Pharmacology

1. Pharmacology An Intro into Pharmacology

2. Pharmacology The study of drugs. Two Categories: Pharmacokinetics Pharmacodynamics

3. Pharmacokinetics The study of the 4 drug processes of absorption, distribution, metabolism, & excretion, which is commonly referred to as the ADME process

4. Pharmacodynamics Involves the effect of the drug on the site of action within the body, based on the drug concentration.

5. Drug Interactions • Dosage Forms • Routes of Administration Drug Classifications & Category Exploration Important Vocab & Concepts

6. Drug Interactions • Drug- Disease- A medication interacts with a disease or condition • Drug- Dietary Supplement- An herbal or dietary supplement interacts with a prescription drug • Drug-OTC- An OTC medication can interact with a medication, increasing or decreasing its effects • Drug- Laboratory- A drug may affect concentrations of specific laboratory values obtained, requiring additional testing • Drug- Nutrient- A drug may affect the levels of certain nutrients in the body

7. A patient with high blood pressure takes the decongestant Pseudoephedrine and it causes an addition increase in blood pressure. • Drug-OTC • Drug-Disease • Drug-Dietary Supplement • None of the Above Practice

8. St John’s Wort can interact with oral contraceptives, making them less effective, causing breakthrough bleeding, or unplanned pregnancy. • Drug-OTC • Drug-Disease • Drug-Dietary Supplement • Drug-Nutrient Practice

9. Flagyl, Metronidazole, can interfere with specific enzyme values, causing falsely low results. • Drug-Laboratory • Drug-Disease • Drug-OTC • Drug-Nutrient Practice

10. Summed up… Drug Compatibility (What is it?)

11. Drug Compatibility Inactivation of medications when compounds are physically mixed together prior to administration. Example(s)... • ceftriaxone (Rocephin) and azithromycin (Zithromax) cannot be run through the same IV line as they are incompatible. • acetaminophen (Tylenol) and aspirin (Bayer) collaboratively together (potentiation). They are compatible.

12. REVIEW: DOSAGE FORMS

13. Dosage Forms Medications are manufactured in many different dosage forms depending on the characteristics of the drug itself. Factors To Decide Which Dosage Form Should be Chosen: • Route of Administration • Diagnosis of the Patient • Availability of the Medication Desired

14. Dosage Forms Can Be Divided into (3) Different Categories: • Liquids • Semisolids • Solids

15. Elixir • Emulsion • Enema • Inhalant Solution • Lotion • Solution • Spray • Suspension • Syrup Liquids

16. Cream • Inhalant Powder • Ointment • Powder • Suppository Semisolids

17. Caplet • Capsule • Lozenge or Troche • Patch • Tablet Solids

18. Pregnancy Categories The FDA has Developed 5 categories to indicate the potential of a drug to cause birth defects if taken during pregnancy. These categories are based on risk to the fetus & available data.Categories A-D & X. Category A- no evidence of risk Categories D & X- showing severe risk.

19. Inhalation Intramuscular Intrathecal IV Nasal Ocular Oral Rectal Subcutaneous Sublingual Topical Transdermal Vaginal REVIEW: Routes of Administration

20. Therapeutic Equivalence • The FDA classifies drug products as therapeutically equivalent if the substituted product will have the same clinical & safety profile as the prescribed product. • Therapeutically equivalent products must contain: • The same active ingredient, • Be the same dosage form, • Have the same route of administration, and • Be the same strength. • They are then assigned a therapeutic equivalence code which can be found in The Orange Book. • (“AB” code is the most commonly seen designation)

21. Antibiotics target bacteria in the body that cause infection. Two Basic Types: Bactericidal- work by killing the bacterial cell Bacteriostatic- inhibits bacterial growth

22. AntibioticsWill decrease the effectiveness of oral contraceptives.Can increase the action of warfarin.