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Pharmacology and Pharmacotherapeutics - E-Book

Pharmacology and Pharmacotherapeutics - E-Book

RS Satoskar | Nirmala Rege | SD Bhandarkar

(2015)

Additional Information

Book Details

Abstract

A classic Pharmacology book trusted equally by students and practicing physicians for its up-to-date, accurate and reliable text, which has always placed before the readers an integrated approach intertwining current knowledge of pathophysiology of the disease, pharmacology of available drugs and strategies for medical management of diseases.

• Trusted Pharmacology book with emphasis on pathophysiology, clinical pharmacology and therapeutics, presenting information in integrated manner.

• Up-to-date information supplemented with tables and diagrams, having:     - therapy of important diseases presented in boxes.     - current guidelines to support therapeutic decisions     - tips for practising physicians.

• Uses integrated approach intertwining current knowledge of pathophysiology of the disease, pharmacology of available drugs and strategies for medical management of diseases. • Balances the complexity and simplicity of scientific content to provide students of medicine and/or pharmacy an insight into rational therapeutics.


Table of Contents

Section Title Page Action Price
Front Cover\r Cover
Pharmacology and Pharmacotherapeutics i
Copyright Page ii
Table of Contents iii
Preface to the Twenty-fourth Edition vii
Preface to the First Edition ix
Some Abbreviations Used in the Text xi
SECTION I: General Pharmacology 1
Chapter 1. General Considerations and Pharmacokinetics 1
The Nature and Sources of Drugs 3
Sources of Drug Information 5
Routes of Drug Administration and Dosage Forms 6
Absorption and Bioavailability 11
Distribution of a Drug 15
Fate of a Drug 18
Drug Excretion 21
Plasma Half-life and its Significance 22
Methods of Prolonging the Duration of Action of a Drug 26
Special Drug Delivery Systems 26
Chapter 2. Pharmacodynamics – Drug Receptor Interaction; Adverse Drug Reactions 28
Site of Drug Action 28
Structure Activity Relationship (SAR) 29
Mechanism of Drug Action 30
Drug Receptors 32
Dose Response Relationship 37
Adverse Drugs Reactions (ADR) 41
Drug Allergy 43
Manifestations of ADR 45
Treatment of Acute Drug Poisoning 48
Chapter 3. Principles of Drug Prescribing; Factors Modifying the Effects of a Drug; and Drug Interactions 50
Drug Prescribing 50
P-drug (Personal drug) Concept 54
Essential Drugs 55
Orphan Drugs 55
Factors Modifying the Effects of a Drug 56
Drug Interactions 63
Chapter 4. Drug Invention; New Drug Development; and Drug Assay 68
Animal Toxicity Studies 69
Clinical Evaluation 71
Drug Assay 76
SECTION II: Drugs Acting on the Central Nervous System 80
Chapter 5. General Considerations 80
Chapter 6. Aliphatic Alcohols 87
Acute Alcohol Intoxication 91
Chronic Alcoholism 92
Alcohol Dependence 92
Chapter 7. General Anaesthetics 97
Inhalational General Anaesthetics 98
Volatile Liquid Anaesthetics 101
Gaseous Anaesthetics 103
Non-Volatile General Anaesthetics 104
Neuroleptanalgesia 107
Pre-anaesthetic Medication 109
Drugs Administered During Anaesthesia 110
Chapter 8. Sedatives, Hypnotics and Pharmacotherapy of Sleep Disorders 111
Benzodiazepines 113
