Abstract
The idea of using plasma concentrations as a quantitative approach to therapeutical decision making emanates from an intent to reduce toxicity and improve drug efficacy, and to allow a more objective assessment of pharmacological therapy. Since its introduction in the early 1960s, it has developed as one of the most expanding components of diagnostic laboratory medicine today [1,2]. It has become especially useful for drugs with low therapeutical indices and for drugs with therapeutical effects that are difficult to evaluate. Maintaining plasma drug concentrations within a defined therapeutical range has been shown to improve efficacy, and reduce toxicity for therapy with several groups of drugs such as antiasthmatic, antiarrhytmic, antibacterial and antirheumatic drugs [2]. In the past, answers to many of the therapeutical questions regarding these drugs were obtained by trial and error, and pharmacotherapy was generally based on the selection of a dose, dosing interval, route of administration followed by observations of the response of the patient.
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Paalzow, L.K. (1990). Therapeutical Drug Monitoring of Anticancer Drugs. In: Domellöf, L. (eds) Drug Delivery in Cancer Treatment III. ESO Monographs. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75938-3_7
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DOI: https://doi.org/10.1007/978-3-642-75938-3_7
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