PHARMACOLOGY DETAILED NOTES - RRB PHARMACIST FOCUS
1. Introduction to Pharmacology
Pharmacology is the science that studies drugs, their sources, mechanism of action, uses, and
effects on the body.
Branches of Pharmacology:
- Pharmacodynamics: What the drug does to the body
- Pharmacokinetics: What the body does to the drug (ADME)
- Pharmacotherapeutics: Use of drugs in disease treatment
- Toxicology: Study of harmful effects of drugs
- Clinical Pharmacology: Study of drugs in humans under clinical trial
2. Pharmacokinetics - ADME
A: Absorption - entry of drug into bloodstream
D: Distribution - transfer to body compartments
M: Metabolism - biotransformation (mainly in liver)
E: Excretion - removal of drug from body
Factors Affecting Absorption: route, solubility, blood flow, pH
3. Pharmacodynamics
- Receptors: cellular proteins where drugs bind
- Agonist: activates receptor
- Antagonist: blocks receptor
Mechanism of Action: enzyme inhibition, receptor binding, ion channel modulation
4. Drug Administration Routes
Oral, IV, IM, SC, Topical, Inhalation, Sublingual
5. Drug Dose & Response
- Minimum effective dose, maximum tolerated dose
- Therapeutic Index = LD50/ED50
- Half-life: time to reduce plasma concentration by half
6. Autonomic Nervous System Drugs
- Sympathomimetics: Adrenaline, Salbutamol
- Sympatholytics: Propranolol, Prazosin
- Parasympathomimetics: Pilocarpine
- Parasympatholytics: Atropine, Ipratropium
7. Cardiovascular System Drugs
- Diuretics: Furosemide
- ACE inhibitors: Enalapril
- Beta-blockers: Atenolol
- CCBs: Amlodipine
- Nitrates: Nitroglycerin
8. Antimicrobial Drugs
- Antibiotics: Amoxicillin, Ceftriaxone, Ciprofloxacin
- Antitubercular: Rifampicin, Isoniazid, Pyrazinamide, Ethambutol
- Antifungals: Fluconazole
- Antivirals: Acyclovir
9. CNS Acting Drugs
- Sedatives: Diazepam
- Antidepressants: Fluoxetine
- Antiepileptics: Phenytoin
- Antipsychotics: Haloperidol
- General Anesthetics: Propofol
- Local Anesthetics: Lignocaine
10. Common Condition Drugs
- Diabetes: Metformin, Insulin
- Asthma: Salbutamol, Budesonide
- Allergy: Cetirizine
- Hypertension: Amlodipine
- Pain/Fever: Paracetamol, Ibuprofen
- Ulcer: Omeprazole, Ranitidine
11. Adverse Drug Reactions (ADRs)
- Allergic: Penicillin rash
- Toxic: Aminoglycosides - nephrotoxicity
- Idiosyncrasy: Chloramphenicol - anemia
- Teratogenic: Thalidomide
12. Drug Interactions
- Synergism: Amoxicillin + Clavulanic acid
- Antagonism: Naloxone vs. Morphine
- Enzyme induction: Rifampicin
13. Drug Schedules (India)
- H: Prescription drugs
- X: Narcotics
- G: Medical supervision required
- C/C1: Biologicals
- P: Shelf life
- Y: Clinical trials