A study guide for students of medical and dental faculties of higher medical establishments of Ministry of Health of Ukraine has been written according to Pharmacology syllabus and addressed to English-speaking students. The study guide contains items, cases, tasks on prescribing, and study experiments according to main chapters of Pharmacology
Table of contents Abbreviations .............................................................................................................................8
Preface........................................................................................................................................10
Chapter 1. General prescription...................................................................................11
1.1. Dosed medicinal forms.................................................................................................12
One-answer tests.............................................................................................................12
Tasks on prescribing of dosed medicinal forms....................................................16
1.2. Non-dosed medicinal forms........................................................................................17
One-answer tests.............................................................................................................17
Tasks on prescribing of non-dosed medicinal forms..........................................21
Chapter 2. General pharmacology ..............................................................................23
2.1. Pharmacokinetics............................................................................................................25
One-answer tests.............................................................................................................25
Cases....................................................................................................................................29
Instruction to the experimental work .......................................................................32
2.2. Pharmacodynamics........................................................................................................32
One-answer tests.............................................................................................................32
Cases....................................................................................................................................37
Instruction to the experimental work .......................................................................40
Chapter 3. Drugs influencing afferent innervation.............................................41
3.1. Drugs inhibiting afferent innervation......................................................................43
One-answer tests.............................................................................................................43
Cases....................................................................................................................................47
Instruction to the experimental work .......................................................................50
3.2. Drugs stimulating afferent innervation................................................................... 51
One-answer tests.............................................................................................................51
Cases....................................................................................................................................55
Instruction to the experimental work .......................................................................58
Chapter 4. Autonomics......................................................................................................59
4.1. Cholinergic agonists.......................................................................................................60
One-answer tests.............................................................................................................60
Cases....................................................................................................................................64
Instruction to the experimental work .......................................................................67
4.2. Cholinergic antagonists................................................................................................67
One-answer tests.............................................................................................................67
Cases....................................................................................................................................72
Instruction to the experimental work .......................................................................74
4.3. Adrenergic agonists.......................................................................................................75
One-answer tests.............................................................................................................75
Cases....................................................................................................................................80
Instruction to the experimental work .......................................................................82
4.4. Adrenergic antagonists.................................................................................................83
One-answer tests.............................................................................................................83
Cases....................................................................................................................................88
Instruction to the experimental work .......................................................................90
4.5. Histaminergic and serotoninergic drugs................................................................91
One-answer tests.............................................................................................................91
Cases....................................................................................................................................95
Chapter 5. CNS inhibitors.................................................................................................99
5.1. General anesthetics. Ethyl alcohol ..........................................................................100
One-answer tests...........................................................................................................100
Cases..................................................................................................................................104
Instruction to the experimental work .....................................................................107
5.2. Opioid (narcotic) analgesics......................................................................................108
One-answer tests...........................................................................................................108
Cases..................................................................................................................................112
5.3. Non-opioid (non-narcotic) analgesics...................................................................115
One-answer tests...........................................................................................................115
Cases..................................................................................................................................120
Instruction to the experimental work .....................................................................122
5.4. Hypnotics, antiepileptics, antiparkinsonian drugs............................................123
One-answer tests...........................................................................................................123
Cases..................................................................................................................................128
Instruction to the experimental work .....................................................................131
Chapter 6. Psychoactive drugs....................................................................................132
6.1. Neuroleptics, anxiolytics, sedatives, lithium salts..............................................133
One-answer tests...........................................................................................................133
Cases..................................................................................................................................137
Instruction to the experimental work .....................................................................140
Chapter 7. CNS stimulants.............................................................................................144
7.1. Antidepressants.............................................................................................................145
One-answer tests...........................................................................................................145
Cases..................................................................................................................................149
7.2. Psychomotor stimulants and analeptics...............................................................152
One-answer tests...........................................................................................................152
Cases..................................................................................................................................157
Instruction to the experimental work .....................................................................159
7.3. Nootropics, adaptogens, anorexigens...................................................................160
One-answer tests...........................................................................................................160
Cases..................................................................................................................................164
Chapter 8. Cardiovascular drugs................................................................................168
8.1. Inotropic drugs...............................................................................................................169
One-answer tests...........................................................................................................169
Cases..................................................................................................................................173
Instruction to the experimental work .....................................................................176
8.2. Antianginal drugs..........................................................................................................176
