Drug Classifications and Effects Quiz
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Common ______ include alcohol, opiates and barbiturates.

depressants

Stimulants increase ______, focus, and wakefulness.

energy

For the most part, inhalants aren’t studied as much as other ______.

drugs

Common inhalants include: Paint thinner, Nail polish remover, and ______.

<p>Gasoline</p> Signup and view all the answers

A small difference in the chemical structure of amphetamine and methamphetamine leads to different impacts on the ______.

<p>brain</p> Signup and view all the answers

Hallucinogens often lead to auditory and visual ______ or "tripping."

<p>hallucinations</p> Signup and view all the answers

The ______ Substance Act established five pharmacology classifications of drugs or schedules.

<p>Controlled</p> Signup and view all the answers

The drug’s schedule is based on potential medical use, the potential for misuse, and ______ risk.

<p>addiction</p> Signup and view all the answers

Lysergic acid diethylamide, commonly known as LSD, is a potent ______ drug.

<p>psychedelic</p> Signup and view all the answers

Phencyclidine (PCP) is an illegal street drug that usually comes as a white ______, which can be dissolved in alcohol or water.

<p>powder</p> Signup and view all the answers

Schedule V drugs have the lowest penalties and few ______.

<p>regulations</p> Signup and view all the answers

"Magic mushrooms" are mushrooms that contain ______ - usually psilocybin and psilocin.

<p>hallucinogens</p> Signup and view all the answers

Schedule III drugs have a medical purpose. They are also a low misuse rate and low to ______ risk of addiction.

<p>medium</p> Signup and view all the answers

The only pharmacology classification of drugs with more regulations and penalties than Schedule II drugs is ______ drugs.

<p>Schedule I</p> Signup and view all the answers

Inhalants are chemicals that are ingested by breathing them in or "______."

<p>huffing</p> Signup and view all the answers

Schedule I drugs are the most regulated and have the harshest penalties of all the ______.

<p>drugs</p> Signup and view all the answers

A ______ is a drug that suppresses pain perception without inducing loss of consciousness.

<p>analgesic</p> Signup and view all the answers

A ______ is a drug that eliminates pain perception in a limited body area by local action on sensory nerves.

<p>local anesthetic</p> Signup and view all the answers

A ______ is a drug that arrests convulsion by inducing general CNS depression.

<p>anticonvulsant</p> Signup and view all the answers

A ______ is a drug that reduces tissue deposits of uric acid in general gout or suppress the intense inflammatory reaction of acute gout.

<p>anti-gout</p> Signup and view all the answers

A ______ is a drug that reduces incidence or severity of migraine vascular headache.

<p>anti-migraine</p> Signup and view all the answers

A ______ is a drug that suppresses the neurologic disturbances and symptoms of parkinsonism.

<p>anti-parkinsonism</p> Signup and view all the answers

A ______ is a drug that restores normal body temperature in the presence of fever.

<p>antipyretic</p> Signup and view all the answers

A ______ is a central nervous system depressant used to induce sleep.

<p>hypnotic</p> Signup and view all the answers

Oral Rehydration Salts (ORS) are used to maintain adequate ______ and restore blood volume.

<p>hydration</p> Signup and view all the answers

Solutions given intravenously to maintain hydration are called ______ solutions.

<p>parenteral</p> Signup and view all the answers

Calcium gluconate, Sodium bicarbonate, and Magnesium sulfate are examples of ______ additives.

<p>electrolyte</p> Signup and view all the answers

Peritoneal dialysis is a procedure that uses a special solution to correct ______ imbalances.

<p>fluid</p> Signup and view all the answers

Hemodialysis is a procedure that removes impurities from the blood using a ______ solution.

<p>hemodialysis</p> Signup and view all the answers

Antibacterial, antifungal, and scabicide are examples of ______ agents.

<p>dermatological</p> Signup and view all the answers

Mupirocin, Silver sulfadiazine, and Fusidate sodium are examples of ______ drugs.

<p>antibacterial</p> Signup and view all the answers

Benzoic acid + Salicylic acid, Sodium thiosulfate, and Tioconazole are examples of ______ drugs.

<p>antifungal</p> Signup and view all the answers

A drug that activates organs innervated by the sympathetic nervous system is called a ______ agent.

<p>adrenergic</p> Signup and view all the answers

An agent that increases the contractile strength of heart muscle is known as an ______ agent.

