120 Physiology Biochemistry and Pharmacology
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Ovid MEDLINE(R)
Supplementary material BMJ Open Ovid MEDLINE(R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily <1946 to September 16, 2019> # Searches Results 1 exp Hypertension/ 247434 2 hypertens*.tw,kf. 420857 3 ((high* or elevat* or greater* or control*) adj4 (blood or systolic or diastolic) adj4 68657 pressure*).tw,kf. 4 1 or 2 or 3 501365 5 Sex Characteristics/ 52287 6 Sex/ 7632 7 Sex ratio/ 9049 8 Sex Factors/ 254781 9 ((sex* or gender* or man or men or male* or woman or women or female*) adj3 336361 (difference* or different or characteristic* or ratio* or factor* or imbalanc* or issue* or specific* or disparit* or dependen* or dimorphism* or gap or gaps or influenc* or discrepan* or distribut* or composition*)).tw,kf. 10 or/5-9 559186 11 4 and 10 24653 12 exp Antihypertensive Agents/ 254343 13 (antihypertensiv* or anti-hypertensiv* or ((anti?hyperten* or anti-hyperten*) adj5 52111 (therap* or treat* or effective*))).tw,kf. 14 Calcium Channel Blockers/ 36287 15 (calcium adj2 (channel* or exogenous*) adj2 (block* or inhibitor* or 20534 antagonist*)).tw,kf. 16 (agatoxin or amlodipine or anipamil or aranidipine or atagabalin or azelnidipine or 86627 azidodiltiazem or azidopamil or azidopine or belfosdil or benidipine or bepridil or brinazarone or calciseptine or caroverine or cilnidipine or clentiazem or clevidipine or columbianadin or conotoxin or cronidipine or darodipine or deacetyl n nordiltiazem or deacetyl n o dinordiltiazem or deacetyl o nordiltiazem or deacetyldiltiazem or dealkylnorverapamil or dealkylverapamil -
DIURETICS Diuretics Are Drugs That Promote the Output of Urine Excreted by the Kidneys
DIURETICS Diuretics are drugs that promote the output of urine excreted by the Kidneys. The primary action of most diuretics is the direct inhibition of Na+ transport at one or more of the four major anatomical sites along the nephron, where Na+ reabsorption takes place. The increased excretion of water and electrolytes by the kidneys is dependent on three different processes viz., glomerular filtration, tubular reabsorption (active and passive) and tubular secretion. Diuretics are very effective in the treatment of Cardiac oedema, specifically the one related with congestive heart failure. They are employed extensively in various types of disorders, for example, nephritic syndrome, diabetes insipidus, nutritional oedema, cirrhosis of the liver, hypertension, oedema of pregnancy and also to lower intraocular and cerebrospinal fluid pressure. Therapeutic Uses of Diuretics i) Congestive Heart Failure: The choice of the diuretic would depend on the severity of the disorder. In an emergency like acute pulmonary oedema, intravenous Furosemide or Sodium ethacrynate may be given. In less severe cases. Hydrochlorothiazide or Chlorthalidone may be used. Potassium-sparing diuretics like Spironolactone or Triamterene may be added to thiazide therapy. ii) Essential hypertension: The thiazides usually sever as primary antihypertensive agents. They may be used as sole agents in patients with mild hypertension or combined with other antihypertensives in more severe cases. iii) Hepatic cirrhosis: Potassium-sparing diuretics like Spironolactone may be employed. If Spironolactone alone fails, then a thiazide diuretic can be added cautiously. Furosemide or Ethacrymnic acid may have to be used if the oedema is regractory, together with spironolactone to lessen potassium loss. Serum potassium levels should be monitored periodically. -
Ehealth DSI [Ehdsi V2.2.2-OR] Ehealth DSI – Master Value Set
