Cav3.2 Calcium Channels
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Issue 3 Combinations Were Banned in the Month of March, 2016
344 FDC’s REGIMEN Banned in CHIPS India The Health Ministry has banned 344 ‘Fixed HIP C S ✪ Dose Combination’ (FDC) ✪ drugs, leading to an immediate suspension of the manufacturing and sale of some popular medicines in India. Fixed drug combinations have mushroomed in the market as the Pharmaceutical companies ✪ in their quest for newer products and to increase G ✪ UNTUR FR Drug Information News Letter its sales, mix and match ingredients into a single OM C EATION molecule to market them as newer remedies. 344 of such ONCEPT TO CR Jan-Mar 2016, Volume 1, Issue 3 combinations were banned in the month of March, 2016. Keeping in view of the Risk that is associated with these Fixed drug combinations and safer alternatives being available in the market, the Ministry moved ahead with its decision to ban all the 344 fixed drug combinations. Simethicone, *fixed dose combination of Magaldrate + Papain + Fungul Here is the list of 344 banned fixed Drug Combinations in India Diastase + Simethicone, *fixed dose combination of Rabeprazole + Zinc + Domperidone, *fixed dose combination of Famotidine + Oxytacaine + *Aceclofenac + Paracetamol + Rabeprazole, *Nimesulide + Diclofenac, *Diphenoxylate + Atropine + Furazolidone, * Combikit of Fluconazole Magaldrate,*fixed dose combination of Ranitidine + Domperidone + *Nimesulide + Cetirizine + Caffeine, *Nimesulide + Tizanidine, Tablet, Azithromycin Tablet and Ornidazole Tablets, *Ciprofloxacin + Simethicone,*fixed dose combination of Alginic Acid + Sodium *Paracetamol + Cetirizine + Caffeine*Diclofenac + -
Ascorbic Acid/ Paracetamol/ Phenylephrine Hydrochloride PSUSA/00000255/202006 List of Nationally Authorised Medicinal Products
11 February 2011 Human Medicines Evaluation Division List of nationally authorised medicinal products Active substance: ascorbic acid/paracetamol/phenylephrine hydrochloride Procedure no.: PSUSA/00000255/202006 Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands Address for visits and deliveries Refer to www.ema.europa.eu/how-to-find-us Send us a question Go to www.ema.europa.eu/contact Telephone +31 (0)88 781 6000 An agency of the European Union © European Medicines Agency, 2021. Reproduction is authorised provided the source is acknowledged. Member State where Product full name MRP/DCP or CP National Authorisation MAH of product in the member product is (in authorisation country) Authorisation number Number state authorised OMEGA PHARMA HUNGARY Coldrex méz és citrom ízű por belsőleges oldathoz not available OGYI-T-1715/06 KFT. HU OMEGA PHARMA HUNGARY Coldrex méz és citrom ízű por belsőleges oldathoz not available OGYI-T-1715/05 KFT. HU OMEGA PHARMA HUNGARY Coldrex méz és citrom ízű por belsőleges oldathoz not available OGYI-T-1715/11 KFT. HU Blackcurrant Coldrex Powders not available PL 02855/0271 OMEGA PHARMA LTD UK AZIENDE CHIMICHE RIUNITE TACHIFLUDEC polvere per soluzione orale gusto ANGELINI FRANCESCO - menta not available 034358073 A.C.R.A.F. S.P.A. IT AZIENDE CHIMICHE RIUNITE TACHIFLUDEC polvere per soluzione orale gusto ANGELINI FRANCESCO - menta. not available 034358085 A.C.R.A.F. S.P.A. IT List of nationally authorised medicinal products Page 2/8 COLDREX MAXGRIP MENTHOL & BERRIES, 1000 mg/70 mg/10 mg, suukaudse lahuse pulber kotikeses not available 798812 RICHARD BITTNER AG, EE GLAXOSMITHKLINE CONSUMER HEALTHCARE Beechams Cold & Flu Hot Lemon not available MA 932/00103 (UK) TRADING LIMITED MT OMEGA PHARMA HUNGARY Coldrex citrom ízű por belsőleges oldathoz not available OGYI-T-1715/01 KFT. -
Management of Poisoning
MOH CLINICAL PRACTICE GUIDELINES December/2011 Management of Poisoning Health Ministry of Sciences Chapter of Emergency College of College of Family Manpower Authority Physicians Physicians, Physicians Academy of Medicine, Singapore Singapore Singapore Singapore Medical Pharmaceutical Society Society for Emergency Toxicology Singapore Paediatric Association of Singapore Medicine in Singapore Society (Singapore) Society Executive summary of recommendations Details of recommendations can be found in the main text at the pages indicated. Principles of management of acute poisoning – resuscitating the poisoned patient GPP In a critically poisoned patient, measures