Abstract
Safety pharmacology studies defined as those studies that investigate the potential undesirable pharmacodynamics effects of a substance on physiological functions. It is the discipline that seeks to predict whether a drug (in the widest sense of the word), if administered to human (or animal) populations, is likely to be found unsafe, and its professional mandate is to prevent such an occurrence. The future of safety pharmacology will depend, in part, upon the scientific and technological advances and regulatory challenges that envelop pharmaceutical development. This review is aimed to provide a brief knowledge regarding safety pharmacology.
Keywords: Pre clinical safety, Safety Pharmacology, Safety Evaluation, pharmacodynamics,
…show more content…
With advances in molecular biology and biotechnology, which allows for the identification of new clinical targets, newer pharmaceutical agents are, being identified that act at these novel molecular sites in an attempt to ameliorate the disease condition. Inherent in the novelty of new targets is the risk of unwanted effects that may or may not be detected with current techniques.
The scientific challenge facing safety pharmacology is to keep pace, to adapt, and to incorporate new technologies in the evaluation of new drugs in nonclinical models and identifying the effects that pose a risk to human volunteers and patients. Recent examples include safety pharmacology’s embracement of modern electrophysiological techniques to evaluate the effects of new drugs on the ionic components of the cardiac action potential, and telemetry techniques to permit the chronic monitoring of physiological functions in unstressed animals. Efforts continue to construct databases relating the similarities and differences between animal and human responses to pharmaceutical agents. As an example, nonclinical safety studies, including safety pharmacology studies, are typically conducted in normal, healthy, young adult or adult animals. However, these tests may not appropriately detect specific responses in humans at other ages (e.g., neonates, adolescents, and geriatrics) or those with underlying chronic diseases (e.g., heart failure, renal failure, and type II diabetes), conditions which may alter the pharmacodynamics response to a
Marsha McMillen Unit 4 Pharmacology Assignment The reasons the nitroglycerin did not work, is because Mr. Smith had consumed four whisky drinks with his dinner. He took the nitro pills one hour ago and then ten minutes before calling 911. He should have taken his pill every 5 minutes, but not to exceed more than 3 pills. When taking Nitroglycerin you should not take it after consuming alcohol, and you should follow the instruction as to how to take them. His ECG was not showing like a myocardial infarction. As the paramedic I would think that the chest pain was caused by indigestion.
Fifteen year old Lewis Blackman died after a minimally invasive surgery. The cause of death was due to perforated bowel caused by ketorolac, a highly potent non-steroidal anti-inflammatory to treat pain and inflammation and for its potential for stomach ulceration. As I read the case, I noticed the following system failures that lead to this sentinel event. First, ketorolac has a black box warning “not to be used in pediatric patients.” 1 A black box warning is the strictest warning put in the labeling of prescription drugs by the Food and Drug Administration when there is reasonable evidence of an association of a serious hazard with the drug.
The justices ruled on this case the same way as they did with the Baze v Rees case, there is no definite proof that the drug will cause a painful and torturous death, which means the drug cannot be
My preceptor and I discussed both the dangers of this class of medications as well as their usefulness. We also discussed the fact that there is new research to
Prescription drugs pose many health risks including both short term and long term side effects. Every prescription information sheet from any local pharmacy lists a plethora of warnings, cautions, and possible side effects. In many cases, the patient is forced to wonder if the prescription drug will help their illness, or cause further medical issues. Side effects that are considered “mild” are still troubling. Side effects such as drowsiness, sleeplessness, muscle pain, dizziness, nausea and bouts of depression may not appear to be harmful but can cause serious consequences.
I will be assigned to a new patient next week, and I will make sure that I will know everything about all the medications the patient takes. That will be done in order to know what I am going to be administering and how dangerous it will be if any of them are administered incorrectly. I will make sure all preventable complications will not occur. In order to do that, I need to know the function of the medication and what they are really for based on the patient’s diagnoses.
Sudbury: Ma. Jones and Bartlett Institute for Healthcare Improvement (2014). The Apology. Retrieved from http://app.ihi.org/lms/lessonpageworkflow.aspx?CatalogGuid=4cc435f0-d43b-4381-84b8-899b35082938&CourseGuid=614af4d5-09ed-4c08-b495-59673b0a581a&LessonGuid=82f42955-31f0-40b2-bad2-c297a1e98f6c Liang, B. A. (2002). BMJ quality and safety.
The FDA is now very careless with its policies, bringing about an almost lack of monitoring safety of the drugs on the market today.
Drug Kardexes were gathered and audited under certain criteria in order to identify potential risk areas in drug prescribing and administration, and also to provide ways in which these risks can be reduced or eliminated and reinforce drug management policies’ and guidelines. NICE (2002) audit cycle will be applied to this assignment to provide an acceptable framework (Appendix 1). Step 1: Preparing for Audit. The first step in the audit process is to identify which type of audit is to be carried out.
Animals are obviously different than humans, and many drugs/cosmetics react to animals and humans react differently. Because animals and humans are so different tests are not accurate and then humans are affected in turn. “The Food and Drug Administration (FDA) has noted
A Medication error is defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is under the control of the health care professional, patient, or consume. Therefore, any form of error that arrives within the healthcare system is deemed unacceptable. Now by understanding what a medication error entails, nurses are better able to place emphasis on how to prevent medication errors. It is important to prevent as many errors as possible when administering medications. Hospitals that accommodate high numbers of medication errors receive less funding and support by fellow agencies.
Pharmacology Assignment Week 4 Marty Smith is a 67-year-old male who has called 911 after experiencing chest pain and dizziness. The paramedics arrive and notice a bottle of nitroglycerin on the table. The patient states he has angina and is to take the medication as needed for chest pain. He took one pill an hour ago and a second pill 10 minutes prior to calling 911.
Therapeutic drug monitoring (TDM) is the clinical practice of measuring specific drugs at timed intervals in order to maintain a relatively constant concentration in a patient's bloodstream, thereby optimizing individual dosage regimens. It is not necessary to use therapeutic drug monitoring for all the of medications, and it is used mainly for monitoring drugs with some narrow therapeutic ranges, drugs with marked variability in pharmacokinetic, medications with target concentrations which are difficult to monitor, and drugs that are known to cause therapeutic and adverse effects. The process of therapeutic drug monitoring is based on the assumption that there is a specific relationship between dose and plasma or blood drug concentration, and between concentration and therapeutic effects. Therapeutic drug
After the side effects were discovered the FDA went back and researched the drug, and it was discovered that it causes defects across a wide range of species. Because of this catastrophe now it’s mandatory to do all the test before a product is
Although animals are in ample supply and typically are good models for human beings, they are not the highest fidelity model. In some cases when analyzing the side effects on an animal subject to see how it would effect a human, the results can be as accurate as flipping a coin (Archibald 1). No test can be one hundred percent accurate when regarding humans if the subjects used are an entirely different species. The best way to see what would happen to a human being is to test a human