Zack PharMa Flashcards
Mechanisms of drug absorption?
1) simple passive diffusion- small hydrophobic drugs
2) facilitated diffusion
3) active transport
4) endocytosis
Most weak acid drugs are absorbed at what site of GI tract
Proximal duodenum or the gastro duodenal junction.
Weak bases are best absorbed at what part of the GI tract ?
Distal duodenum
In shock drugs administered IV: Why?
It is because the blood flow overall and in particular into the GI tract are reduced in shock. Therefore, drugs administered PO will not be absorbed adequately
What are the factors affecting drugs absorption?
1) Ph of the site of drug absorption.
2) blood flow
3) Total surface area and contact time available for the drug.
4) P glycoproteins ( seen in some people)which cause exocytosis of the drug back into the GI tract. It is one of the causes of multidrug resistance.
The formula for bioavailability is ?
F= AUC oral / AUC IV
F= bioavailability
AUC = area under the curve
Factors affecting bioavailability?
1) The solubility of the drug: The more hydrophobic and the smaller the drug, the more bioavailable it is.
2) instability of the drug: the drugs that are susceptible to degradation by GI PH or GI enzymes, if given orally will have poor bioavailability
3) First pass effect
For the best absorption of a weak base drug, the PH should be?
Very close to the Pka of the drug
Basic drugs are bound to what in plasma protein?
Alpha-01 acid glycoproteins