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Review Article
Drug Therapy
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Volume 349:1157-1167 September 18, 2003 Number 12
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Developmental Pharmacology — Drug Disposition, Action, and Therapy in Infants and Children
Gregory L. Kearns, Pharm.D., Ph.D., Susan M. Abdel-Rahman, Pharm.D., Sarah W. Alander, M.D., Douglas L. Blowey, M.D., J. Steven Leeder, Pharm.D., Ph.D., and Ralph E. Kauffman, M.D.

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Infants and children are far different from adults in terms of societal, psychosocial, behavioral, and medical perspectives. More than 100 years ago Dr. Abraham Jacobi, the father of American pediatrics, recognized the importance of and need for age-appropriate pharmacotherapy when he wrote, "Pediatrics does not deal with miniature men and women, with reduced doses and the same class of disease in smaller bodies, but . . . has its own independent range and horizon."1 As our knowledge of normal growth and development has increased in the past several decades, so has our recognition that developmental changes profoundly affect the responses . . . [Full Text of this Article]

Absorption of Drugs

Distribution of Drugs

Drug Metabolism

Development of Phase I Enzymes

Development of Phase II Enzymes

Renal Elimination of Drugs

Pharmacodynamics

Age-Specific Dosing Regimens

Conclusions


Source Information

From the Departments of Pediatrics (G.L.K., S.M.A.-R., S.W.A., D.L.B., J.S.L., R.E.K.), Pharmacology (G.L.K., D.L.B., J.S.L., R.E.K.), and Pharmacy Practice (S.M.A.-R.), University of Missouri at Kansas City; and the Divisions of Pediatric Pharmacology and Medical Toxicology (G.L.K., S.M.A.-R., S.W.A., D.L.B., J.S.L., R.E.K.), Emergency Medicine (S.W.A.), and Nephrology (D.L.B.), Children's Mercy Hospitals and Clinics — both in Kansas City, Mo.

Address reprint requests to Dr. Kearns at the Division of Pediatric Pharmacology and Medical Toxicology, Department of Pediatrics, Children's Mercy Hospitals and Clinics, 2401 Gillham Rd., Kansas City, MO 64108, or at gkearns@cmh.edu.


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