Week 4A PO Flashcards
compartment
1
2
extravascular (IM injection, SC, GI tract)
central (plasma, blood, serum
bolus dose goes into the
extravascular ‘gut’ compartment
what is ka
first order transfer rate constant bw gut and central compartment
usually absorption process is faster than
elimination process, not always the case
ka is faster than k
slower exponential
faster exponential
k (elimination rate constant)
ka
the peak and later decay arises from
difference between two exponential terms
CL, V, k, F, and ka
- depend on drug and patient
- may depend on age, weight, sex, genetics or state of health
- dose, F, and ka are parameters associated w/ dosage form
F may be reduced by
poor solubility, drug instability
what happens to the Rate of drug absorption and elimination
• Rate of A : absorption >> elimination B : absorption = elimination (dC/dt= 0) C : absorption < elimination D : elimination >> absorption
by reducing absorption rate constant/smaller ka value
time occurs later/is increased, and peak concentration is lower/decreases
changing F values is equivalent to
changing the dose
- the higher the F value, the higher the concentration values at each time point. shifts curve up and down.
- tmax is unchanged bc k and ka remain the same
• assuming ka «_space;k, then:
• k = klate
absorption becomes rate-limiting and the late phase after the peak has the half-life of absorption
- Penicillin G
Cresidual =
C late - C plasma (mg/L)
most often ka»_space; k
• ka = klate
-the late phase after the peak has the half-life of
elimination
if the constants are very similar (ka = k) then
another model is required
F should be determined by comparison with another route of administration, cannot determine with CL or V alone, nor can we be certain that ka»k
- if the other dosage form is an IV dose then F is absolute bioavailability
- if other dosage form is another oral or other non IV product, then F is relative bioavailability
MRT (mean residence time)
-average time for drug molecules to reside in the body
-depends on route of administration, assumes drug is eliminated from central compartment
= aumc/auc
at zero moment its
at first moment
auc
aumc (area under moment curve)
Assume a child received 20 dimes for his birthday and
immediately places them in his piggy bank. Over the next month, he periodically removes 1 or more dimes from the piggy bank to purchase candy. Specifically, 3 days after placing the coins in his bank he removes 5 dimes, on day 10 he removes 4 dimes, on day 21 he removes 6 dimes and on day 30 he removes 5 dimes. At the 30th day after placing the coins in his bank, all of the coins have been removed. Hence, the elimination of the deposited dimes is complete. The MRT of the dimes in the piggy bank is simply the sum of the times that coins spend in the bank divided by the number of dimes placed in the bank
MRT =
(3×5) + (10× 4) + (21×6) + (30×5) divided by 20
MRT = 16.55 days
not all the dimes were there for 16.55 days its just the average.
K late equation
= ln C1 - ln C2/ (t2-t1)
Vss = CL x (MRToral - MAT) so
MRToral = MRTiv + MAT