Basic pharmacology for medical promotion officers | MPO training 13

Are you planning to become a Medical Promotion Officer (MPO)? This article explains basic pharmacology in a simple way for beginners. If you are preparing for a job in a pharma company, you will find this helpful.

Basic-pharmacology-for-medical-promotion-officer
The topic Basic pharmacology for medical promotion officers is explained with real examples. It can help you understand how medicines work and what you need to know as an MPO.

Table of contents: Basic pharmacology for medical promotion officers

Table of contents of this article-

Basic pharmacology for medical promotion officer

Basic pharmacology for medical promotion officers means learning how different medicines work in the body. You will get to know about drug types, how they act, and why doctors prescribe them.


This knowledge helps you present products clearly to healthcare professionals. If you are new to this field, this article is made to guide you step by step. It focuses on what you truly need to begin your MPO journey.
Basic-pharmacology

What is pharmacology?

The word Pharmacology is derived from Greek words Pharmakon (drug) and Logos (science). Pharmacology is a subject of medical science which deals with the study of drugs or medicine that interact with the living system.

Pharmacology is the study of how drugs interact with the body and how the body responds to those drugs.

What is Drug?

Drug is the API (Active Pharmaceutical Ingredient) without excipients. It can modify physiological function or disease processes.

Example: Paracetamol.

Drugs are obtained from:
  • Minerals: Liquid paraffin, magnesium sulfate etc.
  • Animals: Insulin, heparin etc.
  • Plants: Morphine, digoxin, atropine etc.
  • Synthetic source: Aspirin, Paracetamol etc.
  • Microorganisms: Penicillin, streptomycin etc.
  • Genetic engineering: Human insulin, growth hormone etc.

What is Medicine?

Medicine is the finished Dosage Form (API & Excipients). It is suitable for administration.

Example: Fast 500 mg tablet.
  • API: Active Pharmaceutical Ingredients.
  • Excipient: An excipient is a pharmaceutically inactive substance used in the formulation of medicine.
Medicine

Medicinal Systems

1. Allopathic Medicine

System of medicine that aims to combat disease by using remedies such as drugs or surgery.

Origin: Derived from the Greek Word Allos (opposite) and Pathos (to suffer).

Base of The Treatment: Medication, Surgery, Radiation and other therapies and procedures. 

Practicing Area: Widely used over the world.

2. Ayurvedic Medicine

This type of medicine consists of diet, herbal medicines, exercise, meditation, breathing, physical therapy, and other methods.

Origin: Derived from the Sanskrit words Ayur (life) and Veda (science or knowledge).

Base of The Treatment: Complex herbal compounds, minerals, and metal substances.

Practicing Area: Historical roots in the Indian subcontinent. Ayurvedic medicine is heavily practiced in India and Nepal. In Bangladesh Ayurvedic medicine is also used.

3. Unani Medicine

Arabian medicine, or Islamic medicine, a traditional system of healing and health maintenance.

Origin: Unani means Greek.

Base of The Treatment: Various herbal, mineral and animal sources.

Practicing Area: Perso-Arabic traditional medicine as practiced in Muslim culture in South Asia and modern day Central Asia.

4. Herbal Medicine

Herbal medicine is made from a plant or plant part used for its scent, flavor, or therapeutic properties. They are sold as tablets, capsules, powders, teas, extracts, and fresh or dried plants.

Origin: From the Latin word Herba (Grass).

Base of The Treatment: Medicinal Plants.

Practicing Area: Practiced in China, Bangladesh, Africa, America, India and Indonesia.

What is pharmacokinetics and pharmacodynamics?

1. Pharmacokinetics

Study of the Absorption, Distribution, Metabolism and Excretion (ADME) of drugs ("i.e. what the body does to the drug")
Pharmacokinetics

2. Pharmacodynamics

It is a branch of Pharmacology which deals with the effects of Drug & Mechanism of action. (i.e. "what the drug does to the body").