<p>inotropic</p> Signup and view all the answers

A drug that relieves asthma symptoms is referred to as an ______-asthmatic.

<p>anti</p> Signup and view all the answers

A drug that suppresses coughing is called an ______ agent.

<p>antitussive</p> Signup and view all the answers

A drug that reduces the viscosity of pulmonary mucous is called a ______ agent.

<p>mucolytic</p> Signup and view all the answers

An adrenergic drug that induces vasoconstriction in nasal passages is known as a ______ decongestant.

<p>nasal</p> Signup and view all the answers

A drug that inhibits immune response to foreign materials is termed an ______-suppressant.

<p>immuno</p> Signup and view all the answers

A drug that attacks malignant cells in the body is known as an ______ neoplastic.

<p>anti</p> Signup and view all the answers

An inorganic substance occurring naturally which plays a vital role in regulating many bodily ______.

<p>functions</p> Signup and view all the answers

An ______ drug that topically in the eye to induce dilation of the pupil.

<p>adrenergic</p> Signup and view all the answers

A cholinergic drug used to topically in the eye to induce ______ of the pupil.

<p>constriction</p> Signup and view all the answers

Examples of antibacterial drugs include ______, gentamicin, and chloramphenicol.

<p>erythromycin</p> Signup and view all the answers

Vitamins are organic chemicals essential in small amounts for normal ______.

<p>metabolism</p> Signup and view all the answers

Study Notes

Pharmacology and Venipuncture

  • The presentation is about pharmacology and venipuncture.
  • A specialist, Valerie S. Huiso, RTRP, МНА (с), is presenting the materials.

Classifications of Drugs

  • A drug is a chemical substance, typically with a known structure.
  • When administered to a living organism, it produces a noticeable biological effect.
  • Pharmaceutical drugs, medications, or medicines, are chemical substances used to diagnose, treat, cure, or prevent diseases.
  • Drugs are chemical substances, excluding essential vitamins and nutrients, that affect a living organism.
  • Drugs can be consumed through inhalation, injection, smoking, ingestion, application to the skin, suppositories, or under the tongue.

What are Drug Classifications?

  • Drug classifications organize drugs into categories based on chemical structure, effects, and legal definition.
  • Classifying drugs helps ensure safe and beneficial use.
  • Drug use changes body chemistry, and multiple drugs can have severe side effects.

Pharmacology Classification of Drugs by Chemical Makeup

  • Chemical similarities in drugs often lead to shared impacts and risks.
  • Examples include alcohol, opioids, benzodiazepines, cannabinoids, and barbiturates.

Alcohol

  • Alcohol is one of the most misused substances, despite its legal status in all states.
  • It affects multiple body systems, diminishing judgment, perception, and reaction time.
  • It's a central nervous system depressant and can lead to severe long-term liver damage.
  • Forms of alcohol include beer, wine, and liquor.

Opioids

  • Opioids (or opiates) are derived from opium or mimic its chemical effects.
  • They work by attaching to brain neurotransmitters, blocking signals, and producing pleasure.
  • This can lead to addiction, as experienced with opioid crisis in America.
  • Common opioids include heroin, fentanyl, and oxycodone.

Benzodiazepines

  • Benzodiazepines (benzos) affect the brain and body through interaction with GABA-A (gamma-aminobutyric acid-A) neurotransmitter.
  • They're used for various mental health and sleep issues but can be highly addictive and cause serious medical and mental problems if misused.
  • Includes Ativan, Valium, and Xanax.

Cannabinoids

  • Cannabinoids are similar to THC, the active chemical in marijuana.
  • While inducing feelings of happiness, they can cause severe mental and physical harm.
  • Despite recent legal acceptance, they are one of the second-most abused drugs.
  • Commonly known forms include marijuana, hashish, shatter, and distillate.

Barbiturates

  • Barbiturates, derived from barbituric acid, slow down the central nervous system.
  • They can be used in treating mental disorders, sleep issues, and various forms of pain.
  • Barbiturates can be highly addictive.
  • High overdose rates are associated with barbiturates.
  • Examples include amytal, luminal, and pentobarbital.

Pharmacology Classification of Drugs Based on Effects

  • Drugs are categorized by their effects on the mind and body—some making individuals energetic, while others promote relaxation.
  • This includes depressants, stimulants, hallucinogens, and inhalants.

