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CLASSIFICATION OF
MEDICATION/DRUGS
Briefly described by
Dr. Nizar Muhammad (Pharm-D, R.Ph.)
Abbottabad
CLASSIFICATION OF
MEDICATION/DRUGS
• Medication/drugs can be classified through many
ways following are some of them
1. Sources of drugs
2. On the basis of dosage-form/ Method or route of
administration
3. Prescription or Non‐prescription (over the counter‐
OTC)
4. Controlled or Non‐controlled
5. Body system affected
6. Therapeutic Use
Classification on the basis of sources
• Natural
 Plants
 e.g. atropine
 Quinine
 Animals
 e.g. insulin
 Immunoglobulins
 Microorganisms
 e.g. antibiotics
 Antifungals
 Minerals
 E.g. electrolytes
 Ferrous sulfate
Others
 Synthetic
 Co-Trimoxazole
 Aspirin
 Paracetamol
 Semi-synthetic
 E.g atropine bromide
 Amoxicillin
 Genetic engineering
 Monoclonal antibodies
 Human source
 Human chorionic
gonadotropins
 Regular insulin
 Urokinase etc.
Classification on the basis of
Dosage-form
• Tablets
• Capsules
• Syrups
• Lozenges
• Suspensions
• Drops
• Suppositories
• Enemas
• Powders
• Sachets
• Effervescent
• Injections
• Infusions
• Creams
• Ointments
• Lotions
• Patches
• Inhalers
• Rota caps
• Insufflations
• Irrigations
• Pessaries
According to method or route of
administration
• Oral
– Buccal
– Enteral
– SL
• Topical
– Eye
– Skin
– Ear
• Parenteral
– IV
– IM
– SC
• Others
– Intra vaginal
– Anal
Classification on the basis of
prescription
• Prescription only medication
(POM)
– Prescribed for a particular
individual to treat a particular
medical condition
– The effect of the medication on the
individual is overseen by the doctor
• Examples
– Antibiotics e.g.(vancomycin)
– CNS drugs (Alprzolam)
– Cardiovascular medications
(propranolol)
• Over the counter medication
(OTC)
– FDA approved and determined to
be safe to use without the
supervision of a health care
practitioner.
– OTC medications include
medications that are available
without a prescription
– Many people think OTC
medications are safe, but they can
cause harm if used improperly
• Examples
– Pain killers (ibuprofen)
– Paracetamol (panadol)
– Mefanamic acid (ponstan)
– Avil (Pheneramine maleate)
Classification according to LAW
• According to international and national Law the
drugs are classified as controlled or non-
controlled
• Here we will discuss about controlled substances
or drugs only all the remaining drugs not
mentioned in the controlled list shall be
considered as non-controlled
• Controlled substance:
– A controlled substance is generally a drug or chemical
whose manufacture, possession, or use is regulated by
a government, such as illicitly used drugs or
prescription medications that are designated by law.
– Controlled substances are further classified into
“schedules” as from schedule-1 to schedule-5
• Schedule I Controlled Substances
– Substances in this schedule have no currently
accepted medical use in the United States, a lack of
accepted safety for use under medical supervision,
and a high potential for abuse.
– Some examples of substances listed in Schedule I are:
heroin, lysergic acid diethylamide (LSD), marijuana
(cannabis), peyote, methaqualone, and 3,4-
methylenedioxymethamphetamine (“Ecstasy”).
• Schedule II/IIN Controlled Substances (2/2N)
– Substances in this schedule have a high potential for
abuse which may lead to severe psychological or
physical dependence.
– Examples of Schedule II narcotics include:
hydromorphone (Dilaudid), methadone (Dolophine),
meperidine (Demerol), oxycodone (OxyContin,
Percocet), and fentanyl (Sublimaze, Duragesic). Other
Schedule II narcotics include: morphine, opium, and
codeine.
– Examples of Schedule IIN stimulants include: amphetamine
(Dexedrine, Adderall), methamphetamine (Desoxyn), and
methylphenidate (Ritalin).
– Other Schedule II substances include: amobarbital,
glutethimide, and pentobarbital.
• Schedule III/IIIN Controlled Substances (3/3N)
– Substances in this schedule have a potential for abuse less than
substances in Schedules I or II and abuse may lead to moderate
or low physical dependence or high psychological dependence.
– Examples of Schedule III narcotics include: combination
products containing less than 15 milligrams of hydrocodone per
dosage unit (Vicodin), products containing not more than 90
milligrams of codeine per dosage unit (Tylenol with Codeine),
and buprenorphine (Suboxone).
– Examples of Schedule IIIN non-narcotics include:
benzphetamine (Didrex), phendimetrazine, ketamine,
and anabolic steroids such as Depo-Testosterone.
• Schedule IV Controlled Substances
– Substances in this schedule have a low potential for abuse
relative to substances in Schedule III.