Non-benzodiazepine, Benzodiazepine-receptor Agonists 116
Barbiturates 117
Alcohols 122
Aldehydes 122
Melatonin Recepter Agonist 122
Orexin Receptor Antagonists 123
Miscellaneous 123
Pharmacotherapy of Insomnia and Other Sleep Disorders 123
Chapter 9. Drugs Effective in Seizure Disorders 129
Types of Epilepsy 129
Anti-epileptic Drugs (AED) 132
General Principles of Management of Epilepsy 141
Epilepsy and Pregnancy 144
Drug Therapy of Epilepsy 144
Chapter 10. Opioid Analgesics and Antagonists 149
Opium Alkaloids 153
Semisynthetic Derivatives of Natural Opium Alkaloids 159
Synthetic Morphine Substitutes 160
Opioid Antagonists 164
Chapter 11. Analgesic-Antipyretics and Nonsteroidal Anti-inflammatory Drugs (NSAIDs) 167
Salicylates 170
Para-Aminophenol Derivatives 177
Pyrazolone Derivatives 177
Indoles and Related Drugs 178
Heterocyclic Arylacetic Acid Derivatives 178
Propionic Acid Derivatives 179
Fenamates 180
Oxicams 180
Preferential and Selective COX-2 Inhibitors 180
Pharmacotherapy of Pain 182
NSAID and Renal Damage 186
Chapter 12. Central Nervous System Stimulants 188
Stimulants of the Brain Stem and Medullary Centres 191
Stimulants of the Spinal Cord 192
Reflex Stimulants of the Central Nevous System Nervous System 192
Chapter 13. Psychopharmacology - 1: Introduction, Antipsychotic Drugs and Pharmacotherapy of Major Psychotic Disorders 193
Antipsychotic Drugs 195
Atypical Antipsychotics (Second Generation) 201
Management of Schizophrenia 203
Manic Depressive Psychosis – Management 205
Chapter 14. Psychopharmacology - 2: Anxiolytics, Antidepressants and Mood Modifying Agents 208
Treatment of Anxiety Disorders 209
Antidepressant Drugs 212
Monoamine Oxidase Inhibitors (MAOI) 213
Tricyclic Antidepressants (TCA) 214
Selective Serotonin (5-HT) Reuptake Inhibitors (SSRI) 218
Treatment of Major Depression 220
Mood Stabilisers 224
Psychomotor Stimulants 226
Psychotogenic Drugs 227
Drug Induced Psychiatric Syndromes 230
Chapter 15. Drug Therapy of Parkinsonism and Other Neurodegenerative Disorders 231
Drug Therapy 232
Management of Parkinsonism 238
Drug Therapy of Other Extrapyramidal Syndromes 241
Drug-induced Extrapyramidal Reactions (EPR) 241
Motor Neuron Disease (MND) Drug Therapy 242
Drugs and Memory 242
Multiple Sclerosis (MS) 243
SECTION III: Local Anaesthetics 245
Chapter 16. Cocaine, Procaine and Other Synthetic Local Anaesthetics 245
SECTION IV: Autonomic Nervous System 251
Chapter 17. General Considerations 251
Distribution of Parasympathetic Nervous System 252
Distribution of Sympathetic Nervous System 253
Enteric Nervous System (ENS) 254
Neurohumoral Transmission 254
Neurohumoral Transmitters 255
Neurotransmitter Uptake Mechanisms and Drugs 259
Chapter 18. Adrenergic Agonists and Antagonists 262
Catecholamines 262
Noncatecholamines 273
Noncatecholamines Mainly Used as Vasopressor Agents 275
Nasal Decongestants 276
Selective α2 Receptor Stimulants 277
Selective β2 Receptor Stimulants 277
Anorectic Sympathomimetic Drugs 277
Miscellaneous Compounds 277
Sympathetic Blocking Drugs 277
Adrenergic Receptor Blockers 277
Chapter 19. Cholinergic Drugs 286
Esters of Choline 286
Cholinomimetic Alkaloids 290
Cholinesterase Inhibitors 290
Organophosphorus Compound (OPC) Poisoning 296
Chapter 20. Muscarinic Receptor Blocking Drugs; Pharmacotherapy of Bladder Dysfunction 299
