1.1 Introduction and basic terminologies of pharmacology.
A. Introduction to pharmacology:
Pharmacology: It is a science of drug or study of drugs action (Greek
word Pharmakon- drugs; logos- study).
Pharmacology is the branch of science which deals with the study of drugs. It
consists of detail study of drugs, particularly their action on living animals, organs
or tissues. The action may be beneficial or harmful.
Basically, pharmacology deals with how drug interact within biological system to
affect function. It is the study of drug, of the body reaction to drugs, source of
drug, their nature, and their properties. It encompasses all aspect of knowledge
about the drugs, but most importantly those that are relevant to effective and safe
use for medicinal purpose.
Scope of Pharmacology
   ❖ Scientific understanding of drugs enables us to predict the pharmacological
     effect of a new chemical that will produce a specified therapeutic effect.
   ❖ Incorporate many new approaches such as computer-assisted drug design,
     genetic screens, protein engineering and use of novel drug delivery vehicle
     including virus and artificial cells.
   ❖ Our society needs pharmacologist who understands the basis of modern
     therapeutics for careers within academics, pharmaceutical and governmental
     laboratories to study and develop tomorrow’s drugs.
B. Basic terminologies of pharmacology
   o Drugs: Drug is any chemical substance that, when absorbed into
     the body of living organism, alter normal body function.
     According to WHO “A drug is any substance or product that is
     used or is intended to be used to modify or explore physiological
     system or pathological state for the benefit of the recipient”.
   o Pharmacy: It is an art and science of compounding or dispensing
     and preparation of suitable dosage forms which involves
  collection,    identification,   purification,    synthesis,   and
  standardization and quality control procedures.
o Medicine: Medicine is a drug or remedy used in prevention and
  treatment of disease. All drugs are medicine but all medicine are
  not of drug.
o Pharmaceuticals: The drug and related product is called
  Pharmaceuticals.
o Pharmacotherapeutics: It is the application of pharmacological
  information together with knowledge of the disease for its
  prevention, mitigation or cure.
o Clinical pharmacology: Clinical pharmacology is the scientific
  study of drugs in man. Its objective is to optimize drug therapy.
o Poison: Poison is any substance which endangers life by severely
  affecting one or more vital functions.
o Toxicology: It is the study poisonous effect of drugs and other
  chemicals with emphasis on detection, prevention and treatment of
  poisoning.
o Active pharmaceutical ingredient (API): It is the main or active
  chemical substance used to make a drug dosage form.
o Excipients: The chemicals or ingredients other than API used
  during manufacturing of drug dosage form are called excipients.
o Crude drug: The drugs derived from the natural materials such as
  plants, animals, minerals etc. are called crude drugs.
o Therapeutics: It is a branch of medicine concerned with the cure
  of disease or relief of symptoms and includes drug treatment.
o Therapy: It is the method of treatment of disease by various
  methods. E.g.
   • Physiotherapy- treatment by physical exercise
   • Radiotherapy- treatment by radiation
   • Chemotherapy- treatment by chemicals
o Dose: Dose is an appropriate amount of drugs needed to produce
  certain degree of response in patient.
o Indication: Disease or condition on which certain drug can be
  used. E.g. Paracetamol is indicated in fever.
o Contraindication (contra: opposed to): Disease or condition on
  which certain drug cannot be used. E.g. Paracetamol is
  contraindicated in liver disease.
o Adverse drug reaction (ADR): It is an unwanted and undesirable
  effect of drug action.
o Mechanism of action (MOA): It means how drug produces its
  action in the body.
o Precaution: It refers to care to be taken while using certain drug.
o Side effect: Side effects are pharmacological effects produced with
  therapeutic doses of the drug. E.g. Atropine is used as
  preanesthetic medication for its antisecretary action, produces
  dryness of mouth as a side effect.
o Drug Interaction: If the effect of one drug is altered by
  concurrent administration of another drug or certain food then it
  refers to drug interaction. E.g. effect of Aspirin is altered by
  Antacid.
o Teratogens: Some drugs when given in the pregnancy may cause
  fetal abnormalities and are said to be teratogens. The effect is
  called teratogenic effect and the process is called teratogenesis.
