Podcast
Questions and Answers
What is the most common toxicity associated with the use of ASA?
What is the most common toxicity associated with the use of ASA?
- Fluid retention
- Gastric irritation (correct)
- Liver injury
- Skin rash
Which of the following is a primary reason why acetaminophen is preferred over ASA for children?
Which of the following is a primary reason why acetaminophen is preferred over ASA for children?
- It is less effective as an analgesic.
- It does not cause gastric irritation. (correct)
- It is only available in liquid form.
- It has a higher risk of overdose.
Which mechanism is primarily involved in the action of NSAIDs like ibuprofen?
Which mechanism is primarily involved in the action of NSAIDs like ibuprofen?
- Inhibiting cytokine release
- Enhancing platelet aggregation
- Promoting the synthesis of prostaglandins
- Blocking the conversion of arachidonic acid (correct)
What adverse effect is less likely to occur with NSAIDs compared to ASA?
What adverse effect is less likely to occur with NSAIDs compared to ASA?
What is the primary mechanism by which antihistamines alleviate allergy symptoms?
What is the primary mechanism by which antihistamines alleviate allergy symptoms?
How can acetaminophen inadvertently lead to overdose?
How can acetaminophen inadvertently lead to overdose?
Which class of drugs is considered more effective than antacids in reducing stomach acid secretion?
Which class of drugs is considered more effective than antacids in reducing stomach acid secretion?
Which class of drugs primarily promotes the formation of protective prostaglandins?
Which class of drugs primarily promotes the formation of protective prostaglandins?
What is a common adverse effect of Hâ‚‚ receptor antagonists?
What is a common adverse effect of Hâ‚‚ receptor antagonists?
Which of the following drugs would likely not lead to significant central nervous system effects?
Which of the following drugs would likely not lead to significant central nervous system effects?
What is a significant risk factor for liver injury due to acetaminophen overdose?
What is a significant risk factor for liver injury due to acetaminophen overdose?
What condition can be a result of chronic high-dose ASA intake?
What condition can be a result of chronic high-dose ASA intake?
What is the main purpose of antacids?
What is the main purpose of antacids?
Which drug class permanently inhibits acid secretion in the stomach?
Which drug class permanently inhibits acid secretion in the stomach?
What effect do decongestants have on blood vessels in the nasal passages?
What effect do decongestants have on blood vessels in the nasal passages?
What is a potential consequence of long-term use of decongestants?
What is a potential consequence of long-term use of decongestants?
What is the primary purpose of over-the-counter (OTC) drugs?
What is the primary purpose of over-the-counter (OTC) drugs?
Which of the following best describes a guideline for the use of OTC drugs?
Which of the following best describes a guideline for the use of OTC drugs?
What is a requirement for new OTC drugs before they can be sold?
What is a requirement for new OTC drugs before they can be sold?
Which statement is true regarding the best selection of OTC drugs?
Which statement is true regarding the best selection of OTC drugs?
What classification does acetylsalicylic acid fall under?
What classification does acetylsalicylic acid fall under?
Which factor is NOT a part of the control over OTC drugs as per the relevant regulations?
Which factor is NOT a part of the control over OTC drugs as per the relevant regulations?
How should OTC products be approached when considering their use?
How should OTC products be approached when considering their use?
What is a specified limitation for self-medication with OTC products?
What is a specified limitation for self-medication with OTC products?
What is a common allergic reaction associated with the food color tartrazine?
What is a common allergic reaction associated with the food color tartrazine?
Why is sodium nitrate controversial in the food industry?
Why is sodium nitrate controversial in the food industry?
What is one of the primary functions of antioxidants in food additives?
What is one of the primary functions of antioxidants in food additives?
Which food additive has been shown to cause tightening of muscles, particularly in the face and neck?
Which food additive has been shown to cause tightening of muscles, particularly in the face and neck?
What method has been traditionally used in food preservation that also carries a small carcinogenic risk?
What method has been traditionally used in food preservation that also carries a small carcinogenic risk?
What is the maximum number of food colors permitted for use in Canada?
What is the maximum number of food colors permitted for use in Canada?
What is the primary purpose of texture agents in food products?
What is the primary purpose of texture agents in food products?
Why are antibiotics banned in Canada within the context of food additives?
Why are antibiotics banned in Canada within the context of food additives?
What is the primary purpose of chemical sunscreens?
What is the primary purpose of chemical sunscreens?
Which statement is true about herbal medicines compared to allopathic medicine?
Which statement is true about herbal medicines compared to allopathic medicine?
What is a significant risk associated with the use of antacids in drug absorption?
What is a significant risk associated with the use of antacids in drug absorption?
What distinguishes phytopharmaceuticals from herbal medicines?