– Examples of Schedule IV substances include:
alprazolam (Xanax), carisoprodol (Soma), clonazepam
(Klonopin), clorazepate (Tranxene), diazepam (Valium),
lorazepam (Ativan), midazolam (Versed), temazepam
(Restoril), and triazolam (Halcion).
• Schedule V Controlled Substances
– Substances in this schedule have a low potential for
abuse relative to substances listed in Schedule IV and
consist primarily of preparations containing limited
quantities of certain narcotics.
– Examples of Schedule V substances include: cough
preparations containing not more than 200 milligrams
of codeine per 100 milliliters or per 100 grams
(Robitussin AC, Phenergan with Codeine), and
ezogabine.
Classification on the basis of affecting the body system
and
Therapeutic Use
• A common type of
medication classification
• Following are the types
a. Drugs affecting the
autonomic nervous
system:
a. Cholinergic Drugs,
b. Anticholinergic Drugs,
c. Drugs Acting on Autonomic
Ganglia,
d. Adrenergic Drugs,
e. α-Adrenergic Blocking
Agents,
f. β-Adrenergic Blocking
Agents,
b. Drugs Acting on Central
Nervous System
a) General Anaesthetics,
b) Preanaesthetic Medication,
c) Sedative-Hypnotics,
d) Antiepileptic Drugs,
e) Antiparkinsonian Drugs,
f) Antipsychotic Drugs,
g) Drugs for Mania and Manic-
Depressive(Bipolar) Disorder,
h) Antidepressants,
i) Antianxiety Drugs,
j) Opioid Analgesics, Complex
Action Opioids and Opioid
Antagonists,
k) Central Nervous System
Stimulants,
l) Cognition Enhancers
– Autacoids and Related Drugs:
• Histaminergic Agonists,
• H1-Antagonists,
• 5-Hydroxytryptamine (5-HT) Antagonists,
• Drugs for Migraine,
• Prostaglandins (PGs)and their Analogues,
• Antipyretic-Analgesics and
• Non steroidal Anti-inflammatory Drugs (NSAIDs),
• Anti rheumatoid Arthritis Drugs,
• Anti gout Drugs
– Drugs for Respiratory Disorders
• Drugs for Cough,
• Drugs for Bronchial Asthma
– Hormones and
Related Drugs
• Anterior Pituitary
Hormones and Related
Drugs,
• Thyroid Hormone,
• Thyroid Inhibitors,
• Anti diabetic Drugs,
• Corticosteroids,
• Androgens and Related
Drugs,
• Drugs for Erectile
Dysfunction,
• Estrogens and Related
Drugs, Progestin's,
• Oral Contraceptives,
• Uterine Stimulants,
• Uterine Relaxants
• Drugs Acting on
Peripheral
(somatic)Nervous
System
• Skeletal Muscle
Relaxants,
• Local Anesthetics
– Cardiovascular Drugs
• Antihypertensive Drugs,
• Antianginal Drugs,
• Drugs for Peripheral
Vascular Diseases,
• Drugs for Congestive
Heart Failure,
• Antiarrhythmic Drugs
– Drugs Acting on Kidney
• Diuretics,
• Antidiuretics
– Drugs Affecting Blood
• Haematinics,
• Coagulants,
• Anticoagulants,
• Fibrinolytics,
• Antifibrinolytics,
• Antiplatelet Drugs,
• Hypolipidaemic Drugs,
• Plasma Expanders
– Gastrointestinal Drugs
• Drugs for Peptic Ulcer,
• Antiemetics,
• Drugs for Gastro
esophageal Reflux
Disease,
• Laxatives,
• Nonspecific
antidiarrhoeal Drugs
– Antibacterial Drugs
• Sulfonamides,
• Cotrimoxazole,
• Quinolones,
• Beta-Lactam Antibiotics
– Penicillins,
– Cephalosporins,
– Monobactams,
– Carbapenems,
• Aminoglycoside
Antibiotics,
• Tetracyclines,
• Chloramphenicol,
• Macrolide Antibiotics,
• Lincosamide Antibiotics,
• Aminocyclitol Antibiotic,
• Glycopeptide Antibiotics,
• Oxazolidinone,
• Polypeptide Antibiotics,
• Urinary Antiseptics,
• Antitubercular Drugs,
• Antileprotic Drugs
– Antifungal, Antiviral,
Antiprotozoal and
Anthelmintic Drugs
• Antifungal Drugs,
• Antiviral Drugs,
• Antimalarial Drugs,
• Antiamoebic Drugs,
• Drugs for Giardiasis,
• Drugs for Trichomoniasis,
• Drugs for Leishmaniasis,
• Anthelmintics
– Anticancer Drugs
• Antineoplastic Drugs
– Miscellaneous Drugs
• Immunosuppressants,
• Chelating Agents,
• Locally Acting Drugs on
Skin and Mucous
Membranes,
• Antiseptics and
Disinfectants,
• Ectoparasiticides,
• Vaccines,
• Antisera and
Immuneglobulins
Classification of medication

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Classification of medication

  • 1. CLASSIFICATION OF MEDICATION/DRUGS Briefly described by Dr. Nizar Muhammad (Pharm-D, R.Ph.) Abbottabad
  • 2. CLASSIFICATION OF MEDICATION/DRUGS • Medication/drugs can be classified through many ways following are some of them 1. Sources of drugs 2. On the basis of dosage-form/ Method or route of administration 3. Prescription or Non‐prescription (over the counter‐ OTC) 4. Controlled or Non‐controlled 5. Body system affected 6. Therapeutic Use
  • 3. Classification on the basis of sources • Natural  Plants  e.g. atropine  Quinine  Animals  e.g. insulin  Immunoglobulins  Microorganisms  e.g. antibiotics  Antifungals  Minerals  E.g. electrolytes  Ferrous sulfate Others  Synthetic  Co-Trimoxazole  Aspirin  Paracetamol  Semi-synthetic  E.g atropine bromide  Amoxicillin  Genetic engineering  Monoclonal antibodies  Human source  Human chorionic gonadotropins  Regular insulin  Urokinase etc.
