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Summary Pharmacology for medical students.

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Pharmacology for medical students.

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Part 1: General Pharmacology


1. Object and branches of pharmacology. Connection with other sciences. Historical review.
Drug resources.

and

2. Drug- de nition, origin, nomenclature. drug form and drug product- de nition. drug prep.

De nition: A drug is a chemical substance producing a biological e ect on the body.

Branches:
- clinical pharmacology
- pharmacogenetics: deals with the in uence of genetic variation on drug response
- epigenetics: studies changes in gene expression or cellular phenotype caused by other mechanisms
- system pharmacology
- pharmacotherapeutics
- toxicology

Uses:
treatment of diseases
alleviate symptoms
prophylaxis
prevention
diagnosis ( contrast enhancement)

Parts of pharmacology:
Pharmacokinetics: absorption -> distribution -> metabolism -> excretion (= what the body does to the drug)
Pharmacodynamics: mechanism of action and biological e ects (= what the drug does to the body)

Drugs generally can bind to di erent parts in the human body:
1) receptors on cell membranes:
For example Beta- blockers
2) enzymes:
For example Aspirin
3) carrier protein:
For example Omeprazol

OTC- drugs:
A drug, which can be purchased without a prescription. ( e.g. paracetamol)

Prescription drugs:
They have a restricted time period and they have a greater potential for adverse e ects.
They also need a prescription.




Nomenclature:
1) Generic name/ nonproprietary name: all over the world name

2) Chemical name: e.g. acetylsalicylic acid

3) Trade name: e.g. Aspirin




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, Drug resources:

Leaves Drug

digitalis purpurea Digoxin
digitalis lanata
Ginko biloba Flavonoids

Artemisia annua Artemisin

Flowers Drug

Vinca Rosea Vincristine

Papaver somniferum ( opium opium poppy) Morphine
Opium

Seeds Drug

Ricinus communis Caster oil

Roots

Beladonna roots Atropine

Valeriana o cinalis Valerian

Rauwol a serpentina Reserpine

Stem Drug

Hypericum perforatum Hypericin
Hyperforin
chondrodendron tomentosum Tubocurarine

Bark Drug

Cinchona Rubrum Quinine

Salix alba salicylic acid



Groups of plant drugs:
1) Alkaloids
2) Glycosides
3) Fixed oils
4) Volatile oils
5) Trammins
6) Flavonoids
7) Resins

Natural drug derivatives:

Animals
- thyroxine: thyroid gland
- heparin: gut of pig
- insulin: pancreas of pig




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, - omea-3-fatty acids: sh

Microorganism
- penicillin: penicillium nota
- streptomycin
- gentamycin
- vancomycin: streptococcus orientalis

Minerals
- Calcium
- Mg
- Aluminium salts
- liquid para n


Types of drugs:
1) Natural drugs ( siehe oben)
2) semi- synthetic drugs
- chemical modi cation of natural products e.g. ampicillin
3) Synthetic drugs:
- done by chemical synthesis
- sulfonameids
- uorogvinolones
- salicylates
- barbiturates
- benzodiazepine
- paracetamol
- isoniazid
4) Biosynthetic drugs
- cloning of human DA into bacteria
- insulin
- GH
- Interferons
- tissue plasminogen activator
- erythropoietin




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, 3. Stages and phases in the development of new drugs.

Pharmacopeia: o cial document for drugs including resources, properties, doses, purity and potency

Development
Development includes animal experiments and preclinical studies.
Animal experiments can be done in vivo or in vitro, cells or organs.

Preclinical studies consist of 4 steps:
1. step:
- human
- small groups( 20-100)
- 6-9 months
- observation and documentation

2. step:
- 100-200
- e.g. su ering from hypertension
- 6 months- 3 years
- also investigation of new drug compared with placebo

3. Step:
- 1000-3000
- e ects and safety
- 1-4 yers

4. step:
- detect any rare or long- term adverse e ects




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