One-answer tests...........................................................................................................176
Cases..................................................................................................................................181
Instruction to the experimental work .....................................................................184
8.3. Antiarrhythmic drugs...................................................................................................185
One-answer tests...........................................................................................................185
Cases..................................................................................................................................189
8.4. Antihypertensive drugs. Hypertensive preparations.......................................192
One-answer tests...........................................................................................................192
Cases..................................................................................................................................196
8.5. Anti-atherosclerotic drugs.........................................................................................199
One-answer tests...........................................................................................................199
Cases..................................................................................................................................204
Chapter 9. Drugs acting on blood system..............................................................207
9.1. Drugs acting on blood coagulation and fibrinolysis........................................208
One-answer tests...........................................................................................................208
Cases..................................................................................................................................212
Instruction to the experimental work .....................................................................215
9.2. Hematinics. Drugs acting on erythropoiesis.......................................................215
One-answer tests...........................................................................................................215
Cases..................................................................................................................................220
9.3. Drugs acting on leukopoiesis and immunity. Anticancer drugs..................223
One-answer tests...........................................................................................................223
Cases..................................................................................................................................228
Chapter 10. Drugs acting on other effector organs ..........................................231
10.1. Drugs acting on respiration ....................................................................................232
One-answer tests...........................................................................................................232
Cases..................................................................................................................................236
10.2. Drugs acting on digestion system........................................................................239
One-answer tests...........................................................................................................239
Cases..................................................................................................................................244
Instruction to the experimental work .....................................................................246
10.3. Drugs acting on kidneys (diuretics). Antigout drugs.....................................247
One-answer tests...........................................................................................................247
Cases..................................................................................................................................252
Instruction to the experimental work .....................................................................254
10.4. Drugs acting on myometrium................................................................................255
One-answer tests...........................................................................................................255
Cases..................................................................................................................................259
Chapter 11. Drugs acting on metabolism ..............................................................263
11.1. Hormonal preparations of peptide structure...................................................264
One-answer tests...........................................................................................................264
Cases..................................................................................................................................268
Instruction to the experimental work .....................................................................271
11.2. Hormonal preparations of steroidal structure .................................................272
One-answer tests...........................................................................................................272
Cases..................................................................................................................................276
Instruction to the experimental work .....................................................................279
11.3. Vitamin preparations.................................................................................................279
One-answer tests...........................................................................................................279
Cases..................................................................................................................................284
Instruction to the experimental work .....................................................................287
11.4. Enzymes and anti-enzymes. ..................................................................................287
One-answer tests...........................................................................................................287
Cases..................................................................................................................................292
Instruction to experimental work.............................................................................294
Chapter 12. Antimicrobials. Antivirals. Antiparasitic drugs..........................295
12.1. Antiseptics and disinfectants.................................................................................296
One-answer tests...........................................................................................................296
Cases..................................................................................................................................300
Instruction to the experimental work .....................................................................303
12.2. Antibiotics – cell wall synthesis inhibitors.........................................................303
One-answer tests...........................................................................................................303
Cases..................................................................................................................................308
12.3. Antibiotics – protein synthesis inhibitors. ........................................................311
One-answer tests...........................................................................................................311
Cases..................................................................................................................................315
Instruction to the experimental work .....................................................................318
12.4. Sulfonamides. Synthetic antimicrobials of different structure. Antifungals...........................................................................318
One-answer tests...........................................................................................................318
Cases..................................................................................................................................323
Instruction to the experimental work .....................................................................326
12.5. Antispirochetal and antimycobacterial drugs. Antiviral preparations....326
One-answer tests...........................................................................................................326
Cases..................................................................................................................................331
12.6. Antiprotozoals..............................................................................................................334
One-answer tests...........................................................................................................334
Cases..................................................................................................................................338
Instruction to the experimental work .....................................................................341
12.7. Antihelminthics...........................................................................................................342
One-answer tests...........................................................................................................342
Cases..................................................................................................................................346
Instruction to the experimental work .....................................................................349
Chapter 13 Pharmacotherapy of acute poisonings. Antidotes................................................................................350
One-answer tests...........................................................................................................351
Cases..................................................................................................................................355
Instruction to the experimental work .....................................................................358
Answers....................................................................................................................................359
Selected references.............................................................................................................366