beyond standard resuscitative protocol like those listed above need to be implemented and a specialist experienced in poisoning management should be consulted (pg 55). GPP D Prolonged resuscitation should be attempted in drug-induced cardiac arrest (pg 55). Grade D, Level 3 1 C Titrated doses of naloxone, together with bag-valve-mask ventilation, should be administered for suspected opioid-induced coma, prior to intubation for respiratory insuffi ciency (pg 56). Grade C, Level 2+ D In bradycardia due to calcium channel or beta-blocker toxicity that is refractory to conventional vasopressor therapy, intravenous calcium, glucagon or insulin should be used (pg 57). Grade D, Level 3 B Patients with actual or potential life threatening cardiac arrhythmia, hyperkalaemia or rapidly progressive toxicity from digoxin poisoning should be treated with digoxin-specifi c antibodies (pg 57). Grade B, Level 2++ B Titrated doses of benzodiazepine should be given in hyperadrenergic- induced tachycardia states resulting from poisoning (pg 57). Grade B, Level 1+ D Non-selective beta-blockers, like propranolol, should be avoided in stimulant toxicity as unopposed alpha agonism may worsen accompanying hypertension (pg 57). -
1. Generic Name Paracetamol, Phenylephrine, Chlorpheniramine Maleate, Sodium Citrate, Menthol 2. Qualitative and Quantitative Co
1. Generic Name Paracetamol, Phenylephrine, Chlorpheniramine maleate, Sodium citrate, Menthol 2. Qualitative and Quantitative composition Paracetamol 125 mg Phenylephrine 5 mg Chlorpheniramine maleate 1 mg Sodium citrate 60 mg Mentholated flavoured syrupy base q.s. 3. Dosage form and strength Oral syrup containing Paracetamol 125 mg, Phenylephrine 5 mg, Chlorpheniramine maleate 1 mg. 4. Clinical particulars 4.1 Therapeutic indication Sinarest Syrup is indicated in children below 40 kg weight for: • Relief of nasal and sinus congestion. • Relief of allergic symptoms of the nose or throat due to upper respiratory tract allergies. • Relief of sinus pain and headache. • Adjunct with antibacterial in sinusitis, tonsillitis and otitis media. 4.2 Posology and method of administration Children of age between 2 to 12 years (body weight- 6 - 40 kg): The usual recommended dose is as shown in the table below which will be given to the patient: Weight Age Dose 6 – 22.9 2 – 7 years 5 ml BID 11.9 – 40 7 – 12 years 5 ml TID 4.3 Contraindication The use of Sinarest syrup is contraindicated in patients with: Hypersensitivity to any of the ingredients of the formulation. Severe hypertension. 4.4 Special warnings and precautions for use In case a hypersensitivity reaction occurs which is rare, Sinarest syrup should be discontinued. Sinarest syrup contains Paracetamol and therefore should not be used in conjunction with other Paracetamol containing products. Sinarest syrup should be used with caution in patients with renal or hepatic dysfunction, diabetes mellitus, hyperthyroidism, cardiovascular problems, epilepsy and closed angle glaucoma. 4.5 Drug interactions Clinically significant drug interactions may occur on concomitant administration of Sinarest syrup with monoamine oxidase inhibitors, tricyclic antidepressants, beta-adrenergic agents, and methyldopa, reserpine and veratrum alkaloids. -
PDF of the Full Text
Clinical Pharmacokinetics of Cannabinoids Franjo Grotenhermen ABSTRACT. Absorption and metabolism of tetrahydrocannabinol (THC) vary as a function of route of administration. Pulmonary assimilation of in- haled THC causes a maximum plasma concentration within minutes, while psychotropic effects start within seconds to a few minutes, reach a maxi- mum after 15 to 30 minutes, and taper off within 2 to 3 hours. Following oral ingestion, psychotropic effects set in with a delay of 30 to 90 minutes, reach their maximum after 2 to 3 hours, and last for about 4 to 12 hours, de- pending on dose and specific effect. The initial volume of distribution of THC is small for a lipophilic drug, equivalent to the plasma volume of about 2.5-3 L, reflecting high protein binding of 95-99%. The steady state volume of distribution has been esti- mated to be about 100 times larger, in the range of about 3.5 L per kg of body weight. The lipophility of THC with high binding to tissue and in par- ticular to fat, the major long-term storage site, causes a change of distribu- tion pattern over time. Only about 1% of THC administered IV is found in the brain at the time of peak psychoactivity. THC crosses the placenta and small amounts penetrate into the breast milk. Metabolism of THC occurs mainly in the liver by microsomal hydroxylation and oxidation catalyzed by enzymes of the cytochrome P-450 complex. In man, the C-11 carbon is the major site attacked. Hydroxylation results in 11-hydroxy-THC (11-OH-THC) and further oxi- dation to 11-nor-9-carboxy-THC (THC-COOH), which may be glucuronated to THC-COOH beta-glucuronide. -