Depressants

  • Depressants cause feelings of relaxation and tiredness, often used to treat mental illness and sleep issues.
  • Alcohol, opiates, and barbiturates are common examples.

Stimulants

  • Stimulants increase energy and focus, often providing a "rush."
  • Addiction and misuse are possible with prolonged use.
  • Cocaine, Adderall, and methamphetamine are common examples.

Hallucinogens

  • Hallucinogens alter reality perception, causing auditory and visual hallucinations (often referred to as "tripping").
  • Despite the potential for addiction, their effects can be severe.
  • Examples include LSD, PCP, and psilocybin mushrooms.

Phencyclidine (PCP)

  • PCP is an illegal drug typically in powder or liquid form.
  • It can be inhaled, injected, smoked, or swallowed.
  • Street names include angel dust, embalming fluid, and others.

Psilocybin Mushrooms

  • "Magic mushrooms" contain psilocybin and psilocin hallucinogens, inducing visual and auditory hallucinations.
  • Experiences can include anxiety, fear, nausea, and muscle twitches.

Inhalants

  • Inhalants are ingested by breathing them in ("huffing") and commonly produce a euphoric feeling.
  • While often not as addictive as other drugs, they can still lead to severe health consequences.
  • Common inhalants include paint thinner, nail polish remover, and gasoline.
  • The Controlled Substance Act (1970) organizes drugs into five schedules (categories) based on factors like medical use potential for misuse, and addiction risk.
  • Schedules also consider international agreements such as the Single Convention on Narcotic Drugs.

Schedule V

  • Schedule V drugs have low penalties and few regulations; generally low risk for misuse or addiction.
  • Includes Lomotil, Motofen, and Lyrica.

Schedule IV

  • Schedule IV drugs have more regulations than Schedule V but fewer than Schedule III.
  • Lower risks of misuse and addiction.
  • Examples include Ambien, Darvocet, and Tramadol.

Schedule III

  • Schedule III drugs have harsher penalties and more regulations than Schedule IV.
  • Still, the risk of misuse is lower and the level of addiction is low to medium.
  • Includes anabolic steroids, ketamine, and Vicodin.

Schedule II

  • Schedule II drugs have significant regulations and penalties.
  • High risk for misuse and severe addiction possibilities.
  • Examples include codeine, methadone, and Ritalin.

Schedule I

  • Schedule I drugs have the harshest penalties and regulations.
  • These drugs carry the highest risk of misuse and addiction.
  • They are not recognized as having any medical use.
  • Examples include Ecstasy, Quaaludes, and GHB.

Gamma-Hydroxybutyrate (GHB)

  • GHB has legitimate medical uses (prescribed as sodium oxybate), treating conditions such as narcolepsy and alcohol misuse.
  • It's also known as "G" or "liquid ecstasy" on the streets and can induce euphoria, relaxation, and drowsiness.
  • Misuse can lead to overdose risks.
  • There are different detection methods for GHB, including urine, blood, saliva, and hair tests.

Drugs May Be Classified as Follows

  • Drugs can be categorized as over-the-counter, prescription, dangerous, regulated, prohibited, or exempt drug preparations.

Pharmacologic/Therapeutic Categories of the Drug

  • Drugs are categorized based on their effects on the central nervous, musculoskeletal, cardiovascular, immune, and other body systems.

Drugs Acting on the Central Nervous System

  • Includes analgesics, local anesthetics, anticonvulsants, anti-gout, anti-migraine, anti-parkinsonism, antipyretic, hypnotics, anxiolytics, antidepressants, antipsychotics, antiemetics, antivertigo, and anti-motion sickness drugs.

Analgesics

  • Analgesics suppress pain perception without causing unconsciousness.
  • Examples are paracetamol, ibuprofen, and Tramadol HCI.

Local Anesthetic

  • Local anesthetics eliminate pain sensation in a specific area by affecting sensory nerves.
  • Proparacaine HCl, Lidocaine HCl, and Bupivacaine HCl are examples.

Anticonvulsant

  • Anticonvulsant drugs arrest seizures by inducing CNS depression.
  • Valproic acid, Carbamazepine, and Phenobarbital are examples.

