<<<<<<< HEAD rgpv syllabus BPharm CBCS 4th Semester Microsoft Word - B.Pharm IV sem

PY-401 :PHARMACEUTICAL CHEMISTRY-IV (ORGANICCHEMISTRY-III)


Course objectives:


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THEORY

Stereo isomerism

Optical isomerism – Optical activity, enantiomerism, diastereoisomerism, meso compounds Elements of symmetry, chiral and achiral molecules, DL system of nomenclature of optical isomers, sequence rules, RS system of nomenclature of optical isomers. Reactions of chiral molecules, Racemic modification and resolution of racemic mixture. Asymmetric synthesis: partial and absolute.

Geometrical isomerism

Nomenclature of geometrical isomers (Cis Trans, EZ, Syn Anti systems), Methods of determination of configuration of geometrical isomers. Conformational isomerism in Ethane, n- Butane and Cyclohexane. Stereo isomerism in biphenyl compounds (Atropisomerism) and conditions for optical activity. Stereospecific and stereoselective reactions.

Heterocyclic compounds:

Nomenclature and classification, Synthesis, reactions and medicinal uses of following compounds/derivatives Pyrrole, Furan, and Thiophene - Relative aromaticity, reactivity and Basicity of pyrrole,

Synthesis, reactions and medicinal uses of following compounds/derivatives Pyrazole,

Imidazole, Oxazole and Thiazole, Pyridine, Quinoline, Isoquinoline, Acridine and Indole. Basicity of pyridine, synthesis and medicinal uses of Pyrimidine, Purine, azepines and their derivatives Reactions of synthetic importance

Metal hydride reduction (NaBH4 and LiAlH4), Clemmensen reduction, Birch reduction, Wolff Kishner reduction. Oppenauer-oxidation and Dakin reaction. Beckmanns rearrangement and

Schmidt rearrangement. Claisen-Schmidt condensation


PRACTICALS: Minimum 15 experiments based on following:

  1. Laboratory Rules and Regulations

  2. To Determine Melting Point, Molecular Weight & Thin layer chromatography of given sample.

  3. Synthesis of Benzoyl Glycine (Hippuric Acid)

  4. Synthesis of Dibenzylideneacetone

  5. Synthesis of Chalcone (Benzylidene Acetophenone)

  6. Preparation of Acetophenone Phenylhydrazone

  7. Synthesis of Synthesis of 7-hydroxy-4-methyl Coumarin

  8. Synthesis of Benzimidazole from O-Phenylenediamine.

  9. Synthesis of 3-methyl-1-phenyl-5-pyrazolone

  10. Synthesis of 4-arylidene-3-methyl-1-phenyl-5-pyrazolone

  11. Synthesis of 2, 3-diphenyl quinoxaline

  12. Synthesis of Isoxazole from Chalcone.

  13. Synthesis of Pyrazole from Chalcone.

  14. Synthesis of Pyrimidine derivative from Chalcone

  15. Synthesis of 2-Phenyl Indole from Acetophenone Phenyl Hydrazone


BOOKS & REFERENCES RECOMMENDED


Textbooks:

  1. Carey A. F., and Giuliano M. R., Organic Chemistry (2011): 8th Edition. McGraw-Hill Companies, Inc.

  2. Finar I. L., Organic Chemistry (2011) vol. 1,: 6th Edition. Longman.

  3. Finar I. L., Organic Chemistry (2011) vol.2, Organic Chemistry: 6th Edition. Longman.

  4. Robert T. Morrison and Robert N. Boyd (2008) Organic Chemistry: 7th Edition. Printice Hall

  5. Heterocyclic Chemistry, 2 nd Ed., T. L. Gilchrist

  6. Heterocyclic Chemistry, 3 rd Ed., J. A. Joules, K. Mills and G. F. Smith (QD 400 J8)


Reference recommended:

  1. Cleyden J., Greeves N., Warren S., and Wothers P., (2001) organic chemistry: 1st Edition. Oxford university press.

  2. Mann, G. F., and Saunders, C. B., (1960) Practical Organic Chemistry: 4th Edition. Longman

  3. Vogel, I. A., (1956) A Text Book of Practical Organic Chemistry Including Qualitative Organic Analysis: 3rd Edition. Longman


Internet references:

  1. http://www.internetchemistry.com/chemistry/organic_chemistry.htm


    PY-402 :MEDICINAL CHEMISTRY – I


    Course objectives:


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Study of the development of the following classes of drugs, Classification, mechanism of action, uses of drugs mentioned in the course, Structure activity relationship of selective class of drugs as specified in the course and synthesis of drugs superscripted (*)


THEORY

Introduction to Medicinal Chemistry

History and development of medicinal chemistry

Physicochemical properties in relation to biological action

Ionization, Solubility, Partition Coefficient, Hydrogen bonding, Protein binding, Chelation, Bioisosterism, Optical and Geometrical isomerism.

Drug metabolism

Drug metabolism principles- Phase I and Phase II.

Factors affecting drug metabolism including stereo chemical aspects.

Drugs acting on Autonomic Nervous System Adrenergic Neurotransmitters:

Biosynthesis and catabolism of catecholamine.

Adrenergic receptors (Alpha & Beta) and their distribution.

Sympathomimetic agents: SAR of Sympathomimetic agents

Direct acting: Nor-epinephrine, Epinephrine, Phenylephrine*, Dopamine, Methyldopa, Clonidine, Dobutamine, Isoproterenol, Terbutaline, Salbutamol*, Bitolterol, Naphazoline, Oxymetazoline and Xylometazoline.

Adrenergic Antagonists:

Alpha adrenergic blockers: Tolazoline*, Phentolamine, Phenoxybenzamine, Prazosin, Dihydroergotamine, Methysergide.

Beta adrenergic blockers: SAR of beta blockers, Propranolol*, Metibranolol, Atenolol, Betazolol, Bisoprolol, Esmolol, Metoprolol, Labetolol, Carvedilol.

Cholinergic neurotransmitters:

Biosynthesis and catabolism of acetylcholine.

Cholinergic receptors (Muscarinic & Nicotinic) and their distribution.

Parasympathomimetic agents: SAR of Parasympathomimetic agents

Direct acting agents: Acetylcholine, Carbachol*, Bethanechol, Methacholine, Pilocarpine. Indirect acting/ Cholinesterase inhibitors (Reversible & Irreversible): Physostigmine, Neostigmine*, Pyridostigmine, Edrophonium chloride, Tacrine hydrochloride, Ambenonium chloride, Isofluorphate, Echothiophate iodide, Parathione, Malathion.

