ADME Flashcards
The plasma concentration of a drug =
The concentration of the drug in the immediate effects of its target
Two compartment model
Central compartment = tissues and plasma where drugs distribute instantly
Peripheral compartment = tissues that take longer to distribute
Drug plasma concentrations depend on
Drug half life
Volume of distribution
Total drug clearance
Half life
The time taken for plasma levels to drop by half
Does changing the dose of a drug affect the half life?
No
Steady state
Where overall intake and elimination of a drug is the same
4/5 times the half life
For most drugs how long is the half life
24 hours
Half life equation
0.693 x volume of distribution
Divided by
Total clearance
Volume of distribution
The tissue distribution of a drug (depends on lipid solubility)
The greater the volume of distribution
The lower the free plasma concentration
The longer the half life
I.e stops the body eliminating drug
Loading dose
Higher than normal dose used to get plasma levels of drug to a steady state quicker
Loading dose
Volume of distribution x plasma concentration
What kind of drugs are eliminated by the kidneys?
Water soluble
Ionised
What kinds of drugs are deactivated by the liver
Lipid soluble
Unionised
Drug that causes liver saturation toxicity
Phenytoin
Paracetamol