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The First Miracle Drugs - How the Sulfa Drugs Transformed Medicine (Hardcover, New)
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The First Miracle Drugs - How the Sulfa Drugs Transformed Medicine (Hardcover, New)
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In the decade from 1935-1945, while the Second World War raged in
Europe, a new class of medicines capable of controlling bacterial
infections launched a therapeutic revolution that continues today.
The new medicines were not penicillin and antibiotics, but
sulfonamides, or sulfa drugs. The sulfa drugs preceded penicillin
by almost a decade, and during World War II they carried the main
therapeutic burden in both military and civilian medicine. Their
success stimulated a rapid expansion of research and production in
the international pharmaceutical industry, raised expectations of
medicine, and accelerated the appearance of new and powerful
medicines based on research. The latter development created new
regulatory dilemmas and unanticipated therapeutic problems. The
sulfa drugs also proved extraordinarily fruitful as starting points
for new drugs or classes of drugs, both for bacterial infections
and for a number of important non-infectious diseases. This book
examines this breakthrough in medicine, pharmacy, and science in
three parts. Part I shows that an industrial research setting was
crucial to the success of the revolution in therapeutics that
emerged from medicinal chemistry. Part II shows how national
differences shaped the reception of the sulfa drugs in Germany,
France, Britain, and the United States. The author uses press
coverage of the day to explore popular perceptions of the dramatic
changes taking place in medicine. Part III documents the impact of
the sulfa drugs on the American effort in World War II. It also
shows how researchers came to an understanding of how the sulfa
drugs worked, adding a new theoretical dimension to the science of
pharmacology and at the sametime providing a basis for the
discovery of new medicinal drugs in the 1940s, 1950s, and 1960s. A
concluding chapter summarizes the transforming impact of the sulfa
drugs on twentieth-century medicine, tracing the therapeutic
revolution from the initial breakthrough in the 1930s to the
current search for effective treatments for AIDS and the new
horizons opened up by the human genome project and stem cell
research.
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