#أطباء_أتقياء
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#Classification of drugs:
- There is no homogenous system for classifying drugs that suits all purposes...
-Drugs may be classified by :
(1) Therapeutic uses:
e.g. antimicrobial, antiarrhythmic, antihypertensive ..etc.
(2) Mode of action: according to the drug mode of action either according to:
- Molecular interactions: Receptor blockers, enzyme inhibitors.
- Cellular site: loop diuretics, catecholamine uptake inhibitor.
- molecular structure: glycoside, steroid, alkaloid ...etc.
#Therapeutic Index:
- The therapeutic index of a drug is the ratio of the dose produces toxicity to the dose that produces a clinically desired or effective response in a population of individuals.
Therapeutic index in humans = TD50/ED50
TD50:Toxic dose in 50% of people
ED50:effective dose in 50%of the people
Therapeutic index in animal studies = LD50/ED50
Where LD50 = lethal dose = is the dose of a drug which kills half of test animals.
ED50 = effective dose = the dose which produces a defined response in half of test animals.
- the therapeutic index is thus a measure of the drug safety, since a large value indicates that there is a wide margin between doses that effective and doses that are toxic...
and in drugs like #digixon and #warfarin for example with a narrow therapeutic index the dose is critically important...
☘ Nomenclature of drugs:
-Any drug may have in all 3 of the following classes of names:
1. The full #chemical name :
this name describe the full chemical structure of the drug and specify the location of atoms and usually used for analytical purposes.
2. Official name: also known as (Non-proprietary, Approved or #Generic name) this name given by the pharmacopoeia commission derived from the full chemical name and used in pharmacopoeias ( e.g. British Pharmacopoeia B.P or United State Pharmacopoeia USP or British Pharmacopoeia Codex BPC) and used by official agencies (WHO) and among research workers and non-clinicians.
3. A proprietary (#brand or trade name):
this a commercial property of pharmaceutical companies and usually registered and advertised as a trade marks for the manufacturers and used usually referred by clinicians.
- To explain this we have imipramine (antidepressants) has the following names:
Chemical name :
3-(10,11dihydro-5H-dibenz[b.f]-azepin-5-yl)propyldethylamine.
Official name or generic or approved or non-proprietary name is Impiramine.
Trade name or proprietary name is Tofranil.🤗☘
