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I. GENERAL PHARMACOLOGY

  • The word pharmacology comes from:
    • Pharmacon = an active principle or drug.
    • Logus = discourse or study.
  • Pharmacology is the science that studies substances that interact with living systems through chemical processes.
  • These substances work mainly by binding to regulatory molecules.
  • They can activate or inhibit normal body functions.
  • These substances are usually given as drugs to produce beneficial therapeutic effects in patients.
  • Pharmacology is a branch of medicine that combines several biomedical sciences, including:
    • Chemistry
    • Biochemistry
    • Physiology
    • Clinical medicine
  • Pharmacology is both:
    • A basic science.
    • An applied science.
  • Pharmacology is the foundation of rational drug therapy.
  • Pharmacology studies:
    • Sources of drugs.
    • Biochemical effects of drugs.
    • Physiological effects of drugs.
    • Mechanism of action of drugs.
    • Therapeutic uses of drugs.
    • Adverse effects of drugs.
  • Pharmacology also explains:
    • What effects drugs produce.
    • How drugs produce those effects.
  • Example: Paracetamol
    • Lowers body temperature during fever.
    • It works by inhibiting the enzyme cyclooxygenase (COX) in the CNS.
    • This reduces the production of inflammatory mediators.
  • Example: Penicillin
    • Treats certain bacterial infections.
    • It inhibits a key enzyme needed for bacterial cell wall synthesis.
    • As a result, bacterial cell walls cannot form properly.
  • In 1966, the World Health Organization (WHO) defined a drug as:
    • Any substance or product used or intended to modify or study physiological systems or pathological conditions for the benefit of the patient.
  • According to the New Drugs and Clinical Trials Rules, 2018 (India):
    • An Active Pharmaceutical Ingredient (API) is any substance used in a pharmaceutical formulation.
    • It provides pharmacological activity.
    • It may also directly help in:
      • Diagnosis
      • Cure
      • Mitigation
      • Treatment
      • Prevention of disease
      • Restoring normal physiological functions
      • Correcting physiological functions
      • Modifying physiological functions
    • It can be used in both humans and animals.
  • Drugs are chemical substances that affect living organisms.
  • Clinicians use drugs to:
    • Diagnose diseases.
    • Prevent diseases.
    • Treat diseases.
  • Safe use of drugs requires knowledge of:
    • Mechanism of action.
    • Drug doses.
    • Routes of administration.
    • Adverse drug effects.
    • Drug interactions.
  • Medicinal or organic chemists create a new candidate molecule called a New Chemical Entity (NCE).
  • Pharmacologists test the NCE:
    • In vitro.
    • On isolated tissues.
    • In cell cultures.
    • In animals (in vivo).
    • In humans.
  • Successful testing can lead to the discovery of new therapeutic drugs.
  • General pharmacology includes the study of:
    • Sources of drugs.
    • Routes of drug administration.
    • Drug absorption.
    • Factors affecting absorption.
    • Drug distribution.
    • Drug biotransformation (metabolism).
    • Drug excretion.
    • Drug–receptor interaction.
    • Mechanism of drug action.
    • Adverse drug effects.
    • Preclinical evaluation.
    • Clinical evaluation.

KEY CONCEPT

  • Pharmacology is the science of drugs and their effects on living systems.
  • It combines chemistry, biochemistry, physiology, and clinical medicine.
  • It explains drug sources, actions, uses, adverse effects, and mechanisms.
  • Drugs act by interacting with regulatory molecules to activate or inhibit body functions.
  • Safe drug therapy requires understanding drug action, dose, administration, adverse effects, and interactions.
  • New drugs are developed by creating New Chemical Entities (NCEs) and testing them from laboratory studies to human trials.
  • General pharmacology mainly covers drug sources, administration, absorption, distribution, metabolism, excretion, receptor interaction, adverse effects, and drug evaluation.

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