Rasymas A
University of Toronto, Ontario, Canada.
Clin Podiatr Med Surg. 1992 Apr;9(2):211-21.
The processes of absorption, distribution, metabolism, and elimination are involved in the determination of blood drug concentrations from a certain dosage regimen. Various physiologic factors ranging from gastric pH to hepatic blood flow can affect the pharmacokinetic parameters that help to describe these processes. The result of altered physiology may be a change in drug concentrations that may cause toxic effects or no desired effect. Therefore, the clinician must have a knowledge of basic pharmacokinetics and pharmacodynamics to be able to predict the behavior of drugs in a body and ensure that the drugs are used in a safe and effective way.
吸收、分布、代谢和排泄过程参与了根据特定给药方案确定血药浓度的过程。从胃内pH值到肝血流量等各种生理因素,均可影响有助于描述这些过程的药代动力学参数。生理状态改变的结果可能是药物浓度发生变化,进而可能导致毒性作用或达不到预期效果。因此,临床医生必须掌握基本的药代动力学和药效学知识,以便能够预测药物在体内的行为,并确保药物的使用安全有效。