MTC eHealth DSI [eHDSI v2.2.2-OR] eHealth DSI – Master Value Set Catalogue Responsible : eHDSI Solution Provider PublishDate : Wed Nov 08 16:16:10 CET 2017 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 1 of 490 MTC Table of Contents epSOSActiveIngredient 4 epSOSAdministrativeGender 148 epSOSAdverseEventType 149 epSOSAllergenNoDrugs 150 epSOSBloodGroup 155 epSOSBloodPressure 156 epSOSCodeNoMedication 157 epSOSCodeProb 158 epSOSConfidentiality 159 epSOSCountry 160 epSOSDisplayLabel 167 epSOSDocumentCode 170 epSOSDoseForm 171 epSOSHealthcareProfessionalRoles 184 epSOSIllnessesandDisorders 186 epSOSLanguage 448 epSOSMedicalDevices 458 epSOSNullFavor 461 epSOSPackage 462 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 2 of 490 MTC epSOSPersonalRelationship 464 epSOSPregnancyInformation 466 epSOSProcedures 467 epSOSReactionAllergy 470 epSOSResolutionOutcome 472 epSOSRoleClass 473 epSOSRouteofAdministration 474 epSOSSections 477 epSOSSeverity 478 epSOSSocialHistory 479 epSOSStatusCode 480 epSOSSubstitutionCode 481 epSOSTelecomAddress 482 epSOSTimingEvent 483 epSOSUnits 484 epSOSUnknownInformation 487 epSOSVaccine 488 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 3 of 490 MTC epSOSActiveIngredient epSOSActiveIngredient Value Set ID 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 TRANSLATIONS Code System ID Code System Version Concept Code Description (FSN) 2.16.840.1.113883.6.73 2017-01 A ALIMENTARY TRACT AND METABOLISM 2.16.840.1.113883.6.73 2017-01 -
Ш„ ^Гг Тііи CLINICAL PHARMACOLOGICAL STUDIES on TIENILIC ACID and FUROSEMIDE Promotores: Prof
D D π Ш π α π • Q ÛDD fDSDUO Q ^г^ ш„ ^гг тііи CLINICAL PHARMACOLOGICAL STUDIES ON TIENILIC ACID AND FUROSEMIDE Promotores: Prof. dr F. W. J. GRIBNAU Prof. dr С. Α. Μ. van GINNEKEN CLINICAL PHARMACOLOGICAL STUDIES ON TIENILIC ACID AND FUROSEMIDE PROEFSCHRIFT ter verkrijging van de graad van doctor in de Geneeskunde aan de Katholieke Universiteit te Nijmegen, op gezag van de rector magnificus Prof. dr J. H. G. I. Giesbers, volgens het besluit van het college van dekanen in het openbaar te verdedigen op donderdag 24 maart 1983 des namiddags te 2 uur precies door ADRIANUS LAMBERTUS MARIA KERREMANS geboren te Roosendaal И krips repro meppel The studies presented in this thesis were performed in - the Department of Internal Medicine - the Institute of Pharmacology of the University of Nijmegen, The Netherlands; and in - the Nursing home 'Irene" H. Landstichting - the Canisius-Wilhelmina Hospital Nijmegen Aan Mariette Jos, Sanne en Mechteld Aan mijn ouders CONTENTS Chapter I GENERAL INTRODUCTION AND PROBLEM STATEMENT page Chapter II DIURETICS 2.1 renal transport of sodium and chloride 2.2 renal transport of uric acid 2.3 site of action and mode of action of diuretics 2.4 tienilic acid 2.5 furosemide references Chapter III SOME FACTORS INFLUENCING DRUG RESPONSE 2 3.1 influence of age on pharmacokinetics and pharmacodynamics 3.2 influence of long-term treatment 3.3 congestive heart failure and its influence on sodium homoeostasis and on disposition and effect of diuretics 3.4 diuretic resistance in congestive heart failure references Chapter IV METHODS 4 4.1 HPLC 4.2 protein binding of drugs 4.3 pharmacokinetics 4.4 dose-response curves references Chapter V PHARMACOKINETIC AND PHARMACODYNAMIC STUDIES OF TIE- 6 NILIC ACID IN HEALTHY VOLUNTEERS Eur J Clin Pharmacol 1982, 22, 515-521. -
SOME ASPECTS of DIURETIC ACTIVITY of CYCLOPENTHIAZIDE and EFFECT of SPIRONOLAC [ONE on THEM, COMPARED with MERSALYL By
SOME ASPECTS OF DIURETIC ACTIVITY OF CYCLOPENTHIAZIDE AND EFFECT OF SPIRONOLAC [ONE ON THEM, COMPARED WITH MERSALYL By D. J. ifEHTAl, N. G. SUCHAK" S. S. MANDREKAR\ R. C. KHOKHANI2, M. J. SHAH2 AND U. K. SHETH' From the Seth G. S. Medical College and K. E. M. Hospital, Bombay (Received August 30, 1962) Cydopenthiazide, a new thiazide oral diuretic was compared by itself and in combination with spironolactone to intramuscular mersalyl in patients with edema using a rapid quantitative method for determining the efficacy of diuretic drugs. Diuretic efficacy of the thiazide drug, alone or in combination with the ste-iod was about 2/3rd that of mersalyl. Cyclopenthiazide affected adversely Na/K excretion ratio while