Drug absorption Flashcards

1
Q

Absorption

A

Process by which unchanged drug enter the circulation

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2
Q

Distribution

A

Dispersion of a drug among fluids and tissues of the body

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3
Q

Metabolism

A

Transformation of a drug into daughter components

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4
Q

Excretion

A

Is the removal of drugs from the body

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5
Q

What is the importance of ADME?

A
  • Essential for safe and intelligent use of medicines by all doctors
  • Designing dosing regimens
  • Monitoring treatment compliance
  • Substance of abuse monitoring
  • Medicine licensing requirement
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6
Q

What do different routes of administration result in?

A

Result in bio-availability and onset

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7
Q

Reasons as to why choice of delivery is a compromise

A

○ Speed of onset
○ Convenience: Oral or i.v
○ Bioavailability: proportion of administered drug reaching the systemic circulation
○ Side effects/specificity of action

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8
Q

What do drugs have to do in order to reach there target?

A

Requires drugs to cross biological barriers like lipophilic membranes

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9
Q

Where does most absorption occur but where some can occur?

A

• Most absorption occurs through cells, however some occurs between cells

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10
Q

How can absorption occur?

A

○ Active transport
○ Facilitated diffusion through cells
○ Passive diffustion

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11
Q

What is the equation of ficks law?

A

§ Rate of diffusion=surface area x Concentration difference x permeability

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12
Q

What are key determinants of Ficks law?

A

§ Lipid solubility/ionization are key determinants of permeability

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13
Q

What are most drugs and hence what are they?

A

• Most drugs are weak acids or bases and are thus ionisable

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14
Q

What are weak acidic drugs?

A

Proton donors

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15
Q

what are basic drugs?

A

Proton acceptors

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16
Q

What does the extent of ionisation depend on ?

A

§ pH of environment

Acid-base dissociation constant of the drug

17
Q

What state must drugs be in order to diffuse across cell membranes?

A

Uncharged

18
Q

What type of drugs least effectively absorbed

A

Ionised drugs

19
Q

What type of drugs most effectively absorbed?

A

○ Non-ionisable, lipophilic drugs absorbed most effectively

20
Q

Henderson-Hasselbalch equation for acid

A

§ pH=pKa-log[non-ionised]/[ionised]

21
Q

Henderson-Hasselbalch equation for base

A

§ pH=pKa+log[non-ionised]/[ionised]

22
Q

When does pH=pKa?

A

When drug is 50% ionised

23
Q

What happens to an acidic drug as as pH becomes more acidic?

A

More of the drug stays unionised

24
Q

What happens to a basic drug as pH becomes more alkaline?

A

More of the drug stays ionized

25
Q

Absorption of aspirin the gastric mucosa

A

Aspirin is a weak acid

pKa=3.5

26
Q

Ion trapping vs site of absorption

A

• Acidic drugs absorbed efficiently from stomach
• Basic drugs absorbed less efficiently in stomach but better absorbed in intestine
○ pH more ideal in intestine than stomach

27
Q

Where are many drugs absorbed?

A

Many drugs absorbed in the intestine

28
Q

What are the lipinski rules that orally active drugs have no more than violation to?

A

○ Molecular weight<500
○ No more than 5 H-bond donors
○ No more than 10 H-bond donors
○ Log P<5

29
Q

What don’t the lipinski rules do?

A

don’t predict pharmacological activities

30
Q

What might ADME optimization result in?

A

§ ADME optimisation might minimize desirable properties like receptor binding