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General principles in
PHARMACOLOGY and
Mechanisms of Drug Action
                       “The best cure for the body
 MERLYN A.             is a quiet mind.”
                       Napoleon I (1769-1821) Napoleon
  BARACLAN, RN, RMT     Bonaparte.
Therapeutic Methods
 Diet therapy
 Drug therapy
 Physiotherapy
 Psychologic therapy
 is a chemical administered
  in an attempt to               DRUG
PREVENT, TREAT OR
DIAGNOSE disease

 a substance or preparation
  used in treating disease

 a chemical substance that
  affects the processes of the
  mind or body
 [Dutch: droog, meaning dry]
pharmacology
                                           Greek:
 OBJECTIVES OF LEARNING                    pharmakon, meaning
  PHARMACOLOGY                              drug, & logos, science
- To realise that medicines should
  be prescribed safely and                 Deals with the study of
  effectively                               drugs and their actions
- To understand the ways that drugs         on living organisms
  work to affect biological systems
- To appreciate that pharmacology
                                           Is a study of the effect of
  cannot be understood
                                            chemicals on biological
  comprehensively without the
  parallel understanding of related         systems
  biological and clinical sciences
- To provide a suitable framework to       Is the study of the
  allow comparison of the relative          biological effects of
  benefits and risks of different drugs     chemicals
- To be able to comprehend and
  participate in research
Guiding principles when studying a
     DRUG in depth
1.  The generic name
2.  The class to which the drug
    belongs
3. Whether the drug is available
    without prescription
4. The main reasons of using the
    drug
5. The way the drug works
6. How the drug is given
7. Pharmacokinetics
8. Unwanted effects
9. Propensity to cause drug to
    drug interactions
10. Are there non –
    pharmacological treatments that
    are effective alternatives?
 CHEMICAL Name
- MOST meaningful to the chemist       DRUG NAMES
- [the chemical constitution of the
  drug and the exact placing of its     TRADEMARK, BRAND
  atoms or molecular groupings]          NAME, OR PROPRIETARY
 GENERIC (NON –                         NAME
  PROPRIETARY NAME)                     Is followed by the symbol
COMMON NAME, PROPER NME                  ®.
- Is simpler than the chemical          This name is registered and
  name                                   the use is restricted to the
                                         owner of the drug
- It may be used in any country and
  by any manufacturer                   Are deliberately made
                                         easier to pronounce, spell
- The 1st letter of the generic name
                                         and remember
  must NOT be CAPITALIZED
                                        The 1st letter of the Trade
                                         Name is CAPITALIZED
EXAMPLE
 CHEMICAL NAME    4 – thia – 1 azabicyclo
                    [3.2.0]heptane – 2 – carboxylic
                    acid, 6
                    [aminophenylacetyl)amino] – 3,3-
                    dimethyl – 7 – oxo -, [2S- [2α-5α
                    6β (S*)]]-

 GENERIC NAME     ampicillin




 BRAND NAME       Principen, Polycillin
PRESCRIBING, ADHERENCE AND
     INFORMATION ABOUT MEDICINE
 DUTIES OF THE PRESCRIBER
The following are certain LEGAL
requirements that must be met when
a medicine is prescribed:
1. Name of the person whom the
    drug is prescribed , the address
    and the age
2. Drug name ( without
    abbreviation
3. Dose
4. Route of administration
5. Frequency of administration
6. Either the quantity to be
    supplied or the duration of
    therapy
7. Doctor’s name, address and
    signature
8. date
GENERIC PRESCRIBING
 ADVANTAGES                      DISADVANTAGES



- It is likely to indicate the   - Can potentiate problems related
  NATURE of the drug               to bioavailability

- Dispensing is made easy



- Cheaper
Common prescription abbreviations
ac – before meals             q – every
ad lib – as much as desired   qd – once daily
bid – twice daily             qid – 4 times daily
c – with                      S – without
caps – capsules               sig. – label
et – and                      stat – at once
Gtt , gtts – drop, drops      tid – thrice a day
hs – at bed time
Od – right eye
Os – left eye
Ou – both eyes
pc – after meals
prn – as needed

