TOXICOLOGY AND CHEMOTHERAPY

Stefania MARZOCCO TOXICOLOGY AND CHEMOTHERAPY

0760400027
DIPARTIMENTO DI FARMACIA
EQF7
PHARMACEUTICAL CHEMISTRY AND TECHNOLOGY
2025/2026

OBBLIGATORIO
YEAR OF COURSE 5
YEAR OF DIDACTIC SYSTEM 2023
AUTUMN SEMESTER
CFUHOURSACTIVITY
1080LESSONS
Objectives
THE COURSE AIMS TO PROVIDE THE STUDENT WITH KNOWLEDGE OF THE PHARMACOLOGICAL PROPERTIES OF CHEMOTHERAPEUTIC DRUGS AND THE RATIONAL BASIS OF THE CLINICAL USE OF THESE CLASSES OF DRUGS.
KNOWLEDGE AND UNDERSTANDING
AT THE END OF THE COURSE THE STUDENT WILL KNOW:
-PHARMACOKINETIC AND PHARMACODYNAMIC PROPERTIES OF ANTI-INFECTIVE AND ANTI-TUMOR CHEMOTHERAPEUTIC DRUGS;
-SIDE EFFECTS AND TOXICITIES, AND CLINICAL USES OF CHEMOTHERAPEUTIC DRUGS;
-INTERACTIONS BETWEEN DRUGS AND BETWEEN THEM AND BIOACTIVE MOLECULES
-MECHANISMS OF DRUG RESISTANCE;
-TYPES AND MECHANISMS OF CELLULAR AND MOLECULAR TOXICITY AND ADVERSE REACTIONS TO DRUGS;
-FACTORS THAT ALTER THE RESPONSE AND TOXIC EFFECTS OF DRUGS, INCLUDING GENETIC FACTORS;
-TOXICITY AND DRUG-DEPENDENCE MECHANISMS OF DRUGS AND SUBSTANCES OF ABUSE;
-TOXICOKINETIC AND TOXICODYNAMIC MECHANISMS OF MOLECULES OF FOOD AND ENVIRONMENTAL ORIGIN;
-RATIONAL BASIS OF THE TREATMENT OF THE INTOXICATED PATIENT.
ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING
THE STUDENT APPLYING THE SKILLS ACQUIRED MUST BE ABLE TO
-ANALYZE PROBLEMS RELATED TO THE RATIONALIZATION OF CHEMOTHERAPY THERAPIES AND THEIR CORRECT USE, IN TERMS OF EFFICACY AND SAFETY AND ADHERENCE TO THERAPY;
-EVALUATE THE RISK-BENEFIT RATIO IN EXPOSURE TO XENOBIOTICS.
Prerequisites
PREREQUISITES
ALL EXAMS OF THE FIRST AND SECOND YEAR, PHARMACEUTICAL CHEMISTRY AND TOXICOLOGY I; PHARMACOLOGY AND PHARMACOTHERAPY
Contents
CHEMOTHERAPY CONTENTS
CONCEPTS OF ANTIBIOTIC THERAPY, SELECTIVE TOXICITY AND DRUG RESISTANCE (4 H)
ANTIBIOTIC DRUGS (2 H)
STRUCTURE, PROPERTIES, MECHANISM OF ACTION, MECHANISMS OF RESISTANCE, ASPECTS OF PHARMACOKINETICS, THERAPEUTIC USES AND SIDE EFFECTS OF THE FOLLOWING CLASSES OF DRUG:
1) ANTIMICROBIAL DRUGS (12 H)
BETA-LACTAMICS, SULFAMIDES, TETRACYCLINES, MACROLIDES AND AMINOGLICOSIDS.
2) ANTI-TUBERCULAR DRUGS (2 H)
ISONIAZIDE, RIFAMPICIN, ETAMBUTOL, STREPTOMICIN, PYRAZINAMIDE.
3) ANTIMALARIC DRUGS (2 H)
CHLOROQINE, QUININE, MEFLOCHINE, PRIMACHINE, PROGUANIL AND ARTEMISININ.
4) ANTIFUNGAL DRUGS (2 H)
5) ANTINEOPLASTIC DRUGS (12 H)
ALKYLATING DRUGS, ANTIMETABOLITES, ANTIMITOTICS, CYTOTOXIC ANTIBIOTICS, HORMONE ANTAGONISTS, MONOCLONAL ANTIBODY AND SMALL MOLECULES.
6) ANTIVIRAL DRUGS (4 H)
ANTIHERPETIC AND ANTICYTOMEGALOVIRUS DRUGS
ANTIRETROVIRAL DRUGS
DRUGS ACTIVE AGAINST THE FLU VIRUS.

