Introduction to concept of personal drugs, essential drug list and awareness of cost of drugs

Background: Undergraduate medical students acquire knowledge about use of drugs during teaching sessions related to prescription of drugs. Appropriate selection of drugs from the available list of numerous formulations requires skill. This can be imparted using the concept of personal drugs (P-drugs). Knowledge of the price of drugs is important consideration in selection of drug. This paper describes method of introducing medical student to the concept of P-drugs, essential drug list (ED list) and economic aspects of drug utilization.Methods: Students are divided into groups, guided by faculty member. Each group is allotted a clinical case scenario with specific questions; students have to select suitable drugs which can be prescribed. They also have to search for the suitable drug included in the ED list and price of different brands of the same drug. The work done by the group is presented as a report to the whole class.Results: Each group presented the list of P-drugs and ED list and price of the drugs for the selected cases viz.: pharyngitis, urinary tract infection, hypertension, diabetes mellitus. After collecting the information on these aspects each group selected the most appropriate drug for the clinical condition allotted to them. Comparison of prices of various brands provided opportunity to learn about economic aspects of drug use.Conclusion: This method of study using patient oriented problems is a useful method to impart knowledge to medical students about concept of P-drugs, ED list and economic aspects of using drugs

Profile of pharmacological effects of combination of buspirone with selected antidepressants: a behavioral study in mice

Background: Antidepressants are commonly prescribed drugs. Co-existing disorders like anxiety require therapy with other drugs. The profiles of pharmacological effects of these drugs on central nervous system are influenced by the administration of these drugs either as single or combination. This study is designed to observe the behavioral effects of antidepressants along with the antianxiety agent buspirone in mice.Methods:  Four antidepressant drugs belonging to different groups are selected for the study. Amitriptyline, citalopram, venlafaxine and mirtazapine are given orally for 2 weeks. Subsequently, buspirone is added to each antidepressant drug for a period of 3 weeks. The behavioral effects in mice are observed at weekly intervals using photoactometer, rotarod, forced swim test and elevated plus maze.Results: The antidepressant drugs amitriptyline and citalopram showed any change in spontaneous motor activity recorded by photoactometer. In rotarod test venlafaxine showed an increase in values, which showed further increase when buspirone was added. In the forced swim test also, venlafaxine showed a different pattern of effects when compared to other antidepressants. In the elevated plus maze test, the four antidepressants did not show any increase in the time spent in open arm excepting citalopram. Venlafaxine showed an increase in time spent in closed arm.Conclusions: The test drugs do not show any significant depression of central nervous system at the dose used. Venlafaxine showed a different pattern of activity in the rotarod test and swim test. The variation in response is attributed to their effects on central neurotransmitter

Protective role of vitamin E on drug induced neuropathy

Background: The objective of this study was to look into the protective role of vitamin E (Vit.E) on drug‑induced neuropathy.Methods: The study involved 18 albino rats; rats were divided into 3 Groups; Group 1 ‑ control (n = 6), Group 2 - anti‑leukemic drugs treated rats (n = 6), Group 3 - anti‑leukemic drugs and Vit.E treated rats (n = 6). Anti‑leukemic drugs which included vincristine (VCR), L‑asparaginase (L‑Asp), doxorubicin (ADR), prednisolone (PDN), were administered to Group 2 and Group 3 rats according to acute lymphoblastic leukemia treatment regimen (MCP841). Group 3 rats were given in addition to the anti‑leukemic drugs, Vit.E (100 mg/kg bodyweight/orally) daily. Tests for neuropathy were done using tail clip method, tail flick method, hot plate method on the 2nd week and tail clip method on 4th week of therapy.Results: At the end of 2nd week by tail clip method and tail flick method the mean reaction time of the anti‑leukemic drugs alone treated group (Group 2) was increased showing the development of neuropathy. The mean reaction time of the anti‑leukemic drugs + Vit.E treated group (Group 3) showed a reduction in the reaction time, showing the protective role of Vitamin E. Hot plate method done at the end of 2nd week showed a decrease in mean reaction time in Group 2 rats compared with Group 3. This could be due to the hyperthermalgesia by VCR. Group 3 was protected by Vit.E.Conclusion: Observations showed a protective role of Vit.E on drug induced neuropathy

Protective role of vitamin E on drug-induced neuropathy

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