Rang and Dales Pharmacology
Seventh Edition
H P Rang, MB BS MA DPhil Hon FBPharmacolS FMedSci FRS
Emeritus Professor of Pharmacology, University College London, London, UK
M M Dale, MB BCh PhD
Senior Teaching Fellow, Department of Pharmacology, University of Oxford, Oxford, UK
J M Ritter, DPhil FRCP FBPharmacolS FMedSci
Emeritus Professor of Clinical Pharmacology, Kings College London, London, UK
R J Flower, PhD DSc FBPharmacolS FMedSci FRS
Professor, Biochemical Pharmacology, The William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
G Henderson, BSc PhD FBPharmacolS
Professor of Pharmacology, University of Bristol, Bristol, UK
Churchill Livingstone
Front Matter
Rang and Dales Pharmacology
SEVENTH EDITION
H P Rang MB BS MA DPhil Hon FBPharmacolS FMedSci FRS
Emeritus Professor of Pharmacology, University College London, London, UK
M M Dale MB BCh PhD
Senior Teaching Fellow, Department of Pharmacology, University of Oxford, Oxford, UK
J M Ritter DPhil FRCP FBPharmacolS FMedSci
Emeritus Professor of Clinical Pharmacology, Kings College London, London, UK
R J Flower PhD DSc FBPharmacolS FMedSci FRS
Professor, Biochemical Pharmacology, The William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK
G Henderson BSc PhD FBPharmacolS
Professor of Pharmacology, University of Bristol, Bristol, UK
Edinburgh, London, New York, Oxford, Philadelphia, St Louis, Sydney, Toronto 2012
For additional online content visit www.expertconsult.com
Cover image shows white blood cells emigrating from blood vessels.
The inner surface of blood vessels are lined with endothelial cells which express a protein called PECAM-1 at the junction between cells, and less strongly on the cell body. This protein was labelled red with a fluorescently tagged antibody, and genetic modification was used to make the white blood cells (leukocytes) express green fluorescent protein. These can be seen sticking to the endothelial cells, and beginning to transmigrate through the blood vessel wall in response to an inflammatory stimulus.
The image was captured by confocal microscopy with laser excitation of the green and red fluorescent labels. A series of flat images through the vessel were taken, and these slices were reconstructed to make a 3D object.
Image generated by S. Nourshagh, A. Woodfin and M. Benoit-Voisin (William Harvey Research Institute, London).
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Copyright
is an imprint of Elsevier Inc.
2012, Elsevier Inc. All rights reserved.
First edition 1987
Second edition 1991
Third edition 1995
Fourth edition 1999
Fifth edition 2003
Sixth edition 2007
The right of H P Rang, M M Dale, J M Ritter, R J Flower and G Henderson to be identified as authors of this work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publishers permissions policies and our arrangements with organisations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein.
Main Edition
ISBN-13 978-0-7020-3471-8
International Edition
ISBN-13 978-1-4377-1933-8
British Library Cataloguing in Publication Data
Rang & Dales pharmacology. 7th ed.
1. Pharmacology.
I. Pharmacology II. Rang, H. P. III. Dale, M. Maureen.
615.1-dc22
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Rang and Dales Pharmacology 7Th Edition Preface
In this edition, as in its predecessors, we set out not just to describe what drugs do but to emphasise the mechanisms by which they act. This entails analysis not only at the cellular and molecular level, where knowledge and techniques are advancing rapidly, but also at the level of physiological mechanisms and pathological disturbances. Pharmacology has its roots in therapeutics, where the aim is to ameliorate the effects of disease, so we have attempted to make the link between effects at the molecular and cellular level and the range of beneficial and adverse effects that humans experience when drugs are used for therapeutic or other reasons. Therapeutic agents have a high rate of obsolescence, and new ones appear each year. An appreciation of the mechanisms of action of the class of drugs to which a new agent belongs provides a good starting point for understanding and using a new compound intelligently.
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