Cholinesterase reactivator: Pralidoxime chloride.

Cholinergic Blocking agents: SAR of cholinolytic agents

Solanaceous alkaloids and analogues: Atropine sulphate, Hyoscyamine sulphate, Scopolamine hydrobromide, Homatropine hydrobromide, Ipratropium bromide*.

Synthetic cholinergic blocking agents: Tropicamide, Cyclopentolate hydrochloride, Clidinium bromide, Dicyclomine hydrochloride*, Glycopyrrolate, Methantheline bromide, Propantheline bromide, Benztropine mesylate, Orphenadrine citrate, Biperidine hydrochloride, Procyclidine hydrochloride*, Tridihexethyl chloride, Isopropamide iodide, Ethopropazine hydrochloride.

Drugs acting on Central Nervous System

  1. Sedatives and Hypnotics:

    Benzodiazepines: SAR of Benzodiazepines, Chlordiazepoxide, Diazepam*, Oxazepam, Chlorazepate, Lorazepam, Alprazolam, Zolpidem

    Barbiturtes: SAR of barbiturates, Barbital*, Phenobarbital, Mephobarbital, Amobarbital, Butabarbital, Pentobarbital, Secobarbital

    Miscelleneous:

    Amides & imides: Glutethmide.

    Alcohol & their carbamate derivatives: Meprobomate, Ethchlorvynol. Aldehyde & their derivatives: Triclofos sodium, Paraldehyde.

  2. Antipsychotics

    Phenothiazeines: SAR of Phenothiazeines - Promazine hydrochloride, Chlorpromazine hydrochloride*, Triflupromazine, Thioridazine hydrochloride, Piperacetazine hydrochloride, Prochlorperazine maleate, Trifluoperazine hydrochloride.

    Chlorprothixene, Thiothixene, Loxapine succinate, Clozapine. Fluro buterophenones: Haloperidol, Droperidol, Risperidone. Beta amino ketones: Molindone hydrochloride.

    Benzamides: Sulpieride.

  3. Anticonvulsants: SAR of Anticonvulsants, mechanism of anticonvulsant action

Barbiturates: Phenobarbitone, Methabarbital. Hydantoins: Phenytoin*, Mephenytoin, Ethotoin Oxazolidine diones: Trimethadione, Paramethadione

Succinimides: Phensuximide, Methsuximide, Ethosuximide*

Urea and monoacylureas: Phenacemide, Carbamazepine*

Benzodiazepines: Clonazepam

Miscellaneous: Primidone, Valproic acid , Gabapentin, Felbamate

Drugs acting on Central Nervous System General anesthetics:

Inhalation anesthetics: Halothane*, Methoxyflurane, Enflurane, Sevoflurane, Isoflurane, Desflurane.

Ultra short acting barbitutrates: Methohexital sodium*, Thiamylal sodium, Thiopental sodium. Dissociative anesthetics: Ketamine hydrochloride.*

Narcotic and non-narcotic analgesics

Morphine and related drugs: SAR of Morphine analogues, Morphine sulphate, Codeine, Meperidine hydrochloride, Anilerdine hydrochloride, Diphenoxylate hydrochloride, Loperamide hydrochloride, Fentanyl citrate*, Methadone hydrochloride*, Propoxyphene hydrochloride, Pentazocine, Levorphanol tartarate.

Narcotic antagonists: Nalorphine hydrochloride, Levallorphan tartarate, Naloxone hydrochloride. Anti-inflammatory agents: Sodium salicylate, Aspirin, Mefenamic acid*, Meclofenamate, Indomethacin, Sulindac, Tolmetin, Zomepriac, Diclofenac, Ketorolac, Ibuprofen*, Naproxen, Piroxicam, Phenacetin, Acetaminophen, Antipyrine, Phenylbutazone.


PRACTICALS: Minimum 15 experiments based on following:

I

Preparation of drugs/ intermediates


1

1,3-pyrazole


2

1,3-oxazole


3

Benzimidazole


4

Benztriazole


5

2,3- diphenyl quinoxaline


6

Benzocaine


7

Phenytoin


8

Phenothiazine


9

Barbiturate


II

1

Assay of drugs

Chlorpromazine


2

Phenobarbitone


3

Atropine


4

Ibuprofen


5

Aspirin


6

Furosemide


III

Determination of Partition coefficient for any two

drugs

BOOKS & REFERENCES RECOMMENDED:

Text Books:

  1. Block J. H., Beale J. M., “Wilson and Gisvold’s Textbook of organic medicinal and pharmaceutical chemistry”, 11th edition, 2004, Lippincott Williams and Wilkins-A Wolters Kluwer Company.

  2. Lemke T. L., Williams D. A., “Foye’s principles of medicinal chemistry”, 6th edition, 2008, Lippincott Williams and Wilkins-A Wolters Kluwer Company.

Reference Recommended:

  1. Wolff M. E., “Burger’s medicinal chemistry and drug discovery” 5th edition, 1995, Wiley-

    Interscience, New York.

    PY -403 : PHARMACEUTICAL ANALYSIS -I

    Course objectives:


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THEORY

Pharmaceutical analysis- Definition and scope

  1. Different techniques of analysis

  2. Methods of expressing concentration

  3. Primary and secondary standards.

  4. Preparation and standardization of various molar and normal solutions- Oxalic acid, sodium hydroxide, hydrochloric acid, sodium thiosulphate, sulphuric acid, potassium permanganate and ceric ammonium sulphate

Errors: Sources of errors, types of errors, methods of minimizing errors, accuracy, precision and significant figures

Acid base titration: Theories of acid base indicators, classification of acid base titrations and theory involved in titrations of strong, weak, and very weak acids and bases, neutralization curves

Non aqueous titration: Solvents, acidimetry and alkalimetry titration and estimation of Sodium benzoate and Ephedrine HCl

Gravimetry: Principle and steps involved in gravimetric analysis. Purity of the precipitate: co- precipitation and post precipitation, Estimation of barium sulphate.

Precipitation titrations: Mohrs method, Volhard’s, Modified Volhard’s, Fajans method, estimation of sodium chloride.

Complexometric titration: Classification, metal ion indicators, masking and demasking reagents, estimation of Magnesium sulphate, and calcium gluconate.