Belladonna Alkaloids 299
Synthetic and Semisynthetic Atropine Substitutes 304
Bladder Dysfunction – Pharmacology 305
Chapter 21. Ganglion Stimulating and Blocking Drugs 308
Ganglion Blocking Agents 312
Chapter 22. Skeletal Muscle Relaxants 313
Centrally Acting Skeletal Muscle Relaxants 313
Peripherally Acting Skeletal Muscle Relaxants 316
Drugs Acting Directly on Skeletal Muscle 321
SECTION V. Other Biogenic Amines and Polypeptides 322
Chapter 23. Histamine and Antihistaminic Drugs 322
Histamine, Anaphylaxis and Allergy 326
H1 Receptor Antagonists 327
H2 Receptor Antagonists 332
H3 and H4 Receptors 332
Chapter 24. 5-Hydroxytryptamine (Serotonin), its Agonists and Antagonists; and Treatment of Migraine 333
Pharmacotherapy of Migraine 341
Chapter 25. Angiotensin, Kinins, Leukotrienes, Prostaglandins and Cytokines 344
Kinins 345
Leukotrienes (LTs) 346
Prostaglandins (PGs) 347
Cytokines 351
SECTION VI: Drugs Used in Respiratory Disorders 355
Chapter 26. Pharmacotherapy of Cough 355
Pharyngeal Demulcents 357
Expectorants 357
Central Cough Suppressants 358
Peripherally Acting Agents 359
Other Antitussives 359
Mucolytic Agents 360
Chapter 27. Pharmacotherapy of Bronchial Asthma, COPD and Rhinitis 361
Drug Therapy During an Acute Attack 365
Prevention of Acute Attacks 367
Leukotriene Modifiers 368
Treatment of Chronic Persistent Asthma 369
Severe Acute Asthma (Status Asthmaticus) - Treatment 373
COPD – Management 374
Treatment of Acute Respiratory Failure 376
Surfactants and the Respiratory Distress Syndrome 377
Drug Therapy of Rhinitis 377
SECTION VII: Cardiovascular Drugs 380
Chapter 28. Pharmacotherapy of Cardiac Arrhythmias 380
Atrial fibrillation: Management 396
Drugs Used in the Treatment of Heart-Block 397
Chapter 29. Pharmacotherapy of Angina Pectoris, Acute MI and Peripheral Vascular Diseases 398
Methods of Assessing Coronary Circulation 400
Angina Pectoris 400
Drugs Used in Angina Pectoris 401
Potassium Channel Activators 409
Antiplatelet Drugs 409
Cytoprotectives 409
Treatment of Angina Pectoris 410
Acute Myocardial Infarction: Management 412
Drugs Used in the Treatment of Peripheral Vascular Disorders 415
Chapter 30. Pharmacotherapy of Hypertension, Pulmonary Hypertension and Orthostatic Hypotension 416
Drugs Acting Centrally 419
Ganglionic Blocking Agents 421
Adrenergic Neuron Blockers 421
Catecholamine Depletors 422
Adrenergic Receptor Blockers 423
Vasodilator Drugs 426
Potassium Channel Activators 427
Renin Inhibitors 428
Angiotensin Converting Enzyme Inhibitors (ACEI) 428
Angiotensin Receptor Blockers (ARB) 430
Aldosterone Antagonist 431
Thiazides as Antihypertensives 431
Miscellaneous Drugs 432
Hypertension – Therapy 432
Principles of Drug Therapy 435
Choice of Drug Therapy 436
Use of Drug Combinations 436
Management with Drugs 436
Hypertension in the Elderly 439
Hypertension in Pregnancy 440
Supportive Treatment of Hypertension 441
Treatment of Hypertensive Crises 441
Drug Induced Hypertension 444
Pulmonary Hypertension 445
Orthostatic hypotension 446
Chapter 31. Pharmacotherapy of Heart Failure 447
ACEI and Vasodilators in Heart Failure 451
Beta-adrenergic Blocking Agents in Heart Failure 452
Diuretics in Heart Failure 453
Aldosterone Antagonists in Heart Failure 453