  • 4. Classification on the basis of Dosage-form • Tablets • Capsules • Syrups • Lozenges • Suspensions • Drops • Suppositories • Enemas • Powders • Sachets • Effervescent • Injections • Infusions • Creams • Ointments • Lotions • Patches • Inhalers • Rota caps • Insufflations • Irrigations • Pessaries
  • 5. According to method or route of administration • Oral – Buccal – Enteral – SL • Topical – Eye – Skin – Ear • Parenteral – IV – IM – SC • Others – Intra vaginal – Anal
  • 6. Classification on the basis of prescription • Prescription only medication (POM) – Prescribed for a particular individual to treat a particular medical condition – The effect of the medication on the individual is overseen by the doctor • Examples – Antibiotics e.g.(vancomycin) – CNS drugs (Alprzolam) – Cardiovascular medications (propranolol) • Over the counter medication (OTC) – FDA approved and determined to be safe to use without the supervision of a health care practitioner. – OTC medications include medications that are available without a prescription – Many people think OTC medications are safe, but they can cause harm if used improperly • Examples – Pain killers (ibuprofen) – Paracetamol (panadol) – Mefanamic acid (ponstan) – Avil (Pheneramine maleate)
  • 7.
  • 8. Classification according to LAW • According to international and national Law the drugs are classified as controlled or non- controlled • Here we will discuss about controlled substances or drugs only all the remaining drugs not mentioned in the controlled list shall be considered as non-controlled • Controlled substance: – A controlled substance is generally a drug or chemical whose manufacture, possession, or use is regulated by a government, such as illicitly used drugs or prescription medications that are designated by law. – Controlled substances are further classified into “schedules” as from schedule-1 to schedule-5
  • 9. • Schedule I Controlled Substances – Substances in this schedule have no currently accepted medical use in the United States, a lack of accepted safety for use under medical supervision, and a high potential for abuse. – Some examples of substances listed in Schedule I are: heroin, lysergic acid diethylamide (LSD), marijuana (cannabis), peyote, methaqualone, and 3,4- methylenedioxymethamphetamine (“Ecstasy”). • Schedule II/IIN Controlled Substances (2/2N) – Substances in this schedule have a high potential for abuse which may lead to severe psychological or physical dependence. – Examples of Schedule II narcotics include: hydromorphone (Dilaudid), methadone (Dolophine), meperidine (Demerol), oxycodone (OxyContin, Percocet), and fentanyl (Sublimaze, Duragesic). Other Schedule II narcotics include: morphine, opium, and codeine.
  • 10. – Examples of Schedule IIN stimulants include: amphetamine (Dexedrine, Adderall), methamphetamine (Desoxyn), and methylphenidate (Ritalin). – Other Schedule II substances include: amobarbital, glutethimide, and pentobarbital. • Schedule III/IIIN Controlled Substances (3/3N) – Substances in this schedule have a potential for abuse less than substances in Schedules I or II and abuse may lead to moderate or low physical dependence or high psychological dependence. – Examples of Schedule III narcotics include: combination products containing less than 15 milligrams of hydrocodone per dosage unit (Vicodin), products containing not more than 90 milligrams of codeine per dosage unit (Tylenol with Codeine), and buprenorphine (Suboxone). – Examples of Schedule IIIN non-narcotics include: benzphetamine (Didrex), phendimetrazine, ketamine, and anabolic steroids such as Depo-Testosterone. • Schedule IV Controlled Substances – Substances in this schedule have a low potential for abuse relative to substances in Schedule III.