Redox titrations: Concepts of oxidation and reduction, Types of redox titrations (Principles and applications), Cerimetry, Iodimetry, Iodometry, Bromatometry, Dichrometry, Titration with potassium iodate

Electrochemical methods of analysis

  1. Conductometry- Introduction, Conductivity cell, Conductometric titrations, applications.

  2. Potentiometry - Electrochemical cell, construction and working of reference (Standard hydrogen, silver chloride electrode and calomel electrode) and indicator electrodes (metal electrodes and glass electrode), methods to determine end point of potentiometric titration and applications.

  3. Polarography - Principle, Ilkovic equation, construction and working of dropping mercury

electrode and rotating platinum electrode, applications.


PRACTICALS: Minimum 15 experiments based on the following:

Preparation and standardization of

  1. Sodium hydroxide

  2. Sulphuric acid

  3. Sodium thiosulfate

  4. Potassium permanganate

  5. Ceric ammonium sulphate


Assay of the following compounds along with Standardization of Titrant

  1. Ammonium chloride by acid base titration

  2. Ferrous sulphate by Cerimetry

  3. Copper sulphate by Iodometry

  4. Calcium gluconate by complexometry

  5. Hydrogen peroxide by Permanganometry

  6. Sodium benzoate by non-aqueous titration

  7. Sodium Chloride by precipitation titration


Determination of Normality by electro-analytical methods

  1. Conductometric titration of strong acid against strong base

  2. Conductometric titration of strong acid and weak acid against strong base

  3. Potentiometric titration of strong acid against strong base

BOOKS & REFERENCES RECOMMENDED

Text books:

  1. Vogel’s, Text book of Quantitative chemical Analysis, fifth edition, 1989, Longman Scientific & Technical UK.

  2. David Harvey, Modern Analytical Chemistry, first edition, 2000, McGraw Hill Companies, New York.

  3. Bentley and Driver's Textbook of Pharmaceutical Chemistry

  4. John H. Kennedy, Analytical chemistry principles

  5. Daniel C. Harris, Quantitative Chemical Analysis, Eighth edition, W. H. Freeman and Company, New York.


Reference recommended:

  1. Pharmacopoeia of India, Govt. of India, Ministry of Health and Family Welfare, New Delhi.

  2. Beckett, A.H. and Stenlake, J.B., Practical Pharmaceutical Chemistry, fourth edition, Vol. I and II, CBS Publishers and Distributors, New Delhi, India.

    PY-404- PHARMACOLOGY-I


    Course Objectives:



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THEORY

General Pharmacology

  1. Introduction to Pharmacology- Definition, historical landmarks and scope of pharmacology, nature and source of drugs, essential drugs concept and routes of drug administration, Agonists, antagonists( competitive and non competitive), spare receptors, addiction, tolerance, dependence, tachyphylaxis, idiosyncrasy, allergy.

  2. Pharmacokinetics- Membrane transport, absorption, distribution, metabolism and excretion of drugs .Enzyme induction, enzyme inhibition, kinetics of elimination


General Pharmacology

  1. Pharmacodynamics- Principles and mechanisms of drug action. Receptor theories and classification of receptors, regulation of receptors. drug receptors interactions signal transduction mechanisms, G-protein–coupled receptors, ion channel receptor, transmembrane enzyme linked receptors, transmembrane JAK-STAT binding receptor and receptors that regulate transcription factors, dose response relationship, therapeutic index, combined effects of drugs and factors modifying drug action.

  2. Adverse drug reactions.

  3. Drug interactions (pharmacokinetic and pharmacodynamic)

  4. Drug discovery and clinical evaluation of new drugs -Drug discovery phase, preclinical evaluation phase, clinical trial phase, phases of clinical trials and pharmacovigilance.

    Pharmacology of peripheral nervous system

    1. Organization and function of ANS.

    2. b.Neurohumoral transmission,co-transmission and classification of neurotransmitters.

    3. Parasympathomimetics, Parasympatholytics, Sympathomimetics, sympatholytics.

    4. Neuromuscular blocking agents and skeletal muscle relaxants (peripheral).

    5. Local anesthetic agents.

    6. Drugs used in myasthenia gravis and glaucoma

    7. Pharmacology of central nervous system

  1. Neurohumoral transmission in the C.N.S.special emphasis on importance of various neurotransmitters like with GABA, Glutamate, Glycine, serotonin, dopamine.

  2. General anesthetics and pre-anesthetics.

  3. Sedatives, hypnotics and centrally acting muscle relaxants.

  4. Anti-epileptics

  5. Alcohols and disulfiram


Pharmacology of central nervous system

  1. Psychopharmacological agents: Antipsychotics, antidepressants, anti-anxiety agents, anti- manics and hallucinogens.

  2. Drugs used in Parkinsons disease and Alzheimer’s disease.

  3. CNS stimulants and nootropics.

  4. Opioid analgesics and antagonists

  5. Drug addiction, drug abuse, tolerance and dependence.


PRACTICALS: Minimum 15 experiments based on following:

  1. Study the commonly used instruments in experimental pharmacology.

  2. Study the common laboratory animals.

  3. Study the CPCSEA guidelines for ethical manaement of laboratory animal facility.

  4. Study of common laboratory techniques: blood withdrawal, serum and plasma separation, anesthetics and euthanasia used for animal studies.

  5. Study of different routes of drugs administration in mice/rats.

  6. Study the effect of hepatic microsomal enzyme inducers on the phenobarbitone sleeping time in mice.

  7. Study the effect of drugs on rabbit eye.

  8. Study the effects of skeletal muscle relaxants using rota-rod apparatus.

  9. Study the effect of drugs on locomotor activity using actophotometer.

  10. Study the anticonvulsant activity of drugs by MES and PTZ method.

  11. Study the stereotype and anti-catatonic activity of drugs on rats/mice.

  12. Study of anxiolytic activity of drugs using rats/mice.

  13. Study of local anesthetics by different methods


BOOKS & REFERENCES RECOMMENDED:

Textbooks

  1. Tripathi, K. D. Essentials of Medicinal Pharmacology, 7th ed. 2013, Jaypee Brothers Medical Publishers (P) Ltd., New Delhi.

  2. Satostkar, R.S., Rege, N.N., Bhandarkar, S.D. Pharmacology and Pharmacotherapeutics. Revised 23rd edition 2013, Popular Prakashan Pvt. LTD., Mumbai,

  3. Rang, H.P., Dale, M.M., Ritter, J.M., Flower, R.J., Henderson, G. Rang and Dale’s Pharmacology. 8th edition 2015, Elsevier India.

