trigger zone without adverse central anti-dopaminergic
effects (not ... Vomiting
can thus be prevented by prokinetic agents (e.g.
domperidone ...
89 KB (10,501 words) - 13:13, 19 January 2013Greekan- = "without" and orexis =
"appetite"), also known as anorexigenic or appetite suppressant, is a dietary
supplement and/or drug which
reduces appetite, food consumption, and as a result, causes weight loss to occur.
The anticonvulsants (also commonly known as antiepileptic drugs) are a diverse
group of
pharmaceuticals used in the treatment of epileptic seizures. Anticonvulsants are also increasingly being used in the treatment
of bipolar
disorder, since many seem to act as mood
stabilizers, and for the treatment of neuropathic
pain. The goal of an
anticonvulsant is to suppress the rapid and excessive firing of neurons that start a seizure. Failing
this, an effective anticonvulsant would prevent the spread of the seizure
within the brain and offer protection against possible excitotoxic effects, that may result in brain damage. Some studies have cited that anticonvulsants themselves are linked
to lowered IQ in children.[1] However these adverse effects must be balanced against the
significant risk epileptiform seizures pose to children and the distinct
possibility of death and devastating neurological sequelasecondary to seizures. Anticonvulsants are more accurately called antiepileptic drugs (abbreviated "AEDs"), and are sometimes referred to asantiseizure drugs. While the term
'anticonvulsant' is a fair description of AEDs, the use of this term tends to
lead to confusion between epilepsy and non-epileptic convulsions. Convulsive
seizures non-epileptic seizures are quite common, and these types of seizures do not respond to
antiepileptic drugs. In epilepsy, an area of the cortex is typically
hyper-irritable. This condition can often be confirmed by completing a
diagnostic EEG. Antiepileptic drugs function to help reduce this area of
irritability and thus prevent epileptiform seizures.
The major molecular targets of marketed anticonvulsant drugs are
voltage-gated sodium channels and components of the GABA system, including GABAA receptors, the GAT-1 GABA transporter, and GABA
transaminase.[2] Additional targets include voltage-gated calcium
channels,SV2A, and α2δ.[3][4] The drug class was the US's 5th-best-selling in 2007.[5]
Some anticonvulsants have shown antiepileptogenic effects in animal
models of epilepsy. That is, they either prevent the expected development of
epilepsy or can halt or reverse the progression of epilepsy. However, no drug
has been shown to prevent epileptogenesis (the development of epilepsy
after an injury such as a head injury) in human
trials.[6] CBG - Old Toby has tested highest
CBG
An antibacterial is an agent that inhibits
bacterial growth or kills bacteria.[1] The term is often used synonymously with the term antibiotic(s); today,
however, with increased knowledge of the causative agents of various infectious
diseases, antibiotic(s) has come to denote a broader range of antimicrobial compounds, including anti-fungal and other compounds.[2]
The term antibiotic was first used in 1942 by Selman
Waksman and his collaborators in journal articles to describe any
substance produced by a microorganism that is antagonistic to the growth of other
micro organisms in high dilution.[3] This definition excluded substances that kill bacteria, but are
not produced by micro organisms (such as gastric
juices and hydrogen
peroxide). It also excluded synthetic antibacterial compounds
such as the sulfonamides. Many
antibacterial compounds are relatively small
molecules with a molecular
weight of less than 2000 atomic
mass units.
With advances in medicinal
chemistry, most of today's
antibacterials chemically are semisynthetic
modifications of various
natural compounds.[4] These include, for example, the beta-lactam antibacterials, which include the penicillins (produced by fungi in the
genus Penicillium), the cephalosporins, and the carbapenems. Compounds that are still isolated from living organisms are
the aminoglycosides, whereas other antibacterials—for example, the sulfonamides, the quinolones, and the oxazolidinones—are produced solely by chemical synthesis. In accordance with
this, many antibacterial compounds are classified on the basis of chemical/biosynthetic origin into natural,
semisynthetic, and synthetic. Another classification system is based on
biological activity; in this classification, antibacterials are divided into
two broad groups according to their biological effect on microorganisms: bactericidal agents kill bacteria, and bacteriostatic agents slow down or stall bacterial growth.
CBCAnti-inflammatory refers
to the property of a substance or treatment that reduces inflammation. Anti-inflammatory drugs make up about half of
analgesics, remedying pain by reducing inflammation as opposed to opioids, which affect the central nervous system.