addition of spironolactone brought it more or less in line with mersalyl. Cyclopenthiazide is a comparatively newer drug belonging to the thiazide group of diuretics. We have been interested in evaluating one aspect of thiazide diuretics, namely, their efficacy when compared in maximally effective doses to that of an organic mercurial given by intramuscular injection. It was decided to gather similar information about this drug. The scope of the trial was extended so as to include the effect of addition of aldosterone antagonist spironolactone to cyclopenthiazide with the hope that it might increase the diuretic efficacy of and prevent the expected high excretion of potassium in urine with thiaizde diuretic or at least do the latter. The trial was carried out in 21 in-door patients admitted (in K.E M Hospital, Bombay) for edema due to varied pathological conditions. METHODS The method used was a slight modification of the one used by Gold et al., 1960,(961). -
Federal Register / Vol. 60, No. 80 / Wednesday, April 26, 1995 / Notices DIX to the HTSUS—Continued
20558 Federal Register / Vol. 60, No. 80 / Wednesday, April 26, 1995 / Notices DEPARMENT OF THE TREASURY Services, U.S. Customs Service, 1301 TABLE 1.ÐPHARMACEUTICAL APPEN- Constitution Avenue NW, Washington, DIX TO THE HTSUSÐContinued Customs Service D.C. 20229 at (202) 927±1060. CAS No. Pharmaceutical [T.D. 95±33] Dated: April 14, 1995. 52±78±8 ..................... NORETHANDROLONE. A. W. Tennant, 52±86±8 ..................... HALOPERIDOL. Pharmaceutical Tables 1 and 3 of the Director, Office of Laboratories and Scientific 52±88±0 ..................... ATROPINE METHONITRATE. HTSUS 52±90±4 ..................... CYSTEINE. Services. 53±03±2 ..................... PREDNISONE. 53±06±5 ..................... CORTISONE. AGENCY: Customs Service, Department TABLE 1.ÐPHARMACEUTICAL 53±10±1 ..................... HYDROXYDIONE SODIUM SUCCI- of the Treasury. NATE. APPENDIX TO THE HTSUS 53±16±7 ..................... ESTRONE. ACTION: Listing of the products found in 53±18±9 ..................... BIETASERPINE. Table 1 and Table 3 of the CAS No. Pharmaceutical 53±19±0 ..................... MITOTANE. 53±31±6 ..................... MEDIBAZINE. Pharmaceutical Appendix to the N/A ............................. ACTAGARDIN. 53±33±8 ..................... PARAMETHASONE. Harmonized Tariff Schedule of the N/A ............................. ARDACIN. 53±34±9 ..................... FLUPREDNISOLONE. N/A ............................. BICIROMAB. 53±39±4 ..................... OXANDROLONE. United States of America in Chemical N/A ............................. CELUCLORAL. 53±43±0 -
Therapeutic Combination and Use of Dll4 Antagonist Antibodies and Anti-Hypertensive Agents
(19) TZZ Z_T (11) EP 2 488 204 B1 (12) EUROPEAN PATENT SPECIFICATION (45) Date of publication and mention (51) Int Cl.: of the grant of the patent: A61K 39/395 (2006.01) A61P 35/00 (2006.01) 06.04.2016 Bulletin 2016/14 A61P 9/12 (2006.01) (21) Application number: 10824244.7 (86) International application number: PCT/US2010/053064 (22) Date of filing: 18.10.2010 (87) International publication number: WO 2011/047383 (21.04.2011 Gazette 2011/16) (54) THERAPEUTIC COMBINATION AND USE OF DLL4 ANTAGONIST ANTIBODIES AND ANTI-HYPERTENSIVE AGENTS THERAPEUTISCHE KOMBINATION UND VERWENDUNGG MIT DLL4-ANTAGONISTISCHE ANTIKÖRPER UND MITTEL GEGEN BLUTHOCHDRUCK COMBINAISON THÉRAPEUTIQUE ET UTILISATION D’ANTICORPS ANTAGONISTES DE D LL4 ET D’AGENTS ANTI-HYPERTENSEURS (84) Designated Contracting States: US-A1- 2009 221 549 AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO • SMITH D C ET AL: "222 A first-in-human, phase I PL PT RO RS SE SI SK SM TR trial of the anti-DLL4 antibody (OMP-21M18) targeting cancer stem cells (CSC) in patients with (30) Priority: 16.10.2009 US 252473 P advanced solid tumors", EUROPEAN JOURNAL OF CANCER. SUPPLEMENT, PERGAMON, (43) Date of publication of application: OXFORD, GB, vol. 8, no. 7, 1 November 2010 22.08.2012 Bulletin 2012/34 (2010-11-01), page 73, XP027497910, ISSN: 1359-6349, DOI: 10.1016/S1359-6349(10)71927-3 (60) Divisional application: [retrieved on 2010-11-01] & Smith et al: "A 16155324.3 first-in-human, phase I trial of the anti-DLL4 antibody (OMP-21M18) targeting cancer stem (73) Proprietor: Oncomed Pharmaceuticals, Inc. -
