Vet Prep export pharm Flashcards
What is a drug?
any substance that can affect a biological system
what are the different sources of drugs
natural semisynthetic synthetic
what are active ingredients in plants
alkaloids
glycosides
resins
gums
tannins
fixed oils
volatile oils (ethereal)
alkaloids
(active ingredient in plants) basic nitrogenous substances that are insoluable in water and end with -ine
*their salts are soluable in water
*have a bitter taste
*can be precipitated by acids
ex: atropine, morphine, scopolamine, yohimbine
Glycosides
(active ingredient in plants)
Mostly toxic (derived from fox glove; Digitalis glycosides)
*Inert Sugars combined with other organic structures (hydrolysis releases the sugar–aglycone or genin)
EX: digitoxin, digoxin, ouabain
Resins
(active ingredient in plants) substances formed by polymerization of volatile oils (volatile oils = evaporative (fragrant) oils
Gums
(active ingredient in plants)
polysaccharides secreted by certain trees
ex: gum acacia from acacia, gum tragacanth from Astragalus
tannins
(active ingredient in plants) polyphenols that produce astringent effect (precipitate proteins)
what “dries the mouth” in red wines
fixed oils
(active ingredient in plants)
oils that do not evaporate when exposed to air
EX: cottonseed oil, castor oil, linseed oil
volatile oils
(active ingredient in plants)
evaporate readily when exposed to air
EX: peppermint oil, turpentine oil, oil of clove
Sources of drugs from animals
blood, plasma, hormones, toxins
Sources of drugs from Fungi
antibiotics e.g. penicillin, streptomycin, tetracyclines, polymyxins
Sources of drugs from bacteria
antibiotics (e.g. bacitracin)
what are examples of natural sources of drugs
mineral (non-living) animal (hormones) plant bacteria (bactracin) fungi (antibiotics)
define semisynthetic drug
from natural sources and chemically treated
ex: amoxicillin, apomorphine, ampicillin
define synthetic drug
highly purified substances prepared synthetically (eg manufactured entirely in the lab)
ex: sulfonamides (antibacterial), furosemide (diuretic) fentanyl, acepromazine
4 classifications of physical states of drugs
solid (powder, pill, bolus, pessary, suppository) liquid (mixture, tincture, spirit, suspension, elixir, etc) semisolid (ointment, cream, paste, electuary) gases or vapors (aerosol, spray, mist)
Powder
solid, mixture of drugs packaged in packets or sachets??
Tablet
solid,active drug combined with a binder and excipient, compressed into a tablet by machine ENTERIC COATED TABLET - irritant tablets coated with substance that is insoluble in acid but will dissolve in the alkaline small intestine)
pill
solid, mixture of drugs and a sticky binder ovoid or spherical glazed sugar coating
capsule
container made of mix of gelatin and glycerin suitable for drugs in powdered form or certain liquid drugs
bolus
solid *large, cylindrical in shapeused for horses and cattle (another type of bolus is a large amount of liquid given by IV injection in one dose)
mixture
liquid aqueous solution/suspension for oral administration aromatic water (aqueous solution + volatile oil) added to prevent bacteria/mold contamination
pessary
solid conical solid preparation for intravaginal use in humans
suppository
solid conical solid preparation given intrarectally for systemic effect in humans.melts and releases active ingredients after introduction to the body
paste
semisolid preparation for external use (skin) or internal use
electuary
semisolid preparation applied to the back of the tongue for systemic effect
tincture
alcoholic liquid preparation nonvolatile substance (for external or internal use)
spirit
alcoholic liquid preparation volatile substance
suspension
liquid aqueous suspension of solids and a dispersing agent (gum tragacanth or methylcellulose) to delay settling.
