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Classifications of Pharmaceutical Drugs
Classifications of Pharmaceutical Drugs
groups:
(a) Nonsteroid anti-inflammatory) drugs ;
(b) Steroid antiinflammatory drugs
Nonsteroid anti-inflammatory drugs are classified according to
chemical structure and anti-inflammatory activity.
I group preparations with strong anti-inflammatory activity
A. Nonselective inhibitors of cyclooxygenase (COX)
I. Acid derivatives
2) Pyrazolone derivatives
Phenylbutazone
Oxicam derivatives
Piroxicam
Tenoxicam
Lornoxicam
II group
Pyrazolone derivative
Metamizol
Paraaminophenol derivatives
Paracetamol (Acetaminophen)
Ketorolac
receptors:
Drugs of the first generation (old):
Diphenhydramine (Dimedrol)
Promethazine (Diprazine, Pipolphen)
Chloropyramine (Suprastin)
Clemastine (Tavegyl)
Phencarol
Mebhydroline (Diazoline)
Antihistamines of the second generation:
Loratadine (Claritine, Clarotadin)
Acrivastine (Semprex)
Azelastine
Cetirizine (Zyrtec)
Ebastine (Kestine)
Desloratadine (Aerius)
Fexofenadine (Telfast)
Classification of analgesics,
I.
II.
Narcotic analgesics
Non-narcotic analgesics
II.
Senna leaves
Rhamnil
Antrasennin
Senade
Agiolax
2. Synthetic laxatives
Phenolphtalein
Oxyphenisatine
Bisacodyl (Dulcolax)
Sodium picosulfate (Guttalax)
3. Castor oil
C. Preparations softening fecal mass and facilitating their travel
through intestine eccoprotic preparations
sunflower-seed oil
almond-oil
olive oil
liquid paraffin
Poloscalpol
D. Carminative agents stimulate passage of gases.
Fennel seeds
Dill seeds
caraway-seeds
aromatic waters (mint, anise, dill)
IV. Antidiareal agents.
a) preparations of specific action acting on pathogenic
organisms (antimicrobial and antibacterial agents)
b) preparations of non-specific action (for symptomatic
therapy) drugs inhibiting intestine peristalsis
Loperamide Immodium)
Attapulgit (Caopectate)
Smecta (Diosmectide)
V. Agents influencing on secretion of GIT
a) stimulators of secretion
Histamine
Pentagastrine
b) agents inhibiting stomach secretion
VI. Antiulcer agents
1. Antacids
a) of systemic action (Sodium hydrocarbonate)
b) of non-systemic action (Magnesium carbonate,
Magnesium sulfate, Calcium carbonate,
Aluminium hydrate)
2. Preparations decreasing secretion of hydrochloric acid
a) histamine H2-receptors blockers:
Ranitidine
Famotidine
Cimetidine
b) proton pump inhibitors (blockers
Omeprazole
Pantoprazole
Lansoprazole
c) muscarinic receptor blockers:
nonselective m-cholinoblockers
Atropine
K+ - ATPase):
Rioprostil
4. Preparations stimulating regeneration of mucous
coat of stomach
a) Preparations received from liquorice
Carbenoxolon
b) synthetic analogue of enkephalins Dalargin
c) preparations of biostimulants
Solcoseril
Methyluracil
Vitamin U
5. Preparation inhibiting chelicobacter pylori
VII.
Metronidazole
Macrolide antibiotics (Clarythromycin, Roxithromycin)
De-nol
hepatotropic agents
Chenodeoxycholic acid
VIII. Agents used in disorders of excretory function of
pancreas
1. In deficiency of pancreas function substitute therapy is used
Pancreatin enzyme of pancreas
2. Drugs used in increased function of pancreas (acute
pancreatitis) Inhibitors of ptoteolitic enzymes
Aprotinin
Contrical
IX. Drugs regulating balance of intestine microflora (socalled eubiotics)
Lactobacterine
Bifidumbacterine
Bactisuptil
Classification of antianginal drugs: group and
preparations
I. Drugs decreasing the myocardial oxygen demand
1. Nitrates
Short acting: Glyceryl trinitrate (GTN, Nitroglycerine)
Long acting: Isosorbide dinitrate (short acting by
sublingual route), Isosorbide mononitrate, Erythrityl
tetranitrate, Penta erythritol tetranitrate
2. Nitrites closed to nitrates on mechanism of action:
Amylnitrite, Sodium nitrite
3. - adrenoceptor blockers: Propranolol, Metoprolol,
Atenolol, Nebivolol etc.
4. Calcium channel blockers. They decrease the myocardium
functions and so the myocardial oxygen consumption too.
Phelyl alkylamine: Verapamil
Benzothiazepine: Diltiazem
Dihydropyridines: Nifedepine, Felodipine, Amlodipine,
Nitrendipine, Nimodipine, Lacidipine
5. Potassium channel opener - Nicorandil
II. Drugs increasing oxygen delivery to the myocardium:
They are less effective and so less popular and used rare.
