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BIOASSAYS AND SCREENING METHODS



Drug discovery process:  Principles techniques and statergies used in new drug discovery.  High throughout screening. Human genomies robotics and economics of drug discovery, Regulations, for laboratory animal care and ethical requirements. 

 Bioassays : Basic principles of bioassays  official bioassays, experimental models and statistical designs employed in biological standardization. Biological  standardization of vaccines and sera with certain examples with reference to IP. Development of new bio assay methods.


 Preclinical  models employed in the screening of new drugs belonging to following categories.

Antifertility agents, sympathomimetics, parasympathomimetics, muscle relaxants (both central and peripheral). Sedatives, hypnotics, antiarrhythmic agents, cardiac stimulants, cardiotonic agents bronohodilators, antihistaminics, eicosanoids.

  Antipsychotic agents, antianxiety agents nootropic drugs antidepressant drugs; antiparkinsonism agents, anticpileptics; analgesics and anti-inflammatory agents; antiulcer agents; infarction; antiatherosclerotic drugs; antidiabetics; models for status epilepticus drugs. cerebroventricular and other newer techniques of drug administration and development; transgenic animals and other genetically prone animal models.


 Alternatives to animal screening procedures, cell-line handling and maintenance and propagation of cell lines, patch-clamp technique, in-vitro cell line based assays diabetics and arthraitis models, molecular biology techniques.


 Principles of toxicity evaluations, ED50, LD50 and TD values, International guidelines (ICH Ethics and animal experimentation recommendations).Guidelines and regulatory agencies – CPCSEA,OECD,FDA, FHSA,EPA,EEC,WHO etc,


 Introduction to biostatistics, parametric and non-parametric tests.  Regression and correlation: Linear regressions, Method of least squares; correlation coefficients, rank correlation, multiple regression Tests of significance: testing hypotheses, tests of significance based on normal distribution. t-test; significance of correlation coefficient. F-test and Analysis of Variance: 1-Way, 2-Way and 3-way classification, Chi-square test of (i) Variance of a normal population (ii) Goodness of fit, (iii) Independence in contingency tables. Non parametric tests, order statistics, sign test, run test, Median test.



BASIC PRINCIPLES OF TOXICOLOGY 
 

 General principal of regulatory toxicology. Use of animals in preclinical toxicology studies, role of preclinical toxicology in drug discovery and development process. Experimental considerations for assessing possible human risk. Flow chart for development of preclinical testing. Dose conversion factors, clinical signs toxicity.    
Single dose and repeat dose toxicity studies; Factors influencing such studies such as species, sex, size, route ,dose level; Data evaluation and regulatory requirements. Determination of Maximum Tolerated Dose (MTD) and LD 50 as per revised OECD guidelines. Allergenicity testing, dermal toxicity, immunotoxicology and in vitro methods of toxicology.  
         Reproductive toxicology assessment of male reproductive toxicity, spermatogenesis; Risk assessment in male reproductive toxicity; Female reproductive toxicology; Oocyte toxicity; alterations in reproductive endocrinology; Relationship between maternal and developmental toxicity.
Mutagenicity; Mechanisms of mutagenesis, point mutations,; Individual chromosomes and complete genome mutations, germ cell mutations, somatic cell mutation; Tests systems in vitro, chromosome damage and chromosomal aberration test, gene mutation, in vivo micronucleus tests in rodents, metaphase analysis.     
Preclinical toxicological requirements for biologicals and biotechnological products; safety analysis; problems specific to recombinant products, toxicokinetics, principles of GLP as per OECD guidelines for conducting preclinical toxicity studies

ADVANCES IN PHARMACOLOGY

Receptor Pharmacology
                  General aspects of receptor pharmacology,structural and functional aspects of receptor s, regulation of receptors,isolation,classification and characterization of receptors.
 
Neurotransmission Pharmacology
                  General aspects and steps involoved in neurotransmission
                  Neurohumoral transimission in autonomic nervous system.
                  Neurohumoral transmission in central nervous system
                  Non-adrenergic non-cholinergic transmission [NANC].


A detailed study of the mechanism of  action, pharmacology of drugs used in 
ANS-Parasympathomimetics and lytics, sympathomimetics and lytics, agents acting at neuromuscular junction and ganglia. 
CNS- General anaesthetics, sedatives, hypnotics. Drugs used to treat anxiety, depression, psychosis, mania,epilepsy, neurodegenerative deseases, drug dependence and addiction.
CVS- diuretics, anti ischemics, antihypertensives, antiarrythmics, drugs for heart failure and dyslipieiemia.
  
A detailed study of the mechanism of action, pharmacology of drugs used in
                   Autocoid pharmacology- a study of the mechanisms involved in the
                   formation, release, pharmacological actions and possible physiological role                    
                   of histamine,serotinine,kinins,prostaglandins,opioidautocoids and cyclic
                   3’ – 5’ AMP. Systemic pharmacology of drugs acting as agonists and antagonists
                   to the autocoids.
                   GIT Pharmacology – anti ulcer,prokinetics,antiemetics, antidiarrhoeal and drugs for
                   constipation and irritable bowel syndrome.
Hormone and hormone antagonists.Anti biotics and chemotherapeutic agents.Analgesics and anti-inflammatory agents.   
                                                          

                FREE RADICAL AND IMMUNO PHARMACOLOGY
                      
   Generation of free radicals, role of free radicals in etiopathology of various diseases, protective activity of certain important antioxidants. Cell and biochemical mediators involved in allergy, immunomodulation and inflammation. Classification of hypersensitivity reactions and diseases involved. Therapeutic agents for allergy, asthma, COPD and other immunological diseases with emphasis on immunomodulators. 

