Page 89 - Physiology and Pathophysiology MNU 2024-2025 نظرى
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Clinical pharmacy 2024/2025                  Level 2 Pharm D                       Physiology and Pathophysiology (MD303)

                                                 Metabolic actions



             Growth and             a.  Perinatal lung maturation
             maturation             b.  Normal skeletal growth


                                    a.  Normal fetal and neonatal brain development

            Neurological            b.  Regulation of neuronal proliferation and differentiation,
                                        myelinogenesis, neuronal outgrowth, and synapse formation
                                    c.  Normal CNS function in adults



            Sympathetic             a.   number of β-adrenergic receptors
           nervous system           b.   heart rate
               function             c.  Tremor

                                    d.  Sweating


           Cardiovascular           a.   heart rate

                system              b.   myocardial contractility
                                    c.   cardiac output

                                    a.   basal metabolic rate

                                    b.  Stimulation of all metabolic pathways, both anabolic and
             Metabolism                 catabolic
                                    c.   carbohydrate utilization

                                    d.   oxygen consumption
                                    e.   heat production



                                                    2)  Calcitonin

                                          ( ca & phosphate in blood)

        Mechanism of action:


        Direct inhibition of osteoclast activity   bone resorption  less demineralization of the
        bone   release of calcium and phosphate from the bone into the blood.

        Control:


        Secretion is determined mainly by the plasma calcium concentration.

        Source &Uses:

        Salmon, taken intranasal ➔ ttt of osteoporosis.






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