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Human Immunology and Application in Medicine 人體免疫與藥物應用. Immunology Self-defense Pathogens: Bacteria Virus Parasites. (1) The Mechanism for How to Defense (2) How to Strengthen Immune System. Edward Jenner and Cowpox Vaccine Edward Jenner,M.D.(British)
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Human Immunology and Application in Medicine 人體免疫與藥物應用
Immunology Self-defense Pathogens: Bacteria Virus Parasites
(1)The Mechanism for How to Defense (2)How to Strengthen Immune System
Edward Jenner and Cowpox Vaccine Edward Jenner,M.D.(British) 1789將取自擠奶女工痘痂之牛痘病毒(Cowpox Virus),給一位八歲男孩子接種,使他得到抵抗天花病毒(Smallpox Virus)感染之免疫力 —Active Immunisation.
1900 Germany Chemist Paul Ehrlich and Ab Phytotoxin免疫老鼠後得到之血清 (Antitoxin)具有中和植物毒素的作用 ---Antibody Side Chain Theory 1908 Nobel Prize
Elie Metchnikoff and Phagocytes 1885 Biologist(Russia) Elie metchnikoff發現以玫瑰刺進Invetebrates體內其周圍會出現Macrophagocytes後來在哺乳動物發現也有此類Cell 1908 shared Nobel Prize with Paul Ehrlich
Basic Components of the Immune System
Medicine, Drug Chemical Molecule Drug + Receptor-------- Drug-Receptor Complex------ Pharmacologic Response
Adverse Reaction Side Effect
Routes of Drug Administration 1. Oral Administration 2. Sublingual 3. Rectal 4. Intravenous 5. Intramuscular 6. Subcutaneous 7. Inhalation
Classification 1. Chemical Classification 2. Pharmacological Classification Licenc(s)e System
1. Viagra (Sildenafil) 2. Amphetamine (1) Caffeine (2) Morphine (3) Heroine (4) Codeine
Adverse Drug Reaction (Side Effect) Aspirin-----Acidic
Natural products Purity Standardization
1.Garlic Garlic is a bulb.It may be used As dried, powdered,and compressed into a tablet. Key Component—Alliin
Sulfur Content Alliin--------Allicin(odor) Cholesterol-Lowering Effect
2.Chamomile Bisabolol Anti-Inflammatory Effect Anti-Allergenic Activity
3.Cranberry Citric,Malic,Benzoic and Qunic Acids Cranberry Juice has been used as a UrinaryTract Disinfectant.
Cranberry makes urine become more acidic. Inhibition of bacterial growth.
4.Ginkgo biloba Vasodilation on both arterial And venous circulation. Increase cerebral blood flow.
It might be useful for disorder of memory(Alzheimer’s Disease).
5. Ginseng The root of the species Panax ginseng, also called Asian or Korean ginseng Ginsenoside stimulates the CNS,combats fatigue.
Pharmacological Classification • 1. Acting on the GI Tract • (1) Peptic Ulcer • No Acid,No Ulcer • Antacids: • NaHCO3, Mg(OH)2, • Al(OH)3
1.Lederscon: Al(OH)3 +Mg(OH)2 2.Ulsanic: (Sucralfate) Insoluble in water Not absorbed from GI
It binds to the ulcer site to form a protective barrier that prevents exposure of the lesion to acid. Side Effect:Constipation
3. Motility and Secretion Metoclopramide: Dopamine Antagonist 刺激胃腸之運動
4. Laxatives 加速糞便通過腸道
3. Anxiolytics,Sedatives and Hypnotics CNS Inhibitor:Anxiolytics 輕微之中樞神經系統抑制可使激動或焦 慮的人平靜下來
Benzodiazepines(BDZs) Sleep Disorder Acute Anxiety States At night large dose:Hypnotics Day time small dose: Anxiolytic,Sedative Sublingual,IM,IV
Dependence of BDZs: Physical Withdrawal Syndrome Drug Interactions of BDZs: With Alcohol------------ Additive or Synergistic Effect
Triazolam(Halcion) 小白板 has all of the characteristic benzodiazepine pharmacological actions.It is marked as a sedative-hypnotic drug.
(1) Anxiolytic (2) Sedative-Hypnotic (3) Anti-Convulsant (4) Muscle Relaxant
Withdrawal Syndrome of DZs 焦慮 失眠 頭痛 厭食 嘔吐 發抖 全身虛弱 停藥後5-6 days later
4. Antipsychotics Drugs Also known as Neuroleptics(鎮神藥) Or Major Tranquilizers Schizophrenia(精神分裂)
Treatment: Hyperactivity of Dopamine Positive Symptoms: Paranoia(偏執),Hallucination, Delusion(錯覺)
Negative Symptoms: Thought Disorder,Behavioural Disturbances, Flat or Inappropriate Affect (單調或不合宜的情感), Social Withdrawal
Pharmacological action: Sedation,Disinterest(冷漠), Limited Range of Emotion Dysphoria(不快) Improve positive Symptom
Side Effect: Orthostatic Hypotension, Xerostomia(口乾), Akathysia(不能靜坐) Agitation(情緒激昂) Delirium(譫妄) Gynecomastia (男性女乳化) Tolerance
長期使用 臉部變形 口周圍震顫 顆粒性白血球缺乏
Classification of Antipsychotics 1. Phenothiazine Chlorpromazine (Thorazine) Strong Sedation 治療具暴力傾向病人
Side Effect: 顆粒性白血球缺乏 Photosensitization More than 3weeks IM or IV
2. Lithium Manic-Depressive Illness 治療狂燥型憂鬱症
It might prevent excessive Release of Dopamine Side Effect: Polydipsia劇渴 Polyuria多尿 Edema Tetratogenic
Antidepressants • (1)Endogenous Depression • 內生性憂鬱症 • Profound Sadness深悲 • Passimism悲觀 • Loss of Interest • Sleep Disturbances
Change in Appetite Diminished Libido性慾降低 Difficulty in Concentration 15% Suicide
(2) Reactive Depression反應性憂鬱症 與Life Events有關如 個人失敗或生理疾病
(3) Manicdepressive Disorder 躁鬱症 Pharmacological Action: Antidepressants can block Reuptake of Norepinephrine
5. Anti-Inflammatory Drug 發炎是細胞受破壞與感染時正常之反應可能引發疼痛與發燒
Nonsteroidal Antiinflammatory Drugs (NSAIDs) (1) Aspirin Acetylsalicylic Acid(ASA) Low cost & Effective Dose:4g/day 具有止痛抗發炎與解熱作用