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CECIL
TEXT BOOK of MEDICINE
Section V Clinical Pharmacology
27 PRINCIPLES OF DRUG THERAPY
PHARMACOKINETIC PRINCIPLES
Administration
Absorption
First-Pass Effect
Bioavailability
Distribution
Volume of Distribution
Elimination
APPLYING PHARMACOKINETIC PRINCIPLES
Using a Loading Dose
Determining Drug Accumulation
Using a Maintenance Dose
Decreasing the Drug Level
DOSE-DEPENDENT PHARMACOKINETICS
MONITORING OF DRUG CONCENTRATION AS A GUIDE TO THERAPY
Problems with Interpreting Drug Concentration
ADJUSTING DRUG DOSE WITH DISEASE
Kidney Disease
Liver Disease
Hemodynamic Diseases
APPROACH TO DRUG OVERDOSE
USING DRUGS IN THE ELDERLY
Pharmacokinetic Changes with Age
Pharmacodynamic Changes with Age
General Recommendations
INTERACTIONS BETWEEN DRUGS
Epidemiology
Etiology
Diagnosis and Prevention of Drug Interactions
ADVERSE REACTIONS TO DRUGS
Epidemiology
Etiology
Diagnosis of Adverse Drug Responses