biopharmaceutics
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Questions and Answers

What does the lipid:aqueous drug partition coefficient indicate?

  • The ease of a drug's movement between aqueous and lipid environments (correct)
  • The percentage of a drug bound to plasma proteins
  • The concentration of a drug in systemic circulation
  • The ionization state of a drug
  • What primarily determines the ionization state of a drug?

  • The pH and the drug's pKa (correct)
  • The drug's molecular weight
  • The size of the drug particles
  • The type of drug formulation used
  • Which type of transport requires energy to move drugs across membranes?

  • Facilitated diffusion
  • Passive diffusion
  • Endocytosis
  • Active transport (correct)
  • What role do carrier proteins play in drug transport?

    <p>They are involved in the active transport of drugs (D)</p> Signup and view all the answers

    How do water-soluble drugs typically penetrate cell membranes?

    <p>Through aqueous channels (C)</p> Signup and view all the answers

    What does bioavailability measure?

    <p>The amount of drug that reaches systemic circulation from a formulation (B)</p> Signup and view all the answers

    Which process allows for the entry of very large substances into cells?

    <p>Endocytosis and exocytosis (A)</p> Signup and view all the answers

    What is the significance of a drug's half-life (t1/2) in pharmacotherapy?

    <p>It influences the frequency of drug dosing. (C)</p> Signup and view all the answers

    What factor can complicate the therapeutic response to a drug?

    <p>Binding of the drug to plasma proteins (A)</p> Signup and view all the answers

    How much of a drug is eliminated after three half-lives?

    <p>87.5% (A)</p> Signup and view all the answers

    What is represented by the formula C = Coe-kt?

    <p>The exponential decay of drug concentration. (C)</p> Signup and view all the answers

    In first order kinetics, how does the elimination rate relate to concentration?

    <p>It is directly proportional to concentration. (D)</p> Signup and view all the answers

    What is the approximate percentage of drug eliminated after five half-lives?

    <p>95% (D)</p> Signup and view all the answers

    Which of the following statements about active metabolites is correct?

    <p>They can have similar or different properties compared to the parent molecule. (C)</p> Signup and view all the answers

    What happens to the drug concentration over time if the elimination rate is described by the equation kt = lnCo - lnC?

    <p>Concentration decreases exponentially over time. (B)</p> Signup and view all the answers

    When is a drug typically administered more frequently?

    <p>When it has a short half-life. (A)</p> Signup and view all the answers

    What is the primary factor influencing the volume of distribution (V) of a drug?

    <p>The drug's lipid solubility and blood flow (B)</p> Signup and view all the answers

    What does absolute bioavailability measure?

    <p>The proportion of drug reaching systemic circulation relative to the administered dose (D)</p> Signup and view all the answers

    When comparing oral and intravenous drug administration, which statement is typically true?

    <p>Intravenous administration provides immediate plasma concentration. (B)</p> Signup and view all the answers

    Which of the following compartments can drugs distribute into?

    <p>Plasma, interstitial fluid, and intracellular fluid (C)</p> Signup and view all the answers

    Which factor primarily affects the ability of a drug to diffuse across membranes?

    <p>The ionization state of the drug (C)</p> Signup and view all the answers

    What is the formula used to relate the dose, volume, and concentration of a drug?

    <p>Dose = Volume x Concentration (D)</p> Signup and view all the answers

    Why does blood flow influence drug distribution in the body?

    <p>Areas with higher blood flow receive more drug. (B)</p> Signup and view all the answers

    What does the term 'steady state' in drug dosing refer to?

    <p>The concentration of the drug remains constant over time (C)</p> Signup and view all the answers

    What is the maximum safe concentration (MSC) associated with?

    <p>Concentration above which toxic effects occur (C)</p> Signup and view all the answers

    What does Cmax represent in the context of drug absorption?

    <p>The maximum concentration of a drug in plasma (A)</p> Signup and view all the answers

    Which phase occurs when drug absorption exceeds drug elimination?

    <p>Absorption phase (A)</p> Signup and view all the answers

    What indicates the duration of therapeutic effects without toxicity?

    <p>Therapeutic window (B)</p> Signup and view all the answers

    Which factor is NOT related to bioavailability?

    <p>Rate of systemic circulation (C)</p> Signup and view all the answers

    How is bioequivalence determined?

    <p>Using AUC, Cmax, and tmax (B)</p> Signup and view all the answers

    What is the significance of tmax in drug pharmacokinetics?

    <p>Marks peak plasma concentration time (D)</p> Signup and view all the answers

    What happens during the elimination phase of drug pharmacokinetics?

    <p>Drug elimination exceeds absorption (C)</p> Signup and view all the answers

    What is the range of limits for considering two dosage forms bioequivalent?

    <p>80 - 120% (A)</p> Signup and view all the answers

    What describes the effect on drug absorption when a drug is destroyed in the gut?

