1) Hypertension is defined as a systolic blood pressure over 140 mm Hg or a diastolic over 90 mm Hg. Antihypertensive drugs are used to reduce high blood pressure.
2) There are several classes of antihypertensive drugs, including ACE inhibitors, calcium channel blockers, beta blockers, diuretics, and angiotensin receptor blockers.
3) The document provides details on the mechanisms of several classes of antihypertensive drugs and examples of drugs within each class, such as ACE inhibitors decreasing angiotensin II and calcium channel blockers inhibiting calcium influx into vascular smooth muscle cells.
It is a anti- hypertensive drug. It is non-selective beta blocker drug. Hence it is beta blocker drug so it has many side effect.Not only Propranolol but also Timolol,Atenolol are beta blocker drugs.
Heart failure (HF) is a common cardiovascular condition with increasing incidence and prevalence. Unlike western countries where heart failure is predominantly a disease of elderly, in India it affects younger age group. Heart failure is a chronic condition in which the heart cannot pump enough blood and oxygen to support other organs in your body.
ANTI HYPERTENSIVE AGENTS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR, HYPERTENSION,...Dr. Ravi Sankar
ANTI HYPERTENSIVE AGENTS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR, HYPERTENSION,TYPES,CAUSES OF HYPERTENSION, CLASSIFICATION, MECHANISM OF ACTION, SAR, ACE INHIBITORS, ARB , DIURETICS(WATER PILLS), TIPS TO STOP SILENT KILLER.
BY P. RAVISANKAR, VIGNAN PHARMACY COLLEGE, VADLAMUDI, GUNTUR,A.P, INDIA.
It is a anti- hypertensive drug. It is non-selective beta blocker drug. Hence it is beta blocker drug so it has many side effect.Not only Propranolol but also Timolol,Atenolol are beta blocker drugs.
Heart failure (HF) is a common cardiovascular condition with increasing incidence and prevalence. Unlike western countries where heart failure is predominantly a disease of elderly, in India it affects younger age group. Heart failure is a chronic condition in which the heart cannot pump enough blood and oxygen to support other organs in your body.
ANTI HYPERTENSIVE AGENTS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR, HYPERTENSION,...Dr. Ravi Sankar
ANTI HYPERTENSIVE AGENTS [MEDICINAL CHEMISTRY] BY P.RAVISANKAR, HYPERTENSION,TYPES,CAUSES OF HYPERTENSION, CLASSIFICATION, MECHANISM OF ACTION, SAR, ACE INHIBITORS, ARB , DIURETICS(WATER PILLS), TIPS TO STOP SILENT KILLER.
BY P. RAVISANKAR, VIGNAN PHARMACY COLLEGE, VADLAMUDI, GUNTUR,A.P, INDIA.
In Process Quality Control System (IPQC) for Solid Dosages Form (Tablets)Gaurav kumar
This presentation pertains to the in-process tests performed during the manufacturing process of the solid dosages form (tablets).
The presentation covers the methods and the permissible limits for the tests performed.
These tests are of great importance as these not only ensure quality product but also upholds the cGMP.
Hypertension or high blood pressure is a chronic medical condition in which the blood pressure in the arteries is elevated i.e. 140/90 mmHg systolic /diastolic pressure.
High blood pressure has damaging effect on the heart, brain, kidneys and eyes.
Drugs used to lower blood pressure is known as antihypertensive drugs.
Antihypertensive drug therapy has improved remarkably in the last 50 years.
Before 1950, less effective and less tolerated antihypertensive drugs were available.
Veratrum and sodium thiocyanate could lower BP, but were toxic and difficult to use.
The ganglion blockers that were developed in the 1950s were effective, but inconvenient.
Reserpine was a breakthrough, but produced mental depression.
The therapeutic potential of hydralazine was not tapped fully because of the marked side effects when it was used alone
First choice drug in all grade of essential as well as renovascular hypertension (except renal artery stenosis).
This class of medicine works by causing relaxation of blood vessels as well as a decrease in blood volume, which leads to lower blood pressure and decreased oxygen demand from the heart.
Most patient require low doses which are well tolerated.
Example - Captopril, Enalapril, Lisinopril, Ramipril, Perindopril, Benazepril, Fosinopril, Quinapril, Trandolapril.
Large hydrophobic N-heterocyclic ring increase potency.
Ring showed contain –COOH group to mimic ACE substrate.
The Zn2+binding group may be
sulfhydryl (-CH2SH) like captopril
Di-carboxylate like in enalapril, lisinopril and quinapril
Phosphate like fosinopril
Sulfhydryl group shows superior binding to Zn ion and produces side effect like skin rash, taste disturbance etc.
Esterification of carboxylate or phosphate produce orally bioactive prodrug.
Large heterocyclic ring and hydrophobic ring generally N-containing increase potency and alter pharmacokinetic parameter.
Generally pyrrolidine ring is present (E.g. – Captopril, Enalapril)
The N-group must contain –COOH group to mimic the C-terminal carboxylate of ACE substrate.
X is usually methyl to mimic the side chain of aniline . This type of drug do not require prodrug for oral activity.
Drugs are : Losatran, Candesartan, Irbesartan, Valsartan, Telmisartan
The most prominent action of angiotensin II is vasoconstriction.
The two types of angiotensin II receptors are AT1 and AT2 , most of the action of angiotensin II are mediated by AT1 receptor.
Angiotensin receptor blockers do not affect bradykinin production.
Oral bioavibility – 33% (1st pass metabolism) It is partially carbonylated in liver to an active metabolism (E3174).
