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Course, academic year 2023/2024
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Pharmacology - B83145 (Dentistry)
Title: Pharmacology
Guaranteed by: Institute of Pharmacology First Faculty of Medicine Charles University and General University Hospital in Prague (11-00190)
Faculty: First Faculty of Medicine
Actual: from 2023
Semester: winter
Points: 7
E-Credits: 7
Examination process: winter s.:
summer s.:
Hours per week, examination: winter s.:1/2, C [HT]
summer s.:1/1, C+Ex [HT]
Extent per academic year: 75 [hours]
Capacity: unlimited
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
State of the course: taught
Language: English
Teaching methods: full-time
Teaching methods: full-time
Guarantor: prof. MUDr. Ondřej Slanař, Ph.D.
Comes under: Compulsory for Dentistry 3.y._23/24
Attributes: Teoretický předmět
Zubní lékařství
Pre-requisite : B81138, B83113
Interchangeability : B81406
Is pre-requisite for: B81169, B81171, B81185, B81188, B81166, B81174, B82403, B83382, B81170
Annotation
Last update: Jana Kolářová (27.01.2020)
Prescription writing, Basic principles in pharmacokinetics and pharmacodynamics, adverse effects of drugs and drug interactions. Drug dependence and drug abuse. Drug use during pregnancy, lactation, children and aging.
Syllabus
Last update: Jana Kolářová (27.01.2020)

Disease or system oriented drugs of interest to dentistry students: local anesthetics, nonsteroidal antiinflammatory drugs, anticoagulants and fibrinolytics, antibacterial, antimycotics, antiviral (including HIV) agents.

Groups of drugs that my be prescribed by other specialists for patient undergoing dentistry medical care for potential interaction include:

1) cardiovascular system and respiratory tract drugs;

2) drugs affecting CNS- antiepileptics, antiparkinsonism, drugs in neurodegenerative diseases;

3) drugs affecting peripheral nervous system;

4) drugs affecting GIT (peptic ulcer-irritable bowel syndrome- irritable bowel disease;

5) drugs affecting endocrine system (pancreas- diabetes mellitus-thyroidal drugs-contraception-corticosteroids-drugs affecting calcium and mineral homeostasis);

6) pharmacologic basis of cancer chemotherapy;

7) immunomodulatory drugs.

Interactive teaching PC programs in pharmacology are available during seminars.

Literature
Last update: MUDr. Olga Bartošová, Ph.D. (15.08.2023)

Obligatory:

  • . . In KATZUNG BG, KRUIDERING-HALL M, TREVOR AJ. EDS.. I .. Katzung & Trevor's Pharmacology: Examination & Board Review, 12e. . USA: McGraw Hill Education, 2019, s. -. ISBN 978-1-259-64102-2..
  • . . In R.A. HARVEY, CLARK M.A, R. FINKEL, J.A. RAY, K.W. WHALEN. (EDS.) Lippincott’s illustrated reviews: Pharmacology. . Philadelphia, US::

    Lippincott Williams & Wilkins, , 2018, s. 1-608. ISBN ISBN 10-1451113145..

  • . . In H.P. RANG, M.M. DALE, J.M. RITTER (EDS.). . Pharmacology. . London, UK: Churchill Livingstone, : 8th

    edition, , 2019, s. 1-776. ISBN ISBN 10-0702053627..

  • . . In L.L. BRUNTON, K.L. PARKER (EDS.), D.K BLUMENTHAL., I.L BUXTON.

    . Goodman & Gilman’s Manual of Pharmacology and Therapeutics. . . : New York

    City: , s. -642. , 2014, s. 1-642. ISBN ISBN 10-0071443436..

  • . . In HEINZ LÜLLMANN , KLAUS MOHR , LUTZ HEIN . Color . Atlas of

    Pharmacology 5th Edition

    . : Georg Thieme Verlag, , 2018, s. -. ISBN ISBN 978-3132410657..

Teaching methods - Czech
Last update: MUDr. Olga Bartošová, Ph.D. (15.08.2023)

Teaching consists of lectures and seminars. Student attendance at lectures is recommended, student attendance at seminars is compulsory.

 

 

Lectures
attendance at lectures is recommended

Seminars

- Participation in seminars is mandatory.

- Compulsory tests listed for the given subject in the syllabus will take place in full-time form at the Institute of Pharmacology of the First Medical Faculty of Charles University 

Credit - conditions for granting credit:

1. the most 2 absences are allowed

2. successful full-time completion of compulsory tests listed for the subject in the syllabus on the SIS.

Exam

The examinations will take place in person on the dates listed in the SIS.

If you have any questions, do not hesitate to contact us.