Risk Perception of Medicinal Marijuana in Medical Students from Northeast Mexico[Version 1; Referees: Awaiting Peer Review]
F1000Research 2017, 6:1802 Last updated: 04 OCT 2017 RESEARCH ARTICLE Risk perception of medicinal marijuana in medical students from northeast Mexico [version 1; referees: awaiting peer review] Sandra Castillo-Guzmán1, Dionicio Palacios-Ríos1, Teresa A. Nava-Obregón1, Julio C. Arredondo-Mendoza1, Olga V. Alcalá-Alvarado1, Sofía A. Alonso-Bracho1, Daniela A. Becerril-Gaitán1, Omar González-Santiago 2 1Pain and Palliative Care Clinic, Anesthesiology Service, Hospital Universitario Dr. José E. González y Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico 2Postgraduate in Pharmacy, Faculty of Chemical Science, Universidad Autónoma de Nuevo León, San Nicolas de Los Garza, Nuevo León, Mexico v1 First published: 04 Oct 2017, 6:1802 (doi: 10.12688/f1000research.12638.1) Open Peer Review Latest published: 04 Oct 2017, 6:1802 (doi: 10.12688/f1000research.12638.1) Referee Status: AWAITING PEER Abstract Background. Several studies have shown support from the public toward the REVIEW use of medicinal marijuana. In this cross-sectional study, we assess the risk perception to medicinal marijuana in a sample of medical students. Discuss this article Methods. To estimate risk perception, a visual scale that ranges from 0 cm Comments (0) (without risk) to 10 cm (totally risky) was used. Risk perception was expressed as the median of the cm marked over the scale. Differences among groups was tested with the Mann-Whitney and Kruskal-Wallis tests, as appropriate. Results. 283 students participated in the study. Risk perception to medicinal marijuana was 4.22, paracetamol 1.56 and sedatives 5.0. A significant difference in risk perception was observed in those that self-reported to smoke and consume alcohol. -
Perception of the Risk of Medicinal Marijuana in Postgraduate Medical Residents[Version 1; Peer Review: Awaiting Peer Review]
F1000Research 2019, 8:381 Last updated: 14 MAY 2021 RESEARCH NOTE Perception of the risk of medicinal marijuana in postgraduate medical residents [version 1; peer review: awaiting peer review] Sandra Castillo-Guzmán , Dionicio Palacios Ríos, Teresa Adriana Nava Obregón, Daniela Alejandra Becerril Gaitàn, Keren Daniela Juangorena García, Danya Carolina Domínguez Romero, Misael Jerónimo Reyes Rodríguez Pain and Palliative Care Clinic, Anesthesiology Service, Hospital Universitario Dr.Jose Eleuterio González y Facultad de Medicina de la Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, 66463, Mexico v1 First published: 04 Apr 2019, 8:381 Open Peer Review https://doi.org/10.12688/f1000research.17394.1 Latest published: 04 Apr 2019, 8:381 https://doi.org/10.12688/f1000research.17394.1 Reviewer Status AWAITING PEER REVIEW Any reports and responses or comments on the Abstract article can be found at the end of the article. Background: Drugs can often cause adverse reactions, and the perception of the risk of prescription drugs could influence prescription behaviour. Methods: This was a prospective cross-sectional study of the perception of postgraduate physicians in training of the risk of using medical marijuana, comparing it with their perception of paracetamol and sedatives. A visual analogue scale with ranges from 0 (no risk) to 10 (totally risky) was used. Results: A total of 197 postgraduate students were evaluated; 48 women and 149 men took part, with a mean age 27.8 years. Among the different specialties, there was a difference with regard to the perception of medical marijuana and paracetamol and all perceived a greater risk with sedatives. There was no evidence of a risk perception of marijuana in relation to factors such as alcohol consumption and smoking. -
Study Protocol and Statistical Analysis Plan