  4. Ghosh, M. N. Fundamentals of Experimental Pharmacology. 2nd edition 1984, Scientific Book Agency, Calcutta.

  5. Kulkarni, S.K., Hand Book of Experimental Pharmacology, 3rd Edition, 1999, Vallabh Prakashan.

  6. Mycek M.J, Gelnet S.B and Perper M.M. Lippincott’s Illustrated Reviews- Pharmacology


Reference recommended:

  1. Brunton, L., Chabner, B.A., Knollman, B. Goodman and Gillman’s the Pharmacological Basis of Therapeutics. 12th edition 2011, McGraw Hill Education.

  2. Katzung B. G., Trevor A.J. Basic and Clinical Pharmacology.13th edition 2015, McGraw- Hill Medical

  3. Vogel, H. G. Drug Discovery and Evaluation. 2nd edition 2002, Springer Publication, Berlin.


Website:

  1. http://www.indphar.org


    Software:

    1 Ex-Pharm, Raveendran R. Department of pharmacology, JIPMER, Pandicherry, India, 2009.


    Mobile application:

    1 Pharmacology by Apple Medical Group 2014.

    PY -405 : PHARMACEUTICAL ENGINEERING


    Course objectives:

    Upon completion of the course student shall be able:


BOOKS & REFERENCES RECOMMENDED:


Textbooks:


  1. Walter L. Badgre and T. Banchero, Introduction to chemical Engineering, McGraw-Hill, 1955.

  2. Kaning J. K. (Editor), S. J. Carter, Tutorial Pharmacy, CBS Publishers & distributers, 1986, Indian Edition. 6th Ed.

  3. Hickey A. J., and Ganderton D., Pharmaceutical Process Engineering, Marcel Dekker, 2001.


Reference recommended:


  1. Parry H. (Editor), Chemical Engineering Hand Book, McGraw-Hill,1997, 7th Ed.

  2. Leon Lachman and H. R. Libberman, The Theory and Practice of Industrial Pharmacy, CBS Publishers & Distributors, Special Indian Edition, 2009.

  3. Max S. Peters, Elementary Chemical Engineering, Tata McGraw-Hill, 2009 2nd Ed.

  4. Ganderton C., Unit Processes Pharmacy, William Heinemann medical book ltd, 1968.

  5. Browns G., Unit Operations, Wiley and Sons, 1955.

  6. Warren L. Maccabe, Juliano C. Smith. Unit Operations of Chemical Engineering. Biohazardous Waste Management., http://biosafety.uk.edu/waste/

    PY-406:PATHOPHYSIOLOGY


    Course objectives:


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THEORY

  1. Basic principles of Cell injury and Adaptation: Introduction, definitions, Homeostasis, Components and Types of Feed back systems, Causes of cellular injury, Pathogenesis (Cell membrane damage, Mitochondrial damage, Ribosome damage, Nuclear damage),Morphology of cell injury – Adaptive changes (Atrophy, Hypertrophy, hyperplasia, Metaplasia, Dysplasia),Cell swelling, Intra cellular accumulation, Calcification, Enzyme leakage and Cell Death Acidosis &Alkalosis, Electrolyte imbalance

  2. Basic mechanism involved in the process of inflammation and repair: Introduction, Clinical signs of inflammation, Different types of Inflammation, Mechanism of Inflammation– Alteration in vascular permeability and blood flow, migration of WBC’s, Mediators of inflammation, Basic principles of wound healing in the skin, Pathophysiology of Atherosclerosis

  1. Cardiovascular System: Hypertension, congestive heart failure, ischemic heart disease (angina, myocardial infarction, atherosclerosis and arteriosclerosis)

  2. Respiratory system: Asthma, Chronic obstructive airways diseases.

  3. Renal system: Acute and chronic renal failure.

  1. Haematological Diseases: Iron deficiency, megaloblastic anemia (Vit B12 and folic acid), sickle cell anemia, thalasemia, hereditary acquired anemia, hemophilia

  2. Endocrine system: diabetes, thyroid diseases, disorders of sex hormones

  3. Nervous system: Epilepsy, Parkinson’s disease, stroke, psychiatric disorders: depression, schizophrenia and Alzheimer’s disease.

  4. Gastrointestinal system: Peptic Ulcer

Inflammatory bowel diseases, jaundice, hepatitis ( A,B,C,D,E,F) alcoholic liver disease.

  1. Disease of bones and joints: Rheumatoid arthritis, osteoporosis and gout

  2. Principles of cancer: classification, etiology and pathogenesis of cancer

  3. Diseases of bones and joints: Rheumatoid Arthritis, Osteoporosis,Gout

  4. Principles of Cancer: Classification, etiology and pathogenesis of Cancer


    Infectious diseases: Meningitis,Typhoid, Leprosy, Tuberculosis, Urinary tract infections

    Sexually transmitted diseases: AIDS, Syphilis, Gonorrhea


    BOOKS & REFERENCES RECOMMENDED:

    Text books:

    1. Mohan, H. Textbook of Pathology, 7th revised edition 2014, Jaypee Brothers Medical Publishers.

    2. Mandal, A.K., Choudhary, S. Textbook of Pathology for MBBS - General Pathology and Haematology / Systemic Pathology (Volume 1 and 2) 1st Edition 2014 Avichal Publishing Company.

    3. Sharma S.C., Pathophysiology of Common Disease 1st edition


Reference recommended:

  1. Kumar, V., Abbas, A.K., Fausto, N., Aster, J.C., Robbins and Cotran Pathologic Basis of Disease, 8th Edition, Elsevier Publication.

  2. DiPiro, J., Talbert, R.L., Yee, G., Wells, B., Posey, L.M. Pharmacotherapy A Pathophysiologic 9th edition 2014, McGraw-Hill Education.

  3. Kirkhorn, L.E.C.C. & Banasik, J.L. Pathophysiology 2009, W B Saunders Co.

  4. Huether, S. E. and McCance, Kathryn, L. Understanding Pathophysiology. 6th Edition, Mosby.

  5. Hart, M.N., Loeffler, A.G. Introduction to Human Disease: Pathophysiology for Health Professionals 5th edition 2011, Jones & Bartlett Learning.

