title: The clinical implications of first-pass metabolism: treatment strategies for the 1990s.
abstract: The first-pass effect is real. It may pose obstacles to the treatment of disease, and strategies need to be developed to address the problem that first pass can cause. First we have to look at identifying the problem, and this symposium has helped to further emphasize that the problem exists and awareness is increasing. The first-pass effect has been a basic tenant of pharmacology but an area not receiving active research interest and one that is often overlooked in the clinical arena. Avoiding drug interactions is a consideration, and that is a major challenge to the field of clinical pharmacology. Clinicians need to be aware of the problem, aware of the danger areas with drugs, and first pass. Another alternative is to turn to chemical modification of a drug that avoids needing to take first pass into consideration.
authors.affiliation: Department of Medicine, University of Health Sciences, Chicago Medical School, Illinois 60064.
authors.forename: J
authors.initials: J
authors.lastname: Somberg
authors.forename: G
authors.initials: G
authors.lastname: Shroff
authors.forename: S
authors.initials: S
authors.lastname: Khosla
authors.forename: S
authors.initials: S
authors.lastname: Ehrenpreis
mesh_terms: D004358:Drug Therapy / Q000379:methods*; D006801:Humans; D007413:Intestinal Mucosa / Q000378:metabolism; D008099:Liver / Q000378:metabolism; D004364:Pharmaceutical Preparations / Q000008:administration & dosage / Q000378:metabolism*; D010599:Pharmacokinetics
chemical_list: D004364:Pharmaceutical Preparations