... basic principlesofclinical phar-
macology currently are being applied in the process of drug
development.
Journals
Clinical Pharmacology and Therapeutics
British Journal ofClinical Pharmacology
Journal ... effective use of
medicine can be traced back at least to Rudolph
Bucheim (1820–1879), who has been credited with
1
PRINCIPLES OFCLINICAL PHARMACOLOGY, SECOND EDITION
20 PrinciplesofClinical Pharmacology
Therefore, ... 6 PrinciplesofClinical Pharmacology
TABLE 1.1 Status of Renal Function in 44 Patients with
Digoxin Toxicity
a
Serum creatinine
(mg/dL)
No. of patients with CL
CR
of
Percentage of
group
50...
... Chapter 005. PrinciplesofClinical
Pharmacology
(Part 1)
Harrison's Internal Medicine > Chapter 5. PrinciplesofClinical
Pharmacology
Principles ofClinical Pharmacology: Introduction ... accompaniment of drug
therapy, this is not the case. The goal of this chapter is to describe the principlesof
clinical pharmacology that can be used for the safe and optimal use of available ... of the target molecule itself or of variability in the broad biologic context
in which the drug-target interaction occurs to achieve drug effects.
Two important goals of the discipline of clinical...
... P-glycoprotein, the product of the
normal expression of the MDR1 gene. P-glycoprotein is expressed on the apical
aspect of the enterocyte and on the canalicular aspect of the hepatocyte (Fig. 5-3); ... from the site of administration (Fig. 5-
2). The extent of absorption may be reduced because a drug is incompletely
released from its dosage form, undergoes destruction at its site of administration, ...
a
Inhibitors affect the molecular pathway, and thus may affect substrate.
b
Clinically important genetics variants described.
A listing of CYP substrates, inhibitors, and inducers is maintained at
http://medicine.iupui.edu/flockhart/table.htm....
... intravenous infusion, plasma concentrations at steady
Chapter 005. PrinciplesofClinical
Pharmacology
(Part 3)
Clinical Implications of Altered Bioavailability
Some drugs undergo near-complete ... a typical intravenous dose of verapamil is 1–5 mg, compared
to the usual single oral dose of 40–120 mg. Administration of low-dose aspirin can
result in exposure of cyclooxygenase in platelets ... tissues, the volume of distribution can be far greater than
any physiologic space. For example, the volume of distribution of digoxin and
tricyclic antidepressants is hundreds of liters, obviously...
...
Chapter 005. PrinciplesofClinical
Pharmacology
(Part 4)
Clinical Implications of Drug Distribution
Digoxin accesses its cardiac site of action slowly, over a distribution phase
of several ... volume of distribution of lidocaine is reduced. Therefore, lower-than-
normal loading regimens are required to achieve equivalent plasma drug
concentrations and to avoid toxicity.
Rate of Intravenous ... prevent elimination by
very rapid (t
1/2
of seconds) uptake into erythrocytes and endothelial cells before
the drug can reach its clinical site of action, the atrioventricular node.
Plasma...
... effect of the drugs, it may produce
severe agonist–mediated effects (such as hypertension or tachycardia) if the
blocking drug is abruptly withdrawn.
Chapter 005. PrinciplesofClinical
Pharmacology ... site of action, it alters the function of that
molecular target, with the ultimate result of a drug effect that the patient or
physician can perceive. For drugs used in the urgent treatment of ... accumulation of
active metabolites. Commonly, the clinical effect develops as a downstream
consequence of the initial molecular effect the drug produces. Thus, administration
of a proton-pump...
... designation of Chester Fritz Distinguished
Professor ofPharmacology and ofClinical Neuroscience, the
highest honor bestowed by the University of North Dakota.
8 DESK REFERENCE OFCLINICAL PHARMACOLOGY
For ... July of 1999, he was appointed professor
and chairman of the Department ofPharmacology and Tox-
icology at the University of North Dakota School of Med-
icine and Health Sciences. In September of ... infringe.
Library of Congress Cataloging-in-Publication Data
Ebadi, Manuchair S.
Desk reference ofclinicalpharmacology / author, Manuchair Ebadi. 2nd ed.
p. ; cm.
Rev. ed. of: CRC desk reference of clinical...
... toxicological analysis of biofluids, or the pharmacologic or toxicologic
effects of the herb, further investigation might prove difficult or impossible. Toxicology and Clinical
Pharmacology of Herbal Products ... effects of herbs can
be found.
Toxicology and ClinicalPharmacologyof Herbal Products is designed to provide medical examiners,
toxicologists, and health care providers with an objective review of ... toxicology is an extension of pharmacology, but also to make the book
useful for a wide variety of applications by professionals with various interests. Adverse effects noted
in clinical trials are...
... tendency to pick and choose their clinical subject matter
as it relates to their interest in specific conditions and their clinical pharmacology.
Clinical Pharmacologyof Sleep is an important and ... can get. Several people were instrumental
in the production of this new volume ofClinicalPharmacologyof Sleep.
The dedicated staff of Birkhauser-Verlag, Basel, Switzerland made this project
an ... him up.
– Ecclesiastes 4:9
Clinical Pharmacology
of Sleep
Edited by S.R. Pandi-Perumal and J.M. Monti
Birkh¨auser Verlag
Basel • Boston • Berlin
Neuropharmacology of obstructive sleep apnea and...
... Davison is professor and chair of the University of Southern
California’s Department of Psychology. In 2006 he served as president
of the Society ofClinical Psychology (Division 12 of APA) and ...
Distinguished Professor of Psychology and director of the Clinical
Research Unit at the University of Houston, where he also teaches in
the graduate clinical program. He has served on the boards of 7 ... is not a matter of logic, but a matter of judgment and
persuasion.) The “importance” of the results is also a matter of persua-
sion. For example, is the magnitude of the effect clinically significant?...