"Painkiller" redirects here. For other uses, see Painkiller (disambiguation).
An analgesic is any member of the
group of drugs
used to achieve analgesia, relief from pain. The word analgesic derives from Greekαν - ("without") andάλγος - ("pain"). [1]
Commonly known as painkillers, analgesic drugs act in various ways on the peripheral and central
nervous systems. They are distinct from anesthetics, which reversibly eliminate sensation, and include paracetamol (known in the US as acetaminophen or simply APAP), the non-steroidal anti-inflammatory drugs (NSAIDs) such as the salicylates, and opioid drugs such as morphine and opium.
In choosing analgesics, the severity and response to other
medication determines the choice of agent; the World Health Organization (WHO) pain
ladder[2]specifies
mild analgesics as its first step.
Analgesic choice is also determined by the type of pain: for neuropathic
pain, traditional analgesics are
less effective, and there is often benefit from classes of drugs that are not
normally considered analgesics, such as tricyclic antidepressants and
anticonvulsants.[3] Antimicrobial are typically liquids. Antimicrobial liquids kill or
inhibit the growth of microorganisms[1]such as bacteria, fungi and protozoans. Antimicrobial drugs (e.g. penicillin) are
selective and kill microbes (microbiocidal) or prevent their growth
(microbiostatic). Disinfectants are non-selective antimicrobial substances (e.g. bleach) and are used on non-living objects or the outside of the body.
The history of antimicrobials begins with the observations of Pasteur and Joubert, who
discovered that one type of bacterium could prevent the growth of another. They
did not know at that time that the reason one bacterium failed to grow was that
the other bacterium was producing an antibiotic. Technically antibiotics are
only those substances that are produced by one microorganism that kill, or
prevent the growth of, another microorganism. In today's common usage the term
antibiotic is used to refer to almost any drug that attempts to rid your body
of a bacterial
infection. Antimicrobials include
not just antibiotics but also synthetically formed compounds.
The discovery of antimicrobials such as penicillin and tetracycline paved the way for better health for millions around the
world. Before penicillin became a viable medical treatment in the early 1940s,
no true cure for gonorrhea, strep
throat and pneumonia existed. Patients with infected wounds often had to have a
wounded limb removed or face death from infection. Now most of these infections
can be cured easily with a short course of antimicrobials.
However, with the development of antimicrobials, microorganisms
have adapted and become resistant to previous antimicrobial agents. The old
antimicrobial technology was based on either poisons or heavy metals, which may
not have killed the microbe completely, allowing the microbe to survive, change
and become resistant to the poisons and/or heavy metals.
Antimicrobial nanotechnology is a recent addition to the fight
against disease-causing organisms, replacing heavy metals and toxins, and may
some day be a viable alternative.
Infections that are acquired during a hospital visit are called
hospital-acquired infections or nosocomial infections.
Similarly, when the infectious disease is picked up outside a hospital, it is
known as community-acquired.
THCA
An antispasmodic (synonym: spasmolytic) is a drug or a herb
that suppresses muscle spasms.[1][2] CBD
An anxiolytic (also antipanic or antianxiety agent)[1] is a drug used for the treatment of anxiety and its related
psychological and physical symptoms. Anxiolytics have been shown to be useful
in the treatment of anxiety
disorders.
Beta-receptor blockers such
as propranolol and oxprenolol, although not anxiolytics, can be used to combat the somatic symptoms of anxiety.
Anxiolytics are also known as minor tranquilizers.[2]The term
is less common in modern texts, and was originally derived from a dichotomy
with major
tranquilizers, also known as neuroleptics orantipsychotics.[citation neededantipsychotic (or neuroleptic) is a psychiatric medication primarily used to manage psychosis(including delusions or hallucinations, as well as
disordered thought), particularly in schizophrenia and
bipolar disorder, and is increasingly being
used in the management of non-psychotic disorders (ATC code N05A). A first generation of antipsychotics, known astypical antipsychotics, was
discovered in the 1950s. Most of the drugs in the second generation, known as atypical antipsychotics, have
been developed more recently, although the first atypical antipsychotic, clozapine, was discovered in the 1950s and introduced clinically in the
1970s. Both generations of medication tend to block receptors in the brain's dopamine
pathways, but antipsychotic drugs
encompass a wide range of receptor targets.
