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Pharmacy greats

@great11va

On this record: Growth · Engagement · Reactions · Posts · Polls · Cite this entry

2,123subscribers

-399 since we began measuring on 7 August 2026

Risers and fallers across the register · movement among entries of 1,000–3,162.

Register entry

Telegram ID-1002379578261
TypeChannel
Username@great11va
CreatedBetween 1 September 2024 and 31 March 2025 — estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded7 August 2026
Last confirmed live6 September 2026
Measurements held11
Confirmed unchanged1 time, most recently 6 September 2026
On Telegramt.me/great11va

Growth

2,1232,5222,322.57 August 2026 — 2,522 subscribers7 August 2026 — 2,516 subscribers10 August 2026 — 2,468 subscribers14 August 2026 — 2,417 subscribers17 August 2026 — 2,368 subscribers20 August 2026 — 2,340 subscribers23 August 2026 — 2,296 subscribers27 August 2026 — 2,258 subscribers30 August 2026 — 2,206 subscribers2 September 2026 — 2,167 subscribers6 September 2026 — 2,123 subscribers7 August 20266 September 2026
11 measurements spanning 30 days, net -399. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 2,063–2,582 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)SubscribersChange
6 Sept 2026, 21:402,123-44
2 Sept 2026, 03:332,167-39
30 Aug 2026, 09:032,206-52
27 Aug 2026, 03:332,258-38
23 Aug 2026, 21:252,296-44
20 Aug 2026, 10:322,340-28
17 Aug 2026, 12:112,368-49
14 Aug 2026, 03:052,417-51
10 Aug 2026, 13:482,468-48
7 Aug 2026, 19:062,516-6
7 Aug 2026, 16:482,522first reading

Engagement

20 posts held, back to 4 August 2026the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 1 page of Telegram’s post history, 20 posts per page.

Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 20 posts for this entry, the most recent from 6 August 2026. An engagement rate over an empty window would be a number about nothing.

Reaction mix

31 reactions across 13 posts, in 5 distinct kinds. The most used accounts for 38.7% of them.

Every reaction kind recorded on the sample, most used first
ReactionCountShareShare, drawn
1238.7%
👏1032.3%
🔥412.9%
👍39.68%
🕊26.45%

No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.

Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.

Coverage. Reactions were read on 13 of the 20 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 31 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.

Measured over the 20 most recent posts we hold, published 4 August 2026 to 6 August 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.

Recent posts

6 Aug 2026, 20:50 UTC80 views5 reactionsread 7 August 2026

اللهم في ليلة الجمعة ارحم من هم في ودائعك، وأنزل عليهم نورا ورحمة ونعيماً في قبورهم، واجعل الجنة داراً لهم ، اللهم ارحم موتانا وجميع موتى المسلمين 🤍🤲

3🕊2

Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

6 Aug 2026, 20:14 UTC85 viewsread 7 August 2026

يعود بسبب حدوث انخفاض في تنظيم المستقبلات B2 Downregulation للآثار الجانبية خارج الرئة لذلك طمئن مريضك بأن الآثار المزعجة كالرعشة والتسرع ستتراجع وتختفي مع الوقت نتيجة هذا التكيف، ينما يستمر الدواء في توسيع الشعب وتسهيل التنفس بنجاح بدون مايفقد فعاليه وبس كذا

Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

6 Aug 2026, 20:05 UTC83 viewsread 7 August 2026

يعتبر عدم تطابق التهوية والتروية V/Oالناتج عن توسع الأوعية الدموية الرئوية في الأوعية التي كانت متضيقة سابق بسبب نقص الأكسجة Hypoxic Pulmonary Vasoconstriction) إلى تحويل الدم إلى مناطق سيئة التهوية ما يسبب انخفاضاً مؤقتاً في الضغط الجزئي للأكسجين الشرياني على الرغم من أن تأثير ناهضات \beta_2 في الممارسة العملية يكون صغيراً عادة الا أنه قد يكون كبيراً في بعض الأحيان لدى مرضى الانسداد الرئوي المزمن الشديد ويمكن الوقا

Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

6 Aug 2026, 19:56 UTC77 viewsread 7 August 2026

نقص بوتاسيوم الدم يعتبر أحد الآثار الجانبية الخطيرة المحتملة ويرجع إلى تحفيز مستقبلاتbeta_2 لدخول البوتاسيوم إلى العضلات الهيكلية عبر تنشيط مضخة \+Na+/K ATPase والذي قد يكون ثانوياً أيضاً لارتفاع إفراز الأنسولين. قد يكون نقص بوتاسيوم الدم خطير في حالة نقص الأكسجة Hypoxiaكما هو الحال في الربو الحاد قد يتهيأ الجسم لاضطرابات نظم القلب Arrhythmias ومع ذلك من الناحية العملية نادرا ما نلاحظ اضطرابات نظم قلبية بعد استنش

Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

6 Aug 2026, 19:48 UTC70 viewsread 7 August 2026

يرجع تسرع النبض والخفقان إلى: ​تحفيز القلب الانعكاسي (Reflex Tachycardia) الثانوي لتوسع الأوعية الدموية المحيطية عبر مستقبلات \beta_2. ​التحفيز المباشر لمستقبلات \beta_1 و \beta_2 في أذين القلب يحتوي قلب الإنسان على نسبة عالية نسبياً من مستقبلات beta_2 في الأذينين ​تحفيز مستقبلات عضلة القلب مع زيادة جرعات ناهضات beta_2.

Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

6 Aug 2026, 19:43 UTC69 viewsread 7 August 2026

الرعشة Tremors هي آثر جانبي متوقع ومؤقت نتيجة تحفيز مستقبلات beta_2 العضلية وتزول تدريجياً مع زوال تأثير الدواء

Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

6 Aug 2026, 19:37 UTC74 viewsread 7 August 2026

بعد تحسن أعراض التنفس وانجلاء الصفير Wheezing لاحظ الطبيب والصيدلاني التغيرات التالية على المريض: الارتعاش الشديد (Severe Tremors): ارتعاش ناعم ومزعج جداً في اليدين مع عدم قدرة المريض على إمساك كوب الماء. ​تسارع النبض والخفقان (Tachycardia & Palpitations): ارتفع معدل النبض إلى 116 نبضة/دقيقة. ​نقص بوتاسيوم الدم (Hypokalemia): انخفض البوتاسيوم في التحليل إلى 3.0mEq/L انخفاض مؤقت في أكسجين الدم الشرياني PaO2 Drop

Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

6 Aug 2026, 19:33 UTC75 viewsread 7 August 2026

#Clinical_Case_study شاب عمره 22 عاماً حضر إلى قسم الطوارئ يعاني من أزمة ربو حادة (Acute Asthma Exacerbation) تم إعطاؤه جلسات رذاذ مكررة من السالبيوتامول (Salbutamol Nebulization) بجرعات عالية ومكثفة خلال ساعتين للسيطرة على الأزمة.

Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

6 Aug 2026, 13:36 UTC88 views1 reactionsread 7 August 2026
Poll

A 10-year-old obese girl with newly diagnosed depressive illness is being advised to start antidepressant treatment. Which of the following is best to initiate?

  1. ​• A. Bupropion25%
  2. • B. Paroxetine35%
  3. • C. Mirtazapine15%
  4. • D. Amitriptyline25%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

👍1

Signed 𓂁 ⚕️ 𝑹𝒂𝒚𝒂𝒏 ⚕️

6 Aug 2026, 13:36 UTC92 views1 reactionsread 7 August 2026
Poll

Which antidepressant drug must be avoided in a 21-year-old female with a history of seizure disorder?

  1. ​• A. Amitriptyline19%
  2. • B. Citalopram19%
  3. • C. Paroxetine19%
  4. • D. Bupropion44%

Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.

