Pharmacokinetics 1 - Introduction Study notes, Study notes of Pharmacology

In this notes, Pharmacokinetics is briefly described, what body do when drug enters in the body - the process of Absorption, Metabolism, Distribution, and Elimination is briefly described

Typology: Study notes

2021/2022

Available from 06/21/2022

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Pharmacokinetics
Dr. Nawazishi Husain Syed
Pharm D 2nd Prof
Pharmacology
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Pharmacokinetics

Dr. Nawazishi Husain Syed

Pharm D 2

nd

Prof

Pharmacology

Pharmacokinetics

“What the body does to the drug”

The study of the disposition of a drug

It includes the processes of ADME

A bsorption

D istribution

M etabolism

E xcretion

T oxicity

Elimination

Why drugs fail

Significance

Patients may suffer

Toxic drugs may accumulate

Useful drugs may have no benefit because

doses are too small to establish therapeutic

efficacy

A drug can be rapidly metabolized

Drug Absorption

Absorption is the process by which a drug

enters the bloodstream without being

chemically altered

or

The movement of a drug from its site of

application into the blood or lymphatic system

Drug Absorption

Factors which influence the rate of absorption

types of transport

the physicochemical properties of the drug

protein binding

routes of administration

dosage forms

circulation at the site of absorption

concentration of the drug

Drug Absorption

Mechanisms of solute transport across

membranes

passive diffusion

filtration and bulk flow

endocytosis

ion-pairing

active transport

Absorption relies on

Passage through membranes to reach the blood

passive diffusion of lipid soluble species.

Absorption

Membranes

Types of Membranes:

Cell Membranes: This barrier is permeable to many drug

molecules but not to others, depending on their lipid

solubility. Small pores, 8 angstroms, permit small

molecules such as alcohol and water to pass through.

Walls of Capillaries: Pores between the cells are larger

than most drug molecules, allowing them to pass freely,

without lipid solubility being a factor.

Blood/Brain Barrier: This barrier provides a protective

environment for the brain. Speed of transport across this

barrier is limited by the lipid solubility of the psychoactive

molecule.

Placental Barrier: This barrier separates two distinct

human beings but is very permeable to lipid soluble drugs.

Distribution

The movement of drug from the blood to and from the tissues

Distribution

Determined by

partitioning across various membranes

binding to tissue components

binding to blood components (RBC, plasma protein)

physiological volumes

Total Body water

Vascular

3 L

4% BW

Extravascular

9 L

13% BW

Intracellular

28 L

41% BW

Distribution

Apparent volume of distribution (Vd) = Amount of drug in

body/plasma

Volume of Distribution for some drugs

Drugs Vd (L)

cocaine 140

clonazepam 210

amitriptyline 1050

amiodarone 5000