Drug- is a substance used to prevent or cure a disease or ailment or to
alleviate its symptoms.
Pharmacology- the branch of medicine concerned with the uses, effects, and modes of action of drugs. Pharmacokinetics- study of the time course of drug absorption, distribution, metabolism, and excretion. Pharmacotherapeutics- the clinical purpose or indication for giving a drug. Mechanism of Action- biochemical process through which a drug produces its effect. Therapeutic Indication- primary information on the use of a medicine. Side Effects- a secondary, typically undesirable effect of a drug or medical treatment. Adverse Effects- unexpected medical problem that happens during treatment with a drug or other therapy. Contraindication- specific situation in which a drug, procedure, or surgery should not be used because it may be harmful to the person. Drug Toxicity- level of damage that a compound can cause to an organism.
Phases of Clinical Trial
1. Preclinical Testing- laboratory tests, research protocol, animal testing.
2. Clinical Research- dose finding, proof of concept, comparative efficacy. 3. Final Data Analysis 4. Follow up- new therapy shown to be safe and effective, approval by medical authorities, continuing testing.
Categorizing Drugs
1. According to body systems- CNS drugs, Cardiovascular drugs, Respiratory
drugs, Kidney drugs 2. According to therapeutic use- Antacids, Antibiotics, Antihypertensive, diuretics, or laxatives 3. According to chemical and physiological actions- Anticholinergics, Beta- adrenergic blockers, Calcium channel blockers, Cholinergics. Pregnancy Category
1. Category A- Adequate studies in pregnant women have not demonstrated a
risk to the fetus in the first trimester of pregnancy, and no evidence of risk in late trimester. Example include multivitamins 2. Category B- Animal studies have not demonstrated a risk to the fetus but there are no adequate studies in pregnant human or Animal studies have shown an adverse effect, but adequate studies in pregnant humans have not demonstrated a risk to the fetus in the first trimester of pregnancy, and no evidence of risk in late trimester Examples include certain antibiotics such Amoxicillin and Penicillin 3. Category C- There is evidence of human fetal risk, but the potential benefits from the use of the drug in pregnant women may be acceptable despite its potential risks Examples include Tetracyclines, Chemotherapy drugs, ACE inhibitors 4. Category X- Teratogenic. Evidence of fetal harm is established. May cause congenital disease or death of the fetus. Example includes contraceptive drugs
Substance Abuse Category
1. Classification I Schedule 1 (S1)- Drugs or substances that have a high
potential for abuse; no currently accepted medical use and have a lack of accepted safety for use under medical supervision. (heroin, marijuana) 2. Classification II Schedule 2 (S2) : (Yellow prescription drugs)- Drugs or substances that have a high potential for abuse; currently have an accepted medical use in treatment but with severe restrictions; abuse may lead to severe psychological or physical dependence. (narcotics, amphetamines, barbiturates). purchaser must be at least 18 years old, and all transactions must be recorded by the dispensing pharmacist. 3. Classification III Schedule 3 (S3)- Drugs or substances that have a potential for abuse less than Schedule I or II; currently have an accepted medical use; abuse may lead to moderate or low physical and high psychological dependence. (some sedatives, anti-anxiety and non-narcotic analgesics) 4. Classification IV Schedule 4 (S4)- Drugs or substances that have a low potential for abuse relative to those listed in Schedule III; currently have an accepted medical use; abuse may lead to limited physical or psychological dependence those in schedule III. 5. Classification V Schedule 5 (S5)- Drugs or substances that have a low potential for abuse relative to Schedule IV; may not need prescription by a doctor (Over-the-Counter or OTC drugs).