Department of Pharmacy, Houston Methodist Hospital, 6565 Fannin Street, DB1-09, Houston, TX 77030, USA.
Department of Pharmacy, Houston Methodist Hospital, 6565 Fannin Street, DB1-09, Houston, TX 77030, USA.
Crit Care Clin. 2021 Jul;37(3):475-486. doi: 10.1016/j.ccc.2021.03.001.
Pharmacokinetic and pharmacodynamic interactions between drugs and the body play a vital role in the therapeutic effects of drugs as well as their toxicity. Toxic effects may evolve from high doses of drugs or from alterations in the absorption, distribution, metabolism, and excretion of those drugs. The effective dose of a drug is influenced by the initial dose, route of administration, drug formulation, and bioavailability. This effective dose, in conjunction with the frequency of dosing, duration of exposure, and pharmacodynamic variability, directly affects the toxicity experienced in the body.
药物与机体之间的药代动力学和药效学相互作用对药物的治疗效果及其毒性起着至关重要的作用。毒性作用可能源于药物的高剂量,也可能源于药物的吸收、分布、代谢和排泄的改变。药物的有效剂量受到初始剂量、给药途径、药物制剂和生物利用度的影响。这个有效剂量,结合给药频率、暴露持续时间和药效学变异性,直接影响到体内所经历的毒性。