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RELEFACT® TRH Hoechst Marion Roussel Protirelin Synthetic Thyrotropin Releasing Hormone Action And Clinical Pharmacology: Protirelin stimulates the secretion of pituitary thyroid stimulating hormone (TSH). This effect may be used clinically to assess the functional integrity of the hypothalamic-pituitary-thyroid axis by estimating TSH concentrations in the peripheral plasma. In addition to its stimulatory effect on secretion of pituitary TSH, it has been shown that protirelin increases secretion of prolactin. Approximately 65%…

REACTINE™ Pfizer Consumer Cetirizine HCl Histamine H1-Receptor Antagonist Action And Clinical Pharmacology: Cetirizine, a human metabolite of hydroxyzine, is a histamine H1 receptor antagonist anti-allergic compound; its principal effects are mediated via selective inhibition of peripheral H1 receptors. Cetirizine is distinguished from other histamine H1 receptor antagonists by the presence of a carboxylic acid function. This difference may be partly responsible for the selectivity of cetirizine seen in pharmacologic models…

REBIF™ Serono Interferon beta-1a Immunomodulator Action And Clinical Pharmacology: General: Interferons are a family of naturally occurring proteins, which have molecular weights ranging from 15 000 to 21 000 daltons. Three major classes of interferons have been identified: alpha, beta and gamma. Interferon beta, interferon alpha and interferon gamma have overlapping yet distinct biologic activities. Interferon beta-1a acts through various mechanisms: Immunomodulation through the induction of cell membrane components of…

Rabies Vaccine Inactivated (Diploid Cell Origin), Dried Connaught Vaccine Action And Clinical Pharmacology: The administration of Rabies Vaccine Inactivated (Diploid Cell Origin), Dried stimulates the rapid development of specific antibodies. Pre-exposure Immunization: Pre-exposure clinical trials have been carried out since 1979 with the present vaccine or its less purified predecessors in over 600 volunteers. Following 3 injections of 1 mL each of vaccine, all developed antibodies at a level of…

RAXAR™ Glaxo Wellcome Grepafloxacin HCl Antibacterial Action And Clinical Pharmacology: Grepafloxacin is a broad-spectrum fluoroquinolone antibiotic. It has in vitro activity against a wide range of gram-positive and gram-negative aerobic microorganisms, as well as some atypical microorganisms. Grepafloxacin exerts its antibacterial activity by inhibiting bacterial topoisomerase II (DNA gyrase) and topoisomerase IV, essential enzymes for duplication, transcription, and repair of bacterial DNA. Grepafloxacin is bactericidal at concentrations equal to or…

QUIBRON®-T QUIBRON®-T/SR Bristol Theophylline Bronchodilator Action And Clinical Pharmacology: Theophylline is a xanthine derivative structurally related to theobromine and caffeine. It has 2 distinct actions in the airways of patients with reversible obstruction: smooth muscle relaxation (i.e., bronchodilation) and suppression of the response of the airways to stimuli (i.e., nonbronchodilator prophylactic effects). While its mechanisms of action are not known with certainty, studies in animals suggest that theophylline bronchodilation is…

QUESTRAN® QUESTRAN® LIGHT Bristol Cholestyramine Resin Antidiarrheal – Antihypercholesterolemic Action And Clinical Pharmacology: Cholestyramine is a quarternary ammonium anion exchange resin with a polystyrene polymer skeleton. As the chloride salt, it binds bile acids both in vitro and in vivo, exchanging chloride for bile acid. Cholesterol is probably the sole precursor of bile acids. During normal digestion, bile acids are secreted into the intestines. A major portion of the bile…

QUINATE Rougier Quinidine Gluconate Antiarrhythmic Agent Action And Clinical Pharmacology: Quinidine depresses excitability, conduction velocity and contractility of most cardiac tissues by a direct action on cardiac cells. Indirectly, cardiac tissues will also be affected by the anticholinergic and a-adrenoceptor blocking properties of quinidine. According to Vaughan Williams-Harrison antiarrhythmic drug classification, quinidine is a Class IA agent. Thus, quinidine reduces the maximal rate of phase 0 depolarization, prolongs repolarization and…

QUINIDINE SULFATE Glaxo Wellcome Antiarrhythmic Pharmacology: Quinidine depresses excitability, conduction velocity and contractility of most cardiac tissues by a direct action on cardiac cells. Indirectly, cardiac tissues will also be affected by the anticholinergic and a-adrenoceptor blocking properties of quinidine. According to Vaughan Williams’ antiarrhythmic drug classification, quinidine is a Class 1A agent. Thus, quinidine reduces the maximal rate of phase 0 depolarization, prolongs repolarization and refractory periods and, in…

QUINIDINE General Monograph, Quinidine Antiarrhythmic – Antimalarial Action And Clinical Pharmacology: Quinidine is a class IA antiarrhythmic agent according to the Vaughan-Williams classification. It depresses most cardiac tissues by a direct action on cardiac cells. Quinidine depresses the rapid inward depolarizing sodium current, thereby reducing the amplitude of the action potential without affecting the resting potential. The slope of the slow depolarization phase of Purkinje fibres is reduced, and the…