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Welcome to Pharmacology MA 235 Instructor: Ryan LambertBellacov Overview of the course Ancient Origins • Pharmacy comes from the Greek word, • meaning drug • Scientific approach to medicine began with the ancient Greeks • Hippocrate Oath • Proposed that disease came from natural, not supernatural causes • Established the theory of humors (blood, phlegm, black bile, yellow bile) Ancient Medicine Ancient Egyptian Medicine -was highly advanced for the time (mummification) Ancient Chinese Medicine - Zhang Liang invented an instrument named "Meng" which is considered to be precursor of modern stethoscope. Ancient India Medicine- Indian snake root (Jones) Ancient Greek Medicine- Hemlock and the dealth of Socrates Ancient Origins Galen • Conducted animal experiments • Produced a systematic classification of drugs for treatment of disease • Galenical pharmacy described the process of creating extracts of active medicinals from plants • First century A.D. • De Materia Medica (standard text on drugs for 1500 years) Ancient Origins Dr. John Morgan • Eighteenth Century • Supported the separation of the professions of pharmacy and medicine Chapter 1 Consumer Safety and Drug Regulations Knowledge of Pharmacology • Can have an impact on others • Answer questions as they arise • Patient may feel more comfortable asking a pharmacist • Dispel fallacies Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Fallacies • Only nurses can give medications • Only physicians may write prescriptions • Prescriptions are required only for narcotics • Drugs produced in the United States are made in federally approved laboratories Edited by Dr. Ryan Lambert-Bellacov. 9 Drug Laws • 1906 - Pure Food and Drug Act • 1938 - Federal Food, Drug, and Cosmetic Act and Amendments of 1951 and 1965 • 1970 Controlled Substances Act Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 Brief History of Statutory Pharmacy Law • In nineteenth century drugs in the United States were unregulated – medicines did not require proof that they were either safe or effective • Traveling medicine shows proclaimed “miracle cures” – no regulations on labeling – no research to support claims Need for Drug Control • Before 1951, U.S. federal law made no distinction between drugs that can and cannot be purchased without a prescription from a physician. • In some countries any drug can still be dispensed or sold without legal restriction. Controlled Substances • • • • • • Schedule I Schedule II Schedule III Schedule IV Schedule V May vary between states – Know state laws Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 13 Comprehensive Drug Abuse Prevention and Control Act of 1970 Schedu le Medical Use Examples I For research only Heroin, LSD II Dispensing severely restricted Prescriptions can be refilled up to 5 times in 6 months Same as for Schedule III Morphine, oxycodone Codeine with aspirin, anabolic steroids III IV V Some sold w/o a prescription; must be 18 Benzodiazepines, meprobamate Liquid codeine combination preps. Food and Drug Administration (FDA) • Inspects food, drug, and cosmetic manufacturing facilities • Reviews drug applications and food additive petitions • Investigates and prohibits unsafe drugs • Assures proper labeling Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 Drug Enforcement Administration (DEA) • For controlled substances only • Enforces laws against illegal drug manufacturing and activities • Identifies need for changing the schedules of abused drugs Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 16 Dietary Supplement Health and Education Act (DSHEA) of 1994 • The FDA does not regulate diet supplements – because diet supplements are sold with nonprescription products, many consumers are unaware of this subtle difference in regulation Health Care Worker Role • • • • Keep accurate records Maintain adequate supply of drugs Phone in prescriptions Secure prescription forms for providers Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 18 Health Care Worker Role • Keep a current drug reference book • Keep controlled substances locked – Usually double-locked • Conceal prescription pads to prevent theft Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 19 Guidelines • Keep records of each controlled substance dispensed, received, or destroyed Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 20 Guidelines • Keep current with FDA and DEA regulations • Establish working rapport with a pharmacist • Maintain professional rapport with pharmaceutical representatives Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 21