PROTOCOL: Cannabidiol for Fibromyalgia AUTHOR: Marianne Uggen Rasmussen, The Parker Institute, Copenhagen University Hospital DATE: 2020-12-14 Protocol number P142; Version: 4; EudraCT: 2019-002394-59, Regional Ethical Committee Journal Number H-20047715. ClinicalTrials.gov Identifier: CLINICAL TRIAL PROTOCOL Cannabidiol for Fibromyalgia The CANNFIB trial Protocol for a randomized, double-blind, placebo-controlled, parallel-group, single-center trial Sponsor Investigator Marianne Uggen Rasmussen (MUR) RN, MPH, PhD; Post-doctoral fellow Primary Investigator and Supervisor Kirstine Amris (KA) MD, DMSc; Senior Rheumatologist CO-investigator and statistical advisor Robin Christensen (RC) MSc, PhD; Professor of Biostatistics and Clinical Epidemiology CO-investigator and advisor Eva Ejlersen Wæhrens (EEW) OT, DMSc; Senior Researcher CO-investigator and advisor Henning Bliddal (HB) MD, DMSc; Professor of Rheumatology Sponsor contact details Marianne Uggen Rasmussen The Parker Institute, Bispebjerg and Frederiksberg Hospital, Nordre Fasanvej 57, DK-2000 Frederiksberg Phone: +45 38164197 Email: [email protected] 0 PROTOCOL: Cannabidiol for Fibromyalgia AUTHOR: Marianne Uggen Rasmussen, The Parker Institute, Copenhagen University Hospital DATE: 2020-12-14 Protocol number P142; Version: 4; EudraCT: 2019-002394-59, Regional Ethical Committee Journal Number H-20047715. ClinicalTrials.gov Identifier: LIST OF ABBREVIATIONS ACR American college of rheumatology ADL-Q Activities of daily living questionnaire AE Adverse events AMPS Assessment -
What Is Delta-8 THC?? Cannabinoid Chemistry 101
What is Delta-8 THC?? Cannabinoid Chemistry 101 National Conference on Weights and Measures Annual Meeting - Rochester, NY Matthew D. Curran, Ph.D. July 21, 2021 Disclaimer Just to be clear… • I am a chemist and not a lawyer so: • This presentation will not discuss the legal aspects of Δ8-THC or DEA’s current position. • This presentation will not discuss whether Δ8-THC is considered “synthetic” or “naturally occurring.” • This is not a position statement on any issues before the NCWM. • Lastly, this should only be considered a scientific sharing exercise. Florida Department of Agriculture and Consumer Services 2 Cannabis in Florida Cannabis Syllabus • What is Cannabis? • “Mother” Cannabinoid • Decarboxylation • Relationship between CBD and THC • What does “Total” mean? • Dry Weight vs. Wet Weight • What does “Delta-9” mean? • Relationship between “Delta-8” and “Delta-9” • CBD to Delta-8 THC • Cannabinoid Chemistry 202… Florida Department of Agriculture and Consumer Services 3 Cannabis Cannabis • Cannabis sativa is the taxonomic name for the plant. • The concentration of Total Δ9-Tetrahydrocannabinol (Total Δ9-THC) is critical when considering the varieties of Cannabis sativa. • Hemp – (Total Δ9-THC) 0.3% or less • Not really a controversial term, “hemp” • Marijuana/cannabis – (Total Δ9-THC) Greater than 0.3% • Controversial term, “marijuana” • Some states prohibit the use of this term whereas some states have it in their laws. • Some states use the term “cannabis.” • Not italicized • Lower case “c” Florida Department of Agriculture and -
Paracetamol an Effective Analgesic, but Adding Codeine Gives Additional Benefit
Evidence-Based Dentistry (2000) 2, 38 ã 2000 Evidence-Based Dentistry All rights reserved 1462-0049/00 $15.00 www.nature.com/ebd summary Paracetamol an effective analgesic, but adding codeine gives additional benefit Moore A, Collins S, Carroll D, McQuay HJ. Paracetamol with and without codeine in acute pain: a quantitative systematic review. Pain 1997; 77:193±201 Objective To assess the analgesia obtained from single oral doses of Paracetamol Number Patients with at least Risk ratio NNT paracetamol alone and with codeine. dose (mg) of trials 50% pain relief (95% CI) (95%CI) Paracetamol Placebo Data sources A search of the following databases, Medline 1966± Post 500 2 65/109 36/114 1.6 3.6 1996, Embase 1980±1996, Cochrane Library Issue 2, 1996, Oxford Pain (0.8±3.5) (2.5±6.5) Dental 600/650 10 134/338 66/339 1.5 4.4 Relief Database 1950±1994, reference lists and textbooks, using a (1.2±1.9) (3.7±7.5) detailed search strategy. 