Website:


  1. http://library.med.utah.edu/WebPath/GENERAL.html

======= rgpv syllabus BPharm CBCS 4th Semester Microsoft Word - B.Pharm IV sem

PY-401 :PHARMACEUTICAL CHEMISTRY-IV (ORGANICCHEMISTRY-III)


Course objectives:


image


THEORY

Stereo isomerism

Optical isomerism – Optical activity, enantiomerism, diastereoisomerism, meso compounds Elements of symmetry, chiral and achiral molecules, DL system of nomenclature of optical isomers, sequence rules, RS system of nomenclature of optical isomers. Reactions of chiral molecules, Racemic modification and resolution of racemic mixture. Asymmetric synthesis: partial and absolute.

Geometrical isomerism

Nomenclature of geometrical isomers (Cis Trans, EZ, Syn Anti systems), Methods of determination of configuration of geometrical isomers. Conformational isomerism in Ethane, n- Butane and Cyclohexane. Stereo isomerism in biphenyl compounds (Atropisomerism) and conditions for optical activity. Stereospecific and stereoselective reactions.

Heterocyclic compounds:

Nomenclature and classification, Synthesis, reactions and medicinal uses of following compounds/derivatives Pyrrole, Furan, and Thiophene - Relative aromaticity, reactivity and Basicity of pyrrole,

Synthesis, reactions and medicinal uses of following compounds/derivatives Pyrazole,

Imidazole, Oxazole and Thiazole, Pyridine, Quinoline, Isoquinoline, Acridine and Indole. Basicity of pyridine, synthesis and medicinal uses of Pyrimidine, Purine, azepines and their derivatives Reactions of synthetic importance

Metal hydride reduction (NaBH4 and LiAlH4), Clemmensen reduction, Birch reduction, Wolff Kishner reduction. Oppenauer-oxidation and Dakin reaction. Beckmanns rearrangement and

Schmidt rearrangement. Claisen-Schmidt condensation


PRACTICALS: Minimum 15 experiments based on following:

  1. Laboratory Rules and Regulations

  2. To Determine Melting Point, Molecular Weight & Thin layer chromatography of given sample.

  3. Synthesis of Benzoyl Glycine (Hippuric Acid)

  4. Synthesis of Dibenzylideneacetone

  5. Synthesis of Chalcone (Benzylidene Acetophenone)

  6. Preparation of Acetophenone Phenylhydrazone

  7. Synthesis of Synthesis of 7-hydroxy-4-methyl Coumarin

  8. Synthesis of Benzimidazole from O-Phenylenediamine.

  9. Synthesis of 3-methyl-1-phenyl-5-pyrazolone

  10. Synthesis of 4-arylidene-3-methyl-1-phenyl-5-pyrazolone

  11. Synthesis of 2, 3-diphenyl quinoxaline

  12. Synthesis of Isoxazole from Chalcone.

  13. Synthesis of Pyrazole from Chalcone.

  14. Synthesis of Pyrimidine derivative from Chalcone

  15. Synthesis of 2-Phenyl Indole from Acetophenone Phenyl Hydrazone


BOOKS & REFERENCES RECOMMENDED


Textbooks:

  1. Carey A. F., and Giuliano M. R., Organic Chemistry (2011): 8th Edition. McGraw-Hill Companies, Inc.

  2. Finar I. L., Organic Chemistry (2011) vol. 1,: 6th Edition. Longman.

  3. Finar I. L., Organic Chemistry (2011) vol.2, Organic Chemistry: 6th Edition. Longman.

  4. Robert T. Morrison and Robert N. Boyd (2008) Organic Chemistry: 7th Edition. Printice Hall

  5. Heterocyclic Chemistry, 2 nd Ed., T. L. Gilchrist

  6. Heterocyclic Chemistry, 3 rd Ed., J. A. Joules, K. Mills and G. F. Smith (QD 400 J8)


Reference recommended:

  1. Cleyden J., Greeves N., Warren S., and Wothers P., (2001) organic chemistry: 1st Edition. Oxford university press.

  2. Mann, G. F., and Saunders, C. B., (1960) Practical Organic Chemistry: 4th Edition. Longman

  3. Vogel, I. A., (1956) A Text Book of Practical Organic Chemistry Including Qualitative Organic Analysis: 3rd Edition. Longman


Internet references:

  1. http://www.internetchemistry.com/chemistry/organic_chemistry.htm


    PY-402 :MEDICINAL CHEMISTRY – I


    Course objectives:


image


Study of the development of the following classes of drugs, Classification, mechanism of action, uses of drugs mentioned in the course, Structure activity relationship of selective class of drugs as specified in the course and synthesis of drugs superscripted (*)


THEORY

Introduction to Medicinal Chemistry

History and development of medicinal chemistry

Physicochemical properties in relation to biological action

Ionization, Solubility, Partition Coefficient, Hydrogen bonding, Protein binding, Chelation, Bioisosterism, Optical and Geometrical isomerism.

Drug metabolism

Drug metabolism principles- Phase I and Phase II.

Factors affecting drug metabolism including stereo chemical aspects.

Drugs acting on Autonomic Nervous System Adrenergic Neurotransmitters:

Biosynthesis and catabolism of catecholamine.

Adrenergic receptors (Alpha & Beta) and their distribution.

Sympathomimetic agents: SAR of Sympathomimetic agents

Direct acting: Nor-epinephrine, Epinephrine, Phenylephrine*, Dopamine, Methyldopa, Clonidine, Dobutamine, Isoproterenol, Terbutaline, Salbutamol*, Bitolterol, Naphazoline, Oxymetazoline and Xylometazoline.

Adrenergic Antagonists:

Alpha adrenergic blockers: Tolazoline*, Phentolamine, Phenoxybenzamine, Prazosin, Dihydroergotamine, Methysergide.

Beta adrenergic blockers: SAR of beta blockers, Propranolol*, Metibranolol, Atenolol, Betazolol, Bisoprolol, Esmolol, Metoprolol, Labetolol, Carvedilol.

Cholinergic neurotransmitters:

Biosynthesis and catabolism of acetylcholine.

Cholinergic receptors (Muscarinic & Nicotinic) and their distribution.

Parasympathomimetic agents: SAR of Parasympathomimetic agents

Direct acting agents: Acetylcholine, Carbachol*, Bethanechol, Methacholine, Pilocarpine. Indirect acting/ Cholinesterase inhibitors (Reversible & Irreversible): Physostigmine, Neostigmine*, Pyridostigmine, Edrophonium chloride, Tacrine hydrochloride, Ambenonium chloride, Isofluorphate, Echothiophate iodide, Parathione, Malathion.