1. Validol the drug of reflex action, it is used for relief of
angina pectoris symptoms
2. 2- adrenoceptor agonists: Oxyphedrine
3. Inhibitors of phosphodiesterase
4. Coronary vasodilating drugs with adenosine mechanism of
action.
They increase adenosine concentration in the myocardium,
dilate collateral vessels Dipyridamole
III. Inhibitors of platelet aggregation - Aspirin
(acetylsalicylic acid) in small doses up to 100 mg in a day
CLASSIFICATION OF ANTIHYPERTENSIVE DRUGS
Group I - neurotropic drugs of central action
1) 2-adrenomimetics
Clonidine , Methyldopa , Guanfacine
2) Agonist of imidazoline receptors
Moxonidine , Rilmenadine
Group II - neurotropic drugs of peripheral action
1) Ganglionic blockers
Hexamethonium Benzosulfonate
Trepirium Iodide (Hygronium)
2) Sympatholytics
Reserpine
Guanethidine Sulfate
Combined preparations:
Adelphan , Brinerdin , Crystepin
3) selective 1adrenoceptor antagonist
a) short term acting drug Prazosin
b) long term acting drug Terazosin, Doxazosin,
Bunazosin
4) -adrenoceptor antagonist
1 generation 1- 2- adrenoceptor antagonists
Propranolol , Pindolol , Bopindolol , Nadolol
Hydrochlorothiazide
Furosemide (Lasix)
Spironolactone
CLASSIFICATION OF CALCIUM CHANNEL BLOCKERS
A. According to nature
1) Dihydropyridine derivatives
Nifedipine
Nicardipine
Felodipine
Lacidipine
Nimodipine
Nitrendipine
Felodipine
Amlodipine
Isradipine
They more influence on artery tone then on myocardium.
2) Benzothiazepine derivatives
Diltiazem
Equal influence both artery and myocardium.
3) Phenylalkylamine derivatives
Verapamil
Influence on myocardium is greater then on arteries. So it is used
in arrhythmia and coronary heart disease.
According to generation
Generation 1(short term action)
Nifedipine
Nicardipine
Diltiazem
Verapamil
Generation 2(prolonged forms of preparations of generation I,
retard-forms or new compounds with long time of action)
Isradipine
Nimodipine
Generation III
Amlodipine
Lacidipine
Antihypotensive drugs.
Hypotension (low blood pressure) can be acute and chronic.
Acute hypotension is observed in collapse, shock and faint. Chronic
hypotension is characterized by permanent low arterial blood
pressure.
For the treatment of
hypotension depending on its cause the following groups of
preparations are used.
1. Vasoconstrictive agents:
a) Agonists of angiotensin II
Angiotensinamide (synthetic analogue of endogenous
angiotensinamide).
It is manufactured in the form of powder in vials. It is dissolved
ex tempore and administered intravenously. Angiotensinamide has
short-time but vigourous action.
b) Adrenoceptor agonists (mainly - adrenoceptor agonists)
Epinephrine (Adrenalin)
Norepinephrine (Noradrenaline)
They are non-selective - adrenoceptor agonists.
Mesaton selective ones.
c) Sympathomimetics
Ephedrine
It stimulates noradrenaline release from presynaptic
membrane.
All the drugs are mainly used in acute hypotension.
d) Glucocorticoids
Prednisolone
Dexamethasone
Hydrocortisone
Disopyramide
Procainamide
Ajmaline
Subgroup IB:
Lidocain
Phenytoin
Subgroup IC:
Flecainide
Propafenone
Ethmosine
Ethacizine
Diltiazem
Ornid
Sotalol
Atropine sulfate
III. Different drugs having antiarrhythmic activity
Potassium and magnesium drugs
glycosides
Adenosine
Cardiac
- adrenergic blockers
Adenosine
- adrenergic agonists
Classification of antibiotics (groups and drugs)
I. (Beta) - lactam antibiotics
Penicillins
Cephalosporins
Carbapenems
Monobactams
II. Macrolides and azalides
III. Aminoglycosides
IV. Tetracyclines
V. Polymyxins
VI. Lincosamides
VII. Rifampicins
VIII. Glycopeptides
II.
III.
Ceftazidime,
Modes of
manufacturing
Fourteenmembered
Natural
macrolides
Erythromycin
Oleandomycin
Semisynthetic
macrolides
Roxithromycin
Clarithromycin
Fifteenmembered
Sixteenmembered
Spiramycin
Josamycin
Midecamycin
Azithromycin
Midecamycin
acetate
Classification:
1. Aminoglycosides of the 1st generation: Streptomycin,
Kanamycin, Neomycin
2. Aminoglycosides of the 2nd generation: Gentamycin,
Tobramycin, Netilmicin
3. Aminoglycosides of the 3rd generation: Amikacin
II.
