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Pharmacology Reviewer

Drugs • Elimination
 substance that affects how the body The hepatic first pass effect is when
works, some may be even be used absorption passes from intestinal lumen to
for recreational use . the liver via a portal vein. It is important
 Drugs take away control of your because some drugs do not take if it does
body & mind from YOU. not pass the liver.
 Drug is a chemical substance that
The first-pass metabolism or
takes control of your body or mind
depending on its own inherent the first-pass effect or
nature presystemic metabolism is the
phenomenon which occurs whenever the
Medicine drug is administered orally, enters the liver,
and suffers extensive biotransformation to
 drug that is used in treatment, such an extent that the bioavailability is
diagnosis, or prevention of disease. drastically reduced, thus showing
Medicines reverse this and restore subtherapeutic action 
the control back to YOU.
Main role of liver in drug
Main reason why Generic name
metabolism?
should be written in the prescription
pad and not just the brand name  The liver’s hepatic enzymes
 The generic name of prescriptions
convert lipid soluble drugs into
should be written because for example water based drugs since the
if you look for a paracetamol no matter liver only accept/absorbs water
which part of the world you are in they based drugs. Most drugs must
know what medicine to give you, brand
name of medicines depends on which
pass through the liver, which is
country you are in and what is approved the primary site for drug
of by their health/ food and drug metabolism. Once in the liver,
department.
enzymes convert prodrugs to
4 processes in the pharmacokinetic active metabolites or convert
phase of drug metabolism active drugs to inactive forms.
The liver's primary mechanism
• Administration
for metabolizing drugs is via a
• Distribution specific group of cytochrome P-
• Metabolism 450 enzymes
Main difference between SGPT and SGOT and why is it
pharmacodynamic phase and important?
pharmacokinetic phase of drug
 SGPT or serum glutamic-
metabolism
pyruvic transaminase and
 Pharmacodynamic phase refers to SGOT or serum glutamic-
what the drugs does to the body, it oxaloacetic transaminase
is where drugs exert their effects on
are important because if the
the body to produce therapeutic
effects or toxic effects that interact
levels of the two are high
with receptors in the body. you must not give
 Pharmacokinetic phase describes medication to your client
what the body does to a drug, this because that means that
phase describes the time course and there is damage in his/her
disposition of a drug in the body, kidneys and may even be
based on its absorption, distribution,
fatal to your client.
metabolism, and elimination.
- PHARMACOLOGY - is the
science concerned with drugs,
The Five-Plus-Five Rights of Drug their sources, appearance,
Administration chemistry, actions, and uses.
• The right patient - is the science concerned with
• The right drug drugs, their sources,
appearance, chemistry,
• The right time actions, and uses.
• The right dose DRUG - is an agent or substance
• The right route intended for use in the :
A. DIAGNOSIS

• Assessment B. TREATMENT

• Documentation C. CURE PREVENTION of


disease in humans or in
• Education
animals.
• Evaluation
• Refuse
THERAPEUTIC DRUGS: - distinguish product from those of
competitors
For prevention
and treatment of disease Example: Biogesic
Drug Classifications:
ILLEGAL DRUGS:
Recreational and Body system affected: Ex: Cardiac
Abused substances Drugs
Therapeutic use / Clinical Indication:
Ex: Antacid

Drug Nomenclature Physiologic / Chemical Action: Beta-


blockers
CHEMICAL NAME:
A drug taken by mouth goes through
chemical structure
3 different phases:
*complete ID of a compound
1. Pharmaceutic
Example: 2. Pharmacokinetic
3. Pharmacodynamic
N-Acetyl-p-aminophenol
GENERIC NAME:
Active ingredients
 PHARMACOKINETIC
Scientific and international name of
the drug. PHASE (1st phase of drug
action.)
Determined by FDA
Drug becomes a solution so
Example: Paracetamol that it can cross the biologic
membrane.The GI tract cannot
BRAND NAME:
absorb the drugs if it is not in
- proprietary name given by the soluble form or in solution.
manufacturer
 Pharmaceutics

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