Who is John Jacob Abel
father of American pharmacologyfounded first pharmacology department at University of Michigan in 1980
therapeutics
prevention of disease and treatment of suffering
pharmacotherapy
application of drugs for treating diseases
drug
chemical agent capable of producing biologic responses w/n the body
what is a drug called after it has been administered
medication
biologics
- agents naturally produced in animal cells, by microorganisms, or by the body- created in a labEx. hormones, natural blood products and components, vaccines, interferons
biosimilar drugs
drugs that are synthesized drugs that are closely related to biologic medications similar biologic medications are referred to as reference products no required to undergo the same rigorous clinical testing
complementary and alternative medicine (CAM)
therapeutic therapy that involve natural plant extracts, herbs, vitamins, mineralssupplemented with physical therapy, massage, and acupuncture
therapeutic classification
drugs based on usefulness in treating diseases or disordersex. anticoagulant (influence blood clotting)antihypertensive (lower blood pressure)
pharmacologic classification
refers to the way a drug works at the molecular level (mechanism of action)ex. diuretic (lowers plasma volume)calcium channel blocker (blocks heart calcium channels)angiotensin-converting enzyme inhibitor (blocks hormonal activity
prototype drug
well-understood drug model with which other drugs in its representative class are compared
chemical name
assigned using standard nomenculture established by IUPAC
generic name
assigned by U.S. Adopted Name Councilless complicated and easier to remember than chemical names
trade/brand name
assigned by the company marketing the drug Ex. Motrin, Advil
combination drugs
includes 2 or more active ingredients combined for a single does Ex. piperacillin and tazobactam (Zosyn) which treat moderate to severe bacterial infections
Over the Counter
- do not require an order/prescription- obtained more easily for the patients- no appointments needed- may react with food, herbals, prescribed drugs, or other OTC drugs- nurses should obtain a complete history and provide teachings
trade names vs. generic equivalents
- trade names are granted to pharmaceutical companies for 17 years, they set the prices - when rights end, other pharm companies market the generic drug for less money- dosages may be identical, but formulations are always the same
bioavailability
ability of the drug to reach its target cells and produce its effect may be affected by inert ingredients and tablet compressionanything that affects absorption of a drug, or it distribution to the target cells, can affects the drug action - providers may write some drugs as "do not substitute with generic
what is the main difference between therapeutic and pharmacologic classification?
therapeutic classification is a method or organizing drugs based on their therapeutic usefulness in treated a particular disease. Pharmacologic classification refers to how a drug works at the molecular, tissue, and body system levels.
what is a prototype drug, and how does it differ from other drugs in the came class
exhibit typical or essential features of drugs within a specific class. By learning the characteristics of the prototype drug, students may better anticipate the actions and adverse effects of other drugs in the same class
explain why a patient might seek treatment from an OTC drug instead of a more effective prescription drug
OTC medications do not require the patient to see a healthcare provider to write a prescription for the drug, saving time and cost for an office visit. OTC medications are also readily available in a variety of settings than are prescription drugs. patients often think they can effectively treat themselves and may believe that OTC medications do not have as many side affects as prescription drugs.
a generic-equivalent drug may be legally substituted for a trade-name medication unless the medication is on a negative formulary or requested by the prescriber or patient. What advantages does this substitution have for the patient? What disadvantages might be caused by the switch?
advantages of a generic drug includes cost savings to the patient and the fact that the name will remain the same, regardless of which company makes the drug, however, generic drug formularies may be different, the inert ingredients may be somewhat different and consequently may affect the ability of the drug to reach the target calls and produce and effect
what are biosimilar drugs? how do they differ from generic drugs
biosimilar drugs are highly similar to biologic medication that have already received FDA approval. they are chemically synthesized and are not required to undergo the same rigorous preclinical and clinical testing as their reference products. to be approved they must prove to the FDA that the drug differs very little from the approved reference product. this includes having the same route or administration, dosage forms, and mechanism of action. they should not be called generic medication because they are not duplicate copies of original medication