Anti-gout

  • Anti-gout drugs reduce tissue uric acid buildup and intense inflammatory reactions linked to gout.
  • Examples are Allopurinol, Colchicine, and Probenecid.

Anti-migraine

  • Anti-migraine drugs aim to reduce the incidence or severity of migraine headaches.
  • Ergotamine tartrate, Divalproex Na, and Flunarizine HCl are some examples.

Anti-parkinsonism

  • Anti-parkinsonism agents control neurological disturbances and parkinsonism symptoms.
  • Biperiden, Amantadine sulfate, Carbidopa, and Levodopa are examples.

Antipyretic

  • Antipyretic drugs restore normal body temperature in cases of fever.
  • Paracetamol and Ibuprofen are examples.

Hypnotic

  • Hypnotic drugs are central nervous system depressants used to induce sleep.
  • Examples are Midazolam, Zolpidem, and Nitrazepam

Anxiolytic

  • Anxiolytic drugs reduce anxiety symptoms.
  • Diazepam, Alprazolam, and Clorazepate dipotassium are examples.

Antidepressant

  • Antidepressants are centrally acting drugs to elevate mood and effectively treat depression.
  • Fluoxetine HCl, Clomipramine HCl, and Imipramine HCl are examples.

Antipsychotic

  • Antipsychotic drugs control symptoms of psychoses.
  • Haloperidol, Chlorpromazine HCl, and Thioridazine HCl are examples.

Antiemetic

  • Antiemetic drugs suppress sensations of nausea and vomiting.
  • Meclizine HCl, Metoclopramide, and Domperidone are examples.

Antivertigo

  • Antivertigo drugs manage dizziness.
  • Metoclopramide HCl and Meclizine HCl are examples.

Anti-Motion Sickness

  • Anti-motion sickness drugs combat nausea, vomiting, and dizziness caused by motion.
  • Meclizine HCl, Metoclopramide HCl, and Dimenhydrinate are examples.

Drugs Acting on the Musculoskeletal System

  • Includes non-steroidal anti-inflammatory (NSAID) drugs, muscle relaxants, antirheumatic drugs, and neuromuscular blockers.

Non-steroidal Anti-inflammatory (NSAID)

  • NSAID drugs act as analgesics and anti-inflammatories by inhibiting prostaglandin synthesis.
  • Examples are Mefenamic acid, Naproxen, and Meloxicam.

Muscle Relaxant

  • Muscle relaxants inhibit voluntary muscle contractions.
  • Examples are Vecuronium Br, Baclofen, and Tizanidine HCI.

Antirheumatic

  • Antirheumatic drugs treat inflammatory conditions like arthritis and rheumatoid disorder.
  • Celocoxib, Piroxicam, and Methotrexate are some examples.

Neuromuscular Blocker

  • Neuromuscular blockers paralyze skeletal muscles by preventing nerve impulse transmission to them.
  • Pancuronium, Atracurium besylate, and Vecuronium Br are some examples.

Anti-infectives

  • Anti-infectives kill or inhibit pathogens, including bacteria, fungi, protozoa, and helminths.

Antiamebic

  • Antiamebic drugs target protozoan parasites like Entamoeba histolytica, the cause of amoebiasis.
  • Metronidazole, Etofamide, and Secnnidazole are examples.

Antibacterial

  • Antibacterial drugs eliminate or inhibit pathogenic bacteria.
  • Penicillin, Amoxicillin, and Cefalexin are some examples.

Antifilarial

  • Antifilarial drugs counter pathogenic filarial worms.
  • Diethylcarbamazine is a prominent example.

Antifungal

  • Antifungal drugs target pathogenic fungi.
  • Ketoconazole, Fluconazole, and Terbinafine HCI are examples.

Anti-malarials

  • Anti-malarial drugs target parasites that cause malaria.
  • Chloroquine phosphate, Mefloquine HCl, and Quinine sulfate are prominent examples.

Antiprotozoal

  • Antiprotozoal drugs eliminate or inhibit protozoa.

  • Diloxanidine and Metronidazole are examples.

Anti-schistosoma

  • Anti-schistosoma drugs target parasitic flukes (Schistosoma)
  • Praziquantel is a key example.

Antiviral

  • Antiviral drugs target and inhibit viral infections.

  • Acyclovir, Zidovudine, and Indinavir sulfate are examples of antiviral medications.

