Test 3 Flashcards
clearance
volume of blood that has drug completely removed from it
ROE units
mass/time
concentration units
mass/volume
clearance units
volume/time
Q
blood flow same on both sides
extractor
organ removing drug / liver kidney etc
E
extraction ratio
whats coming in / whats coming out
.1 = 10% each time = 1st order removal always
ROP
Cin x Q
ROE
Q x (Cin - Cout)
E
ROE/ROP
(Cin - Cout)/ Cin
ways you could impact the ability of the extractor to remove drug
blood flow heart failure = lower Q liver failure - any change in Q or E enzyme inhibitors
ROE is concentration independent or dependent
dependent / 1st order
clearance is a constant or variable
constant
CL =
vol/time
Q x E
flow rate x extraction ratio
ROE =
Cin x Q x E
k =
CL/VD
volume/time
——————- = time^-1
volume
inactive metabolite
devoid of pharmacological activity; results in termination of a drug, chemical properties are changed affecting how a drug interacts with target or changes in distribution
active metabolite
has pharmacological activity; similar to the desired activity, new activity not observed with the parent drug
drug bioactivation
parent has no activity; must be activated
phase 1 reactions
add or reveal polar functional group, generally increase H2O solubility and facilitate excretion; does not always terminate; may undergo phase 1
phase 2 reactions
conjugation; add biomolecule to a functional group or phase 1 metabolite; increase water solubility; increase molecular weight; high energy cofactors; usually terminate
5 types of reactions catalyzed by CYP
N/S oxidation alkene oxidation O/N dealkylation aromatic, acyclic, aliphatic hydroxylation deamination
other phase 1 reactions
epoxide hydrolase ADH/ALDH esterase nitro reduction keto reduction azo reduction
most common phase 2
glucronidation
high capacity system
glucuronidation