Praveen.K.P
M Pharm
Drug Warehouse Manager, Kerala
Medical Services Corporation Ltd
Psychotic & narcotic drugs
Behavior
Body control
Leg control
smell
Psychotic & narcotic drugs
Schedule – H (psychotic drugs)
Dugs that could be dispensed only on the prescription of a reg...
Brain & neurotransmitters
Brain & neurotransmitters
Excitatory neurotransmitters Inhibitory neurotransmitters
Dopamine Serotonin(5-HT) Adrenaline
Psychotic disease & treatment
 Hypnotics & anxiolytics
 Mood stabilizers
a) Major depression
b) Bipolar disorder
 ...
Hypnotic & anxiolytic drugs(Central pacemaker)
NON-REM
NON-REM
NON-REM NON-REM
Growth hormone
Hypnotic & anxiolytic drugs
Transient insomnia(< 3 days), Short-term insomnia(3 days-3 weeks), Long-term
insomnia(> 3 we...
Mood stabilizers
Major depression- Serotonin, Adrenaline, Dopamine
Moa inhibitors- Phenelzine, Isocarboxazid , Tranylcyp...
Psychotic Drugs(schizoprenia)
Symptoms- Delusion, Hallucination, Disorganized speech, Catatonic behavior,
Negative sympt...
Narcotics
1. Opoid analgesic-CNS, Opioid receptors (mu, delta, kappa receptors)
2. Analgesia, Euphoria, Dependence (mu-1...
Case study
1. A patient came to the pharmacy & ask for medicines like diazepam(valium),
alprozolam (anxit), venlift etc(...
3)Doctor prescribed Venlift-1 OD & Sove -1 OD for an anxiety,insomnia patient, how
you will dispense it?
a) Venlift 1---...
5. A patient came to the pharmacy & ask for 10 bottles of codo-q syrup ,how you will
Deal the situation?
a)Yes, i can gi...
Narcotic & psychotic
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Narcotic & psychotic

Narcotic & psychotic
Published on: Mar 3, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Narcotic & psychotic

  • 1. Praveen.K.P M Pharm Drug Warehouse Manager, Kerala Medical Services Corporation Ltd
  • 2. Psychotic & narcotic drugs Behavior Body control Leg control smell
  • 3. Psychotic & narcotic drugs Schedule – H (psychotic drugs) Dugs that could be dispensed only on the prescription of a registered medical practitioner. Schedule – X(Narcotic drugs) Drugs that could be dispensed only on the hand written prescription of a registered medical practitioner for a specific period of time and should be recorded. . Psychotic & narcotic drugs cause addiction Deepak
  • 4. Brain & neurotransmitters
  • 5. Brain & neurotransmitters Excitatory neurotransmitters Inhibitory neurotransmitters Dopamine Serotonin(5-HT) Adrenaline
  • 6. Psychotic disease & treatment  Hypnotics & anxiolytics  Mood stabilizers a) Major depression b) Bipolar disorder  Mental disorders(Schizophrenia)
  • 7. Hypnotic & anxiolytic drugs(Central pacemaker) NON-REM NON-REM NON-REM NON-REM Growth hormone
  • 8. Hypnotic & anxiolytic drugs Transient insomnia(< 3 days), Short-term insomnia(3 days-3 weeks), Long-term insomnia(> 3 weeks). 1.Zolpidem(Sove) (short-term) 2.Diazepam(valium) (long term) (insomnia associated with anxiety) 3.Phenobarbital (long term hypnotic) 4.Alprazolam (Anxit) 5.Chlordiazepoxide (Librium) (insomnia,anxiety) (long term) 6.Clobazam (long term) 7.Lorazepam (Larpose) (insomnia associated with anxiety) 8.Pregabalin (Gabanext) (anxiety) 9.Venlafaxine (Venlift) (social anxiety) 10.Nitrazepam (Nitrosun) (anxiety)
  • 9. Mood stabilizers Major depression- Serotonin, Adrenaline, Dopamine Moa inhibitors- Phenelzine, Isocarboxazid , Tranylcypromine. TCA-amtriptyline (Eliwel), Imipramine (Antidep 25), Nortriptyline. 5HT & Nor-adrenaline reuptake inhibitors- Fluoxetine (Flutop), Sertraline (Zotral),Citalopram (Feliz 10), Escitalopram (Newcita 10),Venlafaxine (Venlift). Miscellance- Bupropion (bupropion), Mirtazapine(mirtaz 15) Biplolar disorder- manic depression(episode of mania &depression) Lithium (Licab XL400), Risperidone(Rispond ), Olanzapine (Meltolan RD),Valproic acid, Carbamazepine (Tegretal), Gabapentine (Gabapin 100).
  • 10. Psychotic Drugs(schizoprenia) Symptoms- Delusion, Hallucination, Disorganized speech, Catatonic behavior, Negative symptoms. Drugs Chlorpromazine, Trifluperazine (Espazine), Thioridazine (Thioril), Fluphenazine (Prolinate inj), Haloperidol (Hexidol) Side effect Extrapyramidal side effect(dopamine) Weight gain(serotonin)
  • 11. Narcotics 1. Opoid analgesic-CNS, Opioid receptors (mu, delta, kappa receptors) 2. Analgesia, Euphoria, Dependence (mu-1) (Reduces pain threshold) 3. Spinal analgesia(kappa) 4. Acts on cough centre Drugs Morphine tab(10,20,60) & injaction(15mg/ml) Buprenorphine(buprigesic injection) Papaverine hcl(papaverine inj) Fentanyl citrate(fentanyl inj)(synthetic)
  • 12. Case study 1. A patient came to the pharmacy & ask for medicines like diazepam(valium), alprozolam (anxit), venlift etc(sch-H) without a prescription, how you will handle the situation? a) Will request the patient to take two months medication. b) Will request the patient to meet the doctor c) Will tell him to get rid off the place d) Will keep silent 2.What are the precaution we need to take while dealing with schedule-X drugs? a)Check the prescription is hand written by a registered medical practitioner for a specific period & should maintain a record. b)Will dispense the drug as usual like an OTC product c)wouldn’t dispense d)None of the above
  • 13. 3)Doctor prescribed Venlift-1 OD & Sove -1 OD for an anxiety,insomnia patient, how you will dispense it? a) Venlift 1------0-------0 Sove 0------0-------1 b) Venlift 0------1-------0 sove 1-------0-------0 c) Venlift 1-------0------0 sove 1----------0------0 d) None of above 4) A patient who is working having depression & the doctor prescribed Eliwel like 1 OD, How you will dispense? a)1---------0-------------0 b)0---------1------------0 c)0----------0--------------1(7-8pm) d)0-----------0--------------1(12pm)
  • 14. 5. A patient came to the pharmacy & ask for 10 bottles of codo-q syrup ,how you will Deal the situation? a)Yes, i can give you 20 bottle instead of 10 b)yes, I can give you 5 c) Please meet a doctor & issue a prescription for the medicine d)Silence please

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