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Pharm Chp 3

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
All drugs are required to be proven effective against what?   Effective compared ot an inactive placebo, not compared to other drugs  
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How are the 5 schedules of drugs ordered?   In decreasing order of potential for addiction and abuse. (Ex. 1= no medical use Heroin, LSD, 2. Useful medication but high addiction potential (morphine, cocaine, amphetamines)  
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What was the purpose behind fast tracking drugs?   Acceleration of approval process if need deemed urgent (Aids Cancer etc, no options)  
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Broader guideline from the FDA allowed for for what group(s) to be added into clinical studies?   Women and patients from minority populations  
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Do manufactures have to have a plan for patients if they choose to discontinue a product?   Yes  
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What is a "off Label" promotion?   Drug being used to treat something other than what is specifically indicated for  
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How long is the FDA able to surveille a drug for safety?   After the post morketing phase and beyond  
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What are the stages of drug development?   Preclinical testing and Clinical testing  
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Can a drug be tested on humans prior to preclinical testing?   No  
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What are the drugs evaluated for in preclinical testing?   Toxicities, pharmacokinetic properties, potentially useful biologic effect  
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How many phases are there in Clinical testing?   Four  
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What takes place in phase 1?   NORMAL volunteers, evaluate drug metabolism, effects on humans  
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What happens in Phase II?   Tested on Real Patients, Determine therapuetic effects, Dosage ranges  
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What happens in Phase III?   Patient safety + effectiveness, Only have to use UPTO 5000 subjects, conditional approval  
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What happens in Phase IV?   Postmarketing surveillence, Use in general population, ongoing surveillence of safety  
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What is unique about dietary supplements?   They do not require proof of efficacy or safety  
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What are the types of drugs by regulatory authority?   Legend or prescription (Rx) only - FDA, Over-the-Counter (OTC) - FDA, Behind-the-Counter = requires that you talk with a pharmacist (Nicotine containing cessasation, plan B, psuedoephedrine), Nutritional/dietary supplements - DSHEA  
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What type of drugs are vitamins?   Some are Rx, some OTC, and some dietary supplements  
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What groups are still excluded from clinical trial?   Pregnant or breast feeding, chronic disease, chronic organ system dysfunction, elderly, obese  
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What are different types of drug names?   Investigational number, chemical name, generic name (Universal), abbreviation, trade name  
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What is a major issue with drug names?   Multiple brand names for what are DIFFERENT products and/or have DIFFERENT ingredients  
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How do generics compare to brand names?   Usually generic products are equivalent to brand name products; very few exceptions  
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What does a Monoclonal antibody product do?   Blocks an antigen from working  
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What in the ending in monoclonal antibody drugs?   MAB  
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How does the name for monoclonal drugs break down?   A unique prefix, a 2-3 abbreviation that relates to clinical application(target or disease), Source (human, humanized etc), mab  
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What are the source abbreviations?   Human= U, Humanized = ZU, Chimeric = XI, Primate = I, Mouse = O, Rat = A, Hamster = E  
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What are the disease or target abreviations?   Colon Tumor= COL, Melanoma= MEL, Breast Tumor = MAR, Testicular = GOT, Ovarian= GOV, PRO= PRO, Miscellaneous tumor= TUM, Viral= VIR, Bacterial=BAC, Infectious lesion=LES, Immune=LIM, Cardiovascular= CIR  
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