BIOPHARMACEUTICS AND PHARMACOKINETICS



Bioavailability and Bioquiovalence:   Objectives, bioavailability & variations, measurements of bioavailability, enhancing bioavailability, concepts of equivalents, official bioequivalence protocols & therapeutic equivalence. 
 
Drug Absorption:  General consideration, absorption / drug transport mechanisms, role factors affecting absorption, absorption of drug non-peroral routes, methods of determining absorption-in-vitro, in-situ, and in-vivo methods. 

Drug Distribution:  Factors affecting, protein & tissue binding, kinetics, determination of rate constants & different plots (direct, Scatchard, & reciprocal). 
 

Pharmacokinetcs:    Parameters & determination, pharmacokinetic models – one compartment, multi compartment in IV bolus, IV infusion & extra vascular, drug & metabolites levels in blood, urine and other 
biological fluids.  Integration of kinetics. 
Application of pharmacokinetics in new drug development, design of dosage forms and novel drug delivery systems. 
 
Drug Disposition and Excretion:   Biotransformation,  factors  affecting biotrasformation, Phase I &  Phase-II reactions. 
Clearance:  Concept, renal, non-renal clearance, mechanism, determination, % drug metabolized, different volume of distribution. 
 
Pharmacokinetics of Multiple Dosing:   Various terminology, determination, adjustment of dosage in renal & hepatic impairment, individualization of therapy, therapeutic drug monitoring. 
Non-linear kinetics:   Cause of non-linearity, estimation of various parameters, bioavailability of drugs that follow non-linear kinetics. Chronopharmacokinetics & pharmacokinetics of elderly and infants. 

BIOPHARMACEUTICS AND PHARMACOKINETICS



Bioavailability and Bioquiovalence:   Objectives, bioavailability & variations, measurements of bioavailability, enhancing bioavailability, concepts of equivalents, official bioequivalence protocols & therapeutic equivalence. 
 
Drug Absorption:  General consideration, absorption / drug transport mechanisms, role factors affecting absorption, absorption of drug non-peroral routes, methods of determining absorption-in-vitro, in-situ, and in-vivo methods. 

Drug Distribution:  Factors affecting, protein & tissue binding, kinetics, determination of rate constants & different plots (direct, Scatchard, & reciprocal). 
    
Pharmacokinetcs:    Parameters & determination, pharmacokinetic models – one compartment, multi compartment in IV bolus, IV infusion & extra vascular, drug & metabolites levels in blood, urine and other 
biological fluids.  Integration of kinetics. 
Application of pharmacokinetics in new drug development, design of dosage forms and novel drug delivery systems. 
     
Drug Disposition and Excretion:   Biotransformation,  factors  affecting biotrasformation, Phase I &  Phase-II reactions. 
Clearance:  Concept, renal, non-renal clearance, mechanism, determination, % drug metabolized, different volume of distribution. 
 
Pharmacokinetics of Multiple Dosing:   Various terminology, determination, adjustment of dosage in renal & hepatic impairment, individualization of therapy, therapeutic drug monitoring. 
Non-linear kinetics:   Cause of non-linearity, estimation of various parameters, bioavailability of drugs that follow non-linear kinetics. Chronopharmacokinetics & pharmacokinetics of elderly and infants. 

PHARMACOLOGY & PHARMACO THERAPEUTICS



 Principles of Pharmacokinetics.

            A. Revision of Basic concepts.
            B. Clinical Pharmacokinetics.
      1. Dose – response in man 
            2. Influence of renal and hepatic disease on Pharmacokinetics 
            3. Therapeutics drug monitoring
            4. Population Pharmacokinetics.


 
              Basics in clinical pharmacology
              Clinical trials of drugs,design of clinical trials
              Therapeutic drug monitoring and critieria for TDM.
 Adverse Drug Reactions, Drug Interactions and   ADR monitoring.
    


Pathophysiology and drug therapy of the following disorders.

Schizophrenia, anxiety, depression, epilepsy, Parkinson’s Alzheimer’s diseases Migraine hypertension, angina pectoris, arrhythmias, atherosclerosis, myocardial infraction, TB, leprosy, leukemia, solid tumors, lymphomas, psoriasis, respiratory, urinary , g.i. tract infections, endocarditic, fungal and HIV infection, rheumatoid arthritis, glaucoma, menstrual disorders, menopause.



Drug therapy and Pharmacokinetics in
            a. Geriatrics
            b. Pediatrics
            c. Pregnancy & Lactation. 


Pharmacogenetics: Historical aspects of pharmacogenetics, biomarkers, inter-racial and individual variability in drugs metabolism., receptors .Role of drug transporters, interethnic differences, clinical view points and future perspectives, stem cell – a new therapeutic approach. Gene therapy, Pharmacovigilance concepts and its impact.

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