Diuretics and Other Therapies for Hospitalized Heart
i n d i a n h e a r t j o u r n a l 6 8 ( 2 0 1 6 ) s 6 1 – s 6 8 Available online at www.sciencedirect.com ScienceDirect journal homepage: www.elsevier.com/locate/ihj Review Article Decongestion: Diuretics and other therapies for hospitalized heart failure a,b, c Ali Vazir *, Martin R. Cowie a Consultant in Cardiology and Critical Care (HDU), Royal Brompton Hospital, United Kingdom b Honorary Clinical Senior Lecturer, National Heart and Lung Institute, Imperial College London, United Kingdom c Professor of Cardiology, Imperial College London (Royal Brompton Hospital), United Kingdom a r t i c l e i n f o a b s t r a c t Article history: Acute heart failure (AHF) is a potentially life-threatening clinical syndrome, usually requir- Received 28 September 2015 ing hospital admission. Often the syndrome is characterized by congestion, and is associat- Accepted 30 October 2015 ed with long hospital admissions and high risk of readmission and further healthcare Available online 24 November 2015 expenditure. Despite a limited evidence-base, diuretics remain the first-line treatment for congestion. Loop diuretics are typically the first-line diuretic strategy with some evidence Keywords: that initial treatment with continuous infusion or boluses of high-dose loop diuretic is Decongestion superior to an initial lower dose strategy. In patients who have impaired responsiveness to Diuretics diuretics, the addition of an oral thiazide or thiazide-like diuretic to induce sequential nephron blockade can be beneficial. The use of intravenous low-dose dopamine is no longer Acute heart failure Ultrafiltration supported in heart failure patients with preserved systolic blood pressure and its use to assist diuresis in patients with low systolic blood pressures requires further study. -
Stembook 2018.Pdf
The use of stems in the selection of International Nonproprietary Names (INN) for pharmaceutical substances FORMER DOCUMENT NUMBER: WHO/PHARM S/NOM 15 WHO/EMP/RHT/TSN/2018.1 © World Health Organization 2018 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. The use of stems in the selection of International Nonproprietary Names (INN) for pharmaceutical substances. Geneva: World Health Organization; 2018 (WHO/EMP/RHT/TSN/2018.1). Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. -
And Ethacrynic Acid
27 November 1965 Gastric Ulceration-Horwich and Galloway BRmsm 1277 The ulcer crater disappeared completely in 81% of the cases Dr. S. Gottfried for his assistance; to Biorex Laboratories Ltd. for Br Med J: first published as 10.1136/bmj.2.5473.1277 on 27 November 1965. Downloaded from after six weeks and in 92 % after 12 weeks of carbenoxolone. supplies of trial tablets and carbenoxolone sodium; to Mr. F. M. Sullivan, of Guy's Hospital Medical School, for his assistance with The dose used in the trial was 100 mg. thrice daily for the the statistical analysis; and to Mr. E. Thomas, Chief Pharmacist, first week and 50 mg. thrice daily for the second and subsequent Whiston Hospital, who distributed the trial tablets. weeks. Treatment should be continued until the ulcer has been shown radiologically to have healed. After complete healing a maintenance dose should be prescribed to prevent recurrence. REFERENCES Attention is also drawn to the drug's side-effects, which Br0chner-Mortensen, K. Krarup, N. B., Meulengracht, E., Videbwk, A. occurred in 35 % of patients, and of which salt-and-water (1955). Brt. med. i., 1, 818. retention is the most important. The side-effects led to the Doll, R., Hill, I. D., Hutton, C., and Underwood, D. J. (1962). Lancet, 2, 793. introduction of a five- or six-day regime in which carbenoxolone Jones, F. A., and Pygott, F. (1958). Ibid., 1, 657. was omitted on one or both days at the week-end in those at - Price, A. V., Pygott, F., and Sanderson, P. H. -