Digitalis and Other Inotropic Agents in Heart Failure 453
Management of Acute LVF 463
Nonpharmacological Treatment of Heart Failure 464
Chapter 32. Pharmacotherapy of Shock 465
Whole Blood, Plasma and Plasma Fractions 467
Colloidal Plasma Expanders 470
Crystalloid Plasma Expanders 472
Cardiovascular Drugs in Shock 473
Treatment of Shock 474
SECTION VIII: Drugs Acting on Blood and Blood Forming Organs 476
Chapter 33. Drugs and Blood Coagulation 476
Antiplatelet Agents 478
Fast Acting Anticoagulants 481
Direct Thrombin Inhibitors 484
Slow Acting Anticoagulants 485
In Vitro Anticoagulants 490
Fibrinolytic Agents 490
Hemostatic Agents 494
Management of Acute Variceal Bleeding 497
Sclerosing Agents 498
Chapter 34. Drugs Effective in Iron Deficiency and Other Related Anemias 499
Iron Metabolism 499
Treatment of Iron Poisoning 507
Adjuvants to Iron Therapy 508
Erythropoietin (EPO) and Anemia 508
Chapter 35. Drugs Effective in Megaloblastic Anemias and Neutropenia 509
Drugs Used in Neutropenia 517
Drugs used in Thrombocytopenia 518
Chapter 36. Drug-Induced Blood Dyscrasias 519
SECTION IX: Water, Electrolytes and Drugs Affecting Renal Functions 522
Chapter 37. Water, Sodium, Potassium and Hydrion Metabolism 522
Water Metabolism 524
Sodium Metabolism 526
Sodium Depletion 529
Sodium Excess 533
Potassium Metabolism 534
Potassium Depletion and Hypokalemia 535
Hyperkalemia and Potassium Excess 537
Acidosis and Alkalosis 538
Acidosis 540
Alkalosis 541
Chapter 38. Nutritional Supplementation Therapy 543
Nutritional Requirements in Healthy Adults 543
Alterations in Nutritional Requirements in Acute Illness 544
Sequelae of Malnutrition 545
Assessment of Nutritional Status 545
Nutritional Supplementation: Aims and Indications 545
Enteral Nutrition 545
Parenteral Nutrition 547
Total Parenteral Nutrition (TPN) 549
Chapter 39. Diuretic and Anti-Diuretic Drugs 552
Diuretics 555
Osmotic Diuretics 556
Xanthines as Diuretics 558
Carbonic Anhydrase Inhibitors 558
Benzothiadiazines (Thiazides) 560
Loop Diuretics 563
Potassium Sparing Diuretics 565
Management of Edema 567
Complications of Diuretic Therapy 570
Acute Renal Failure (ARF) 572
Anti-diuretic Agents 573
Vasopressin ReceptorAntagonists 575
Drugs and Nephrotoxicity 575
SECTION X: Drugs Used in Disorders of the Gastrointestinal Tract 577
Chapter 40. Appetite Stimulants, Digestants, Antiflatulents, Appetite Suppressants and Hypolipidemic Agents 577
Digestants 578
Antiflatulents and Carminatives 579
Anorexiants and Treatment of Obesity 579
Atherosclerosis and Hyperlipidemia 584
Antihyperlipidemic Drugs 588
Chapter 41. Emetics, Drug Therapy of Vomiting, Vertigo and Diarrhoea 594
Emetics 595
Drug Therapy of Vomiting 596
Therapy of Vertigo and Dizziness 600
Drug Therapy of Diarrhoea 601
Chronic Diarrhoea 608
Chapter 42. Pharmacotherapy of Constipation 610
Anthraquinone Group 613
Irritant Oils 613
Miscellaneous Stimulant Laxatives 614
Osmotic Laxatives 614
Bulk Laxatives 615
Emollient Laxatives 617
5-HT4 Receptor Agonists 617
Chloride Channel Activators 617
Constipation and Laxatives 619
Treatment of Hemorrhoids and Anal Fissure 620
Chapter 43. Pharmacotherapy of Peptic Ulcer Disease 621
Gastric Antacids 625
Non-Systemic Antacids 625
Systemic Antacids 627
Antacid Therapy 627
Antisecretory Agents 628
