Professional Documents
Culture Documents
SPIRITUAL INCANTATIONS
SHAMANISM
➢ conducted by a Shaman
➢ The goal of this is usually to direct these spirits or
spiritual energies into the physical world, for healing
or some other purpose SUCCESS OF THERAPY:
➢ Depends on compassion of a god, the observance of
TRADITIONAL ALTERNATIVE MEDICINE ceremonies, the absence of evil spirits and the
healing intent of the dispenser
ACUPUNCTURE
➢ involves pricking the skin or tissues with
needles, used to alleviate pain and to treat
various physical, mental, and emotional
conditions.
EARLY DRUGS DIOSCORIDES
GEORGE EBERS ➢ Greek Physician and Botanist
➢ discovered an Egyptian papyri, whose contents ➢ First to deal botany as an applied science of Pharmacy
concerned with medical matters in 1875.
MATERIA MEDICA
EBERS PAPYRUS ➢ Study of naturally occurring, medicinal plants
➢ is a scroll 20,23 meters in length and contains ➢ Known as Pharmacognosy today
108 columns of text. I is dated at the reign of ➢ the area of identifying and collecting natural drug
Amenophis (1536 B.C.) products, the methods of their proper storage and the
➢ 800 +drug formulas means of detecting adulterant or contaminants
➢ 700+ drug mentioned
MASTER FORMULA: PHARMACOGNOSY EXTRACTION METHODS
Botanical Agents Binder: Acacia MACERATION
Emulsifying/Stabilizing agent: Castor Bean (we make ➢ is an extractive technique that is conducted at room
castor oil) temperature. It consists of immersing a plant in a liquid
Aromatic flavor: Fennel (water, oil, alcohol, etc.)
Minerals: Iron Oxide, Sodium Carbonate, Sodium
Chloride, Sulfur
Vehicles: Beer, Milk, Honey, Wine
ANIMAL EXCREMENTS
PERCOLATION
➢ comes from the Latin word percolare, which means "to
➢ The History channel lists human and animal strain through."
➢ happens when liquid is strained through a filter, like
excrement as a favorite of ancient Egyptian
doctors for both diseases and injuries, and it when someone makes coffee.
wasn’t necessarily a bad thing.
➢ “Donkey, dog, gazelle and fly dung were all
celebrated for their healing properties and their
ability to ward off bad spirits. While these
repugnant remedies may have occasionally led
to tetanus and other infections, they probably
weren’t entirely ineffective — research shows
the microflora found in some types of animal CLAUDIUS GALEN
dung contain antibiotic substances.” ➢ Greek Pharmacist
➢ And the BBC notes that the ancient Egyptians ➢ Create perfect system of physiology, pathology and
used crocodile dung as a form of contraception, treatment.
among the various materials they tried. ➢ His medical writings includes descriptions of
numerous drugs of natural origin with drug formulas
INTRODUCTION OF SCIENTIFIC VIEW POINT and methods of compounding.
➢ Notable individuals that contributes a
revolutionary influence in the Development of GALENIC PHARMACY
Pharmacy and Medicine: ➢ Preparations o vegetable drugs by mixing or melting
HIPPOCRATES the individual ingredients.
➢ Greek Physician ➢ Galenical (dosage forms)
➢ Introduce scientific pharmacy and Medicine
➢ Gives description to hundreds of drugs
PHARMAKON
➢ Came to mean purifying remedy for GOOD
ONLY, transcending the previous connotation of
a charm or drug for good or for evil purposes
PARACELSUS
➢ Aureolus Theophrastus Bombastus von Hohenheim
(1493-1541)
➢ Swiss Physician and Chemist
➢ Transformation of Pharmacy profession based
primarily on Botanical Science to one based on
Chemical Science.
➢ He believed that it was possible to prepare a
specific medicinal agent to combat each specific
disease and introduced a host of chemical
substance to internal therapy
PHASE 0 (MICRODOSING)
➢ Phase 0 trials are the first clinical trials done among
people
➢ Its aim is to learn how a drug is processed in the
body and how it affects the body.