A number of harmful and undesired (adverse) effects have been observed,
including lowered life
expectancy, extrapyramidal effects on motor
control – including akathisia (an inability to sit still), trembling, and muscle
weakness, weight gain, decrease in brain volume, enlarged breasts (gynecomastia) in men
and milk discharge in men and women (galactorrhea due tohyperprolactinaemia), lowered white blood cell count (agranulocytosis), involuntary repetitive body movements (tardive
dyskinesia), diabetes, and
sexual dysfunction.
A return of psychosis can occur, requiring increasing the dosage,
due to cells producing more neurochemicals to compensate for the drugs (tardive
psychosis), and there is a potential
for permanent
chemical dependence leading to psychosis worse than before treatment began, if the drug
dosage is ever lowered or stopped (tardive
dysphrenia).[1] Most side-effects disappear rapidly once the medication is
discontinued or reduced, but others, particularly tardive dyskinesia, may be
irreversible.
Temporary withdrawal symptoms including insomnia, agitation,
psychosis, and motor disorders may occur during dosage reduction of
antipsychotics, and can be mistaken for a return of the underlying condition.[2][3]
The development of new antipsychotics with fewer of these adverse
effects and with greater relative effectiveness as compared to existing
antipsychotics (efficacy), is an ongoing field of research. Sometimes, however, patients
are switched back to typical antipsychotics because the newer ones are less
effective in those patients.[citation needed]
The anticonvulsants (also commonly known asantiepileptic drugs) are a diverse
group of
pharmaceuticals used in the treatment of epileptic seizures. Anticonvulsants are also increasingly being used in the treatment
of bipolar
disorder, since many seem to act as mood stabilizers, and for the treatment of neuropathic
pain. The goal of an
anticonvulsant is to suppress the rapid and excessive firing of neurons that start a seizure.
Failing this, an effective anticonvulsant would prevent the spread of the
seizure within the brain and offer protection against possible excitotoxic effects, that may result in brain damage. Some studies have cited that anticonvulsants themselves are
linked to lowered IQin children.[1] However these adverse effects must be balanced against the
significant risk epileptiform seizures pose to children and the distinct
possibility of death and devastating neurological sequelasecondary to seizures. Anticonvulsants are more accurately called antiepileptic drugs (abbreviated "AEDs"), and are sometimes referred to as antiseizure drugs. While the term
'anticonvulsant' is a fair description of AEDs, the use of this term tends to
lead to confusion between epilepsy and non-epileptic convulsions. Convulsive
seizures non-epileptic seizures are quite common, and these types of seizures do not respond to
antiepileptic drugs. In epilepsy, an area of the cortex is typically
hyper-irritable. This condition can often be confirmed by completing a
diagnostic EEG. Antiepileptic drugs function to help reduce this area of
irritability and thus prevent epileptiform seizures.
The major molecular targets of marketed anticonvulsant drugs are
voltage-gated sodium channels and components of the GABA system, including GABAA receptors, the GAT-1 GABA transporter, and GABA
transaminase.[2] Additional targets include voltage-gated calcium
channels,SV2A, and α2δ.[3][4] The drug class was the US's 5th-best-selling in 2007.[5]
Some anticonvulsants have shown antiepileptogenic effects in animal
models of epilepsy. That is, they either prevent the expected development of
epilepsy or can halt or reverse the progression of epilepsy. However, no drug
has been shown to prevent epileptogenesis (the development of epilepsy
after an injury such as a head injury) in human
trials.[6]Neuroprotection is a widely explored treatment option for many central nervous system (CNS) disorders including neurodegenerative diseases,stroke, traumatic brain injury, and spinal
cord injury.
Neuroprotection aims to prevent or slow disease progression and secondary
injuries by halting or at least slowing the loss of neurons.[1] Despite differences in symptoms or injuries
associated with CNS
disorders, many of
the mechanisms behind neurodegeneration are the same. Common mechanisms include
increased levels in oxidative stress, mitochondrial dysfunction,
excitotoxicity, inflammatory changes, iron accumulation, and protein
aggregation.[1][2][3] Of these mechanisms, neuroprotective treatments
often target oxidative stress and excitotoxicity—both of which are highly
associated with CNS
disorders. Not only
can oxidative stress and excitotoxicity trigger neuron cell death but when
combined they have synergistic effects that cause even more degradation on
their own.[4] Thus limiting excitotoxicity and oxidative stress
is a very important aspect of neuroprotection. Common neuroprotective
treatments are glutamate antagonists and antioxidants, which aim to limit
excitotoxicity and oxidative stress respectively.