1000 7 158/430 33/284 2.6 4.0 Study selection Only full journal publication of double-blind studies (1.7±4.0) (3.2±5.2) with randomly allocated adult patients receiving postoperative oral Drug dose Number of Patients with at least Risk ratio NNT administration for treatment of moderate to severe pain baseline pain (mg) trials 50% pain relief (95% CI) (95%CI) (equates to >30mm on a visual analogue scale, VAS), using acceptable Paracetamol Paracetamol Placebo pain measures. + codeine + codeine 300 +30 5 69/246 17/196 3.0 (1.8±5.0) 5.3 (3.8±8.0) Results Thirty-one trials met the inclusion criteria of which 19 600/650 +60 13 219/415 88/432 2.6 (2.1±3.2) 3.1 (2.6±3.8) related to dental pain for paracetamol versus placebo, 19 trials for 1000+60 1 27/41 4/17 2.8 (1.2±6.8) 2.4 (1.5±5.7) paracetamol and codeine versus placebo (14 dental) and 13 for Drug dose (mg) Number Patients with at least Risk ratio NNT paracetamol and codeine versus paracetamol alone (10 dental). -
The Use of Cannabinoids in Animals and Therapeutic Implications for Veterinary Medicine: a Review
Veterinarni Medicina, 61, 2016 (3): 111–122 Review Article doi: 10.17221/8762-VETMED The use of cannabinoids in animals and therapeutic implications for veterinary medicine: a review L. Landa1, A. Sulcova2, P. Gbelec3 1Faculty of Medicine, Masaryk University, Brno, Czech Republic 2Central European Institute of Technology, Masaryk University, Brno, Czech Republic 3Veterinary Hospital and Ambulance AA Vet, Prague, Czech Republic ABSTRACT: Cannabinoids/medical marijuana and their possible therapeutic use have received increased atten- tion in human medicine during the last years. This increased attention is also an issue for veterinarians because particularly companion animal owners now show an increased interest in the use of these compounds in veteri- nary medicine. This review sets out to comprehensively summarise well known facts concerning properties of cannabinoids, their mechanisms of action, role of cannabinoid receptors and their classification. It outlines the main pharmacological effects of cannabinoids in laboratory rodents and it also discusses examples of possible beneficial use in other animal species (ferrets, cats, dogs, monkeys) that have been reported in the scientific lit- erature. Finally, the article deals with the prospective use of cannabinoids in veterinary medicine. We have not intended to review the topic of cannabinoids in an exhaustive manner; rather, our aim was to provide both the scientific community and clinical veterinarians with a brief, concise and understandable overview of the use of cannabinoids in veterinary -
Different Techniques for Analysis of Aspirin, Caffeine, Diclofenac Sodium and Paracetamol: Review Article
ISSN 2692-4374 Pharmaceutical Sciences | Review Article Different techniques for Analysis of Aspirin, Caffeine, Diclofenac Sodium and Paracetamol: Review Article Mahmoud M. Sebaiy1*, Sobhy M. El-Adl1, and Amr A. Mattar1&2 1 Medicinal Chemistry Department, Faculty of Pharmacy, Zagazig University, Zagazig, 44519, Egypt. 2 Pharmaceutical Medicinal Chemistry Department, Faculty of Pharmacy, Egyptian Russian University, Badr City, Cairo 11829, Egypt. *Аuthоrcоrrеspоndеncе: Е-mаil: mmsеbаiу@zu.еdu.еg; sеbаiуm@gmаil.cоm.Tеl: 01062780060. Fаx: 0552303266 Submitted: 27 April 2020 Approved: 11 May 2020 Published: 14 May 2020 How to cite this article: Sebaiy MM, El-Adl SM, Mattar AA. Different techniques for Analysis of Aspirin, Caffeine, Diclofenac Sodium and Paracetamol: Review Article. G Med Sci. 2020; 1(1): 013-031. https://www.doi.org/10.46766/thegms.pharma.20042701 Copyright: © 2020 Mahmoud MS. This is an open access article distributed under the Creative Commons Attribution License, which permits unre- stricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTracT Early treatment of pain is of a great importance as unrelieved pain can have profound psychological effects on the patient, and acute pain that is poorly managed initially can degenerate into chronic pain, which may prove to be much more difficult to treat. It is important to assess and treat the article,mental weand will emotional shed the aspects light on of different the pain waysas well of assome its physicalanalgesic aspects. drugs monitoring Although drug and therapyanalysis isusing a mainstay different of techniques pain treatment, in addition physical to methodsthe most such as physiotherapy (including massage and the application of heat and cold), surgery, and drug monitoring are also very valuable.