Pharmacology Application in Athletic Training Michelle Odai, MS, LAT, ATC, CSCS Florida International University Chapter 1 – Historical and Legal Issues History of Drugs and Pharmacy The origins of drugs and medicine can be traced back to ancient civilizations 2100 BC – physicians and priests recorded references to drug therapy on clay tablets Timeline history of the development of pharmacy – pg 5 Legal Foundations Early 20th century – no laws existed to control the sale of medications, the purity of drug preparations, or the efficacy of medical devices 1906 – Pure Food and Drug Act 1938 – Food, Drug, and Cosmetic Act 1952 – Durham-Humphrey Amendment 1962 – Kefauver-Harris Amendment 1970 – Poison Prevention Packaging Act 1984 – Anti-Tampering Act 1970 – Comprehensive Drug Abuse Prevention and Control Act Scheduled Drugs United States Food and Drug Administration Created in 1938 to protect public’s health by ensuring safety, efficacy, and monitoring of products Regulates drug manufacturing and labeling processes; monitor adverse reactions Approval process takes @ 12 years Fast-track approval Over-the-Counter Products FDA must approve ingredients and label information Name of product Name and address of manufacturer List of active and inactive ingredients Quantity of contents Name of any habit-forming components Warnings and precautions for the user Adequate directions for use Naming of a Drug Typically identified by Chemical name Generic name, or Brand name Generic and Brand Name Drug Ingredients Must have same active ingredients and must be identical in strength and dosage form Brand-name drugs patented for 17 years FDA recommends and all states allow pharmacists to dispense generic equivalent of brand-name drug Medical Abbreviations Used to denote frequency, amount, and weight Table 1-3, pg 10 Drug Information Pharmacists Trained in defining, monitoring, and modifying drug treatment Understand use, doses, drug and food interactions, contraindications, and other aspects of drug agents PharmD – 6 yrs, national certification exam State licensure Various settings Drug Information Poison Control Centers 50 states, 24/7, free Assess and treat poisonings and poison prevention All calls concerning humans and animals Insect, snake bites, ingestion of substances, identification of drug tablets and capsules, hazardous material spills Employ nurses, pharmacists, physicians PCS should be called if someone has ingested, touched, or been bitten by something you think is poisonous or toxic Caller should provide as much information as possible National hotline, directory assistance Drug Information Reference Books Physician’s Desk Reference (PDR) Produced by pharmaceutical industry and provides detailed descriptions of drugs Photos of 1000 drug products to assist in identification Updated annually, easily accessible Pharmacy in Athletic Training State and federal laws that govern controlled substances AT should be aware of laws that pertain to them All controlled substances found in ATR must have complete and accurate written inventory Team physician is ultimately responsible for dispensing controlled substances To avoid legal liability the ATC must document information about each drug administered Name of athlete/patient Sport Age Name of drug Dose given Quantity prescribed Indication Manufacturer Lot number Drug expiration date Name of person dispensing drug Date drug is given Single-dose packages Assisting athlete with drug administration process All meds should be kept in locked offices and/or storage cabinets Failure to follow guidelines can predispose athletic trainers to undue legal liability Important Information Implications for Athletic Trainers (pg 13) What to Tell the Athlete (pg 13)