kinetics exam 2 - oral absorption Flashcards

1
Q

Two formulations of the same drug, A and B, have different absorption rates. A has a faster absorption rate than B. B will arrive at peak concentration in a shorter time.

A
True

B
False

A

false because since A has a faster absorption time it will reach the peak concentration sooner

they are the same drug so they have the same elimination rate tho

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2
Q

ABSORPTION SITES SUCH AS
G-I TRACT

what different variables mean

A

A—Measured form of Drug
B—Moiety Chemically Appended to A
A + B—Molecular form of Drug

S = A/(A+B)
Dgi = A + B

F = fraction of drug absorbed

for IV, the F is always 1 because all of the drug goes to the blood and is absorbed

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3
Q

Model for Absorption from Extravascular Sites: Two Compartments

A

Absorption: mostly first-order, but can be zero-order.

central compartment (Cp, VD, DP) k goes out
Tissue compartment (Ct, Vt, Dt)

k12 and k21 goes between the central and tissues compartments

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4
Q

Model for Absorption from Extravascular Sites: One Compartment

A
  1. Anatomy and physiology of absorption site
  2. Physico-chemical properties of drug
  3. Dosage form used

absorption goes in
DB, VD
elimination goes out

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5
Q

Model for Absorption from Extravascular Sites II

A

Anatomy and Physiology: factors such as GI motility, and surface area for absorption

  • Dosage Form Used: for instance if solid, needs to first disintegrate, then dissolve in GI fluids before absorption is possible
  • Physico-chemical properties of drug: e.g. lipid solubility, size etc…
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6
Q

Oral Absorption: Cp against t Curve

A

absorption Phase: Rate of absorption > rate of elimination
- the graph line goes up

Cmax: peak concentration
- rate of absorption = rate of elimination

Post-Absorption Phase:
Rate of absorption < rate of elimination
- line begins to go down

Elimination Phase: Rate of absorption = 0
- line steadily goes down

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7
Q

Importance of Parameters

A

ka (the first-order rate constant for absorption) and k make it possible to determine peak and trough plasma concentrations during multiple dosing

  • Changes in ka and k affect the Cmax, tmax, and AUC. If ka increases at a steady k, Cmax increases and tmax decreases while AUC remains the same. However at a steady ka, if k increases, Cmax, tmax, and AUC all decrease.
  • ka, k, and tmax are useful in determining the bioequivalence of chemically equivalent products

makes sense because ka is absorption so if it increases and k (which is elimination) decreases then Cmax will increase and tmax will decrease because it will take less time to reach the tmax

makes sense because k is elimination so if it increases then Cmax & tmax will decrease

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8
Q

do problem!

A

slide 11

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9
Q

Zero-Order Absorption Process

A

The selection of a model and order is typically based on the data gathered

  • Zero order absorption occurs when the process is saturable or when a controlled-release system is used.
  • For a zero-order absorption with rate constant k0 and a first-order elimination with rate constant k:
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10
Q

First-Order Absorption Process II

A

CpSFkaD0 (e-kt-e-kat) VD(ka –k)

At time tmax, corresponding to peak plasma concentration, Cmax, dDB/dt = 0 and so
differentiating,:

so at time tmax, peak plasma concentration is 0

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11
Q

do the problem!

A

slide 15, 16, 17

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12
Q

First-Order Absorption Process: Determining the Elimination rate Constant (k)

A
  • During the elimination phase e-kat  0. Thus:
  • Taking natural logarithms and then substituting with common logarithms:

eqn resembles y = mx + b

Thus k is determined from the slope of the log Cp against t curve; other parameters may be determined from the intercept (FkaD0/VD(ka – k))

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13
Q

graph

A

the y-intercept that is extrapolated from the straight line is this eqn
(FD0ka)/(VD(ka-k)

the slope of the elimination line = -k/2.3

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14
Q

First-Order Absorption Process: Determining the Elimination rate Constant (k) II

A

Similarly, urinary excretion data may be used. The urinary rate of excretion:

Thus k may be determined from the slope of the log dDu/dt against t curve; other parameters may be determined from the intercept (Fka keD0/ (ka – k))

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15
Q

graph!