Cholinesterase reactivator: Pralidoxime chloride.

Cholinergic Blocking agents: SAR of cholinolytic agents

Solanaceous alkaloids and analogues: Atropine sulphate, Hyoscyamine sulphate, Scopolamine hydrobromide, Homatropine hydrobromide, Ipratropium bromide*.

Synthetic cholinergic blocking agents: Tropicamide, Cyclopentolate hydrochloride, Clidinium bromide, Dicyclomine hydrochloride*, Glycopyrrolate, Methantheline bromide, Propantheline bromide, Benztropine mesylate, Orphenadrine citrate, Biperidine hydrochloride, Procyclidine hydrochloride*, Tridihexethyl chloride, Isopropamide iodide, Ethopropazine hydrochloride.

Drugs acting on Central Nervous System

  1. Sedatives and Hypnotics:

    Benzodiazepines: SAR of Benzodiazepines, Chlordiazepoxide, Diazepam*, Oxazepam, Chlorazepate, Lorazepam, Alprazolam, Zolpidem

    Barbiturtes: SAR of barbiturates, Barbital*, Phenobarbital, Mephobarbital, Amobarbital, Butabarbital, Pentobarbital, Secobarbital

    Miscelleneous:

    Amides & imides: Glutethmide.

    Alcohol & their carbamate derivatives: Meprobomate, Ethchlorvynol. Aldehyde & their derivatives: Triclofos sodium, Paraldehyde.

  2. Antipsychotics

    Phenothiazeines: SAR of Phenothiazeines - Promazine hydrochloride, Chlorpromazine hydrochloride*, Triflupromazine, Thioridazine hydrochloride, Piperacetazine hydrochloride, Prochlorperazine maleate, Trifluoperazine hydrochloride.

    Chlorprothixene, Thiothixene, Loxapine succinate, Clozapine. Fluro buterophenones: Haloperidol, Droperidol, Risperidone. Beta amino ketones: Molindone hydrochloride.

    Benzamides: Sulpieride.

  3. Anticonvulsants: SAR of Anticonvulsants, mechanism of anticonvulsant action

Barbiturates: Phenobarbitone, Methabarbital. Hydantoins: Phenytoin*, Mephenytoin, Ethotoin Oxazolidine diones: Trimethadione, Paramethadione

Succinimides: Phensuximide, Methsuximide, Ethosuximide*

Urea and monoacylureas: Phenacemide, Carbamazepine*

Benzodiazepines: Clonazepam

Miscellaneous: Primidone, Valproic acid , Gabapentin, Felbamate

Drugs acting on Central Nervous System General anesthetics:

Inhalation anesthetics: Halothane*, Methoxyflurane, Enflurane, Sevoflurane, Isoflurane, Desflurane.

Ultra short acting barbitutrates: Methohexital sodium*, Thiamylal sodium, Thiopental sodium. Dissociative anesthetics: Ketamine hydrochloride.*

Narcotic and non-narcotic analgesics

Morphine and related drugs: SAR of Morphine analogues, Morphine sulphate, Codeine, Meperidine hydrochloride, Anilerdine hydrochloride, Diphenoxylate hydrochloride, Loperamide hydrochloride, Fentanyl citrate*, Methadone hydrochloride*, Propoxyphene hydrochloride, Pentazocine, Levorphanol tartarate.

Narcotic antagonists: Nalorphine hydrochloride, Levallorphan tartarate, Naloxone hydrochloride. Anti-inflammatory agents: Sodium salicylate, Aspirin, Mefenamic acid*, Meclofenamate, Indomethacin, Sulindac, Tolmetin, Zomepriac, Diclofenac, Ketorolac, Ibuprofen*, Naproxen, Piroxicam, Phenacetin, Acetaminophen, Antipyrine, Phenylbutazone.


PRACTICALS: Minimum 15 experiments based on following:

I

Preparation of drugs/ intermediates


1

1,3-pyrazole


2

1,3-oxazole


3

Benzimidazole


4

Benztriazole


5

2,3- diphenyl quinoxaline


6

Benzocaine


7

Phenytoin


8

Phenothiazine


9

Barbiturate


II

1

Assay of drugs

Chlorpromazine


2

Phenobarbitone


3

Atropine


4

Ibuprofen


5

Aspirin


6

Furosemide


III

Determination of Partition coefficient for any two

drugs

BOOKS & REFERENCES RECOMMENDED:

Text Books:

  1. Block J. H., Beale J. M., “Wilson and Gisvold’s Textbook of organic medicinal and pharmaceutical chemistry”, 11th edition, 2004, Lippincott Williams and Wilkins-A Wolters Kluwer Company.

  2. Lemke T. L., Williams D. A., “Foye’s principles of medicinal chemistry”, 6th edition, 2008, Lippincott Williams and Wilkins-A Wolters Kluwer Company.

Reference Recommended:

  1. Wolff M. E., “Burger’s medicinal chemistry and drug discovery” 5th edition, 1995, Wiley-

    Interscience, New York.

    PY -403 : PHARMACEUTICAL ANALYSIS -I

    Course objectives:


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THEORY

Pharmaceutical analysis- Definition and scope

  1. Different techniques of analysis

  2. Methods of expressing concentration

  3. Primary and secondary standards.

  4. Preparation and standardization of various molar and normal solutions- Oxalic acid, sodium hydroxide, hydrochloric acid, sodium thiosulphate, sulphuric acid, potassium permanganate and ceric ammonium sulphate

Errors: Sources of errors, types of errors, methods of minimizing errors, accuracy, precision and significant figures

Acid base titration: Theories of acid base indicators, classification of acid base titrations and theory involved in titrations of strong, weak, and very weak acids and bases, neutralization curves

Non aqueous titration: Solvents, acidimetry and alkalimetry titration and estimation of Sodium benzoate and Ephedrine HCl

Gravimetry: Principle and steps involved in gravimetric analysis. Purity of the precipitate: co- precipitation and post precipitation, Estimation of barium sulphate.

Precipitation titrations: Mohrs method, Volhard’s, Modified Volhard’s, Fajans method, estimation of sodium chloride.

Complexometric titration: Classification, metal ion indicators, masking and demasking reagents, estimation of Magnesium sulphate, and calcium gluconate.


