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Urologic pharmacology in the office setting
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
The Urologic Clinics of North America
|November 1, 1988
Summary
Understanding patient pharmacokinetics is crucial for successful anti-infective therapy, unlike micturition disorder treatments which lack pharmacokinetic guidance. This impacts therapeutic outcomes in common office practices.
Area of Science:
- Pharmacology
- Urology
Background:
- Common office therapeutics include anti-infective and micturition disorder treatments.
- Anti-infective therapy often considers pathogen susceptibility before administration.
- Micturition disorder therapy targets complex, conflicting mechanisms.
Purpose of the Study:
- To analyze the pharmacokinetic and pharmacodynamic principles in common office-based therapeutics.
- To identify reasons for therapeutic failures in anti-infective and micturition disorder treatments.
Main Methods:
- Review of pharmacodynamic principles in anti-infective drug action (in-vitro susceptibility).
- Analysis of pharmacokinetic factors influencing therapeutic success in anti-infective therapy.
- Examination of therapeutic approaches for micturition disorders in relation to pharmacokinetic tenets.
Main Results:
- Therapeutic failures in anti-infective therapy are frequently linked to unaddressed patient pharmacokinetics.
- Drug therapy for micturition disorders is rarely guided by pharmacokinetic principles.
- Existing treatments for micturition disorders are based on diverse, often opposing, mechanisms.
Conclusions:
- Optimizing anti-infective therapy requires a deeper understanding of individual patient pharmacokinetics.
- Current pharmacotherapy for micturition disorders may benefit from incorporating pharmacokinetic considerations.
- Further research into pharmacokinetic-guided treatments for micturition disorders is warranted.