TOXICOLOGY CONTENTS
1) INTRODUCTION TO TOXICOLOGY (6 H)
PHARMACOALLERGY
IMMEDIATE AND DELAYED TOXICITY - REVERSIBLE AND IRREVERSIBLE TOXIC EFFECTS. LOCAL AND SYSTEMIC TOXICITY. ORGANS TOXICITY
2) CARCENOGENESIS (4 H)
GENOTOXIC CARGENIOGENS. ALKYLATING DRUGS - INORGANIC CARGENOGENS - NON GENOTOXIC CARGENOGENS - PARABENS - BISPHENOL A.
GENOTOXIC RISK AND ITS ASSESSMENT. MUTAGENESIS AND GENOTOXICITY TESTS

3) PHARMACOIDIOSYNCRASIA – PHARMACOGENETICS (2 H)
PHARMACOGENETICS AND PHARMACOGENOMICS. ADVERSE REACTIONS TO ADR DRUGS. GENE POLYMORPHISM AND VARIABILITY OF RESPONSE TO DRUG.

4) DRUGS AND SUBSTANCES OF ABUSE (14 H)
DRUG ADDICTION – TOLERANCE – WITHDRAWAL – REINFORCEMENT – SENSITIZATION - PHARMACOTHERAPY
ETHYL ALCOHOL, METHANOL, NICOTINE, CAFFEINE
BENZODIAZEPINES, BARBITURICS, COCAINE AND AMPHETAMINE, MORPHINE, HEROINACANNABINOIDS, MDMA AND MDA KETAMINE.

5) FOOD TOXICOLOGY (4 H)
FOOD SAFETY. ADVERSE FOOD REACTIONS. FOOD IDIOSYNCRASIES: CELIAC DISEASE, LACTOSE INTOLERANCE, MICOTOXINS

6) BACTERIAL TOXINS AND MARINE TOXINS (2 H)

7) ENVIRONMENTAL TOXICOLOGY (8 H)
HEAVY METALS
GENERALITY. TOXICOKINETICS. MECHANISM OF ACTION. TOXICITY
LEAD – MERCURY – ARSENIC – CADMIUM- CHROMIUM – IRON-NICKEL
PHARMACOLOGICAL TREATMENT
DRUGS IN THE ENVIRONMENT

Teaching Methods
THE COURSE INCLUDES 80 HOURS OF FRONTAL ASSISTED TEACHING (10 CFU).
ATTENDANCE OF LESSONS IS REQUIRED. IN ORDER TO TAKE THE FINAL EXAM, THE STUDENT MUST HAVE ATTENDED AT LEAST 75% OF THE HOURS OF THE COURSE. THE METHOD OF VERIFYING ATTENDANCE IS GENERALLY ELECTRONIC, I.E. IT IS MADE KNOWN BY THE TEACHER AT THE BEGINNING OF THE COURSE.SUGGESTED BY THE TEACHER AT THE BEGINNING OF THE COURSE.
Verification of learning
ORAL INTERVIEW
IT IS FINALIZED TO ASSESS THE LEVEL OF KNOWLEDGE OF THE APPROPRIATE TERMINOLOGY OF BOTH MODULES AS WELL AS THE STUDENT CAPACITY OF EXPOSITION.
THE MAXIMUM SCORE IS 30/30 AND IS INTENDED TO BE PASSED WITH THE MINIMUM VOTE OF 18/30.
Texts
CHEMOTHERAPY
1) GOODMAN & GILMAN, LE BASI FARMACOLOGICHE DELLA TERAPIA, XIII ED. ITALIANA, ZANICHELLI EDITORE.
2) ANNUNZIATO & DI RENZO, TRATTATO DI FARMACOLOGIA. IDELSON-GNOCCHI (3A EDITION)
- GOODMAN & GILMAN LE BASI

TOXICOLOGY
KLAASSEN CD, WATKINS III JB, CASARETT & DOULL, ELEMENTI DI TOSSICOLOGIA, EDIZIONE ITALIANA A CURA DI PATRIZIA HRELIA E GIORGIO CANTELLI FORTI, CASA EDITRICE AMBROSIANA
PAOLETTI R, NICOSIA S, CLEMENTI F, FUMAGALLI G, FARMACOLOGIA GENERALE E MOLECOLARE, UTET.
GOODMAN &GILMAN, LE BASI FARMACOLOGICHE DELLA TERAPIA, X EDIZIONE ITALIAN, ZANICHELLI.
DOLARA, TOSSICOLOGIA GENERALE ED AMBIENTALE, EDITORE PICCIN.
KATZUNG, FARMACOLOGIA, EDITORE PICCIN
Lessons Timetable

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