Mucosal Protective Drugs 631
Management of Peptic Ulcer 632
SECTION XI: Oxytocics and Uterine Relaxants 636
Chapter 44. Pharmacology of Ergot Alkaloids, Oxytocin, other Oxytocics and Uterine Relaxants 636
Ergot Alkaloids 636
Oxytocin 638
Other Oxytocics 640
Uterine Relaxants (Tocolytics) 642
SECTION XII: Chemotherapy 644
Chapter 45. Sulfonamides, Trimethoprim, Cotrimoxazole, Nitrofurans and Quinolones 644
Sulfonamides 647
Inflammatory Bowel Disease - Drug Therapy 652
Cotrimoxazole 654
Nitrofurans 656
Quinolones 657
Chapter 46. Penicillins and Other Antibiotics Effective Mainly Against Gram Positive Organisms 661
Semisynthetic Penicillins 670
Beta lactamase Inhibitors 674
Macrolides 675
Lincosamide Antibiotics 678
Glycopeptide Antibiotics 679
Miscellaneous Antibiotics 679
Streptogramins 680
Oxazolidinones 681
Chapter 47. Aminoglycosides and Other Antibiotics Effective Mainly Against Gram Negative Organisms 682
Non-aminoglycoside Agents 687
Monobactams 688
Chapter 48. Antibiotics Effective Against Both Gram Positive and Gram Negative Organisms 689
Cephalosporins 689
Carbapenems 694
Rifamycins 694
Drug Therapy of Bacterial Meningitis 696
Chapter 49. Tetracyclines and Chloramphenicol 697
Tetracyclines 697
Semisynthetic Tetracyclines 700
Chloramphenicol 703
Pharmacotherapy of Bacillary Dysentery 706
Pharmacotherapy of Chronic Bronchitis 706
Chapter 50. Antifungal Agents 708
Azole Derivatives 711
Echinocandins 714
Chapter 51. General Principles of Chemotherapy of Infections 715
Selection of Antimicrobial Agent 715
Antimicrobial Combinations 720
Antimicrobial Prophylaxis 722
Microbial Drug Resistance 723
Dangers of Antimicrobial Therapy 725
Misuse of Antimicrobial agents 726
Chapter 52. Chemotherapy of Urinary Tract Infections 727
Drug Therapy of UTI 729
Treatment of Lower UTI 732
Treatment of Upper UTI 734
Antimicrobial Prophylaxis 735
Chapter 53. Chemotherapy of Sexually Transmitted Diseases 736
Drug Therapy of Syphilis 736
Drug Therapy of Gonorrhea 739
Drug Therapy of Non-Gonococcal Urethritis (NGU) 740
Drug Therapy of Lymphogranuloma Venereum 740
Drug Therapy of Chancroid 741
Drug Therapy of Granuloma Inguinale 741
Vaginitis – Drug Therapy 741
SECTION XIII: Drugs Used in Endocrine Disorders 860
Chapter 63. Anterior Pituitary Hormones 860
Endocrine Physiology-Introduction 860
The Pituitary Gland 865
Chapter 64. Thyroid Hormones and Antithyroid Drugs 870
Treatment of Myxedema Coma 877
Iodine and the Endemic Goitre 877
Antithyroid Drugs 877
Pharmacotherapy of Hyperthyroidism 881
Thyrotoxic Crisis – Treatment 883
Iodine-Containing ContrastMedia 884
Chapter 65. Pancreatic Hormones, Antidiabetic Drugs and Pharmacotherapy of Diabetes Mellitus 885
Non-Insulin Antidiabetic Drugs 897
Oral Antidiabetic Agents 898
Parenteral Non-InsulinAntidiabetic Agents 905
Pharmacotherapy of Diabetes Mellitus 906
Management of Emergencies in the Diabetic 915
Hyperglycemic Agents 917
Sweetening Agents 919
Chapter 66. Adrenal Cortical Steroids 920
Adrenocorticotropin 920
Hormones of the Adrenal Cortex 922
Glucocorticoids and Mineralocorticoids 923
Adrenal Function Tests 937
Chapter 67. Gonadotropins, Estrogens and Progestins 938
Gonadotropins 943
Placental Hormones 947
Estrogens 947
Progesterone and Other Progestins 955
Chapter 68. Antifertility Agents and Ovulation Inducing Drugs 962