  • 11. – Examples of Schedule IV substances include: alprazolam (Xanax), carisoprodol (Soma), clonazepam (Klonopin), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), midazolam (Versed), temazepam (Restoril), and triazolam (Halcion). • Schedule V Controlled Substances – Substances in this schedule have a low potential for abuse relative to substances listed in Schedule IV and consist primarily of preparations containing limited quantities of certain narcotics. – Examples of Schedule V substances include: cough preparations containing not more than 200 milligrams of codeine per 100 milliliters or per 100 grams (Robitussin AC, Phenergan with Codeine), and ezogabine.
  • 12. Classification on the basis of affecting the body system and Therapeutic Use • A common type of medication classification • Following are the types a. Drugs affecting the autonomic nervous system: a. Cholinergic Drugs, b. Anticholinergic Drugs, c. Drugs Acting on Autonomic Ganglia, d. Adrenergic Drugs, e. α-Adrenergic Blocking Agents, f. β-Adrenergic Blocking Agents, b. Drugs Acting on Central Nervous System a) General Anaesthetics, b) Preanaesthetic Medication, c) Sedative-Hypnotics, d) Antiepileptic Drugs, e) Antiparkinsonian Drugs, f) Antipsychotic Drugs, g) Drugs for Mania and Manic- Depressive(Bipolar) Disorder, h) Antidepressants, i) Antianxiety Drugs, j) Opioid Analgesics, Complex Action Opioids and Opioid Antagonists, k) Central Nervous System Stimulants, l) Cognition Enhancers
  • 13. – Autacoids and Related Drugs: • Histaminergic Agonists, • H1-Antagonists, • 5-Hydroxytryptamine (5-HT) Antagonists, • Drugs for Migraine, • Prostaglandins (PGs)and their Analogues, • Antipyretic-Analgesics and • Non steroidal Anti-inflammatory Drugs (NSAIDs), • Anti rheumatoid Arthritis Drugs, • Anti gout Drugs – Drugs for Respiratory Disorders • Drugs for Cough, • Drugs for Bronchial Asthma
  • 14. – Hormones and Related Drugs • Anterior Pituitary Hormones and Related Drugs, • Thyroid Hormone, • Thyroid Inhibitors, • Anti diabetic Drugs, • Corticosteroids, • Androgens and Related Drugs, • Drugs for Erectile Dysfunction, • Estrogens and Related Drugs, Progestin's, • Oral Contraceptives, • Uterine Stimulants, • Uterine Relaxants • Drugs Acting on Peripheral (somatic)Nervous System • Skeletal Muscle Relaxants, • Local Anesthetics
  • 15. – Cardiovascular Drugs • Antihypertensive Drugs, • Antianginal Drugs, • Drugs for Peripheral Vascular Diseases, • Drugs for Congestive Heart Failure, • Antiarrhythmic Drugs – Drugs Acting on Kidney • Diuretics, • Antidiuretics – Drugs Affecting Blood • Haematinics, • Coagulants, • Anticoagulants, • Fibrinolytics, • Antifibrinolytics, • Antiplatelet Drugs, • Hypolipidaemic Drugs, • Plasma Expanders – Gastrointestinal Drugs • Drugs for Peptic Ulcer, • Antiemetics, • Drugs for Gastro esophageal Reflux Disease, • Laxatives, • Nonspecific antidiarrhoeal Drugs
  • 16. – Antibacterial Drugs • Sulfonamides, • Cotrimoxazole, • Quinolones, • Beta-Lactam Antibiotics – Penicillins, – Cephalosporins, – Monobactams, – Carbapenems, • Aminoglycoside Antibiotics, • Tetracyclines, • Chloramphenicol, • Macrolide Antibiotics, • Lincosamide Antibiotics, • Aminocyclitol Antibiotic, • Glycopeptide Antibiotics, • Oxazolidinone, • Polypeptide Antibiotics, • Urinary Antiseptics, • Antitubercular Drugs, • Antileprotic Drugs – Antifungal, Antiviral, Antiprotozoal and Anthelmintic Drugs • Antifungal Drugs, • Antiviral Drugs, • Antimalarial Drugs, • Antiamoebic Drugs, • Drugs for Giardiasis, • Drugs for Trichomoniasis, • Drugs for Leishmaniasis, • Anthelmintics
  • 17. – Anticancer Drugs • Antineoplastic Drugs – Miscellaneous Drugs • Immunosuppressants, • Chelating Agents, • Locally Acting Drugs on Skin and Mucous Membranes, • Antiseptics and Disinfectants, • Ectoparasiticides, • Vaccines, • Antisera and Immuneglobulins

Editor's Notes

  1. Standardized OTC Drug Labels