Several, mainly macroeconomic factors are putting increasing pressure
on health care budgets. These budget constraints lead to cost containm
ent measures by all partners involved in health care. Pharmacotherapy,
too, is facing an ng involvement in health economics or outcomes rese
arch. This paper will first deal with some basic principles of pharmac
oeconomics. The relationship with pharmacokinetics and biopharmaceutic
s has perhaps not yet been an issue as such, though it should be point
ed out that they play a key role in the efficiency of drug use. Many o
f the basic R&D investments aimed at developing cost-effective medicin
es should be founded on adequate pharmacokinetics. Also a rational use
of drugs in practice can be achieved by adequate drug monitoring, res
ulting in a gain in cost-effectiveness. Last but not least, pharmacoki
netics and biopharmaceutics can offer opportunities for the rational u
se of new or existing pharmaceutical products and for the maintenance
of a sufficient market share. Some of these more technical aspects are
discussed in the second part of this presentation.