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Definition :
The study of drugs and medicines is called
pharmacology.
Pharmacokinetics:
Medicine:
A medicine consists of one or more active
ingredients and excipients.
• Excipients are inert substance used to deliver the drug in a stable
form and to facilitate administration.(coloring, flavoring, sweetening
agents, etc.).
Prodrug:
Drugs that relay on metabolic conversion within the body into their
active form are called prodrug.
Metabolism
Prodrug Drug
(Inactive form) (Active form)
Placebo:
A harmless, inert substance is given as medicine to satisfy the patient’s
desire for drug therapy, is called “placebo”
Dose:
The quantity of drug or medicine to be administered at one time
(plural-doses).
Dosage:
Size, frequency and number of doses and route of administration –
all together makes the dosage regimen.
Dosage form:
In which form medicines to be administered or available. e.g.:
Tablet, Capsule, Syrup etc.
Types of dosage form:
a. Solid dosage form: Tablet, Capsule, Suppository etc.
b. Liquid dosage form: Syrup, Suspension, Solution, Injectable etc.
c. Semisolid dosage form: Cream, Ointment, Gel etc.
d. Gaseous dosage form: Inhaler, Spray.
Route of administration:
Enteral or alimentary route-
Oral: Most common
Sublingual: Drug placed under the tongue, where it dissolved.
Buccal: Pertaining to the cheeks.
Rectal: Can be used when drug objectionable taste.
Trans lingual: on the tongue.
Parenteral route-
Intra muscular (IM)
Intra venous (IV)
Intra-arterial (IA)
Intra-cardiac
Intra-thecal
Intradermal (Intra cutaneous )(IC)
Subcutaneous route (Hypodermic)
Intraosseous- into bone marrow
Intra pleural
Intraperitoneal (IP)
Intra-articular(IArt)
Others :
Inhalation
Intranasal
Topical
Transdermal
Ocular/Ophthalmic
Different types of dose
Therapeutic or Effective Dose
The dose which will bring about the desired effect in 100% of the
population tested.
Median Effective Dose (ED50)
The dose which will produce a desired effect in 50% of the population
tested.
Lethal Dose :
The dose which will cause death in 100% of the animals under
experiment.
Median Lethal Dose (LD50 )
The dose which will cause death in 50% of the animals under
experiment.
Maximal (maximum) Dose :
The largest dose which can be tolerated by the patient before
serious side effects occur.
Minimal (minimum) Dose :
The smallest dose which is required to produce certain desirable
effect.
Prophylactic Dose :
The dose which prevents the body from being attacked with a
disease or diseases.
Maintenance Dose:
Dose required for maintaining the desired effect that is achieved by
preceding dose.
Adult Dose:
According to British Pharmacopoeia , the dose in between 20 to 60
years of age is known as adult dose .
Pediatric Dose:
The determination of the correct amount, frequency, and total
number of doses of a medication to be administered to a child or
infant.
Therapeutic Index (Safety Index)
The ratio of the median lethal dose (LD50) to the median effective
dose (ED50)
LD50
TI= ED50
Tablets After
Disintegration Dissolution
swallowing
Excretion (By
Metabolism
different route)
Pharmacokinetics of Capsule
Capsule After
Dissolution Absorption
swallowing
Disintegration Time
The time required for Disintegration is known as Disintegration Time
(DT).
Dissolution
Dissolution is the process by which a solute forms a solution in a
solvent
Dissolution rate
The rate at which the granules or fine particles of any solid dosage
form go into solution before being absorbed into the GIT is known as
Dissolution rate
Absorption
The rate at which drug molecules cross the cell membrane to enter
into the body for (systemic circulation) is called absorption.
Most of the oral drugs are absorbed to the extent of around 75% in
1-3 hours.
• Route of administration
• Solubility
• Gastrointestinal motility
• blood flow
• Particle size and formulation
• Chemical factors
Drug distribution
Drug distribution is the process by which a drug reversibly leaves
the blood stream and enters the extracellular fluid and the cells of
the tissue .
Drug distribution depends on following factors-
Permeability across the tissue barriers.
Binding within compartments
pH of distribution media
pKa of drug molecule.
Regional blood flow.
Fat : water partition.
Volume of distribution -
It is defined as the volume of fluid into which a drug apparently
distributes. It is commonly known as apparent volume of distribution
and expressed as Vd.
The higher is the Vd, the more extensively it is distributed in the body
tissues.