Effect of Mersalyl on the Thick Ascending Limb of Henle's Loop
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Kidney International, Vol. 4 (1973). p. 245—251 Effect of mersalyl on the thick ascending limb of Henle's loop MAURICE BURG and NORDICA GREEN Laboratory of Kidney and Electrolyte Metabolism, National Heart andLung Institute, National Institutes of Health, Bethesda, Maryland Effect of mersalyl on the thick ascending limb of Henle's loop. de Henle isolée et perfusee peut être identifié a son effet diuretique The cortical portion of the thick ascending limb of Henle's loop in vivo. Le mersalyl dans Ic bain est inefficace, excepté a une was dissected from rabbit kidneys and perfused in vitro. There concentration plus élevée (10—i M)etalors I'effet n'est pas was active chloride transport resulting in net sodium chloride reversible. Nous concluons que l'effet diurétique des mercuriels reabsorption from the tubule lumen, with the electrical potential est lie, au moms en partie, a l'action inhibitrice de ces drogues difference (PD) oriented positive in the lumen. The addition of sur le transport actif de chlore dans Ia partie large de Ia branche mersalyl ( iO M)tothe lumen caused the PD and net Cl flux ascendante de l'anse de Henle. to decrease, indicating inhibition of the active Cl transport. The decrease in PD caused by the drug in the lumen was approxi- mately 50% at concentrations equal to or greater than iO M, Mercurial diuretics were extensively used and studied andthe decrease in CI transport (measured at 3 x l0 M)was until they were supplanted in the past few years by more similar in magnitude. -
Studies on Structure Diuretic Activity Relationships of Organic Compounds of Mercury
STUDIES ON STRUCTURE DIURETIC ACTIVITY RELATIONSHIPS OF ORGANIC COMPOUNDS OF MERCURY R. H. Kessler, … , R. Lozano, R. F. Pitts J Clin Invest. 1957;36(5):656-668. https://doi.org/10.1172/JCI103466. Research Article Find the latest version: https://jci.me/103466/pdf STUDIES ON STRUCTURE DIURETIC ACTIVITY RELATIONSHIPS OF ORGANIC COMPOUNDS OF MERCURY' By R. H. KESSLER,2 R. LOZANO,3 AND R. F. PITTS (From Thc Department of Physiology, Cornell University Mledical Collcgc, Neczw York, N. Y.) (Submitted for publication December 3, 1956; accepted January 10, 1957) The mercurial diuretics in commiiiion use today are available or easily prepared as starting ma- exhibit certain basic similarities in structure. All terials. Mercuration in methyl alcohol is relatively are mercurated derivatives of substituted three easy and yields of the 3-mercuri-2-methoxy propyl carbon compounds of the type indicated below, in end products are satisfactory. Logical questions which the three substituents are designated X, OY, which arise include: Is the three carbon side chain and R. of the presently used diuretics an essential or opti- H H H mal element of diuretic structure, or is it merely a matter of preparative convenience? X-Hg-C-C-C(-R The diuretic activity of organic mercurial com- of HOY H pounds has recently been ascribed to inhibition sulfhydryl enzymes concerned with the renal tu- According to Friedman ( 1 ), the nature of the X blular reabsorption of sodium and chloride ions substituent (usually halogen, theophylline or thio- (2, 3). Mercuric chloride and certain relatively glycolate) has no effect on diuretic potency if the simple organo-mercurials, including bromomer- compound is given intravenously, but does influ- curi-methane, bromo-mercuri-benzene and para- ence both hyperacute (cardiac and respiratory chloromercuri-benzoate, are potent and more or arrest) and acute (7 to 14-day) renal toxicity.