Redox titrations: Concepts of oxidation and reduction, Types of redox titrations (Principles and applications), Cerimetry, Iodimetry, Iodometry, Bromatometry, Dichrometry, Titration with potassium iodate

Electrochemical methods of analysis

  1. Conductometry- Introduction, Conductivity cell, Conductometric titrations, applications.

  2. Potentiometry - Electrochemical cell, construction and working of reference (Standard hydrogen, silver chloride electrode and calomel electrode) and indicator electrodes (metal electrodes and glass electrode), methods to determine end point of potentiometric titration and applications.

  3. Polarography - Principle, Ilkovic equation, construction and working of dropping mercury

electrode and rotating platinum electrode, applications.


PRACTICALS: Minimum 15 experiments based on the following:

Preparation and standardization of

  1. Sodium hydroxide

  2. Sulphuric acid

  3. Sodium thiosulfate

  4. Potassium permanganate

  5. Ceric ammonium sulphate


Assay of the following compounds along with Standardization of Titrant

  1. Ammonium chloride by acid base titration

  2. Ferrous sulphate by Cerimetry

  3. Copper sulphate by Iodometry

  4. Calcium gluconate by complexometry

  5. Hydrogen peroxide by Permanganometry

  6. Sodium benzoate by non-aqueous titration

  7. Sodium Chloride by precipitation titration


Determination of Normality by electro-analytical methods

  1. Conductometric titration of strong acid against strong base

  2. Conductometric titration of strong acid and weak acid against strong base

  3. Potentiometric titration of strong acid against strong base

BOOKS & REFERENCES RECOMMENDED

Text books:

  1. Vogel’s, Text book of Quantitative chemical Analysis, fifth edition, 1989, Longman Scientific & Technical UK.

  2. David Harvey, Modern Analytical Chemistry, first edition, 2000, McGraw Hill Companies, New York.

  3. Bentley and Driver's Textbook of Pharmaceutical Chemistry

  4. John H. Kennedy, Analytical chemistry principles

  5. Daniel C. Harris, Quantitative Chemical Analysis, Eighth edition, W. H. Freeman and Company, New York.


Reference recommended:

  1. Pharmacopoeia of India, Govt. of India, Ministry of Health and Family Welfare, New Delhi.

  2. Beckett, A.H. and Stenlake, J.B., Practical Pharmaceutical Chemistry, fourth edition, Vol. I and II, CBS Publishers and Distributors, New Delhi, India.

    PY-404- PHARMACOLOGY-I


    Course Objectives:



image

THEORY

General Pharmacology

  1. Introduction to Pharmacology- Definition, historical landmarks and scope of pharmacology, nature and source of drugs, essential drugs concept and routes of drug administration, Agonists, antagonists( competitive and non competitive), spare receptors, addiction, tolerance, dependence, tachyphylaxis, idiosyncrasy, allergy.

  2. Pharmacokinetics- Membrane transport, absorption, distribution, metabolism and excretion of drugs .Enzyme induction, enzyme inhibition, kinetics of elimination


General Pharmacology

  1. Pharmacodynamics- Principles and mechanisms of drug action. Receptor theories and classification of receptors, regulation of receptors. drug receptors interactions signal transduction mechanisms, G-protein–coupled receptors, ion channel receptor, transmembrane enzyme linked receptors, transmembrane JAK-STAT binding receptor and receptors that regulate transcription factors, dose response relationship, therapeutic index, combined effects of drugs and factors modifying drug action.

  2. Adverse drug reactions.

  3. Drug interactions (pharmacokinetic and pharmacodynamic)

  4. Drug discovery and clinical evaluation of new drugs -Drug discovery phase, preclinical evaluation phase, clinical trial phase, phases of clinical trials and pharmacovigilance.

    Pharmacology of peripheral nervous system

    1. Organization and function of ANS.

    2. b.Neurohumoral transmission,co-transmission and classification of neurotransmitters.

    3. Parasympathomimetics, Parasympatholytics, Sympathomimetics, sympatholytics.

    4. Neuromuscular blocking agents and skeletal muscle relaxants (peripheral).

    5. Local anesthetic agents.

    6. Drugs used in myasthenia gravis and glaucoma

    7. Pharmacology of central nervous system

  1. Neurohumoral transmission in the C.N.S.special emphasis on importance of various neurotransmitters like with GABA, Glutamate, Glycine, serotonin, dopamine.

  2. General anesthetics and pre-anesthetics.

  3. Sedatives, hypnotics and centrally acting muscle relaxants.

  4. Anti-epileptics

  5. Alcohols and disulfiram


Pharmacology of central nervous system

  1. Psychopharmacological agents: Antipsychotics, antidepressants, anti-anxiety agents, anti- manics and hallucinogens.

  2. Drugs used in Parkinsons disease and Alzheimer’s disease.

  3. CNS stimulants and nootropics.

  4. Opioid analgesics and antagonists

  5. Drug addiction, drug abuse, tolerance and dependence.


PRACTICALS: Minimum 15 experiments based on following:

  1. Study the commonly used instruments in experimental pharmacology.

  2. Study the common laboratory animals.

  3. Study the CPCSEA guidelines for ethical manaement of laboratory animal facility.

  4. Study of common laboratory techniques: blood withdrawal, serum and plasma separation, anesthetics and euthanasia used for animal studies.

  5. Study of different routes of drugs administration in mice/rats.

  6. Study the effect of hepatic microsomal enzyme inducers on the phenobarbitone sleeping time in mice.

  7. Study the effect of drugs on rabbit eye.

  8. Study the effects of skeletal muscle relaxants using rota-rod apparatus.

  9. Study the effect of drugs on locomotor activity using actophotometer.

  10. Study the anticonvulsant activity of drugs by MES and PTZ method.

  11. Study the stereotype and anti-catatonic activity of drugs on rats/mice.

  12. Study of anxiolytic activity of drugs using rats/mice.

  13. Study of local anesthetics by different methods


BOOKS & REFERENCES RECOMMENDED:

Textbooks

  1. Tripathi, K. D. Essentials of Medicinal Pharmacology, 7th ed. 2013, Jaypee Brothers Medical Publishers (P) Ltd., New Delhi.

  2. Satostkar, R.S., Rege, N.N., Bhandarkar, S.D. Pharmacology and Pharmacotherapeutics. Revised 23rd edition 2013, Popular Prakashan Pvt. LTD., Mumbai,

  3. Rang, H.P., Dale, M.M., Ritter, J.M., Flower, R.J., Henderson, G. Rang and Dale’s Pharmacology. 8th edition 2015, Elsevier India.