Syrup
liquid solution of medicinal agents, flavoring and coloring agents in 85% sucrose solution (more than 50% sucrose)
elixir
liquid hydroalcoholic solution of medicinal agentssweetened and flavored(better keeping quality than micture b/c of high alcohol content)
emulsion
liquid oily substance in aqueous medium with emulsifying (or dispersing) agent like gum acacia, lecithin, or methylcellulose
Extract
liquid from passing solvent over dried plant material and evaporating the solvent or placing crude material into solvent until active substances extracted (maceration).cold/warm water = infusion boiling water = decoction
injections
liquid? sterile solutions/suspensions in aqueous (sometimes oil) vehicle heat sterilized or filtered through millipore filters may be package aseptically in vials and reconstituted with sterile water immediately before use
decoction
extract performed in boiling water
infusion
extract performed in cold or warm water
repository forms
slow release forms prolong the effective drug concentration in the body by providing sustained release in the dosage form
liniment
external dosage form liquid or semisolidapplied to the skin with friction (rubbing) contains counterirritants used in chronic inflammation of muscles and tendons
lotion
external dosage formsolution or suspension soothing substances applied to skin to relieve pain in acute inflammation
ointment
external dosage form semisolid, greasy preparation drug is dissolved or dispensed in a suitable base
cream
external dosage form incorporates drug in water-oil emulsion; water evaporates and leaves the drug and a thin film of oil on the skin
Dusting Powder
external dosage form mixture of drugs in powder form use talc or starch as adsorbents
aeorsol
gas/vapor drug incorporated in a solvent and packaged under pressure with a propellant such as flurorinated hydrocarbon or nitrogen
vehicles
solvents or carriers can be solid can be used in oral, injections and semisolid
examples of oral vehicles
waters (peppermint water) syrup, elixir
examples of injection vehicles
sterile water, sterile saline, propylene glycol, polyethylene glycol, polyvinylpyrrolidone, polysorbate 80
examples of semisolid vehicles
parrafin oil and wax, bee wax, vaseline
what factors affect selection of the route of administration of a drug
therapeutic factors
drug factors
therapeutic factors affecting route selection
onset and duration of action site of action adverse reactions
drug factors affecting route selection
irritation solubility availability of drug in different forms pH
two routes of administration
local systemic
disadvantages of IV
1) dangerous (overdosing possible) 2) difficult to administer depending on species/behavior/dehydration 3) may be costly/laborous 4) risk of infection (must be aseptic)
advantages of IM
1) rapid absorption 2) duration of action is longer than IV 3) suspensions can be injected
disadvantages of IM
Irritant, hypertonic, acidic or basic drugs may cause tissue damage
advantages of subcutaneous
1) Slow, constant absorption 2) longer duration of action than——
disadvantages of subcutaneous
1) slow onset 2) irritating drugs can not be used
What is the only appropriate way to give an irritating drug
IV
Define a prescription
an order to a pharmacist written by a licensed medical practitioner to prepare the prescribed medication, affix the directions and sell the preparation to the client it is a legally recognized document–writer is responsible for its accuracy should be written in ink and carbon copy kept on file
Rx
abbrev of the latin word “recipe” which means to take
inscription
names & amounts of drugs to be incorporated includes the basis, vehicle, adjuvant and corrective
basis
primary drug in prescription, base for medication
vehicle
vehicle for the drug
adjuvant
another drug
corrective
ex: potassium iodide
subscription
instructions to pharmacist on how to make preparation, may have english or latin abbreviations
signa
instructions to owner on how to use medication
Three categories of drugs products
OTC Prescription Controlled
OTC
over the counter do not need a prescription
Prescription drugs
1) regulated by the FDA 2) FDA - CVM ensures that animal drugs are not harmful to animals 3) vaccines regulated by the USDA 4) veterinarian/client/patient relationship must exist before a prescription drug is prescribed
Controlled substances
1) regulated by the DEA 1a) regulates the purchase, storage and use of controlled substances 2) divided into five classes based on potential of abuse or misuse by people, low classes have a higher potential of abuse
Class I (C-I)
highest abuse potential severe liability no therapeutic agents (in the US) ex: Heroin and LSD
Class II (C-II)
High abuse potential (less than C-II) severe liability ex: Morphine, Codeine and amphetamine
Class III (C-III)
Abuse potential less than C-I and C-II moderate liability ex: anabolic steroids
Class IV (C-IV)
Abuse potential less than C-I, C-II and C-III moderate liability ex: butorphanol & diazepam
Class V (C-V)
least abuse potential limited liability ex: buprenorphine, dipenoxylate w/ atropine
Prescription requirements for Class/Schedule II
Full name & address of both vet & owner identity of patient practitioner permit number must be typewritten or written in ink (cannot be phoned in) no refills limited to 34 day supply for each prescription
Prescription requirements for III, IV and V
may be prescribed orally or in writing may be refilled, but no more than 5 times within 6 months some schedule V drugs may be sold over the counter
requirements on label for II, III and IV drugs
Caution: Federal law prohibits the transfer of this drug to any person other than the client and patient for whom it was prescribed
what is extra-label use and what allows veterinarians to use it?
using a drug for something it is not approved for (different species, humans, different dosage, different route of administration) but has been proven to be effective in treatment by studies or otherwise. Animal Medicinal Drug Use Clarification Act 1994 (AMDUCA) If you do this as a veterinarian you are taking full responsibility if something goes wrong, you must have documentation to back up your reasoning
FARAD
Food animal residues avoidance databank computer system that provides information including withdrawal times of all drugs approved for use in food-producing animals, official tolerances and pharmokinetic studies
Two types of drug names
nonproprietary (generic) – starts with a lowercase letter brand (trade) name – starts with a capital or uppercase letter
tab
tablet
cap
capsule
pulv
powder
sol
solution
susp
suspension
elix
elixir
tinct
tincture
gtt
drop
oint
ointment
IV
Intravenous
IVPB
intravenous piggyback
IM
Intramuscular
SC, SQ
subcutaneously
IP
intraperitoneal
IA
intra-arterial
PO
per os (oral)
PR
Per rectal
OS
(oculus sinister) left eye
OD
(oculus dexter) right eye
OU
(oculus uterque) each eye
AS
(auris sinistra) left ear
AD
(auris dextra) right ear
AU
(auris unitas) both ears
U.S.P
United States Pharmacopeia
q
(quaque) every
h
(hora) hour
d
(die) day
min
minute
s.i.d.
(semel in die) once daily
b.i.d.
(bis in die) twice daily
t.i.d.
(ter in die) thrice daily