Estrogen-Progestin Combination Pill 964
Progestins Alone as Contraceptives 970
Antiestrogenic Agents 971
Injectable Contraceptives 971
Antiprogestins 973
Postcoital Contraception 974
Male Contraception 974
Medical Termination of Pregnancy (MTP) 975
Ovulation Inducing Drugs 976
Antigonadotropic Compounds 978
Chapter 69. Androgens, Anabolic Steroids and Antiandrogens 980
Erectile Dysfunction 984
Anabolic Steroids 986
Antiandrogens 987
Management of Hirsutism 988
Benign Prostatic Hyperplasia 989
Chapter 70. Calcium, Phosphorus, Fluoride and Magnesium Metabolism; Parathyroid Hormone and Vitamin D; Treatment of Osteoporosis 991
Phosphorus Metabolism 997
Osteoporosis – Management 1008
Fluoride 1010
Magnesium Metabolism 1011
SECTION XIV: Drugs Used in Common Skin and Eye Disorders 1013
Chapter 71. Pharmacotherapy of Common Skin Disorders and Skin Protectives 1013
Pharmacotherapy of Common Skin Disorders and Skin Protectives 1013
Principles of Drug Application 1014
Vehicles and Formulations 1015
Choice of Preparation 1016
Keratolytic Agents 1017
Drug Therapy of Bacterial and Viral Skin Infections 1017
Drug Therapy of Fungal Skin Infections 1018
Dandruff and Seborrhoeic Dermatitis 1020
Drug Therapy of Scabies and Pediculosis 1021
Drug Therapy of Acne Vulgaris 1023
Drug Therapy of Allergic Skin Disorders 1026
Drug Therapy of Psoriasis 1027
Drug Therapy of Alopecia 1030
Drugs Affecting Skin Pigmentation 1031
Sunscreens and Barrier Preparations 1033
Cosmetics, Tooth Powders and Dermal Fillers 1033
Anhidrotics and Deodorants 1034
Drug-Induced Skin Disorders 1035
Chapter 72. Ocular Pharmacology 1037
Antimicrobial Agents 1040
Glucocorticoids in Eye\r 1041
Antihistaminics and Mast Cell Stabilisers 1042
Mydriatics and Miotics 1042
Drug Therapy of Glaucoma 1042
Immunosuppressives and Antimitotic Drugs 1044
Local Anaesthetics 1045
Diagnostic Agents 1045
Miscellaneous Agents 1045
Drug Induced Ocular Toxicity 1045
SECTION XV: Immunopharmacology 1046
Chapter 73. General Considerations: Vaccines and Antisera 1046
Active Immunisation 1050
Passive Immunisation 1056
Drug Therapy of Scorpion Sting 1060
Chapter 74. Immunoglobulins, Monoclonal antibodies, Immunosuppressants and Immunomodulators 1062
Monoclonal Antibodies (mAb) in Therapeutics 1064
Immunosuppressants 1066
Immunostimulants and Immunomodulators 1068
SECTION XVI: Miscellaneous 1070
Chapter 75. Pharmacotherapy of Gout, Rheumatoid Arthritis and Osteoarthritis 1070
Drugs Used During Acute Stage 1071
Drugs Used in Long Term Therapy of Gout 1073
Xanthine Oxidase Inhibitors 1073
Uricosuric Drugs 1074
Pharmacotherapy of Rheumatoid Arthritis (RA) 1075
Osteoarthritis (OA) 1081
Chapter 76. Metals and Their Antagonists 1083
Heavy Metal Antagonists 1087
Chapter 77. Gases: Therapeutic and Toxic 1092
Therapeutic Gases 1092
Toxic Gases 1098
Chapter 78. Enzymes in Therapy 1101
Chapter 79. Vitamins and Antioxidants 1104
Fat Soluble Vitamins 1105
Water Soluble Vitamins 1108
Antioxidants 1115
Chapter 80. Drugs, Pregnancy and the Infant 1117
Pharmacokinetics During Pregnancy 1117
Drugs, the Fetus and the Newborn 1118
Effects of Drugs on Pregnancy 1120
Teratogenicity 1120
Drug-Prescribing During Pregnancy 1123
Breast Feeding and Drugs 1126
APPENDIX: Guide to Further Reading 1128
Index 1129