    <p>It decreases bioavailability (B)</p> Signup and view all the answers

    What is the primary focus of biopharmaceutics?

    <p>Impact of the drug's physiochemical properties on absorption (A)</p> Signup and view all the answers

    Which aspect of pharmacokinetics is studied in relation to drug elimination?

    <p>Excretion (A)</p> Signup and view all the answers

    What factors govern the distribution of drugs in the body?

    <p>Aqueous or lipid solubility and binding to proteins (A)</p> Signup and view all the answers

    Which method primarily allows for drug absorption through cell membranes?

    <p>Passive diffusion (C)</p> Signup and view all the answers

    What characteristic of the lipid bilayer affects the permeability of polar molecules?

    <p>Hydrophobic core (A)</p> Signup and view all the answers

    Which statement correctly describes passive diffusion?

    <p>It occurs along a concentration gradient without a carrier. (B)</p> Signup and view all the answers

    What role does the liver play in drug metabolism?

    <p>It alters drugs to more polar forms to aid elimination. (C)</p> Signup and view all the answers

    Which statement best defines pharmacodynamics?

    <p>The examination of how drugs interact with biological systems. (D)</p> Signup and view all the answers

    What does a high volume of distribution (V) indicate about a drug?

    <p>It is largely lipid soluble or tissue-bound. (C)</p> Signup and view all the answers

    What is the primary organ for drug metabolism?

    <p>Liver (C)</p> Signup and view all the answers

    Which metabolic process involves the splitting of a molecule into smaller parts?

    <p>Cleavage (C)</p> Signup and view all the answers

    What characterizes the metabolism of most drugs in the body?

    <p>It typically changes from more lipophilic to more hydrophilic forms. (B)</p> Signup and view all the answers

    What type of drug would most likely have a low volume of distribution?

    <p>Highly protein-bound drugs with low lipid solubility (C)</p> Signup and view all the answers

    Which of the following is NOT a common route of elimination for drugs?

    <p>Directly through hair follicles (D)</p> Signup and view all the answers

    Which metabolic process involves the combination of a molecule with glucuronic or sulfuric acid?

    <p>Conjugation (A)</p> Signup and view all the answers

    Which statement about drug metabolites is true?

    <p>Metabolites can be either active or inactive. (C)</p> Signup and view all the answers

    Flashcards

    Biopharmaceutics

    The study of how a drug's properties, dosage form, and administration route affect its absorption and distribution in the body.

    Pharmacokinetics

    The study of how a drug's concentration changes over time within the body. It includes absorption, distribution, metabolism, and elimination.

    Pharmacodynamics

    The study of how drugs interact with the body at a molecular level and produce their effects.

    Absorption

    The movement of a drug from its administration site into the bloodstream.

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    Distribution

    The process by which a drug travels from the bloodstream to various tissues and organs in the body.

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    Metabolism

    The breakdown of a drug into inactive metabolites by enzymes in the liver.

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    Excretion

    The removal of a drug and its metabolites from the body, primarily through urine.

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    Passive Diffusion

    The movement of a drug across cell membranes from an area of high concentration to an area of low concentration.

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    Half-life (t1/2)

    The time it takes for the concentration of a drug in the body to decrease by half.

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    Short half-life drugs

    Drugs with a short half-life need to be administered more frequently because they are quickly eliminated from the body.

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    Long half-life drugs

    Drugs with a long half-life can be administered less frequently because they stay in the body for a longer time.

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    First-order kinetics

    The rate at which a drug is eliminated from the body is proportional to its concentration.

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    Exponential decay

    The relationship between drug concentration and time can be represented by an exponential decay curve.

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    Half-life calculation

    The half-life of a drug can be calculated using the slope of a graph that plots the natural log of drug concentration against time.

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    Rate constant (k)

    The rate constant (k) of drug elimination can be determined from the slope of a graph that plots the natural log of drug concentration against time.

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    Drug elimination after 5 half-lives

    After five half-lives, over 95% of a drug is eliminated from the body.

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    What is the volume of distribution (Vd)?

    The volume of distribution (Vd) is a theoretical volume that represents the total amount of drug in the body at a given time, divided by the drug concentration in plasma.

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    How does water solubility affect the volume of distribution?

    If a drug is very water-soluble or protein-bound, it will be concentrated in the plasma, resulting in a lower volume of distribution.

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    How does lipid solubility affect the volume of distribution?

    If a drug is lipid-soluble or readily binds to tissues, it will be distributed throughout the body, resulting in a higher volume of distribution.

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    What is metabolism in the context of drugs?

    Metabolism is the process of biotransformation, where a drug undergoes chemical changes in the body.

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    What is the general trend of drug metabolism?

    Metabolism often involves a series of steps that make the drug more hydrophilic (water-loving) and easier to eliminate.