  E.g. absent or abnormal due to thalidomide.
o Agonist: Agonist is a drug or agent which initiates a
  pharmacological action after combining or binding with specific
  receptor.
o Antagonist: Antagonist is a drug or agent which inhibits or
  diminishes the pharmacological action after combining or binding
  with specific receptor.
o Synergistic effect: When the action of one drug is facilitated or
  increase by the other then they are said to be synergism and the
  effect is called synergistic effect.
o Addiction: This is the condition on which patient become physical
  or psychological depend on certain drugs. E.g. long term use of
  diazepam, codeine, morphine etc. causes addiction.
o Hypersensitivity: This refers to minor to severe allergic reaction
  due to certain drug. E.g. anaphylactic shock due to penicillin.
o Prophylactic agent (Prophylaxis): These are used for the
  prevention or protection from a susceptible disease. E.g.
  Chloroquine is taken 2 weeks before going to malarial affected
  area.
o Sterilization: It is the process of making an object or intruments
  free from microorganism and their spores.
o Manufacturing date: It is the date on which certain drug is
  prepared and packed. E.g. Jan 2020
o Expiry date: It is the date on which the potency and stability of a
  drug is decreased.
o Packaging: It is the covering of drug that protects a drug from
  contamination and ease for handling. E.g. tablet and capsule in
  strip or blister packing, liquid drugs in a glass or plastic bottle
  packing.
o Placebo: Any component which is used to benefit or please the
  patient, not by pharmacological action but for psychological
  reason.
o Pharmacovigilance: It is a pharmacological science relating to
  the collection, assessment, monitoring and prevention of ADR.
o Pharmacopoeia: An official code containing a selected list of the
  established drugs and medical preparations with descriptions of
  their physical properties and tests for their identity, purity and
  potency. E.g. Indian Pharmacopoeia (IP), British Pharmacopoeia
  (BP).
o Prescription: It is an order of medication issued by a medically
  licensed Physician to the Pharmacist for dispensing.
o Essential Drugs: Essential drugs are those drugs that satisfy the
  health care needs of the majority of population; therefore they
  should be available at any time and at a reasonable price.
  o Pharmacodynamics: It refers to what drug does to body. It
    involves physiological and biological changes that occur after drug
    administration and their mechanism of action at organ system / sub
    cellular or macromolecule level.
  o Pharmacokinetics: It refers to what body does to drugs. It refers
    to movement of the drug in and alteration of the drug by the body
    which includes absorption, distribution, metabolism and excretion
1.2 Discus nomenclature and sources of drug.
 A. Drug nomenclature:
                          Drug nomenclature is the systematic naming of drugs,
    especially pharmaceutical drugs. In the majority of circumstances, drug has 3
    types of names;
     1. Chemical name: It is based on chemical structure of the drug. There are
        various system of chemical nomenclature, the most important is the
        IUPAC name. Chemical names are typically very long and too complex to
        be used.
        E.g.1-(Isopropylamine)-3- (1-naphthloxy) propan-2-ol’ is a chemical
        name of propranolol
     2. Non- proprietary (generic) name: It is the short name given to a drug in
       Agreement with the originally manufacturer and the US adopted Names
        Council. It is officially recognized worldwide.
      3. Propriety (brand/ trade) name: It is the trademark name to a particular
         drug, assigned by the pharmaceutical company. No other manufacturer
         can legally use this name for their version of the drug.
         Chemical name: 1-(Isopropylamine)-3- (1-naphthloxy) propan-2-ol’
         Generic name: Propranolol
         Brand name : Minil
 B. Sources of drugs:
                      They are natural, semisynthetic and synthetic.
    Natural sources are plants, animals, minerals, microorganisms, etc. ,
    semisynthetic drugs are obtained from natural sources and are later
    chemically modified. Synthetic drugs are produced artificially.
The different sources of drugs are:
1. Plants:
   a. Alkaloids, e.g. morphine, atropine, quinine, reserpine,
      ephedrine
   b. Glycosides, e.g. digoxin, digitoxin.
2. Animals: Insulin, heparin, antitoxin sera
3. Minerals: Ferrous sulphate, magnesium sulphate, kaolin
4. Microorganisms: penicillin, streptomycin, griseofulvin.
5. Semisynthetic: Hydromorphine, hydrocodone
6. Synthetic: Most of the drugs used today are synthetic, e.g.
   aspirin, paracetamol.
7. Genetic engineering: Human insulin, human growth hormone
   etc.