Contents

Section I
General Principles 1

  1. Drug Invention and the Pharmaceutical Industry……………………….. 3
  2. Pharmacokinetics: The Dynamics of Drug Absorption, Distribution, Metabolism, and Elimination……………………………….. 13
  3. Pharmacodynamics: Molecular Mechanisms of Drug Action…….. 31
  4. Drug Toxicity and Poisoning……………………………………………………… 55
  5. Membrane Transporters and Drug Response…………………………….. 65
  6. Drug Metabolism………………………………………………………………………. 85
  7. Pharmacogenetics……………………………………………………………………. 101

Section II
Neuropharmacology 113

  1. Neurotransmission: The Autonomic and Somatic Motor Nervous Systems………………… 115
  2. Muscarinic Receptor Agonists and Antagonists……………………….. 149
  3. Anticholinesterase Agents………………………………………………………… 163
  4. Nicotine and Agents Acting at the Neuromuscular Junction and Autonomic Ganglia…………….. 177
  5. Adrenergic Agonists and Antagonists………………………………………. 191
  6. 5-Hydroxytryptamine (Serotonin) and Dopamine…………………… 225
  7. Neurotransmission in the Central Nervous System………………….. 243
  8. Drug Therapy of Depression and Anxiety Disorders………………… 267
  9. Pharmacotherapy of Psychosis and Mania……………………………….. 279
  10. Pharmacotherapy of the Epilepsies…………………………………………… 303
  11. Treatment of Central Nervous System Degenerative Disorders………. 327
  12. Hypnotics and Sedatives………………………………………………………….. 339
  13. Opioids, Analgesia, and Pain Management………………………………. 355
  14. General Anesthetics and Therapeutic Gases…………………………….. 387
  15. Local Anesthetics…………………………………………………………………….. 405
  16. Ethanol…………………………………………………………………………………….. 421
  17. Drug Use Disorders and Addiction………………………………………….. 433

Section III
Modulation of Pulmonary, Renal, and Cardiovascular Function 443

  1. Drugs Affecting Renal Excretory Function………………………………. 445
  2. Renin and Angiotensin…………………………………………………………….. 471
  3. Treatment of Ischemic Heart Disease……………………………………….. 489
  4. Treatment of Hypertension………………………………………………………. 507
  5. Therapy of Heart Failure………………………………………………………….. 527
  6. Antiarrhythmic Drugs……………………………………………………………… 547
  7. Treatment of Pulmonary Arterial Hypertension………………………. 573
  8. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs………. 585
  9. Drug Therapy for Dyslipidemias………………………………………………. 605

Section IV

Inflammation, Immunomodulation, and Hematopoiesis 619

  1. Introduction to Immunity and Inflammation…………………………… 621
  2. Immunosuppressants and Tolerogens………………………………………. 637
  3. Immune Globulins and Vaccines……………………………………………… 655
  4. Lipid-Derived Autacoids: Eicosanoids and Platelet-Activating Factor…………………. 673
  5. Pharmacotherapy of Inflammation, Fever, Pain, and Gout……….. 685
  6. Histamine, Bradykinin, and Their Antagonists………………………… 711
  7. Pulmonary Pharmacology……………………………………………………….. 727
  8. Hematopoietic Agents: Growth Factors, Minerals, and Vitamins……. 751

Section V
Hormones and Hormone Antagonists 769

  1. Introduction to Endocrinology: The Hypothalamic-Pituitary Axis…………….. 771
  2. Thyroid and Antithyroid Drugs……………………………………………….. 787
  3. Estrogens, Progestins, and the Female Reproductive Tract……….. 803
  4. Androgens and the Male Reproductive Tract…………………………… 833
  5. Adrenocorticotropic Hormone, Adrenal Steroids, and the Adrenal Cortex…………………. 845
  6. Endocrine Pancreas and Pharmacotherapy of Diabetes Mellitus and Hypoglycemia………….. 863
  7. Agents Affecting Mineral Ion Homeostasis and Bone Turnover………………… 887

Section VI
Gastrointestinal Pharmacology 907

  1. Pharmacotherapy for Gastric Acidity, Peptic Ulcers, and Gastroesophageal Reflux Disease…… 909
  2. Gastrointestinal Motility and Water Flux, Emesis, and Biliary and Pancreatic Disease……. 921
  3. Pharmacotherapy of Inflammatory Bowel Disease…………………… 945

Section VII
Chemotherapy of Infectious Diseases 955

  1. General Principles of Antimicrobial Therapy…………………………… 957
  2. Chemotherapy of Malaria………………………………………………………… 969
  3. Chemotherapy of Protozoal Infections: Amebiasis, Giardiasis, Trichomoniasis, Trypanosomiasis, Leishmaniasis, and Other Protozoal Infections…. 987
  4. Chemotherapy of Helminth Infections……………………………………1001
  5. Sulfonamides, Trimethoprim-Sulfamethoxazole, Quinolones, and Agents for Urinary Tract Infections….1011
  6. Penicillins, Cephalosporins, and Other β-Lactam Antibiotics……1023
  7. Aminoglycosides………….1039
  8. Protein Synthesis Inhibitors and Miscellaneous Antibacterial Agents…….1049
  9. Chemotherapy of Tuberculosis, Mycobacterium avium Complex Disease, and Leprosy……….1067
  10. Antifungal Agents……..1087
  11. Antiviral Agents (Nonretroviral)…………………………………………….1105
  12. Treatment of Viral Hepatitis (HBV/HCV)………………………………1119
  13. Antiretroviral Agents and Treatment of HIV Infection……………1137

Section VIII
Pharmacotherapy of Neoplastic Disease 1159

  1. General Principles in the Pharmacotherapy of Cancer…………….1161
  2. Cytotoxic Drugs……………………………………………………………………..1167
  3. Pathway-Targeted Therapies: Monoclonal Antibodies, Protein Kinase Inhibitors, and Various Small Molecules……………………..1203
  4. Hormones and Related Agents in the Therapy of Cancer………..1237

Section IX
Special Systems Pharmacology 1249

  1. Ocular Pharmacology……………………………………………………………..1251
  2. Dermatological Pharmacology………………………………………………..1271
  3. Environmental Toxicology: Carcinogens and Heavy Metals……1297

Appendices
I. Principles of Prescription Order Writing and Patient Compliance……….1317
II. Design and Optimization of Dosage Regimens:
Pharmacokinetic Data…………………………………………………………….1325

Index 1379

General Principles
Chapter 1. Drug Invention and the Pharmaceutical
Industry / 3
Chapter 2. Pharmacokinetics: The Dynamics of Drug Absorption,
Distribution, Metabolism, and Elimination / 13
Chapter 3. Pharmacodynamics: Molecular Mechanisms of Drug Action / 31
Chapter 4. Drug Toxicity and Poisoning / 55
Chapter 5. Membrane Transporters and Drug Response / 65
Chapter 6. Drug Metabolism / 85
Chapter 7. Pharmacogenetics / 101

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