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    Bioavailability

    A measure of how much drug reaches the bloodstream after administration.

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    What is elimination in the context of drugs?

    The process of removing a drug from the body.

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    AUC (Area Under the Curve)

    The area under the curve of a drug concentration vs. time graph, which represents the total amount of drug that has entered the bloodstream.

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    Cmax

    The maximum concentration of a drug in the bloodstream after administration.

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    How does the kidney contribute to drug elimination?

    The kidney filters the blood, removing waste products and drugs.

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    How does the liver contribute to drug elimination?

    The liver transforms drugs into more water-soluble forms that are easier to excrete by the kidney.

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    tmax

    The time it takes for a drug to reach its maximum concentration in the bloodstream.

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    MEC (Minimum Effective Concentration)

    The minimum concentration of a drug required for a desired pharmacological effect.

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    MSC (Maximum Safe Concentration)

    The maximum safe concentration of a drug in the bloodstream, above which toxic effects may occur.

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    Therapeutic Window

    The range of drug concentrations that produce the desired therapeutic effect without causing toxicity.

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    Absorption Phase

    The process by which a drug is absorbed into the bloodstream.

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    Elimination Phase

    The process by which a drug is eliminated from the body.

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    Bioequivalence

    Comparing two dosage forms of the same drug to see if they have similar absorption profiles.

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    Lipid/aqueous partition coefficient

    Describes how easily a drug moves between watery (aqueous) and fatty (lipid) environments. A higher partition coefficient means the drug moves more easily into lipids.

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    Membrane permeability

    How well a drug can move across a cell membrane. It depends on the drug's chemical properties and the membrane's structure.

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    Drug ionization

    The tendency of a drug to become charged. Ionized drugs have difficulty crossing cell membranes.

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    Henderson-Hasselbalch equation

    This equation helps calculate how much of a drug is ionized (charged) at a specific pH.

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    Facilitated diffusion

    A type of passive diffusion where a drug moves across a membrane with the help of a carrier protein. This process has a limit, meaning it can get saturated.

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    Active transport

    Movement of drugs against a concentration gradient, requiring energy (ATP) and a carrier protein.

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    Endocytosis

    A process of membrane transport where large molecules or substances are engulfed by the cell. An important way for large molecules to enter cells.

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    What is steady state?

    A steady state is reached when the rate of drug administration equals the rate of drug elimination. This means that the amount of drug in the body remains relatively constant over time.

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    What is absolute bioavailability?

    The fraction of an administered drug dose that reaches the systemic circulation in an unchanged form.

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    Why is protein binding important?

    Protein binding is important because it influences the distribution, metabolism, and elimination of drugs. Drugs bound to proteins are inactive and cannot exert their therapeutic effects.

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    What is volume of distribution (Vd)?

    The volume of distribution (Vd) is a theoretical volume that represents the space in the body where a drug is distributed. It helps determine the initial dose needed for achieving the desired plasma concentration.

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    What is the advantage of intravenous (IV) administration?

    Intravenous (IV) administration delivers the drug directly into the bloodstream, bypassing the first-pass metabolism in the liver. This results in rapid onset of action and 100% bioavailability.

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    What are the key features of oral administration?

    Oral administration involves taking the drug by mouth. This allows for self-administration but the drug must go through the gastrointestinal tract, potentially leading to incomplete absorption and first-pass metabolism.

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    What are the factors that affect drug distribution?

    Factors affecting drug distribution include: 1. Aqueous or lipid solubility: Drugs must be able to cross cell membranes to reach their target sites. 2. Blood flow: Organs with high blood flow receive more drug. 3. Protein binding: Drugs can bind to proteins in the blood, reducing their availability to tissues.

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    Study Notes

    Introduction to Biopharmaceutics

    • Biopharmaceutics is the study of the relationship between a drug's physical and chemical properties, dosage form, and the resulting biological effects after administration.
    • It's a qualitative study.
    • Pharmacokinetics studies the kinetics (quantitative) of drug absorption, distribution, metabolism, and excretion (ADME).

    Biopharmaceutics and Pharmacokinetics

    • Biopharmaceutics is a qualitative study of the relationship between a drug's physical and chemical properties and its dosage form, while Pharmacokinetics is a quantitative study of drug absorption, distribution, metabolism, and excretion (ADME).
    • ADME is a crucial concept in drug development, and its understanding is critical for designing effective and safe medications.

    Absorption

    • Passive diffusion involves movement across a membrane due to a concentration gradient without carrier proteins. It's nonsaturable and depends on the drug's structure.
    • Cell membranes consist of a lipid bilayer, a barrier for ions and most water-soluble molecules.
    • Absorption of lipid-soluble drugs is facile, but the diffusion rate of polar, charged molecules is limited due to their poor solubility in lipids.
    • Absorption via channels is a method for water-soluble molecules.
    • Facilitated diffusion involves a carrier protein and is saturable, while active transport requires energy to move substances against their concentration gradient.
    • Endocytosis and exocytosis are methods for absorbing large substances.
    • The pH and pKa of the drug influence absorption.