Antituberculous antibiotics:
Rifampicin
Rifabutin
Capreomycin
Cycloserine
Streptomycin
Kanamycin
Amikacin
Hydrazides of isonicotinic acid:
III.
IV.
V.
VI
Isoniazid
Metazide
Opiniazide
Ftivazide
Derivatives of para-aminosalicylic acid:
Para-aminosalicylic acid
Synthetic drugs with other chemical structure:
Pyrazinamide
Ethionamide
Ethambutol
Thiacetazone
Fluoroquinolones:
Lomefloxacin
Ciprofloxacin
Ofloxacin
Macrolides :
Clarithromycin
Azithromycin
According to their clinical utility antituberculous
drugs can be divided into:
Capreomycin
Cycloserine
Kanamycin
Amikacin
Para-aminosalicylic acid
Lomefloxacin
Tebrophen
Bonaphton
Florenal
II. Drugs of a biological origin:
1. Interferons:
Interferon alfa ()
Interferon alfa-2a
Interferon alfa-2b
Interferon beta ()
Interferon gamma ()
2. Drugs of a herbal origin:
Flacosid
Alpisarin
Helepin
Gossypol
According to their clinical utility antiviral drugs are classified into:
I. Anti-influenza drugs:
a) Adamantane derivatives:
Amantadine
Rimantadine
b) Inhibitors of viral neuraminidase:
Zanamivir
Ozeltamivir
c) Inducers of interferon synthesis:
Arbidol
II. Anti-herpes drugs:
1. Nucleoside analogs:
Acyclovir
Valaciclovir
Famciclovir
Idoxuridine
Ganciclovir
2. Inducers of interferon synthesis:
Cycloferon
Sodium stibogluconate
Metronidazole
Pentamidine
Meglumine antimonite
I.
Drugs used for the treatment of intestinal helminthiasises.
1. Drugs used for the treatment of intestinal nematodosises
Levamisole
Pyrantel pamoate
Mebendazole
Albendazole
Piperazine adipate
Pyrvinium embonate
Bephenium hydroxynaphthoas
2. Drugs used for the treatment of intestinal cestodosises.
Mebendazole
Albendazole
Praziquantel
Aminoacrichine
Niclosamide
II. Drugs used for the treatment of abenteric helminthiasises.
Praziquantel
Chloxyl
Antimonyl Na- tartrate
Emetine
Diethylcarbamazine (ditrazine citrate)
Levodopa
5) -adrenomimetics
Noradrenalin
6) -adrenoblockers
Propranolol
7) Serotonin receptor agonists
Serotonin adipinate
8) Agonists of histamine receptors
Histamine
II. Hormonal preparations
1) Preparations of posterior pituitary
Demoxytocin
Oxytocin
Pituitrin
2) Prostaglandins
Dinoprostone (prostaglandine E2 preparation)
Dinoprost (prostaglandin F2 preparation)
3) Estrogenic hormones
Steroid
Esrone
Estradiol
Estradiol dipropionate
Nonsteroid synthetic
Hexestrol
Diethylstilbestrol
4) Corticosteroid hormones
Cortisone acetate
III. Cyclic nucleotides
cGMP
IV. Calcium salts
Calcium chloride
B. AGENTS INCREASING TONE OF MYOMETRIUM
Ergot alkaloids
Ergometrine
Ergotamine
Methylergometrine
Preparations of other plants
Capsella bursa-pastoris (caseweed) fluid extract
(herb)
Polygonum hydropiper (water pepper) fluid extract
(herb)
Nettle fluid extract (leaves)
Arnica infusion (flowers)
C. AGENTS INHIBITING CONTRACTILITY AND TONE OF
MYOMETRIUM (TOCOLYTICS)
I. Neurotropic agents
1) M-cholinoblocking agents
Atropine
Platiphylline
Metocinium iodide
2) -adrenoblocking agents
Phentolamine
Tropodifene hydrochloride
3) 2-adrenomimetics
Orciprenaline
Salbutamol
Fenoterol (Partusisten)
Terbutaline
Hexoprenaline (Gynipral)
Isoxuprine
Ritodrine
4) GABA-ergic agents
Sodium oxybutirate
Gamma aminobutyric acid (Picamolonum)
Hopatenic acid (Pantogam)
5) Inhibitors of prostaglandin synthesis
Indomethacin
Ibuprofen
Mefenamic acid
Diflunisal
6) Hormonal gestagenic preparations
Progesterone
Oxyprogesterone capronate
Allylestrenol (Turinal)
7) Myotropic spasmolitics (inhibitors of
phosphodiesterase)
Theophylline
Aminophylline
Papaverine
Drotaverine
Pentoxifylline (trental)
8)Magnesium salts
Magnesium sulphate
IV. AGENTS DECREASING TONE OF NECK OF UTERUS
Atropine sulfate
Dinoprost
Dinoprostone