Immunologicals

  • Includes vaccinations (antigen-containing drugs that stimulate active immunity vs. infectious diseases) and immune sera (animal/human serum with pathogen-specific antibodies for passive immunity).

Cardiovascular Drugs

  • These drugs influence the cardiovascular system, including adrenergic agents, inotropic agents, anti-angina, anti-arrhythmic, and anti-lipidemic substances.

Adrenergic Agent

  • Adrenergic agents activate organs in the sympathetic nervous system.
  • Dobutamine, Dopamine, and Epinephrine are pertinent examples.

Inotropic Agent

  • Inotropic agents increase the contractile strength of the heart muscle.
  • Digoxin, Epinephrine, and Dopamine are notable examples.

Anti-angina

  • Anti-angina medications are coronary vasodilators to treat or prevent angina pectoris attacks.
  • Isosorbide dinitrate, Diltiazem, and Metoprolol are some examples.

Anti-arrhythmic

  • Anti-arrhythmic medications are cardiac depressants to regulate irregular heart rhythms.
  • Lidocaine, Amiodarone, and Atenolol are examples.

Anti-lipidemic

  • Anti-lipidemic drugs lower blood lipid levels.

  • Pravastatin and Simvastatin are prominent examples.

Cholinergic Agent

  • Cholinergic agents affect organs of the parasympathetic nervous system.

  • Acetylcholine, Carbachol, and Pilocarpine are typical examples.

Diuretic

  • Diuretics promote electrolyte and water removal by the kidneys.
  • Furosemide is a salient example.

Respiratory Drugs

  • These drugs influence respiratory function, including anti-asthmatics, antitussives, mucolytics, nasal decongestants, and respiratory stimulants.

Anti-asthmatic

  • Anti-asthmatic drugs alleviate asthma symptoms.

  • Salbutamol, Terbutaline, and Hydrocortisone are common examples.

Antitussive

  • Antitussive drugs suppress coughing.

  • Dextromethorphan and Butamirate are examples.

Mucolytic

  • Mucolytic drugs reduce the stickiness of mucus in the lungs.

  • Bromhexine is a foremost example.

Nasal Decongestant

  • Nasal decongestants cause blood vessel constriction in the nasal passages.

  • Phenylpropanolamine is an example.

Respiratory Stimulant

  • Respiratory stimulants increase breathing rate.

  • Doxapram HCI is one example.

Anti-Allergic and Immunosuppressants

  • These drugs influence immune responses, including antineoplastics, immunosuppressants, and immunomodulators.

Antineoplastic

  • Antineoplastic medications target cancerous cells throughout the body.

  • Cytarabine, Fluorouracil, and Mercaptopurine are examples.

Immunosuppressant

  • Immunosuppressants inhibit immune responses to foreign materials or to fight tissue graft rejection.

  • Azathioprine, Ciclosporin, and Prednisone are pertinent examples.

Immunomodulator

  • Immunomodulators adjust or modify the immune system response by enhancing its ability to produce certain antibodies.

  • Interferon is a main example of an immunomodulator.

Antidotes

  • General antidotes reduce the impact of ingested poisons by adsorbing toxic materials.
  • Specific antidotes deal with the particular poison's effects via a mechanism related to the poison.

Gastrointestinal Drugs

  • Gastrointestinal drugs treat problems in the digestive system.
  • Examples include antacids, H2 antagonists, anticholinergics, spasmolytics, antiemetics, antimotility preparations, and laxative/cathartics.

Antacid

  • Antacids neutralize excess stomach acid.
  • Aluminum hydroxide and aluminum/magnesium hydroxide combinations are examples.

H2 Antagonist

  • H2 antagonists reduce the amount of stomach acid produced in response to histamine.
  • Examples include Ranitidine, Cimetidine, and Nizatidine.

Anticholinergic

  • Anticholinergics limit the body's response to parasympathetic nerves and cholinergic drugs.

  • Atropine and Dicycloverine are examples.

Spasmolytic

  • Spasmolytics decrease the activity of visceral smooth muscles.
  • Example: Hyoscine-N-butylbromide and Dicycloverine HCl

Antiemetic

  • Antiemetic drugs reduce or eliminate nausea and vomiting.

  • Meclizine HCl, Metoclopramide, and Domperidone are examples.

Antimotlity

  • Antimotlity drugs decrease the motility of the digestive system.