  4. Ghosh, M. N. Fundamentals of Experimental Pharmacology. 2nd edition 1984, Scientific Book Agency, Calcutta.

  5. Kulkarni, S.K., Hand Book of Experimental Pharmacology, 3rd Edition, 1999, Vallabh Prakashan.

  6. Mycek M.J, Gelnet S.B and Perper M.M. Lippincott’s Illustrated Reviews- Pharmacology


Reference recommended:

  1. Brunton, L., Chabner, B.A., Knollman, B. Goodman and Gillman’s the Pharmacological Basis of Therapeutics. 12th edition 2011, McGraw Hill Education.

  2. Katzung B. G., Trevor A.J. Basic and Clinical Pharmacology.13th edition 2015, McGraw- Hill Medical

  3. Vogel, H. G. Drug Discovery and Evaluation. 2nd edition 2002, Springer Publication, Berlin.


Website:

  1. http://www.indphar.org


    Software:

    1 Ex-Pharm, Raveendran R. Department of pharmacology, JIPMER, Pandicherry, India, 2009.


    Mobile application:

    1 Pharmacology by Apple Medical Group 2014.

    PY -405 : PHARMACEUTICAL ENGINEERING


    Course objectives:

    Upon completion of the course student shall be able:


BOOKS & REFERENCES RECOMMENDED:


Textbooks:


  1. Walter L. Badgre and T. Banchero, Introduction to chemical Engineering, McGraw-Hill, 1955.

  2. Kaning J. K. (Editor), S. J. Carter, Tutorial Pharmacy, CBS Publishers & distributers, 1986, Indian Edition. 6th Ed.

  3. Hickey A. J., and Ganderton D., Pharmaceutical Process Engineering, Marcel Dekker, 2001.


Reference recommended:


  1. Parry H. (Editor), Chemical Engineering Hand Book, McGraw-Hill,1997, 7th Ed.

  2. Leon Lachman and H. R. Libberman, The Theory and Practice of Industrial Pharmacy, CBS Publishers & Distributors, Special Indian Edition, 2009.

  3. Max S. Peters, Elementary Chemical Engineering, Tata McGraw-Hill, 2009 2nd Ed.

  4. Ganderton C., Unit Processes Pharmacy, William Heinemann medical book ltd, 1968.

  5. Browns G., Unit Operations, Wiley and Sons, 1955.

  6. Warren L. Maccabe, Juliano C. Smith. Unit Operations of Chemical Engineering. Biohazardous Waste Management., http://biosafety.uk.edu/waste/

    PY-406:PATHOPHYSIOLOGY


    Course objectives:


image

THEORY

  1. Basic principles of Cell injury and Adaptation: Introduction, definitions, Homeostasis, Components and Types of Feed back systems, Causes of cellular injury, Pathogenesis (Cell membrane damage, Mitochondrial damage, Ribosome damage, Nuclear damage),Morphology of cell injury – Adaptive changes (Atrophy, Hypertrophy, hyperplasia, Metaplasia, Dysplasia),Cell swelling, Intra cellular accumulation, Calcification, Enzyme leakage and Cell Death Acidosis &Alkalosis, Electrolyte imbalance

  2. Basic mechanism involved in the process of inflammation and repair: Introduction, Clinical signs of inflammation, Different types of Inflammation, Mechanism of Inflammation– Alteration in vascular permeability and blood flow, migration of WBC’s, Mediators of inflammation, Basic principles of wound healing in the skin, Pathophysiology of Atherosclerosis

  1. Cardiovascular System: Hypertension, congestive heart failure, ischemic heart disease (angina, myocardial infarction, atherosclerosis and arteriosclerosis)

  2. Respiratory system: Asthma, Chronic obstructive airways diseases.

  3. Renal system: Acute and chronic renal failure.

  1. Haematological Diseases: Iron deficiency, megaloblastic anemia (Vit B12 and folic acid), sickle cell anemia, thalasemia, hereditary acquired anemia, hemophilia

  2. Endocrine system: diabetes, thyroid diseases, disorders of sex hormones

  3. Nervous system: Epilepsy, Parkinson’s disease, stroke, psychiatric disorders: depression, schizophrenia and Alzheimer’s disease.

  4. Gastrointestinal system: Peptic Ulcer

Inflammatory bowel diseases, jaundice, hepatitis ( A,B,C,D,E,F) alcoholic liver disease.

  1. Disease of bones and joints: Rheumatoid arthritis, osteoporosis and gout

  2. Principles of cancer: classification, etiology and pathogenesis of cancer

  3. Diseases of bones and joints: Rheumatoid Arthritis, Osteoporosis,Gout

  4. Principles of Cancer: Classification, etiology and pathogenesis of Cancer


    Infectious diseases: Meningitis,Typhoid, Leprosy, Tuberculosis, Urinary tract infections

    Sexually transmitted diseases: AIDS, Syphilis, Gonorrhea


    BOOKS & REFERENCES RECOMMENDED:

    Text books:

    1. Mohan, H. Textbook of Pathology, 7th revised edition 2014, Jaypee Brothers Medical Publishers.

    2. Mandal, A.K., Choudhary, S. Textbook of Pathology for MBBS - General Pathology and Haematology / Systemic Pathology (Volume 1 and 2) 1st Edition 2014 Avichal Publishing Company.

    3. Sharma S.C., Pathophysiology of Common Disease 1st edition


Reference recommended:

  1. Kumar, V., Abbas, A.K., Fausto, N., Aster, J.C., Robbins and Cotran Pathologic Basis of Disease, 8th Edition, Elsevier Publication.

  2. DiPiro, J., Talbert, R.L., Yee, G., Wells, B., Posey, L.M. Pharmacotherapy A Pathophysiologic 9th edition 2014, McGraw-Hill Education.

  3. Kirkhorn, L.E.C.C. & Banasik, J.L. Pathophysiology 2009, W B Saunders Co.

  4. Huether, S. E. and McCance, Kathryn, L. Understanding Pathophysiology. 6th Edition, Mosby.

  5. Hart, M.N., Loeffler, A.G. Introduction to Human Disease: Pathophysiology for Health Professionals 5th edition 2011, Jones & Bartlett Learning.

Website:


  1. http://library.med.utah.edu/WebPath/GENERAL.html

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