➢ In these trials, a very small dose of drug is given to
about 10 to 15 people.
PHASE 1
➢ Phase 1 administers the drug to healthy volunteers,
in some protocols, patients
➢ Phase 1 trial aim to assess the safety of the drug.
➢ The drug will be tested in a small group of 15-30
patients
➢ Starting dose is very low (1/10th of the highest no
effect dose observed during animal studies). If a
drug is found to be safe enough, it can be tested in a
phase II clinical trial
PHASE III
➢ Phase III trials enroll 100 or more patients
comparing a new drug to the standard of- care drug.
➢ These trials assess the side effects of each drug and
DRUG DISCOVERIES THAT INVOLVED USE OF which drug works better.
ANIMALS ➢ Evaluates the benefit-risk relationship of the new
drug and to file a complete NDA
PHASE IIIA
➢ data presents sufficient evidence to file NDA but the
studies are continued
PHASE IIIB
➢ presents additional information that may support
certain labeling requests, provide information on
patients’ quality of life issues, reveal product
STEP 3: CLINICAL TRIAL advantages over already marketed competing drugs,
➢ Documents may be submitted as hardcopy or provide evidence in support of possible additional
electronic le based-on preference of FDA and drug indications, or provide other clues for
ERB/ERC. prospective post marketing studies (Phase 4)
➢ Amendments, notifications and other reports to be
submitted to the FDA will be coursed through the PHASE IV (CONTINUED CLINICAL TRIAL)
same process. Any amendment to the protocol and ➢ New drug receives approval from the FDA
accompanying documents will have to be approved by ➢ The drug is tested in several hundreds or thousands
the FDA in close coordination with the ERB/ERCs. of patients that allows for better research on short-
➢ All clinical trials are required to be uploaded in the lived and long-lasting side effects and safety.
Philippine Clinical Trial Registry. ➢ Some rare side effects may only be found in large
➢ It is the responsibility of the study sponsor to upload groups of people
information related to the clinical trial it is conducting
to the Registry
INVESTIGATION NEW DRUG APPLICATION FDA APPROVAL
(IND APPLICATION)
➢ Must be filed by FDA and approved prior to
administering New Drug to Humans.
➢ IND must include the following:
o Preclinical Animal Data
o Names and Locators of the investigators who will be
performing the planned clinical trials
o Data from clinical trials conducted in other countries if
applicable
➢ The FDA has 30 days from receipt of IND if the
proposed clinical trial should proceed.
➢ The administration of drugs to humans at the earliest
time possible saves valuable resources, as highly toxic
compounds can be eliminated while lead agents and
alternative compounds are developed. ➢ If a developer disagrees with an FDA decision, there
➢ Additional preclinical studies are conducted during are mechanisms for a formal appeal.
clinical testing to support larger trials and eventually
the marketing of the drug product. VARIATION FOR NDA APPLICATION
➢ Formulation development continues throughout the TOXICITY
development process and the data gained from both ➢ If the toxicity of a new drug is too high in human or
animal and human allow for optimization of the Drug animal patients, the drug may be rejected due to
Delivery System. safety concerns about its use following manufacture
NEW DRUG
BRAND NAME
➢ a drug that has not been declared safe and effective by
➢ (Proprietary or trademark names)
qualified experts under the conditions prescribed,
➢ a name developed by the company requesting
recommended, or suggested on the label and that may
approval for the drug and identifies it as the
be a new chemical formula or an established drug
exclusive property of that company
prescribed for use in a new way.
➢ Generic and trade names must be unique to
➢ not recognized as being safe and effective in the
prevent one drug from being mistaken for another
conditions recommended for its use among experts
when drugs are prescribed and prescriptions are
who are qualified by scientific training and experience
dispensed. The FDA must agree to every proposed
(FDA Definition)
trade name to prevent this confusion
DRUG NOMENCLATURE
EMPIRICAL NOMENCLATURE
➢ a representation of an organic compound when it is
first synthesized from a natural source
(Amoxicillin=C16H19N3O5 S.3H2O)
➢ simplest ratio of elements in a compound rather than
the total number of atoms in the molecule
GENERIC NAME
➢ (chemical’s nonproprietary name) indicates the
common name of the drug.