👍1

Signed 𓂁 ⚕️ 𝑹𝒂𝒚𝒂𝒏 ⚕️

6 Aug 2026, 13:36 UTC90 views1 reactionsread 7 August 2026
Poll

A 68-year-old man is diagnosed with major depressive disorder. Which drug is best?

  1. ​A. Duloxetine42%
  2. B. Amitriptyline26%
  3. C. Imipramine16%
  4. D. Nortriptyline16%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

👍1

Signed 𓂁 ⚕️ 𝑹𝒂𝒚𝒂𝒏 ⚕️

6 Aug 2026, 13:07 UTC86 views2 reactionsread 7 August 2026

انضموا لقناتنا قناة التعليقات عشان تظهر كل مناقشاتنا وأسئلتنا بشكل مرتب: ​https://t.me/pharmagreat

👏2

Showing the 12 most recent of 20 posts we hold for @great11va. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.

Polls

The 6 most recent of 7 polls we hold for this entry, as Telegram rendered them when we read the post. A poll’s figures keep moving after that, so each one is dated.

6 Aug 2026, 13:36 UTCAnonymous Quiz19 voters

A 68-year-old man is diagnosed with major depressive disorder. Which drug is best?

  1. ​A. Duloxetine42%
  2. B. Amitriptyline26%
  3. C. Imipramine16%
  4. D. Nortriptyline16%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

6 Aug 2026, 13:36 UTCAnonymous Quiz20 voters

A 10-year-old obese girl with newly diagnosed depressive illness is being advised to start antidepressant treatment. Which of the following is best to initiate?

  1. ​• A. Bupropion25%
  2. • B. Paroxetine35%
  3. • C. Mirtazapine15%
  4. • D. Amitriptyline25%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

6 Aug 2026, 13:36 UTCAnonymous Quiz16 voters

Which antidepressant drug must be avoided in a 21-year-old female with a history of seizure disorder?

  1. ​• A. Amitriptyline19%
  2. • B. Citalopram19%
  3. • C. Paroxetine19%
  4. • D. Bupropion44%

Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.

5 Aug 2026, 13:43 UTCAnonymous Quiz33 voters

Which of the following drugs that are used in mania has a narrow therapeutic index?

  1. A. Lithium61%
  2. B. Haloperidol24%
  3. C. Aripiprazole9%
  4. D. Cholbazepam6%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

5 Aug 2026, 13:43 UTCAnonymous Quiz31 voters

Which of the following is the suitable mood stabilizer for a pregnant woman with bipolar disorder?

  1. • A. Lamotrigine42%
  2. • B. Valproic acid29%
  3. • C. Lithium13%
  4. • D. Non16%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

5 Aug 2026, 13:43 UTCAnonymous Quiz28 voters

Which of the following mood stabilizer would be most appropriate in a patient with liver disease?

  1. A. Lithium11%
  2. B. Valproic acid36%
  3. C. Carbamazepine29%
  4. D. none of the above25%

Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.

Percentages only — there are no per-option vote counts here, because Telegram publishes none. The public post preview gives each option’s share and a single voter total, and nothing else. Multiplying one by the other would produce a per-option tally that looks measured and is not: the shares are rounded to whole numbers before we ever see them. We print what was published and leave the column that does not exist empty.

The shares need not add up to 100. Rounding alone puts many polls at 99 or 101. A poll that allows more than one answer per voter runs well past 100 by design, and several here do. The bars are drawn against a fixed 100% track at each option’s own percentage rather than normalised to the total, so a poll that exceeds it shows that it does instead of being quietly rescaled.

Read from the 20 most recent posts we hold, published 4 August 2026 to 6 August 2026. Telegram labels each poll by kind — an anonymous poll, a quiz, a closed set of final results — and that label is reproduced rather than paraphrased.

Cite this entry

A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 6 September 2026 — this entry's latest reading, not the date you are reading this.

“Pharmacy greats” (@great11va), 2,123 subscribers as measured 6 September 2026. Telegram Register, tgregister.com/channel/great11va.

Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.