MD Olga Bartošová, Ph.D. (omato@lf1.cuni.cz), representative for teaching English parallel

prof. MD Ondřej Slanař, Ph.D. (oslan@lf1.cuni.cz), head of the department

Requirements to the exam - Czech
Last update: MUDr. Olga Bartošová, Ph.D. (15.08.2023)

Conditions for Pharmacology Seminars (Credits) 

Maximum two absences

Successful passing of all tests

Active presence on practical lessons

 

Examination rules for students of Dental Medicine at the Institute of Pharmacology in the subject Pharmacology

Announcement of examination

The examination dates will be set during the regular examination period of the summer semester.  All dates will be announced in the 5th week of the semester. All dates are entered in the SIS, together with the information specifying the start of registration and the deadlines for (un)registraion. This number of dates will be definitive.

 

During the regular examination period of the summer semester will be announced for the summer holiday time, and for the second part of the regular examination period (beginning of September). All dates are entered in the SIS, together with the information specifying the start of registration and the deadlines for (un)registraion. No additional examination terms will be issued.

Rules for registration for exams and cancellation.

The start of registration for specific examination dates will be entered in SIS, and it will be different in particular groups of terms.

For the pre-term and regular terms, registration is possible from the 7th week of the summer semester.

 

Students can log in to only one examination date. Registration for an exam is not conditional upon obtaining the credit but taking the exam is, apart from the credit in the given subject, also limited by completion of any subject that is specified as a (pre)requisite. A student who fails to meet the given requisites will be deleted from the list for the term before examination, of which he/she will be informed by e-mail. This deletion will not reduce the number of terms further available for the student. A student can only take the exam if registered for the term in SIS, and when all requisites for the exam have been met.

 

Failure to turn up for examination and apology.

The student who fails to turn up for the examination that he/she has registered for cannot register for another examination date.The student must apologise to Dr. Olga Bartošová, omato@lf1.cuni.cz, tel. 224 968 030, 224 96 4133 in writing or in electronic mail, giving and substantiating the reasons for the apology.The student will be informed about acceptance of the apology and also deleted from the original list so that he/she can register for another date.The principal teacher of the subject can require specification of the apology or its reasons if he/she finds the apology insufficient.

 

 

 

Re-examinations

A student can take an examination for three times as a maximum, i.e. the student is entitled to two re-examinations, and no extraordinary terms beyond that are allowed. However, if the student does not exploit the above options within the set examination dates, this does not entitle him/her to a special date of examination to be appointed for him/her personally. No more examination dates (“terms”) will be set. Further, no examinations can be taken after the end of the second part of the regular examination period in September, or after the last term announced.

Rules of the exam

The range of knowledge required for the exam is defined by exam questions, a textbook of pharmacology and the content of lectures and seminars. It is assumed that the student will acquire some knowledge through self-study, and that he will be able to apply the knowledge gained during the study of other subjects. It is not allowed to use Pharmindex Brevíř or other drug databases during the test. The exam consists of two parts - written and oral:

1. Written part

Recipe It consists of a written prescription of one product - 1 brand name. Significant ignorance may be the reason for failure of the exam.

2. Oral part

It consists of a duplicate of questions being drawn. Significant ignorance of any of the sub-questions may be the reason for failure of the exam. If a student goes to the second resit (third term), he / she will be examined by a panel of at least two examiners.

 

Institute of Pharmacology, First Faculty of Medicine

Charles University

PHARMACOLOGY EXAM QUESTIONS - DENTISTRY

since 2021/2022

 

 

1.

- Alpha and beta sympathomimetics (classification according to their selectivity; therapeutic use, side effects).

 

- Drugs affecting mineral homeostasis in bones, treatment of osteoporosis.

 

 

2.

- Parasympathomimetics (indications for administration, side effects).

 

- Sedative-hypnotic drugs, anxiolytics.

 

3.

- Drug dose dependent response effect (dose types, relationship between drug concentration and response, relationship between drug dose and clinical response, therapeutic range, therapeutic index).

 

- Non-steroidal anti-inflammatory drugs: mechanism of action, therapeutic use, side effects (including side effects of selective COX-2 inhibitors).

 

 

 

4.

- Drug distribution in the body (volume of distribution - importance for drug dosing); one and two-compartment pharmacokinetic model; zero and first-order elimination in pharmacokinetics.

 

- General anesthetics and drugs used for premedication.

 

 

5.

- Side and adverse effects of drugs - classification (dose dependence, specific examples). The importance of pharmacovigilance.

 

- Antidiabetics.

 

 

6.