1967
➢ FDA was invited to be part of the organization
PRE-FORMULATION STUDIES PARTICLE SIZE
REASONS FOR DOSAGE FORMS DESIGN ➢ It is essential to establish how the particle size of
➢ To protect the drug substances from the the drug substance affects the drug formulation
destructive influences of atmospheric oxygen or and efficacy.
humidity (ex. Coated tablets, sealed ampules)
➢ To protect the drug substance from the destructive SOLUBILITY
influence of gastric acid after oral administration ➢ An important physicochemical property that a
(ex. Enteric coated tablet) drug substance should somehow possess for
➢ To conceal the bitter, salty, or offensive taste or therapeutic efficacy.
odor of a drug substance (ex. Capsules, coated
tablets, flavored syrups) SOLUBILITY AND PARTICLE SIZE
➢ To provide for insertion of a drug into one of the ➢ Basically, particle size affects the solubility of a
body’s orifices (ex. rectal or vaginal suppositories) drug substance.
➢ To provide for placement of drugs directly in the ➢ The reduction of particles size will result in the
bloodstream or body tissues (ex. injections) enhancement of drug solubility
➢ To provide for optimal drug action through
inhalation therapy (ex. inhalants and inhalation SOLUBILITY AND pH
aerosols) ➢ Adjustment of the pH of the solvent can enhance
➢ To provide liquid preparations of substances that solubility.
are either insoluble or unstable in the desired
vehicle (ex. Suspension) pH (power of Hydrogen)
➢ To provide clear liquid dosage forms of substances ➢ is a measure of acidity
(ex. syrups, and suspensions)
➢ To provide optimal drug action from topical DISSOLUTION
administration sites (ex. ointments, creams, ➢ limiting steps for absorption
transdermal patches, and ophthalmic, ear, and
nasal preparations)
DISSOLUTION RATE
➢ the time it takes for the drug to dissolve in the
PHYSICAL DESCRIPTION fluids at the absorption site which is the first
➢ Chemical Properties: structure, form, and reactivity limiting step in absorption.
➢ Physical Properties: particle size, crystalline (water-soluble salt = increases dissolution rate)
structure, melting point, solubility, stability
(temperature and photosensitivity)
MEMBRANE PERMEABILITY
➢ Biological Properties: bioavailability &
➢ The assessment of the passage of drug molecules
Effectiveness
across biologic membranes to produce a biologic
response. (ex. drugs that cross the blood-brain
MICROSCOPIC EXAMINATION
barrier)
➢ It gives an indication of particle size and size of the
raw material along with the crystal structure.
➢ SPHERICAL and OVAL POWDERS flow more easily PARTITION COEFFICIENT
than needle-shaped powders & make processing ➢ The oil-water partition coefficient is a measure of
easier. lipophilic or hydrophilic character resulting in an
appropriate selection of solvent to stabilize the
MELTING POINT DEPRESSION drug.
MELTING POINT OR FREEZING POINT
➢ of a pure crystalline solid is defined as the
temperature at which the pure liquid and solid exist
in equilibrium
➢ An Altered peak or a peak at a different
temperature may indicate an adulterated or impure
drug
ROUTES OF ADMINISTRATION
➢ One of the fundamental considerations in dosage
forms.
➢ 2 CATEGORIES:
LOCAL
➢ Achieved by direct application of the drug to the
desired site of action
o Epicutaneous (topical)
o Transdermal
o Conjunctival
o Intraocular
o Intranasal
o Aural
o Respiratory
o Rectal
o Vaginal
SYSTEMIC
➢ Entrance of drug into the circulatory system and
transport to the cellular site of its action
o Oral (Per os)
o Sublingual
o Parenteral
▪ Intravenous
▪ Intra-arterial
▪ Intracardiac
▪ Intraspinal or Intrathecal
▪ Intraosseous
▪ Intra-articular
▪ Intrasynovial
▪ Intracutaneous or Intradermal
▪ Subcutaneous
▪ Intramuscular