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Pharm Lect 4
Question | Answer |
---|---|
First Pass Effect (metabolism) | Drugs that are absorbed by the stomach and GI first pass by bacterial, intestinal wall, and liver enzymes before reaching the systemic circulation. Some drugs are extensively metabolized and their bioavailability decreases. |
100mg tablet has 30% bioavailability due to first pass effect, how much of the tablet makes it into systemic circulation? | 30mg. **Portion of oral dose that reaches systemic circulation. |
Extraction Ration | ER = [(Ci-Co)/Ci]. Ci:concentration in (the GI/portal system). Co:concentration out (of the GI/portal system). **First pass drugs have a high extraction ratio |
Process by which most drugs cross membranes? | Passive diffusion (moves down the concentration gradient). Therefore it must be dissolved and have sufficient lipid solubility (Inc lipid solubility = Faster diffusion). **Must be NON IONIZED to cross membrane |
Partition Coefficient (passive drug diffusion) | Dependent on lipid solubility. Represents the drug concentration ratio in lipid phase and water phase. Controlled by altering chemical side groupd. **PC = ([drug] in lipid phase)/([drug] in aqueous phase) |
Higher PC means? | Greater the rate of transfer of that drug across the membrane because a greater portion is already in the lipid phase. |
Increased Ionization of a drug | Decrease the rate at which it crosses the membrane due to increased polarity. |
pH's effect on Ionization | Most drugs are WEAK acids/bases which means there will usually be some of the drug in the ionized form. Weak acids: highly ionized in basic pH (better absorbed in the stomach). Weak bases: highly ionized in acidic pH (better absorbed in the Duodenum). |
where will a drug with low pka be absrobed? high pka? | low pka: stomach (less ionized because it will not want to donate an H+). high pka: Small intestine (less ionized). **When pH=pka, 50% ionized and 50% unionized |
Henderson Hasselbalch Eq | weak acid: pH=pKa+log(ionized/unionized). Weak Base: pH=pKa+log(unionized/ionized) |
P-glycoprotein (MDR1) | ABC transporter that works in cooperation with the liver after it makes drugs more ionized and aqueous. Usually found on luminal surface of: 1.Intestinal cells (w/ CYP3A4). 2.Hepatocyte mem. 3.Renal proximal tubular cell. 4.Brain endothelial cell. |
Chemically Equivalent | Contains the same amount of active ingredient but differs in bioavailability in that it will yield different plasma concentrations of active ingrediant over time. |
Bioequivalent | The rate and extent of absorption of a drug is not significantly different. (close to the same bioavailability). |
Bioequivalent generic drugs | Generic drugs do not have to do all the preclinical and clinical testing that Brand name drugs do b/c they are so close in bioavailability. |
Important parameters measured in bioavailability studies | 1.Minimal effective concentration (MEC). 2.Minimal toxic concentration (MTC). 3.Peak concentration Cmax (want this to be between the MEC and MTC). **Half-life is also taken into consideration |