- Pharmacokinetics; basic parameters and formulas for the calculation of pharmacokinetic parameters, the clinical relevance of individual parameters.

 

- Anticoagulants, including NOAC/DOAC (new/direct oral anticoagulants).

 

 

7.

- Overview of analgesics. General principles of pain treatment - use of analgesics in dentistry.

 

- Diuretics (classification according to mechanisms of action; therapeutic use of individual groups of diuretics).

 

8.

- Antiepileptics.

 

- Therapeutic options to reduce the activity of the renin-angiotensin-aldosterone system; importance for the prognosis in cardiovascular diseases.

 

9.

- β sympatholytics (classification of beta blockers; cardiac and non-cardiac indications, adverse reactions).

 

- Pharmacotherapy of allergic reactions and anaphylactic shock.

 

 

10.

-  Specifics of pharmacotherapy during pregnancy and lactation; teratogenic effects of drugs; drugs that can be used during pregnancy in various conditions (e.g. fever, hypertension, diabetes, bronchial asthma, infectious diseases, epilepsy, etc.). The issue of using antibiotics and local anesthetics in pregnancy.

 

- Parkinson's disease, Alzheimer's dementia - current pharmacotherapy options, side effects.

 

 

11.

- Overview of pharmacotherapy of acute and chronic stable heart failure.

 

- Antibiotics: macrolides and macrolide-related antibiotics, chloramphenicol, tetracyclines, lincosamines, aminoglycosides.

 

12.

- Clinical trials in drug development, bioequivalence studies, evidence-based pharmacotherapy.

 

- Psychotropic drugs: neuroleptics (antipsychotics), psychostimulants, nootropics.

 

 

13.

- Psychopharmaceuticals: Antimanics and antidepressants.

 

- Thyroid and antithyroid drugs.

 

 

 

14.

- Intoxication; principles of patient care, antidotes.

 

- Drugs used in asthma bronchiale.

 

15.

- Antibiotic prophylaxis in dentistry. Principles of using antibiotics in dentistry.

 

- Glucocorticoids - therapeutic use, side effects.

 

16.

- Parasympatholytics (indications for administration, side effects).

 

- Antifungals for systemic and topical application.

 

 

17.

- Routes of drug administration (relationship to the rate of onset of drug action, relationship to the pharmacokinetics of the active substance).

 

- Drugs used to treat ischemic heart disease (overview of groups, other indications, side effects, absolute contraindications).

 

 

18.

- Local anesthetics - use in dentistry, methods of application, the effect of a local vasoconstrictor.

 

- Antiemetics, antimigraine drugs.

 

 

19.

- Disinfectants and antiseptics used in dentistry.

 

- Antihypertensives - overview of pharmacotherapeutic groups, classification according to EBM (evidence-based medicine).

 

20.

- Specifics of pharmacotherapy and drug dosing in children and elderly patients. Dosage adjustment depending on the function of the elimination organs.

 

- Pharmacotherapy of cancer - conventional cytostatic/anticancer chemotherapy (classification, side effects), possibilities of targeted anticancer treatment.

 

21.

- Mechanisms of drug action at the molecular level; target structures of specific drug action; drugs with receptor-independent effects (examples).

 

- Opioid analgesics.

 

22.

- Central and peripheral skeletal muscle relaxants - overview, clinical significance.

 

- Beta-lactam antibiotics (classification, differences between groups, clinical use).

 

 

23.

- Interindividual variability in patients' drug sensitivity and responsiveness (causes).

 

- Local anesthetics - overview of substances, mechanism of action, side effects.

 

24.

- Adverse drug reactions in the oral cavity. Pharmacological approaches to influence salivation.

 

- Female sex hormones, hormonal contraception in women, hormone replacement therapy. Tocolytics, uterotonics.

 

25.

- Drug biotransformation and its importance for drug elimination (types of biotransformations, role of enzyme induction and inhibition).

 

- Antiarrhythmics (classification, basic mechanism of action, clinical significance).

 

26.

- Alpha-adrenergic sympatholytics, direct vasodilators, phlebotonics (venopharmaceuticals).

 

- Pharmacotherapy of gastroduodenal ulcer disease.

 

 

27.

- Antiplatelet agents and fibrinolytics. Hemostatics, antifibrynolytics.

 

- Calcium channel blockers.

 

 

28.

- Local anesthetics - intoxication with local anesthetics and its treatment.

  

- Antidiarrheal agents, laxatives, GIT antispasmodics, pharmacotherapy possibilities of inflammatory bowel disease.

 

 

29.

- Pharmacotherapy of selected acute conditions: acute coronary syndrome, hypertensive crisis, bronchial asthma attack, epileptic attack, hypoglycemia, acute adrenocortical insufficiency.

