wk 5 drug absorption and distribution Flashcards
most common mechanism of transport
passive diffusion by conc gradient. drugs move from area of high conc to low conc. applies to lipid soluble drugs
mechanism of transport thats reliant on energy
active transport - needs atp. often happens in organs like liver, kidney against conc gradient
endocytosis
used to transport large molecules like proteins/drugs. cell membrane engulf the drug, forming a vesicle thats ttransported to the cell
filtration
passage of water soluble drugs through pores in capillary
patients factors that affect absorption
- stomach emptying rate
- intestinal motility
- intreraction with food
how does tissue uptake distribution work
its dependant on blood flow. drugs that receive more blood receive more drug (for example brain, liver, kidney receive lot while muscle, skin, fat receive less)
what is special about the brain blood barrier (BBB)
only lipid-soluble drugs can pass through BBB because the endothelial cells in the brian are tightly packed to only allow certain molecules through
problem with protein binding
drugs bind to plamsa proteins like albumin, limiting their availability to tissues. only unbound or free drugs can exert pharmacological effect.