A

slide 21

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16
Q

First-Order Absorption Process: Determining the Elimination rate Constant (k) III

A

Thus k may be determined from the slope of the log dDu/dt against t curve; other parameters may be determined from the intercept (Fka keD0/ (ka – k))

17
Q

do the problem!

A

slide 23

18
Q

First-Order Absorption Process: Determining the Elimination rate Constant (k) IV

A
  • Since dDU/ dt cannot be determined for any single time point, the value for each time point on the previous plot is first obtained by taking urine samples over a period for assay (DU/ t is plotted against time t). The average rate over each period is determined and the time used is the mid point of each such period.
    /k
  • The cumulative parent drug excreted in the
    urine at time t =  : D  = Fk D Ue0
19
Q

Determining k and ka

A
  • -Method of Residuals:
    The amount of absorbable drug at the absorption site at time t

D D e-kat
-where D0 is the amount of absorbable drug at time zero

Fraction of unabsorbed drug:
DGI e-kat D0
or
log -
D0 2.3

20
Q

Determining Absorption Rate Constant ka : Method of Residuals

A
  • From equation

a plot of Cp against time may be used to determine ka: the elimination phase slope is –k/2.3 and the y-intercept (FkaD0/VD(ka – k)) = A

21
Q

Determining Absorption Rate Constant ka : Method of Residuals II

A

ka can be obtained by using the feathering technique:
by extrapolating the elimination phase line on the semilog plot, A can be obtained

a line representing the absorption phase is obtained by subtracting points on the extrapolated beta line from the corresponding original observed data points

a plot of the values of the differences gives a straight line with slope –ka/2.3

22
Q

graph

A

slide 28, 29

23
Q

Example for Method of Residuals

do the problem

A

slide 30

24
Q

when do you use -Wagner-Nelson and -Loo-Riegelman

A

Wagner-Nelson - used only for 1 compartment

-Loo-Riegelman - used for 2 or multiple compartments

25
Q

Determining Absorption Rate Constant ka : Wagner-Nelson Method

A
  • This method assumes a one-compartment model

D0 = DGI + DB + DU

where DU is the amount of unchanged drug in the urine * Amount of drug absorbed:
Ab=DB +DU

At time t = , Ab = 0 + kVD[AUC]0t

26
Q

Determining Absorption Rate Constant ka : Urinary Data

A

Recall: only valid urine samples will yield accurate pharmacokinetic parameters

27
Q

Determining Absorption Rate Constant ka : Urinary Data II

A

Making the relevant substitutions and integrating from time zero to t and zero to  respectively:

28
Q

Flip-Flop of ka and k

A

Generally, using the feathering technique, ka > k i.e. ka
represents the steeper slope

  • A reversal of the values of these rate constants can occur when they are estimated from oral absorption data
  • This occurs for drugs with very fast elimination (k > ka). Reversal occurs for some drugs with k > 0.69/hr such as isoproterenol and salicyluric acid. It could also occur for an extended-release product if ka drops well below k.
  • Thus in order to be sure that ka > k (as would be indicated by oral data), the drug must be given to the same patient intravenously.
  • A drug with a high value for k (short t1/2) is probably not suitable for oral administration.

drug with high Ka may not be suitable for
ROA that requires absorption

29
Q

graph of the flip flop of ka and k

A

REMEMBER, while doing the method of residuals the ka will always
be greater than the k
ka > k
k > ka when the flip flop method occurs for drugs with high elimination rates such as isoperonterol and salicyulic acid (I think that is how you spell them lol)

30
Q

Absorption and Lag Time

A

Factors such as stomach emptying time and intestinal motility create a lag time in some individuals i.e. a delay in absorption

  • Absorption begins at the end of lag time (t0); onset time, on the other hand, represents the time needed for drug levels to attain the minimum effective concentration
  • In taking lag t0 into account, earlier equation must be re-
    expressed as:
  • On the Cp against time curve, if the intersection of the two residual lines falls to the right of the origin, the x-axis value is t0.

why is there a lag time after you take ibuprofen, but the drug
does not show up in the blood immediately because you may have had a large meal
or the drug does not disintegrate