 

- Antivirals (overview; antivirals for topical use).

 

30.

- Pharmacotherapy of addictions and withdrawal symptoms in the most frequently abused substances and drugs.

 

- Antihistamines (classification, therapeutic indications, side effects).

 

 

31.

- Drug interactions: types of drug-drug interactions, interactions with food (examples). Polypharmacy.

 

- Glycopeptide antibiotics, nitroimidazoles, antimicrobial chemotherapeutics inhibiting folic acid production, fluoroquinolones, antituberculotics.

 

 

32.

- Basic pharmacokinetic parameters affecting steady-state drug plasma levels - elimination rate constant, elimination half-life, drug clearance, renal and non-renal clearance.

 

- Non-opioid analgesics.

 

33.

- Analgosedation; its importance in dentistry.

 

- Antitussives and expectorants, decongestants, bronchodilators.

 

 

34.

- Principles of dental treatment of patients taking anticoagulants and antiplatelet drugs.

 

- Immunosuppressive agents, immunomodulators.

 

 

35.
- Pharmaceutical dosage forms - overview, relationship to drug pharmacokinetics, dosage forms suitable for drug application in dentistry.

 

- Hypolipidemic agents.

 

 

36.

- Basic quantitative aspects of drug-receptor interaction (affinity, intrinsic activity); agonism, partial agonism, competitive and non-competitive antagonism (plot graphically on drug concentration-effect curve).

 

- Antirheumatic drugs, drugs used in gout.

 