Pharmacodynamics involves:
  • Receptor binding.
  • Post receptor effect.
  • Chemical reaction.
Receptor Binding : Receptors are macromolecules involved in chemical signaling between and within cells. They are located on the cell surface membrane or within the cytoplasm and are composed of proteins.


Receptor binding refers to the interaction between a drug and its specific receptor site on a cell. This binding activates or blocks the receptor, initiating a biological response depending on whether the drug is an agonist or antagonist.

Post-Receptor Effect : Post-receptor effect describes the series of cellular processes that occur after a drug binds to its receptor. These effects often involve signal transduction pathways that amplify the drug's action and produce the intended therapeutic outcome.

Chemical Reaction : Chemical reactions in pharmacodynamics involve the biochemical interactions triggered by a drug, which may include enzyme inhibition, alteration of pH, or redox changes. These reactions contribute to the drug’s pharmacological effects in the body.

Drug Effects

Therapeutic or Desired Action: Desired effect of a drug for treating a disease. Example: Fast (Paracetamol) is used to relieve pain & fever.

Side Effect: Unwanted, predictable pharmacological effects that occur within therapeutic ranges. Side effects can be both therapeutic and harmful. Example: Nausea, vomiting, diarrhea etc.

Adverse Effect: Unwanted, unpredictable pharmacological effects that occur within therapeutic ranges. It is generally harmful & undesirable. Example: Disability, heart attack, death etc.

Hypersensitivity or Allergic Reactions: Extreme physical sensitivity to any drug. Example: Skin rash, Itching, wheezing or other breathing problems, Swelling, anaphylaxis etc.

Teratogenic Effect: Harmful effects on the fetus leading to developmental defects. Example: Tetracyclines taken in pregnancy may affect a baby's bone growth.

Drug-Food Interaction: A drug-food interaction occurs when food and medicine interfere with one another. Example: Dairy products can interfere with certain antibiotics such as tetracycline, doxycycline, and ciprofloxacin.

Drug-Drug Interaction: Drug interaction occurs when one drug alters the pharmacological effect of another drug. Example: Absorption of tetracycline is impaired by antacid containing aluminium, calcium or magnesium and iron containing preparation.

Synergism: When the combined effect of two or more drugs is greater than the sum of individual effects is called drug synergism/synergistic effect. Example: Beta blocker + Diuretic = increased BP lowering effect.

Agonist: A drug that stimulates the regular action of a receptor. Example: Salbutamol is a ẞ₂- adrenoceptor agonist that helps in bronchodilation.

Antagonist: A drug that opposes the regular action of a receptor. Example: Atenolol (Tenoloc) is ẞ₁- adrenoceptor antagonist that helps in lowering blood pressure.

Potency: The amount of a drug to produce the desired effect is called potency.

Efficacy: The effect produced by a drug is called efficacy.

Affinity: Affinity is the tendency of drugs to bind with a receptor.

Pharmacological Terminology

Dose: The amount of medicine administered at a time. Example: Paracetamol 500 mg.

Dosage: The amount and rate of administration of a drug. Example: 500 mg three times daily.

Dosage Form: It is the physical characteristics of a drug product. Example: Tablet: Solid dosage form.
  • Cream, Ointment: Semi solid dosage form.
  • Syrup: Liquid dosage form.
Indication: The reason or purpose for giving a medication.

Contraindication: Reasons against giving a particular drug.

Administration: This is the process of giving a medication to a patient for the treatment

Therapeutic Dose: Dose required to get the optimum therapeutic effect.

Adjuvant Therapy/Adjunct Therapy: Any treatment given in addition to the main treatment.

Loading Dose: An initial higher dose of a drug that may be given at the beginning of a course of treatment to get immediate desired therapeutic effect. Example: Loading dose of Clopidogrel 75 mg (Dclot 75 mg) for Acute Coronary patient is 300 mg (4 tablet) orally.

Maintenance Dose: Small, fixed & regular dose for long term treatment. Example: Clopidogrel 75 mg (Dclot 75 mg) once daily is a maintenance dose after completing Loading Dose.

Tapering Dose: Gradual reduction of a dose for withdrawal purpose.

