Pharmacokinetics, Drug Metabolism, and Drug Disposition Flashcards
pharmacokinetics
the science of a drug’s fate in the body
What are the 4 components that contribute to drug disposition?
absorption, distribution, metabolism, and excretion
bioavailability
the rate and extent of drug absorption
What is volume of distribution directly related to?
half-life
half-life
the time required to eliminate half the drug from the body
Approximately 50% of drugs undergo some form of hepatic metabolism
The primary purpose of hepatic metabolism is to increase a drug’s water solubility to facilitate its renal elimination
The kidneys serve as the primary eliminating organ for drugs that do not undergo hepatic metabolism. Renal clearance comprises of three main physiologic processes:
glomerular filtration, reabsorption, and secretion
filtration clearance
the product of drug not bound to protein and the glomerular filtration rate
For IV drug input, the concentration is given by:
C=(Dose/V) x e^-(K x t)
C=concentration
K=elimination rate constant=Cl/V
Cl=clearance=Dose/AUC
V=volume
For drugs that are administered extravascularly (PO, IM, or SC) and act systemically, absorption must occur. For first-order absorption, the concentration is given by:
C=(Ka x F x Dose/V x (Ka-K)) x (e^-(K x t) – x^-(Ka x t)
Ka=first-order rate constant for drug absorption
t1/2=0.693/Ka
K=first-order rate constant for drug elimination
Cl=F x Dose/AUC
Oral clearance=Cl/F=Dose/AUC
F=bioavailability or fraction of drug absorbed