Education plan -
Schedule semestral
Educational week Date From - To Education type Theme Teacher Files Note Hodnocení
102.10.202308:00 - 10:15lecture+seminarL: The scope of Pharmacology, goals, dosage forms suitable for drug application in dentistry S: Basic principles of drug prescription.MUDr. Olga Bartošová, Ph.D. 
209.10.202308:00 - 10:15lecture+seminarL: Prescriptions I - (Brand name drugs), S : Prescriptions II -compounded prescriptions prepared by the pharmacist (magisterial prescriptions).MUDr. Olga Bartošová, Ph.D. 
316.10.202308:00 - 10:15lecture+seminarL: AISLP (automated information system for pharmaceutical preparations). + S: Pharmacokinetics I - basic principles, absorption and distribution of drugs.MUDr. Olga Bartošová, Ph.D. 
423.10.202308:00 - 10:15lecture+seminarL: Pharmacokinetics II - drug elimination and its clinical significance. Clinical implications of pharmacokinetic analyses + S: Pharmacodynamics, mechanisms of drug action system and side effects of drugs. Adverse drug reactions in the oral cavity. Pharmacological approaches to influence salivation. Molecular mechanism of drug action.MUDr. Olga Bartošová, Ph.D. 
530.10.202308:00 - 10:15lecture+seminarL: Biotransformation of drugs - significance of enzyme induction and inhibition. The drug development process. Phases of clinical research. Clinical trials. Drug registration. + S: Metabolism of drugs - pharmacogenetics. TEST on prescription writing.MUDr. Olga Bartošová, Ph.D. 
606.11.202308:00 - 10:15lecture+seminarL: Drugs affecting autonomic nervous system, sympathomimetics, sympatholytics.+ S: Drugs affecting autonomic nervous system, parasympathomimetics, parasympatholytics; peripheral muscle relaxants.MUDr. Olga Bartošová, Ph.D. 
713.11.202308:00 - 10:15lecture+seminar L: Drug treatments of diabetes mellitus I.+ S: Drug treatments of diabetes mellitus II.MUDr. Olga Bartošová, Ph.D. 
820.11.202308:00 - 10:15lecture+seminarL: Introduction to drugs acting on CNS. General anesthetics and preanaesthetic medication. + S: Local anesthetics. TEST on pharmacokinetics and pharmacodynamics.MUDr. Olga Bartošová, Ph.D. 
927.11.202308:00 - 10:15lecture+seminarL: Neuroleptics, antidepressants, antimanics, possible pharmacological intervention in neurodegenerative diseases. + S: Antiparkinsonic drugs, Alzheimer's dementiaMUDr. Olga Bartošová, Ph.D. 
1004.12.202308:00 - 10:15lecture+seminar L: Pharmacology of pain; nonsteroidal anti-inflammatory drugs, opioid analgesics. Use of analgesics in dentistry. Therapy of rheumatologic diseases: rheumatoid arthritis, osteoarthritis, gout. + S: Ethanol and other drugs of abuse; drug dependence.TEST on ANS.MUDr. Olga Bartošová, Ph.D. 
1111.12.202308:00 - 10:15lecture+seminar L: Hypnotics and anxiolytics, antiepileptics,Analgosedation; its importance in dentistry. + S: H1 and H2 antihistamines - therapeutic uses of autacoids. Antiemetics.MUDr. Olga Bartošová, Ph.D. 
1218.12.202308:00 - 10:15lecture+seminarL: Drug use during aging and in children. Pharmacotherapy during pregnancy and lactation, uterine stimulants and relaxants. + S: TEST - Treatment of diabetes mellitus - peroral antidiabetics and insulins.MUDr. Olga Bartošová, Ph.D. 
1301.01.202408:00 - 10:15nothing FREE DAY 
1408.01.202408:00 - 10:15lecture+seminar L: Drugs used in GIT diseases and urinary infection. Drugs used for treatment respiratory diseases. + S: Pharmacology of bronchial asthma. Fetal lung maturation.MUDr. Olga Bartošová, Ph.D. 
1515.01.202408:00 - 10:15lecture+seminarL: Overview of hormones. Corticosteroids. Disinfectants and antiseptics used in dentistry. + S: Repetition of selected topic(s) in pharmacology - credit.MUDr. Olga Bartošová, Ph.D. 
Schedule semestral
Educational week Date From - To Education type Theme Teacher Files Note Hodnocení
119.02.202410:45 - 12:15lecture+seminarS: Sex hormones as drugs Contraception and replacement hormonal therapy L: Drug treatments of thyroid diseasesMUDr. Olga Bartošová, Ph.D. 
226.02.202410:45 - 12:15lecture+seminarS: Pharmacotherapy of osteoporosis.L.: Drugs regulating plasma levels of calcium and other minerals.MUDr. Olga Bartošová, Ph.D. 
304.03.202410:45 - 12:15lecture+seminarS: TEST ON CNS Heart failure. Diuretics. Ischemic heart disease. Antiarrhythmic drugs L: Drug affecting the blood pressureMUDr. Olga Bartošová, Ph.D. 
411.03.202410:45 - 12:15lecture+seminarS: Drug treatments in hyperliproteinemia and obesity L: Antimicrobial drugs - general principles, classification.MUDr. Olga Bartošová, Ph.D. 
518.03.202410:45 - 12:15lecture+seminarS: TEST ON CVS L: Antimicrobial drugs - beta-lactam antibiotics, macrolides, lincosamidesMUDr. Olga Bartošová, Ph.D. 
625.03.202410:45 - 12:15lecture+seminarS: Antimicrobial drugs - aminoglycosides and tetracyclines, sulphonamides L: Antimicrobial drugs - antimycotics for systemic and local applications.MUDr. Olga Bartošová, Ph.D. 
701.04.202410:45 - 12:15nothingFREE DAYMUDr. Olga Bartošová, Ph.D. 
808.04.202410:45 - 12:15lecture+practicalsS: Antimicrobial drugs, quinolones and urinary tract antiseptics. Clinical uses of antimicrobial agents, serious side effects of selected antimicrobial agents.L: Drug treatment of tuberculosis.MUDr. Olga Bartošová, Ph.D. 
915.04.202410:45 - 12:15lecture+seminarS: Antiviral drugs, overview, drugs for HIV (AIDS). Antiprotozoal and antihelmentic compounds, an overview.L: Drugs acting on the coagulation, platelet adhesion and fibrinolysisMUDr. Olga Bartošová, Ph.D. 
1022.04.202410:45 - 12:15lecture+seminarS: TEST ON ATB L: Drug used in anemias; hematopoietic growth factors.MUDr. Olga Bartošová, Ph.D. 
1129.04.202410:45 - 12:15lecture+seminarS: TEST ON RESPIRATORY SYSTEM L: Introduction to immunopharmacology.MUDr. Olga Bartošová, Ph.D. 
1206.05.202410:45 - 12:15lecture+seminarS: Nitric oxide, donors and inhibitors and clinical implications L: Principles of anticancer chermotherapy.MUDr. Olga Bartošová, Ph.D. 
1313.05.202410:45 - 12:15lecture+seminarS: Drugs used in acute conditions. L: Drugs for local uses. Drugs used in ophthalmology.MUDr. Olga Bartošová, Ph.D. 
1420.05.202410:45 - 12:15lecture+seminarS: TEST TREATMENT OF PAIN. + L: Clinical importance of drug interactions, drug poisoning.MUDr. Olga Bartošová, Ph.D. 
1527.05.202410:45 - 12:15lecture+seminarS: Credit L: Blood, plasma, blood substitutes, parenteral nutrition.MUDr. Olga Bartošová, Ph.D. 
 
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