FORCES OR BONDS.
There are three major types:
1) COVALENT BONDS
are very strong and in many cases not
reversible under biologic conditions.
2) ELECTROSTATIC BONDS
is much more common than covalent bonds.
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L1: INTRODUCTION TO PHARMACOLOGY

WHAT IS PHARMACOLOGY?

➢ The study of substances that interact with living systems through chemical processes, especially by binding to regulatory molecules and activating or inhibiting normal body processes. ➢ These substances may be chemicals administered to achieve a beneficial therapeutic effect on some process within the patient or for their toxic effects on regulatory processes in parasites infecting the patient. MEDICAL PHARMACOLOGY ➢ defined as the science of substances used to prevent, diagnose, and treat disease. TOXICOLOGY ➢ the branch of pharmacology that deals with the undesirable effects of chemicals on living systems, from individual cells to humans to complex ecosystems. TWO (2) GENERAL PRINCIPLES THAT THE STUDENT SHOULD REMEMBER ARE: (1) that all substances can under certain circumstances be toxic , and the chemicals in botanicals (herbs and plant extracts) are no different from chemicals in manufactured drugs; and, (2) that all dietary supplements and all therapies promoted as health-enhancing should meet the same standards of efficacy and safety as conventional drugs and medical therapies. That is, there should be no artificial separation between scientific medicine and “alternative” or “complementary” medicine. DEFINITION OF TERMS: A. PHARMACOKINETICS ➢ The study of what the body does to the drug. ➢ Absorption, Distribution, Metabolism and Excretion (ADME) B. PHARMACODYNAMICS ➢ The study of what the drug does to the body. ➢ The mechanism of drug actions in living tissues.

C. POSOLOGY

➢ The branch of pharmacology and therapeutics concerned with a determination of the doses of remedies ➢ “The science of dosage” D. PHARMACOTHERAPEUTICS ➢ The use of drugs and the clinical indications for drugs to prevent and treat diseases. E. PHARMACOGNOSY ➢ The study of natural (plant and animal) drug sources. THE NATURE OF DRUGS WHAT IS A DRUG? ➢ It is any substance that brings about a change in biologic function through its chemical actions. ➢ The drug molecule interacts as an agonist or antagonist with a specific molecule in the biologic system that plays a regulatory role. ➢ This molecule is called a receptor. ➢ Drugs may be synthesized within the body (eg, hormones) or may be chemicals not synthesized in the body (ie, xenobiotics). ➢ Poisons are drugs that have almost exclusively harmful effects. However, Paracelsus (1493–

  1. famously stated that “the dose makes the poison’. ➢ Toxins are usually defined as poisons of biologic origin, ie, synthesized by plants or animals, in contrast to inorganic poisons such as lead and arsenic DRUGS INTERACT WITH RECEPTORS BY MEANS OF CHEMICAL FORCES OR BONDS. There are three major types: 1) COVALENT BONDS ➢ are very strong and in many cases not reversible under biologic conditions. 2) ELECTROSTATIC BONDS ➢ is much more common than covalent bonds.

3) HYDROPHOBIC BONDS

➢ are usually quite weak and are probably important in the interactions of highly lipid- soluble drugs. THE PHYSICAL NATURE OF DRUGS: ✓ Drugs maybe: ➢ SOLID at room temp (Ex: Aspirin, Atropine) ➢ LIQUID (Ex: Nicotine, Ethanol) ➢ GAS (Ex: Nitrous oxide) ✓ These factors often determine the best route of administration. PHARMACOLOGIC PRINCIPLES: DRUG NAMES A. CHEMICAL NAME ➢ The drug’s chemical composition and molecular structure. B. GENERIC NAME (nonproprietary name) ➢ Name given by the United States Adopted Name Council C. TRADE NAME (proprietary name) ➢ The drug has a registered trademark; use of the name restricted by the drug’s owner (usually the manufacture) Example: A. Chemical name:

  • (+/-)- 2 - (p-isobutylphenyl) propionic acid B. Generic name:
  • Ibuprofen C. Brand name:
  • Medicol ROUTES OF ADMINISTRATION MAJOR ROUTES OF DRUG ADMINISTRATION:
  1. ENTERAL ✓ Oral ✓ Sublingual ✓ Buccal
  2. PARENTERAL ✓ IV (Intravenous) ✓ IM (Intramuscular) ✓ SC (Subcutaneous)
  3. OTHERS ✓ Oral inhalation ✓ Nasal Inhalation ✓ Topical ✓ Transdermal ✓ Intrathecal/Intraventricular ENTERAL I. ORAL ➢ Advantages: o easily administered o offers maximum convenience o toxicities/overdose may be overcome with antidotes ➢ Disadvantages: o pathways involved are the most complicated o low gastric pH inactivates some drugs ➢ Some drugs are absorbed in the stomach but DUODENUM is often the major site because of its larger absorptive surface. ➢ Oral preparations examples : o Enteric-coated preparations (e.g Omeprazole, Aspirin) o Extended-release preparations: (e.g Morphine = half-life of 2-4hours) II. SUBLINGUAL/BUCCAL ➢ Sublingual (Under the tongue) ➢ Buccal (In the pouch between the gums and cheeks) ➢ Advantages: o ease of administration o rapid administration o bypass of the harsh GI environment o avoidance of 1st pass metabolism PARENTERAL ➢ Advantages: o drugs that are poorly absorbed by the GI tract (ex: heparin) o drugs that are unstable in the GI tract (ex: insulin) o if patients are unconscious/unable to take oral meds o highest bioavailability (BA) o not subject to 1st^ pass metabolism (harsh GI environment)

III. TOPICAL

➢ Topical application is used when a local effect of the drug is desired. ➢ This route includes application to the skin, or to the mucous membrane of the eye, nose, throat, airway or vagina for local effect. ➢ Example: o Clotrimazole is a cream applied directly to the skin for the treatment of fungal infections. IV. TRANSDERMAL ➢ This route of administration achieves systemic effects by application of drugs to the skin, usually via a transdermal patch. ➢ The rate of absorption can depends on the physical characteristics of the skin at the site of application, as well as the lipid solubility of the drug. ➢ Example: o Nitroglycerin – antianginal drug o Scopolamine - antiemetic drug o Nicotine - transdermal patches; which are used to facilitate smoking cessation. V. RECTAL ➢ Offers partial avoidance of the 1st pass effect. ➢ Suppositories tend to migrate upward in the rectum and absorption from this higher location is partially into the portal circulation. ➢ This route is also useful if the drug induces vomiting when given orally, if the patient is already vomiting, or if the patient is unconscious. VI. INTRATHECAL/INTRAVENTRICULAR ➢ The blood–brain barrier typically delays or prevents the absorption of drugs into the central nervous system (CNS). ➢ When local, rapid effects are needed, it is necessary to introduce drugs directly into the cerebrospinal fluid. ➢ Example: o Intrathecal amphotericin B is used in treating cryptococcal meningitis.

TABLE/FIGURE 1.5: STUDY AND MEMORIZE EVERYTHING.