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Poisons in His Book de Materia Medica (Covers 600 Plants)

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• Modern toxicology - exogenous agents

• Scientist - explore the mechanisms

• Ebers Papyrus (circ. 1500 B.C.) – oldest writing, poisons including hemlock…

• Book of Job (circ. 1400 B.C.) - poison arrows “For the arrows of the Almighty are within me, Their
poison my spirit drinks; The terrors of God are arrayed against me.”

• Hippocrates (circ. 400 B.C.) - therapy and over dosage

• Theophrastus (370-286 B.C.) - student of Aristotle, De Historia Plantarum

• Dioscorides - Greek physician, first attempt at classifying poisons into plant, animal, and mineral
poisons in his book De Materia Medica (covers 600 plants)

• Sulla - Lex Cornelia (circ. 82 B.C), First law against poisoning, careless dispensers

• Maimonides - Moses ben Maimon, AD 1135-1204, poisonings from insects, snakes, and mad dogs.
(Poisons and their Antidotes, 1198)

• Catherine de Medici - Tested toxic concoction (Onset of action, Potency, Specificity and site of
action, Clinical signs and symptoms)

• Philippus Aureolus Theophrastus Bombastus von Hohenheim Paracelsus (1493-1541) - “ All


substances are poisons; there is none that is not a poison. The right dose differentiates a poison
from a remedy.”

• Toxicology - adverse effects of the chemicals on living organisms

• Toxicologist - trained to examine

• Mechanistic toxicologist - cellular, biochemical, and molecular mechanism

- Data or Mechanistic data are used as reference to design and produce safer chemicals

• Descriptive toxicologist - information for safety

• Regulatory toxicologist - deciding on the basis of data provided by descriptive and mechanistic
toxicologist, Regulates the availability of chemicals

• Forensic toxicologist - medicolegal aspects

• Clinical toxicologist - uniquely associated with toxic substances

• Environmental toxicology – pollutants

• Developmental toxicology - developing organism that result from exposure to chemicals

• Reproductive toxicology - the male and female reproductive system

• Poison - deleterious response

• Spectrum of Undesired Effects - Only one effect is associated with the primary objective of the
therapy

• undesirable or side effects – other effects


• Allergic Reaction - hypersensitization, allergic reaction, & sensitization reaction

• Idiosyncratic reaction - abnormal reactivity to a chemical, extreme sensitivity at low doses

• Immediate toxicity - rapidly after a single administration

• Delayed toxicity - lapse of some time

• Reversible versus Irreversible Toxic Effects - affected tissue can regenerate

• Local effects - between biological system and the toxicant

• Systemic effect - absorption and distribution

• Interaction of chemicals

- Additive effect (1+1=2)


- Synergistic effect (1+1=3) or (1+0=3)
- Antagonism (1+1=0

• Route and site of exposure


- Contact
- Ingestion
- inhalation

• Duration and frequency of Exposure


- Acute – less than 24 hours
- Subacute – repeated for 1 month or less
- Sub chronic – 1 to 3 months
- Chronic – 3 months and above

• Dose-Response Relationship - biological system and the amount of toxicant administered


• Individual dose-response relationship - individual organism
• Quantal dose-response relationship - different doses

• ED50 – Effective dose - elicit a qualitative amount


• LD50 – Lethal dose - death in 50%

• Essential nutrients –physiologic function and survival

• Hormesis – no nutritional toxic substances

• Threshold – individual responding is zero.

• Dose-response relationship - exists both quantifiable


• Therapeutic index ( I) - ratio of the dose

• VARIATION IN TOXIC RESPONSES


- Selective Toxicity - injury to one kind.
- Species Differences - different species.
- Individual Differences in Response - large interindividual

• Toxicogenomics - genes and toxicants

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