All ARB prevent and reverse all known effect of angiotensin-II including slow CNS effect, release of catecholamine, secretion of aldosterone, direct and indirect renal effect.
Telmisartan has additional PPAR-ϒ agonistic activity. This activity can help patient with dysglycemia.
There are thee functional groups that are the most important part f
Hypertension is also known as high blood pressure. There are mainly two type of blood pressure i.e. systolic and another one is diastolic . The hypertension are categories into two parts that is primary hypertension and secondary hypertension. People are suffering from 3 stage during the condition of hypertension. There are following agents are used to treat hypertension like calcium channel blockers, ACE inhibitors, beta blocker, alpha + beta blockers these are commonly used.
A detailed information about the drugs used in the treatment of the condition - hypertension.
Includes Classification, mechanism of action, side effects, dosage and indications of each classes of drugs.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. Hypertension:
Hypertension is defined as either a
sustained systolic blood pressure (SBP)of
greater than 140 mm Hg or a sustained
diastolic blood pressure of greater than 90
mm of Hg.
An agent that reduces high blood
pressure is called as an
ANTIHYPERTENSIVE. 2
3. Prehypertension-systolic between 120 to
139 mm/Hg and diastolic between 80 to 89
mm/Hg.
Effects of Hypertension
Increases risk of heart disease ,
heartfailure, kidney disease, blindness,
and stroke.
Primary Hypertension- No known
reason.
Secondary Hypertension-due to some
cause such as kidney disease,
abnormalities of adrenal glands
will try nonpharmacological methods first. 3
4. #Causes:
It results from:
Increased arterial resistance
Reduced capacitance
Increased peripheral vascular smooth
muscle tone
4
5. Decrease
in blood
pressure
Increased
blood
pressure
Increased
sympathetic
activity
Increased
activation of
β1
adrenoceptor
s on heart
Increased
cardiac
output
Increased activation
of α1 adrenoceptors
on smooth muscle
Increased
peripheral
resistance
Decreased
renal blood
flow
Increased
renin
Increased
angiotensin II
Decreased
GFR
Increased
aldosterone
Increased
Na-H2O
Retention
Increased
blood
volume 5
10. Potassium Sparing
Diuretics:
Includes:
Spironolactone (a synthetic steroid that
antagonizes aldosterone at intracellular
cytoplasmic receptor site)
Triamterene & Amiloride (blocks Na
transport channels resulting in a decrease in Na/K
exchange)
10
11. Loop Diuretics:
Inhibit the co-transport of Na/K/Cl in the
luminal membrane in the ascending limb of the
loop of Henle
Examples:Furosemide,Bumetanide,Ethacrynic
acid
11
14. Beta
adrenoceptor
blocker
Activation of
β1 receptors
on the heart
Renin
Cardiac
output
Peripheral
resistance
Angiotensin II
Aldosterone
Na/Water
retention
Blood
Volume
Decrease in
blood pressure
14
15. Examples of ACE Inhibitors:
Captopril
Enalpril
Lisinopril
Ramipril
15
16. ACE Inhibitors:
ACE Inhibitors blocks the ACE that
cleaves angiotensin-I to form the
potent vasoconstrictor angiotensin-II
by reducing circulating angiotensin-II
levels , ACE inhibitors also decrease
secretion of aldosterone, resulting in
decreased sodium & water retention.
16
17. Angiotensin II receptor
antagonist
E.g.,losartan,irbesartan,candesartan,
valsartan.
Losartan
Irbesartan
17
18. Angiotensin II receptor
antagonist
They produce vasodilation and block
aldosterone secretion, thus lowering
blood pressure and decreasing salt
and water retention.
18
20. Calcium channel blockers:
It inhibits cellular influx of Ca, which is
responsible for muscle contraction.
Calcium channel blockers protect
tissue by inhibiting entrance of Ca
into cardiac & smooth muscle cells of
coronary & systemic arterial beds.
All Ca channel blockers are
vasodilators that ultimately cause
dilation of coronary & peripheral
arteries,reduce heart rate. 20
21. α-1 adrenergic receptors
antagonist:
Decrease the peripheral vascular resistance
& lower the arterial blood pressure by
causing relaxation of both arterial & venous
smooth muscle
Examples:
Prazosin
Doxazosin
Terazosin
21
22. α-2 adrenergic receptor
agonist:
Clonidine acts centrally to produce
inhibition of sympathetic vasomotor
centers.
22
30. ET-1 is a more potent vasoconstrictor than
angiotensin II and has high affinity for the ETA
receptor subtype which mediates the
vasoconstriction characteristics of the Endothelin.
30
31. Protein Kinase C inhibitors
Staurosporin(antibiotic);it is a natural
product isolated in 1977 from
bacterium “streptomyces
staurosporeus”.
31
34. CHYMASE INHIBITORS
Chymase inhibitors may be useful for
preventing cardiovascular diseases
and fibrosis via inhibition of
angiotensin II formation and
transforming growth factor-beta
activation.
E.g.,SPF-32629A
34
35. PROSTACYCLINE ANALOGUE
M/C:-Direct vasodilation of pulmonary and
systemic arterial beds;also inhibits platelet
aggregation.
E.g.,Treprostinil
35
36. CONTRAINDICATIONS
Antihypertensive drugs are contraindicated
in patients with known hypersensitivity to
the individual drug
ACEIs: Contraindicated in patients with
impaired renal function, congestive heart
failure, salt or volume depletion, bilateral
stenosis, or angioedema, also during
pregnancy or lactation
Use of the ACEIs and the angiotensin II
receptor blockers during the second and
third trimester of pregnancy is
contraindicated because use may cause
fetal and neonatal injury or death
36