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General principles in pharmacology and mechanisms of drug

  • 1. General principles in PHARMACOLOGY and Mechanisms of Drug Action  “The best cure for the body  MERLYN A. is a quiet mind.”  Napoleon I (1769-1821) Napoleon BARACLAN, RN, RMT Bonaparte.
  • 2. Therapeutic Methods  Diet therapy  Drug therapy  Physiotherapy  Psychologic therapy
  • 3.  is a chemical administered in an attempt to DRUG PREVENT, TREAT OR DIAGNOSE disease  a substance or preparation used in treating disease  a chemical substance that affects the processes of the mind or body  [Dutch: droog, meaning dry]
  • 4. pharmacology  Greek:  OBJECTIVES OF LEARNING pharmakon, meaning PHARMACOLOGY drug, & logos, science - To realise that medicines should be prescribed safely and  Deals with the study of effectively drugs and their actions - To understand the ways that drugs on living organisms work to affect biological systems - To appreciate that pharmacology  Is a study of the effect of cannot be understood chemicals on biological comprehensively without the parallel understanding of related systems biological and clinical sciences - To provide a suitable framework to  Is the study of the allow comparison of the relative biological effects of benefits and risks of different drugs chemicals - To be able to comprehend and participate in research
  • 5. Guiding principles when studying a DRUG in depth 1. The generic name 2. The class to which the drug belongs 3. Whether the drug is available without prescription 4. The main reasons of using the drug 5. The way the drug works 6. How the drug is given 7. Pharmacokinetics 8. Unwanted effects 9. Propensity to cause drug to drug interactions 10. Are there non – pharmacological treatments that are effective alternatives?
  • 6.  CHEMICAL Name - MOST meaningful to the chemist DRUG NAMES - [the chemical constitution of the drug and the exact placing of its  TRADEMARK, BRAND atoms or molecular groupings] NAME, OR PROPRIETARY  GENERIC (NON – NAME PROPRIETARY NAME)  Is followed by the symbol COMMON NAME, PROPER NME ®. - Is simpler than the chemical  This name is registered and name the use is restricted to the owner of the drug - It may be used in any country and by any manufacturer  Are deliberately made easier to pronounce, spell - The 1st letter of the generic name and remember must NOT be CAPITALIZED  The 1st letter of the Trade Name is CAPITALIZED
  • 7. EXAMPLE  CHEMICAL NAME  4 – thia – 1 azabicyclo [3.2.0]heptane – 2 – carboxylic acid, 6 [aminophenylacetyl)amino] – 3,3- dimethyl – 7 – oxo -, [2S- [2α-5α 6β (S*)]]-  GENERIC NAME  ampicillin  BRAND NAME  Principen, Polycillin
  • 8. PRESCRIBING, ADHERENCE AND INFORMATION ABOUT MEDICINE  DUTIES OF THE PRESCRIBER The following are certain LEGAL requirements that must be met when a medicine is prescribed: 1. Name of the person whom the drug is prescribed , the address and the age 2. Drug name ( without abbreviation 3. Dose 4. Route of administration 5. Frequency of administration 6. Either the quantity to be supplied or the duration of therapy 7. Doctor’s name, address and signature 8. date
  • 9. GENERIC PRESCRIBING  ADVANTAGES  DISADVANTAGES - It is likely to indicate the - Can potentiate problems related NATURE of the drug to bioavailability - Dispensing is made easy - Cheaper
  • 10. Common prescription abbreviations ac – before meals q – every ad lib – as much as desired qd – once daily bid – twice daily qid – 4 times daily c – with S – without caps – capsules sig. – label et – and stat – at once Gtt , gtts – drop, drops tid – thrice a day hs – at bed time Od – right eye Os – left eye Ou – both eyes pc – after meals prn – as needed