  • Loperamide is a relevant example.

Laxative/Cathartic

  • Laxatives or cathartics stimulate or facilitate bowel movements.

  • Bisacodyl, Castor oil, and Senna are examples.

Solutions Correcting Water Electrolyte Disturbance

  • Include oral rehydrating solution, parenteral solutions (large volume injections), electrolyte injections, peritoneal dialysis solutions, or hemodialysis solutions, depending on the specific imbalance.

Oral Rehydrating Solution

  • Oral rehydrating solutions aim to replace fluids and nutrients lost from the body by replenishing electrolytes, carbohydrates, and water.

  • Oral Maintenance Salt (OMS) and Oral Rehydration Salts (ORS) are prevalent examples.

Parenteral Solution/Large Volume Injection

  • Parenteral solutions and large volume injections, administered intravenously, maintain hydration, restore blood volume, and provide electrolyte replacement or partial nutrition.

  • Examples include 5% dextrose in 0.45% sodium chloride, lactated Ringer's solution, and 0.9% sodium chloride.

Electrolyte or Parenteral Additive Injection

  • Electrolyte and parenteral additive injections contain electrolytes for oral, intravenous, or rectal use to manage ionic imbalances within the body.

  • Calcium gluconate, sodium bicarbonate, and magnesium sulfate are key examples.

Peritoneal Dialysis Solution

  • A solution used in peritoneal dialysis to correct fluid or electrolyte imbalance.
  • Includes sodium lactate anhydrous, sodium chloride, calcium chloride dihydrate, and magnesium chloride hexahydrate.

Hemodialysis Solution

  • A solution used in hemodialysis, to remove impurities from the blood during treatment.
  • The composition of solutions contains magnesium chloride hexahydrate, calcium chloride dihydrate, sodium acetate trihydrate, and sodium chloride.

Dermatological and Mucous Membrane Agents (Topical)

  • Topical drugs for skin/mucous membrane conditions, encompassing antibacterial, antifungal, scabicide/anti-scabies, and pediculicide/anti-lice categories.

Antibacterial

  • Topically applied antibacterial drugs.

  • Examples include Mupirocin, Silver sulfadiazine, and Fusidate sodium.

Antifungal

  • Topically applied antifungal drugs

  • Examples include Benzoic acid, Salicylic acid, and Sodium thiosulfate.

Scabicide/Antiscabies

  • Insecticides targeting the itch mite Sarcoptes scabiei (scabies)

  • Examples include Sulfur.

Pediculicide/Anti-lice

  • Insecticides for treating louse infestations

  • Example: Permethrin.

Anti-inflammatory

  • Topical anti-inflammatory drugs

  • Examples include Hydrocortisone, Betamethasone, and Fluocinonide

Antipruritic

  • Drugs to reduce itching

  • Example: Calamine.

Keratolytic

  • Topical drugs to soften and remove the superficial layer of keratin (skin).

  • Examples include Benzoyl peroxide and Benzoic acid + Salicylic acid.

Antiseptic, Disinfectant

  • Agents that kill microorganisms on non-living surfaces.

  • Examples include Povidone iodine, Ethyl alcohol, and Isopropyl alcohol.

Ophthalmological Preparations

  • Eye-related medications, including antibacterial, antifungal, antiviral, anti-inflammatory, local anesthetics, mydriatic/cycloplegic, and miotic agents.

Antibacterial

  • Erythromycin, Gentamicin, and Chloramphenicol

Antifungal

  • Oxytetracycline, Ofloxacin, and Tobramycin.

Anti-inflammatory

  • Prednisolone, Dexamethasone, and Diclofenac

Mydriatic/Cycloplegic

  • Drugs to dilate the pupil

  • Atropine and Tropicamide are examples.

Miotic

  • Drugs to constrict the pupil

  • Pilocarpine and Carbachol are examples.

Ears, Nose, and Throat Preparations

  • Medications for treating conditions of the ears, nose, and throat, encompassing antibacterial, antifungal, and anti-inflammatory preparations.

Vitamins and Minerals

  • Vitamins are organic molecules crucial in small amounts for normal metabolic processes, often used to supplement diets.
  • Minerals are inorganic substances essential to various bodily functions, occurring naturally.

Vitamins

  • Ascorbic acid and riboflavin (vitamin B2)

Minerals

  • Ferrous salt

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