Examples:
Spiramycine : 268-516 litres/70kg
Perfloxacine : 94-117 litres/70kg (single 400mg tab)
Ciprofloxacin : 140-210 litres/70 kg
Protein binding
In the blood, a proportion of the drug has to be bound to different
plasma proteins, especially albumin. This binding is known as protein-
binding(PB).
Protein Bound considered significant when it is 90% & above.
Types of receptor:
Intracellular receptors
Ligand -gated ion channel
G protein – coupled receptors
Enzyme – linked receptors
Affinity:
Tendency of drug to bind with receptor is termed as affinity .
Efficacy:
Efficacy is the ability of drug to produce a desire amount of effect
after binding a receptor .
Potency:
Comparative measure of different doses of two drugs that are
needed to produce the same effect is called potency .
Drugs that interact with receptors can be classified as:
Agonist
Antagonist
Agonist
A substance that binds with a receptor and elicits a cellular response.
Agonist can be further divided into two types…
Bile Sweat
Saliva Gastric juice
Lungs (expired air) Breast milk
Tears Hairs and Nails
Bioavailability
The rate and extent to which the active ingredient is absorbed and
becomes available to the site of drug action is known as Bioavailability
(US FDA).
It is the time taken for the plasma concentration of a drug in the body
to be reduced by 50% of initial level. It is also called Plasma half life.
It is expressed as t1/2 .
Toxic effect
Adverse effects:
Harmful or seriously unpleasant effects occurring at therapeutic dose
range and which call for reduction of dose or withdrawal of the drug
and forecast hazard from further administration.
Side effects:
Therapeutically undesired and unavoidable effects that occur
associated with beneficial effect at the normal therapeutic dose of a
drug is called side effect .
Toxic effects:
Unwanted effect due to toxic dose is called toxic effect. e.g.:
Chloramphenicol: Aplastic anemia.
Streptomycin :8th cranial nerve damage.
Hypersensitivity:
It usually refers to allergic or other immunologic responses to
drugs.
Idiosyncrasy:
Inherited abnormal responses to drugs (usually due to genetic
abnormality) are known as idiosyncrasy, e.g., porphyria.
Teratogenicity:
Induction of fetal malformation by a drug due to its
administration to mother during pregnancy is known as
teratogenicity and the drug causing this effect is known as a
teratogenic drug.
Drug combination or combination therapy
Defined as the use of 2 or more drug separately or in a fixed-dose.
Example include :
In Hypertension Beta-blockers + Diuretics = additive action
Synergism (super additive) –
The combined action of two or more drugs could be greater than
simple addition of individual drug effects
i.e. 2+2 > 4
Example include :
sulfamethoxazole + Trimethoprim = co-trimoxazole
Drug antagonism -
Antagonisms occur when the action of one drug opposes the action of
another.
Examples include:
In morphine overdose : Morphine + Naloxone (morphine antagonist)
Indication:
Name of the disease against which specific drug to be used.
Contraindication:
Condition in which particular drug cannot be prescribe.
Precaution :
In which situation before treatment , dose to be adjusted after
monitoring the patient .
Pregnancy category:
It is an assessment of the risk of fetal injury due to the drug
administered by mother during pregnancy .
US FDA Pregnancy category explained
Stages of Tolerance:
Drug Habituation:
Condition resulting from repeated consumption of certain drugs,
characterized by psychologic dependence. e.g.: Tobacco, Caffeine
Dependence:
Dependence is a condition in which the body has adjusted to the
presence of a drug, resulting in clear symptoms of withdrawal when
its use stops.
Addiction :
Drug addiction is a pathological or abnormal condition which arise
due to frequent drug use .
Drug nomenclature
Any drug may have names in all three of the following classes:
Chemical Name
Generic Name
Brand Name Chemical Name :
Full chemical name describes the compound,
It describes the structure of the drug
It is unsuitable for prescribing .
Generic name:
The assigned name of drug by which it will be known throughout the
world no matter how many different companies manufacture it. This
name is usually assigned and agreed upon by the AMA (American
Medical Association) council of drug and the World Health
Organization (WHO)
noct -- at night
hs -- at bedtime
po -- by mouth
pv -- through vagina
p.r.n - pro re nata -- when necessary
sos -- if necessary
stat -- immediately
supp -- suppository
susp -- suspension
tsp -- teaspoonful (5 ml)
Adnan-Ul-islam
B.Pharm. (R.U)
adnan.ru.bd@gmail.com