F and CL part 3 Flashcards
Bioavailability and Hepatic extraction ratio
F= Qh/ Qh+fu X CLint
Low EH drugs
F is close to 1
F is affected by changes in CLint, fu, or QH
CLh is affected by changes in CLint or fu
High EH drugs
F= QH/ fu X CLint
F is not affected by changes in CLint, fu, or QH
CLh is proportional to Qh
Changes in F significantly
Factors affecting AUCiv
Low EH drug: fu and CLint
High EH drug: QH
Factors affecting AUCpo
Low EH drug: fu and CLint
High EH drug: fu and CLint
Filtration
from arterial bloodstream into glomerulus
Increase excretion
depends on MW and unbound drug concentration (fu)
CLr= fu X GFR
Secretion
from arterial bloodstream into proximal tubule
increase excretion
CLR>fu X GFR
Reabsorption
from lumen of nephron into venous bloodstream
Decrease excretion