Clinical toxicology lecture 1 Flashcards
Hemlock
Drink it as a Greek capital punishment
Aconite
Soldiers dipping arrows
What did King Mithridates do?
Sampled poisons to build resistance
Paracelsus
Father of modern toxicology
Said that all substances are poisons, the dose determines if a remedy or poison
Threshold dose
Highest dose that doesn’t cause obvious adverse effects
ED1
Effective Dose, dosage affective in 1% of the population
NOEL
Highest dose where no significant effect occurs
LOEL
Lowest dose where a significan effect occurs
NOAEL
No observable adverse effect level
Dosage
Amount of toxin/ drug per body wt (mg/kg/day)
Dose
Total amount the animal receives
Acute responses/ effects
Redness, swelling, pain
Chronic responses/ effects
Contraction, organization, loss of pain
Timely effect of toxins
(Fastest) peracute –> acute –> subacute –> subchronic –> chronic –> accumulation –> delayed
Which gov organization approved drugs?
FDA
Acute toxicity
Single and short term exposure
Effects observed <24 hours
Subacute toxicity
Repeat exposure to small doses
30 days or less, two week studies
Effects cellular functions and tissues
Subchronic toxicity
Repeated exposure
Study of toxic effects for 1-3 months
Chronic toxicity
Long term exposure
Used to demonstrate general toxicity and carcinogensis
Period usually > one year
Chronicity factor (CR)
Ratio of acute chronic LD50
CR= acute LD50/ chronic LD50
Chemical accumulates if CR >2
Inhereited sensitivities of MDR1 gene mutation
Ivermectin
Butorphenol
Anticancer drugs (doxrubricin, vincristine)
Acepromazine
Immodium
Mibemycin
Erythomycin
Rifampin