Pharmacokinetics 5-6 Flashcards

1
Q

Why are pharmacokinetics important?

A
  • determine drug behavior
  • safe & effective dose in animal systems
  • optimization of therapeutic conc.
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2
Q

Bioequivalence

A

Comparing new drug w/ known version

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3
Q

Dosage regimen

A

Absorption + distribution + elimination

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4
Q

AUC (area under curve)

A
  • total amt. of drug that comes into systemic circulation
  • helps evaluate bioavailability of drugs
  • represents extent of absorption
  • expressed as product of drug conc. and time
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5
Q

Trapezoidal rule

A
  • divide plasma conc.-time profile into several trapezoids
  • add the AUCs of all the trapezoids
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6
Q

Volume of distribution (Vd)

A
  • Vd= Dose/Plasma conc
  • higher tissue dist.->more lipid soluble; mainly tissues
  • lower tissue dist. -> more H2O soluble; plasma mainly, maybe tissue
  • dose must be given IV
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7
Q

Protein bound Vd

A
  • plasma only
  • 5% body wt.
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8
Q

H2O soluble Vd

A
  • extracellular fluid
  • 20-30% body wt.
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9
Q

Lipid soluble Vd

A
  • plasma (mostly), ECF and ICF, or Total body water
  • 60-70% body wt.
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10
Q

Elimination kinetics

A
  • k= elimination rate constant
  • 1st order kinetics more common than zero order
  • determines dosage; dose interval; duration in body
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11
Q

First order kinetics

A
  • most common
  • Fixed fraction of drug processed
  • constant 1/2 life
  • usually eliminated in 5 half lives
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12
Q

Zero order kinetics

A
  • fixed amt. of drug processed per time
  • not usually common
  • 1/2 life dependent on dose given
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13
Q

Clearance rate

A

Cl= (dose/AUC) * (vol/time)

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14
Q

Half life

A
  • t 1/2= 0.693* Vd/Cl
  • shorter= rapid elimination
  • good way to determine dosing intervals
  • entero-hepatic circulation and plasma protein binding increase 1/2 life
  • may increase in renal or hepatic dysfunct.
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15
Q

Dose

A

Amt of drug administered to produce response

  • Dose= Cmax * Vd
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16
Q

Dosing interval is determined by

A

Max. plasma conc. dropping to point below which desired response no longer occurs

17
Q

Steady state concentration

A
  • Css (symbol)
  • most drugs reach state in 3-5 half lives
  • when conc. remains stable/consistent when drug is given repeatedly or constantly
18
Q

What single variable allows you to determine how long it will take to reach a steady-state drug level?

A

Elimination half life

19
Q

3 compartment PK models

A
  • 1 compartment
  • 2 compartments
  • non-compartmental
20
Q

One compartment PK model

A
  • rapidly distr. drugs
  • whole body a single, kinetically homogenous unit
21
Q

Two compartment model

A
  • central compartment: highly perfused organs
  • peripheral compart.: less perfused organs
22
Q

Non-compartmental

A
  • no compartments
  • PK parameters obtained by algebraic equations