Drug Testing Flashcards

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1
Q

Who discovered digitalis?

A

William Withering

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2
Q

What was the plant containing digitalis called?

A

Foxglove

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3
Q

What disease was Withering attempting to treat?

A

Dropsy – swelling brought about by heart failure

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4
Q

How did Withering discover foxgloves as a cure? 2

A
  • Patient suffering from dropsy made a good recovery after treating themselves with traditional home remedy containing foxgloves
  • Withering isolated digitalis from foxglove plants as active ingredient
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5
Q

What was Withering’s first step in testing the drug? 3

A
  • Tested it on 2 patients
  • One recovered
  • One nearly died
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6
Q

What was Withering’s second step testing the drug? 2

A
  • Tested it on a larger group of patients

- Discovered and recorded side effects

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7
Q

What was Withering’s final step testing the drug?

A

Determining the dosage

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8
Q

How did Withering determine the drug dosage? 4

A
  • Trial and error
  • He slowly increased concentration until the patients experienced bad side effects
  • Reduced it slightly
  • If he had reduced it too much – drug would have had no effect
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9
Q

What is the first step in modern drug test testing?

A

Active ingredient is isolated and manufactured synthetically

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10
Q

What happens in pre-clinical testing? 3

A
  • Computers model potential effects
  • Tests on human tissues in a lab
  • Animal testing
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11
Q

Who is tested in Phase 1?

A

A small group of healthy individuals

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12
Q

Who is tested in Phase 2?

A

A small group of patients

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13
Q

Who is tested in Phase 3?

A

A large group of patients

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14
Q

What is tested in Phase 1? 3

A
  • Safe dosage
  • Side effects
  • How body reacts to drug
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15
Q

What is tested in Phase 2?

A

Drug’s effectiveness

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16
Q

What is tested in Phase 3?

A

Drug’s effectiveness in a large sample

17
Q

What is a placebo?

A

An inactive substance that looks like the drug but no effect

18
Q

What is the placebo effect?

A

Patients show an improvement because they believe they are receiving the treatment

19
Q

How is a placebo used? 2

A
  • Patient sample split into 2 groups – one with placebo and one with real drug
  • Patients should improve more with real drug than with placebo
20
Q

What can be used as a placebo?

A

An existing treatment if new drug is an improvement

21
Q

What is a double blind trial?

A
  • Neither patients/doctors know who has been given the new drug or treatment or the placebo
  • Reduces bias – attitudes cannot affect result
22
Q

Define antimicrobial

A

Ability to kill/slow down growth of microorganisms