Vasodilation refers to the widening of blood vessels.[1] It
results from relaxation of smooth
muscle cells within the vessel
walls, particularly in the large veins, large arteries, and smaller arterioles. The process is essentially the opposite of
vasoconstriction, which is the narrowing of
blood vessels.
When blood vessels dilate, the flow of blood is increased due to a
decrease in vascular
resistance. Therefore, dilation of
arterial blood vessels (mainly the arterioles) decreases blood
pressure. The response may be intrinsic
(due to local processes in the surrounding tissue) or extrinsic (due to hormonesor the nervous
system). Additionally, the
response may be localized to a specific organ (depending on the metabolic needs
of a particular tissue, as during strenuous exercise), or it may be systemic
(seen throughout the entire systemic circulation).
Drugs that cause vasodilation are termed vasodilators.
Chemotherapy is the treatment of cancer with one or more cytotoxicantineoplastic drugs
("chemotherapeutic agents") as part of astandardized regimen.
Chemotherapy may be given with a curative intent or it may aim to
prolong life or to palliate
symptoms. It is often used in conjunction
with other cancer treatments, such as radiation
therapy or surgery. Certain chemotherapeutic agents also have a role in the treatment
of other conditions, including ankylosing spondylitis, multiple
sclerosis,Crohn's
disease, psoriasis, psoriatic
arthritis,rheumatoid arthritis, and scleroderma.
Traditional chemotherapeutic agents act by killing cells that
divide rapidly, one of the main properties of most cancer cells. This means
that chemotherapy also harms cells that divide rapidly under normal
circumstances: cells in the bone marrow, digestive
tract, and hair
follicles. This results in the most
common side-effects of chemotherapy:myelosuppression (decreased production of
blood cells, hence also immunosuppression), mucositis(inflammation of the lining of the digestive tract), andalopecia (hair loss).
Some newer anticancer drugs (for example, variousmonoclonal antibodies) are not
indiscriminately cytotoxic, but rather target proteins that are abnormally
expressed in cancer cells and that are essential for their growth. Such
treatments are often referred to as targeted
therapy (as distinct from classic chemotherapy) and are often used
alongside traditional chemotherapeutic agents in antineoplastic treatment
regimens.
An older and broader usage of the word chemotherapy encompassed any
chemical treatment of disease (for example, treatment of infections withantimicrobial agents). However, this usage
has become archaic.
An antiemetic is
a drug that is effective against vomiting and nausea. Antiemetics are typically used to treat motion
sickness and the side effects of opioidanalgesics, general
anaesthetics, and chemotherapy directed against cancer.
Anti-emetics are also used for morning
sickness, but there is little
information about the effect on the fetus, and doctors prefer not to use them
unless it is strictly necessary.[1] Anti-diabetic medications treat diabetes
mellitus by lowering glucose levels in the blood. With the exceptions of insulin, exenatide, liraglutide andpramlintide, all are administered orally and are thus also called oral hypoglycemic agents or oral antihyperglycemic agents. There
are different classes of anti-diabetic drugs, and their selection depends on
the nature of the diabetes, age and situation of the person, as well as other
factors.
Diabetes mellitus type 1 is a
disease caused by the lack of insulin. Insulin must be used in Type I, which
must be injected.
Diabetes mellitus type 2 is a
disease of insulin resistance by cells. Treatments include (1) agents that
increase the amount of insulin secreted by the pancreas, (2) agents that
increase the sensitivity of target organs to insulin, and (3) agents that
decrease the rate at which glucose is absorbed from the gastrointestinal tract.
Several groups of drugs, mostly given by mouth, are effective in
Type II, often in combination. The therapeutic combination in Type II may
include insulin, not necessarily because oral agents have failed completely,
but in search of a desired combination of effects. The great advantage of
injected insulin in Type II is that a well-educated patient can adjust the
dose, or even take additional doses, when blood glucose levels measured by the
patient, usually with a simple meter, as needed by the measured amount of sugar
in the blood.
Antipsoriatic
is a drug used to treat psoriasis.
Examples
include coal tar,[2]dithranol andtazarotene.
anti-prokinetic
· Paracetamol/metoclopramide
analgesic paracetamol (500 mg) and the anti-emetic
metoclopramide hydrochloride (5 mg). ... (prokinetic ), which is often delayed
during ...
5 KB (602 words) - 03:14, 9 January 2013
· Opioid