Bioavailability: Amount of active drug reaching the systemic circulation after administration through any route. In IV route bioavailability is 100% in the body.

Maximum/Peak Plasma Concentration (Cmax): The highest concentration of a drug achieved in the blood after administration.
Peak-Plasma-Concentration1

Peak-Plasma-Concentration2
Plasma half-life or Elimination half-life (t/½): Time required for the peak plasma concentration of a drug to decline by 50%. It is denoted by 't½'.
Plasma-half-life
Rx: "R" stands for the Latin word "recipe", meaning "you take".

MIC: Minimum Inhibitory Concentration, the lowest concentration of an antibiotic required to inhibit the growth of an pathogen. Example: MIC Value of ceftriaxone is 0.02-0.2 µg/ml in blood.

First Pass Metabolism: When a drug is taken by mouth after absorption it passes through the liver then it reaches circulation. Liver can metabolize the drug while passing. This effect is known as first pass metabolism.


OTC Drug: Over-the-counter (OTC) drugs are medicines sold directly to a consumer without a prescription. Example: Paracetamol, omeprazole, Naproxen etc.

Brand Name: Individual Name of the company. Name given by a manufacturer. Example: Fast Tablet (Acme).

Generic Name: The chemical name of a drug. Example: Paracetamol.

Bioequivalent: When the pharmacokinetic profile and clinical efficacy of a brand A is equivalent to originator/research brand then it is called bioequivalent to originator/research brand. Example: Fix-A (Acme) is bioequivalent to originator brand Suprax (Lupin Pharmaceuticals, USA).

Routes of Drug Administration

1. Oral: Tablet, Capsule, Syrup.

2. Parenteral: Injection 
  • Intravenous (IV) 
  • Intramuscular (IM) 
  • Subcutaneous (SC)
3. Respiratory/Inhalation: Inhaler.

4. Topical: Cream, Ointment. Lotion, gel 

5. Rectal: Suppository.

6. Ophthalmic: Eye Drop.

7. Sublingual: Lozenge.

Pregnancy Category of Drug

Category Description
A The safest drug in Pregnancy
B Less safe than category A
C No surety of safety
D Risky but can be used in emergency
X Never use in Pregnancy
N FDA has not yet classified the drug into a specified pregnancy category

Drug Regulatory Authority

BP: British Pharmacopoeia.

USP: United States Pharmacopeia.

INN: international nonproprietary names.

US FDA: United State Food and Drug Administration.

UK MHRA: United Kingdom Medicines and Healthcare products Regulatory Agency.

TGA: Therapeutic Goods Administration-Australia.

EU-Public Health: European Union Public Health.

DGDA: Directorate General Of Drug Administration.

Prescription pad sample

Prescription-pad-sample

FAQs

1. What are the two main branches of pharmacology?
The two main branches are pharmacokinetics (what the body does to the drug) and pharmacodynamics (what the drug does to the body).

2. What is the difference between a generic name and a brand name of a drug?
A generic name is the scientific name of a drug, while the brand name is the name given by a company that markets it.

3. What are side effects in pharmacology?
Side effects are unwanted or unexpected effects that can happen when taking a drug along with its main benefits.

4. What does the term 'mechanism of action' mean?
It refers to how a drug works in the body at the cellular or molecular level to produce its effect.

5. What is the meaning of drug dosage?
Drug dosage is the amount of a drug that should be taken at one time or over a certain period to get the desired effect.

6. How do drugs enter the body?
Drugs can enter the body through various routes like oral (by mouth), injection, inhalation, or through the skin.

7. What is drug interaction?
A drug interaction happens when one drug affects how another drug works, either by increasing or decreasing its effects.

Conclusion

To succeed as a Medical Promotion Officer (MPO), you must understand the basics of pharmacology. This article on “Basic pharmacology for medical promotion officer” gives you the starting knowledge to grow in your career. You now have a better idea about drugs, their use, and how they help patients. If you are serious about working in a pharma company, this is your first learning step. Stay focused, and your future as an MPO will be bright.
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