Introduction

INTRODUCTION

  • Toxicokinetics differs from pharmacokinetics. In clinical toxicology cases one deals with:
    • Potential poisoning (not yet absorbed)
    • Actual toxicoses (altered physiology may alter kinetics over time)
    • Residue contamination of foods such as meat, milk, or eggs
  • Whether the problem relates to poisoning or residues, toxicokinetic data may be used either:
    • to predict 'normal' rates of metabolic change (activation or detoxification) and/or elimination, or
    • to choose methods to help decrease the toxicant concentration at the receptor (e.g., to limit absorption, or increase detoxification or excretion)
  • As compared to typical uses of therapeutic drugs, in toxicoses, kinetics are more likely to be altered by:
    • Saturation of enzymes involved in metabolism (detoxification or toxification) or of enzymes employed in carrier systems necessary for elimination
    • Organ system dysfunction or failure : For toxicant-induced liver or kidney damage that alters metabolism and/or elimination of the toxicant e.g. circulatory problems resulting in hypotension secondary to shock, acidosis due to exertion and seizures.
  • Before toxicity can develop, a substance must come into contact with a body surface such as skin, eye or mucosa of the alimentary or respiratory tract.
Last modified: Tuesday, 27 December 2011, 12:52 AM