Absorption of drugs Flashcards
pharmaceutical process
get drug into patient
pharmacokinetic process
get drug to site of action
pharmacodynamic process
produce the correct pharamcological effect
therapeutic process
produce the correct therapeutic effect
what route does not involve absorption
intravenous
Tmax
time to peak concentration
Cmax
peak concentration
AUC
area under drug concentration time curve. amount of drug that is absorbed - bioavailability
increasing the dose affects what
Cmax but not Tmax as only the rate of absorption changing would increase Tmax
what can affect the Tmax and Cmax
route administration
therapeutic index
measure of the range over which a drug is safe and active
factors affecting oral absorption bioavailability
formulation, ability of drug to pass physiological barriers, gastrointestinal effects eg gut motility, food, illness, first pass metabolism
how do drugs pass across membranes
passive diffusion- ionised drugs don’t pass, must be lipid soluble,} filtration, active transport
gastrointestinal factors that affect absorption
illness, food and drink, drugs
first pass metabolism
metabolism of drugs prior to reaching systemic circulation as there can be a limit on an oral route for some drugs due to acid in gut lumen, enzymes in gut wall or liver. avoid using other routes