What distinguishes phytopharmaceuticals from herbal medicines?
What has contributed to the growing popularity of herbal drugs among the general public?
What has contributed to the growing popularity of herbal drugs among the general public?
Which is a characteristic of allopathic phytopharmaceuticals?
Which is a characteristic of allopathic phytopharmaceuticals?
Why do many herbal drugs lack sufficient safety and efficacy data?
Why do many herbal drugs lack sufficient safety and efficacy data?
What is a major concern regarding herbal drug manufacturers and retailers?
What is a major concern regarding herbal drug manufacturers and retailers?
What must a manufacturer do if an additive is not listed in the List of Permitted Food Additives?
What must a manufacturer do if an additive is not listed in the List of Permitted Food Additives?
How is the acceptable human dose of an additive determined based on animal studies?
How is the acceptable human dose of an additive determined based on animal studies?
Why might toxicity estimates from animal studies overestimate actual human risk?
Why might toxicity estimates from animal studies overestimate actual human risk?
What typically happens to food additives that test positive for carcinogenicity?
What typically happens to food additives that test positive for carcinogenicity?
Under what conditions is the use of food additives considered justified?
Under what conditions is the use of food additives considered justified?
What has contributed to public mistrust regarding food additives?
What has contributed to public mistrust regarding food additives?
What is one example of a food additive that has been prohibited due to its toxic effects?
What is one example of a food additive that has been prohibited due to its toxic effects?
Which class of food additives is described as being prevalent in foods?
Which class of food additives is described as being prevalent in foods?
Flashcards
What are antihistamines?
What are antihistamines?
Antihistamines are drugs used to treat allergy symptoms by blocking histamine receptors, which are involved in the release of histamine, a substance released during allergies. They come in two generations: first generation, causing drowsiness, and second generation, less sedating.
How do antacids work?
How do antacids work?
Antacids neutralize stomach acid by chemical reactions, maintaining a pH of 4 in the stomach. Systemic antacids are absorbed by the GI tract, while non-systemic ones are not absorbed and coat the stomach lining.
What are H2 receptor antagonists?
What are H2 receptor antagonists?
H2 receptor antagonists block histamine receptors involved in acid secretion, reducing acid production. They are more effective than antacids and have fewer adverse effects.
How do PPIs work?
How do PPIs work?
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What are decongestants and how do they work?
What are decongestants and how do they work?
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Why do first-generation antihistamines cause drowsiness?
Why do first-generation antihistamines cause drowsiness?
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Why are second-generation antihistamines preferred?
Why are second-generation antihistamines preferred?
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What are the downsides of long-term decongestant use?
What are the downsides of long-term decongestant use?
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Over-the-Counter Drugs
Over-the-Counter Drugs
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Prescription Drugs
Prescription Drugs
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OTC Drug Guidelines
OTC Drug Guidelines
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Self-Medication
Self-Medication
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Food and Drugs Act
Food and Drugs Act
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Analgesics
Analgesics
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Acetylsalicylic Acid
Acetylsalicylic Acid
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Prostaglandins
Prostaglandins
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What are internal analgesics?
What are internal analgesics?
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What is Aspirin (ASA)?
What is Aspirin (ASA)?
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What's Acetaminophen (Tylenol)?
What's Acetaminophen (Tylenol)?
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What are NSAIDs?
What are NSAIDs?
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What are prostaglandins?
What are prostaglandins?
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How do internal analgesics work?
How do internal analgesics work?
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What are COX-1 and COX-2?
What are COX-1 and COX-2?
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Why does blocking COX-2 have a different effect than blocking COX-1?
Why does blocking COX-2 have a different effect than blocking COX-1?
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List of Permitted Food Additives
List of Permitted Food Additives
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Toxicity Evaluation of Food Additives
Toxicity Evaluation of Food Additives
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No-Effect Dose
No-Effect Dose
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Rational Use of Food Additives
Rational Use of Food Additives
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Flavoring Additives
Flavoring Additives
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Naturally Occurring Carcinogen
Naturally Occurring Carcinogen
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Carcinogenicity Testing
Carcinogenicity Testing
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Special Groups (Food Additives)
Special Groups (Food Additives)
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What are over-the-counter drugs?
What are over-the-counter drugs?
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How do chemical sunscreens work?
How do chemical sunscreens work?
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What are phytopharmaceuticals?
What are phytopharmaceuticals?
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What are herbal drugs?
What are herbal drugs?
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How do physical sunscreens work?
How do physical sunscreens work?
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What is the value of plants in medicine?
What is the value of plants in medicine?
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What are physical sunscreens?
What are physical sunscreens?
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What are chemical sunscreens?