    Absorption - How?

    • A lipid-aqueous partition coefficient reflects the ease of a drug moving between water and lipid environments.
    • Drugs in ionized form have poor movement across lipid membranes.
    • The Henderson-Hasselbalch equation determines ionization state, affecting drug transport.
    • Water-soluble drugs penetrate cell membranes through aqueous channels.

    Absorption - How? (Facilitated, Active, Endocytosis/Exocytosis)

    • Facilitated diffusion utilizes carrier proteins (saturable and not requiring energy). Active transport goes against a concentration gradient and necessitates energy, often using carrier proteins.
    • Endocytosis/exocytosis deals with very large substances.

    Bioavailability

    • Therapeutic response relies on adequate drug concentration at the site of action.
    • Plasma concentration of a drug is a measure of bioavailability, representing the amount of the drug from a formulation entering the systemic circulation.
    • Bioavailability is calculated using the area under the plasma drug concentration-time curve (AUC).
    • IV administration has 100% bioavailability; non-IV bioavailability ranges from 0 to 100%.

    Single Oral Dose

    • Drug absorption is initially greater than elimination, leading to a rising plasma concentration.
    • The peak plasma concentration (Cmax) signifies the maximum drug concentration reached.
    • The time to reach Cmax (tmax) provides rate information.
    • Elimination is exponential after absorption peaks, and gradually returns to zero.
    • Minimum effective concentration (MEC) is the minimum concentration required for a desired pharmacological effect.
    • Maximum safe concentration (MSC) is above which toxic effects occur.
    • Therapeutic window is the desired response with no toxic effects.

    Factors influencing bioavailability

    • In the gastrointestinal tract, factors like drug destruction in the gut, insolubility, destruction by the gut wall, and destruction by the liver may reduce the bioavailability of a drug.

    Bioequivalence

    • Bioequivalence refers to whether two dosage forms of the same drug have similar rates and extents of absorption, with acceptable 80-120% limits.
    • Bioavailability is frequently considered to assess bioequivalence.

    Regular Drug Dosing and Steady State

    • Regular drug dosing aims to maintain a therapeutic range of drug concentration in the body.
    • A steady state is reached when the rate of drug intake equals the rate of elimination.
    • Accumulation is present immediately after first dosage administration.

    The Steady State

    • Steady state occurs when the drug intake rate is equal to the elimination rate.
    • The body's accumulated drug concentration stabilizes at this point.
    • Repeated dosings will result in concentration oscillations that eventually approach a constant plateau over time

    Importance of Protein Binding

    • Protein binding affects drug distribution, metabolism, and excretion, and influencing drug interactions.
    • Bound drugs are pharmacologically inactive.
    • Unbound drugs exert effects on the effector cells.

    Oral vs Intravenous Administration

    • Intravenous administration results in immediate high plasma drug concentrations, while oral administration takes time to reach significant plasma concentrations.

    Drug distribution

    • Drugs distribute into body compartments (plasma, interstitial fluid, intracellular fluid).
    • Distribution is influenced by factors like drug lipid solubility and blood flow to tissues.

    Volume of Distribution (Vd)

    • Volume of distribution describes the apparent volume that would be required to contain the entire dose of a drug at the same concentration as that observed in the blood plasma.
    • It’s not a physical volume; it's a theoretical space representing how a drug distributes across body compartments.
    • Vd is high for drugs largely distributed in tissues and low for drugs primarily confined to the plasma.

    Metabolism

    • Metabolism, also known as biotransformation, is the process where a drug's chemical structure is altered within the body to often more water-soluble products.
    • Metabolism often occurs in stages from lipophilic to increasingly hydrophilic forms.
    • Drugs can have multiple metabolites, some inactive, some active.
    • Metabolic processes mainly take place in the liver, kidneys, lungs, and GI tract. Cleavage, oxidation, conjugation, and reduction are examples of metabolic processes.

    Elimination

    • Elimination is the removal of drugs from the body either as the original drug or as metabolites.
    • Major organs for elimination include kidneys (filtration and secretion), liver (metabolism and secretion), and lungs (exhalation). Minor routes include sweat and saliva.

    Half-life (t1/2)

    • Half-life (t1/2) is the time taken for the plasma concentration of a drug to decrease by half after administration.
    • t1/2 significantly impacts the dosing frequency.
    • Drugs with short half-lives require more frequent dosing to maintain a therapeutic concentration.

    Half-life Calculation

    • Exponential decay formula (C = Co * e-kt) is applied to describe drug removal.
    • Taking natural logs allows the use of linear relationships to determine half-life (0.693/k).

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