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16 Cards in this Set

  • Front
  • Back

5 steps of the drug approval process

Drug discovery & development


Preclinical


Clinical


FDA reviews NDA


Manufacturing

Preclinical phase

Initial synthesis of substance


Lab studies & animal testing


Institutional Review Boards

Clinical phase

Research & development-all trials approved by IRB


Testing in healthy subjects


Testing in healthy subjects w/ the disease


Large scale testing including people suffering from the disease

FDA reviews NDA

FDA expects review data

Company addresses FDA concerns


Advisory hearing may be called


Manufacturing phase

Drug appears on the market


Post-market surveillance


Follow up studies and inspections

The set of drug standards used in the US is

United States Pharmacopenia of 1920

Every aspect of a drug is discussed in

U.S. Pharmacopeia National Formulatory

The best seal of approval you can see on a drug is

USP

7 drug resources

American Hospital Formulatory Service Drug Info


U.S. Pharmacopeia-Drug Info


Physicians Desk Reference


Handbook of injectable drugs


Nursing Drug Handbooks


Package inserts


Internet to include medline plus



The primary purpose of federal legislation of drugs is to

Ensure safety

1938 Food Drug & Cosmetic Act

Ensures safety by requiring all drugs to be tested, correctly labeled, and that the drug has enclosed literature explaining adverse effects.

Schedule 1

No accepted medical use.


Heroin, LSD, marijuanna

Schedule 2

High potential for drug abuse. Accepted medical use. Can lead to strong physical and psychological dependancy.


Morphine, methadone, oxycodone, amphetamines.

Schedule 3

Medically accepted drugs. Potential abuse is less than that of 1 & 2. May cause dependency




Codeine preparations-tylenol.



Schedule 4

Medically accepted drugs. May cause dependence.


Diazapam, phenobarbital.

Schedule 5

Medically accepted drugs, very limited potential for dependence.




Opiod controlled substances for diarrhea & cough. Lomotil, Robitussin, A-C.