What are chemical sunscreens?
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What are flavoring agents?
What are flavoring agents?
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What is MSG?
What is MSG?
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What are food colors?
What are food colors?
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What are texture agents?
What are texture agents?
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What are preservatives?
What are preservatives?
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What is sodium nitrate?
What is sodium nitrate?
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What are antioxidants?
What are antioxidants?
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What are antibacterial additives?
What are antibacterial additives?
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Study Notes
Prescription Drugs
- Prescription drugs are restricted to sale by prescription only.
Non-Prescription Drugs
- Non-prescription (OTC) drugs can be sold to the general public without a prescription.
- These drugs are sold on the premise that the public is able to diagnose mild symptoms and select appropriate treatment.
Guidelines for Using OTC Drugs
- OTC drugs are not a replacement for prescription drugs or professional care.
- Only use when symptoms are mild.
- Consult a physician for serious symptoms or worsening conditions.
- Stop using the drug immediately if adverse effects occur.
- OTCs can have serious consequences, including drug interactions and toxicities.
- If unsure, consult a pharmacist.
- Self-medication should not exceed two weeks without consulting a physician.
Safety and Efficacy of OTC Drugs
- The sale of OTCs is controlled by the Food and Drugs Act.
- This act controls safety, efficacy, advertising, and sale of OTCs.
- New OTCs undergo pre-clinical testing for safety.
- Post-market safety surveillance is also conducted on OTCs.
- Some prescription drugs become OTCs after extensive clinical trials.
Selection of Appropriate OTC Drugs
- The best OTC drug for a condition will have proven efficacy and low toxicity.
- Simpler formulations (single ingredient) are generally preferred.
- Generics are usually cheaper and equally effective as brand name products.
- Dosage forms and active ingredient dosages should be appropriate.
Common OTC Drugs
- Internal Analgesics
- Acetylsalicylic Acid (Aspirin): Relieves pain, fever, and inflammation by inhibiting prostaglandin synthesis. Low doses can prevent stroke and heart attack. Common toxicity is gastric irritation.
- Acetaminophen (Tylenol): Effective analgesic and antipyretic, equally to ASA, but does not cause gastric irritation. Overdose can lead to fatal liver injury.
- NSAIDs (Ibuprofen, Naproxen): Effective analgesic, anti-inflammatory. Gastric irritation is less common than with Aspirin, but other side effects are possible.
- Antihistamines
- Prevent the binding of histamine to receptors, thus decreasing allergic symptoms.
- First-generation antihistamines cause sedation.
- Second-generation antihistamines are less sedating.
- Drugs for Excess Stomach Acid (Antacids)
- Neutralize stomach acid through acid-base reactions
- Systemically absorbed or are non-systemic
- Hâ‚‚ Receptor Antagonists
- Block Hâ‚‚ receptors reducing stomach acid production.
- Proton Pump Inhibitors (PPIs)
- Permanently bind to the proton pump, inhibiting acid secretion by almost 90%.
- Decongestants
- Cause constriction of small blood vessels to reduce nasal congestion.
- Cough Suppressants
- Centrally acting (codeine, dextromethorphan): Blocks the processing of cough information in the brain.
- Peripherally acting: Blocks nerve endings to inhibit the cough reflex.
- Sleep Aids
- Example: Melatonin, is intended to help people fall asleep, or to relieve sleepiness.
- Laxatives
- Stimulant laxatives increase the activity of the intestine and secretion.
- Bulk-forming and osmotic laxatives draw water into the stool, making it softer.
- Antidiarrheal Agents
- Control diarrhea by absorbing certain substances or
- constraining the intestines.
- Vitamins
- Vitamins should be obtained from an outside source (excludes Vitamin D and K which the body does produce).
- Water-soluble vitamins include C and B vitamins.
- Fat-soluble vitamins include A, D, E, K.
- Specific uses and deficiency symptoms are discussed in later notes.
- Herbal Drugs
- Herbal drugs are derived from plants and are used to treat illnesses or improve health.
- Herbalists, the individuals practicing herbal medicine will sometimes give conflicting information with modern medicine. -Herbal drugs are widely used and many are gaining popularity due to the belief that natural products are generally safer.
- There are concerns that herbal products can be adulterated or contain substances other than what they may claim to contain (e.g., harmful toxins).
- Herbal drugs, like many drugs can have interactions with other drugs or conditions (e.g., allergies, or existing health conditions like kidney damage).
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Description
Test your knowledge on the common toxicities and the effects of ASA, acetaminophen, and NSAIDs in this pharmacology quiz. Explore the differences in mechanisms, adverse effects, and treatments related to pain relief and allergy symptoms. Perfect for healthcare students and professionals alike.