Non-Linear Pharmacokinetics Quiz

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Questions and Answers

What is dose-dependent pharmacokinetics also termed as?

  • Zero-order kinetics
  • Non-linear pharmacokinetics (correct)
  • Linear pharmacokinetics
  • First-order kinetics

What may cause deviations from the linear pharmacokinetic profile observed with single low doses of a drug?

  • Constant doses or regular medication
  • Increased doses or chronic medication (correct)
  • Fluctuating doses or irregular medication
  • Decreased doses or acute medication

What happens to the pharmacokinetic parameters with the size of the administered dose in nonlinear pharmacokinetics?

  • They change (correct)
  • They remain constant
  • They increase
  • They decrease

What specialized processes may become saturated for drugs given at therapeutic levels?

<p>Enzymes or carrier-mediated systems (C)</p> Signup and view all the answers

What may alter biliary excretion and cause non-linear pharmacokinetic behavior?

<p>Obstruction of the bile duct due to gallstones (D)</p> Signup and view all the answers

What may cause renal nephrotoxicity and alter renal drug excretion, leading to non-linear pharmacokinetic behavior?

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

Which type of kinetics transforms into a mixture of first-order and zero-order rate processes?

<p>First-order kinetics (A)</p> Signup and view all the answers

What is one of the objectives of understanding non-linear pharmacokinetics?

<p>To learn about capacity limited kinetics (D)</p> Signup and view all the answers

In linear pharmacokinetic models, what did it assume about the pharmacokinetic parameters for a drug when different doses were given?

<p>They would not change (A)</p> Signup and view all the answers

What are most of the processes of drug absorption, distribution, biotransformation, and excretion involving in non-linear pharmacokinetics?

<p>Enzymes or carrier-mediated systems (D)</p> Signup and view all the answers

What are some causes of non-linear pharmacokinetic behavior?

<p>Pathologic alteration in drug absorption, distribution, and elimination (B)</p> Signup and view all the answers

What specialized processes may become saturated for drugs given at therapeutic levels?

<p>Enzymes or carrier-mediated systems (D)</p> Signup and view all the answers

What is dose-dependent pharmacokinetics also termed as?

<p>Non-linear pharmacokinetic behavior (C)</p> Signup and view all the answers

What happens to the pharmacokinetic parameters with the size of the administered dose in nonlinear pharmacokinetics?

<p>They change (B)</p> Signup and view all the answers

What are some causes of non-linear pharmacokinetic behavior?

<p>Pathologic alteration in drug absorption, distribution, and elimination (A)</p> Signup and view all the answers

In linear pharmacokinetic models, what did it assume about the pharmacokinetic parameters for a drug when different doses were given?

<p>They would not change (B)</p> Signup and view all the answers

What may cause deviations from the linear pharmacokinetic profile observed with single low doses of a drug?

<p>Increased doses or chronic medication (C)</p> Signup and view all the answers

What are most of the processes of drug absorption, distribution, biotransformation, and excretion involving in non-linear pharmacokinetics?

<p>Enzymes or carrier-mediated systems (D)</p> Signup and view all the answers

What is one of the objectives of understanding non-linear pharmacokinetics?

<p>To understand dose-dependent pharmacokinetics. (B)</p> Signup and view all the answers

What type of kinetics do drugs exhibit when the elimination of the drug does not follow simple first-order kinetics?

<p>Non-linear kinetics (B)</p> Signup and view all the answers

What is the term used to describe the rate constant at low plasma concentration where first-order kinetics is expected?

<p>Vm / Km (B)</p> Signup and view all the answers

What characteristic is exhibited by drugs that produce plasma drug concentrations well below the Km for all carrier-mediated enzyme systems affecting the pharmacokinetics of the drug?

<p>First-order rate processes (A)</p> Signup and view all the answers

Which process may be affected by other drugs that require the same enzyme or carrier-mediated system in drugs exhibiting saturation kinetics?

<p>Metabolism and active tubular secretion by the kidney (B)</p> Signup and view all the answers

What characteristic is exhibited by drugs that demonstrate saturation kinetics regarding their elimination half-life as the dose is increased?

<p>The elimination half-life becomes greater as dose is increased (D)</p> Signup and view all the answers

What characteristic do drugs exhibit in the saturation kinetics?

<p>Non-proportional AUC (D)</p> Signup and view all the answers

Which characteristic describes the plasma level-time curve for a drug that exhibits saturable kinetics when a large dose is given?

<p>Initial slow elimination phase followed by a much more rapid elimination at lower blood concentrations (C)</p> Signup and view all the answers

What process describes the elimination of drug by a saturable enzymatic process according to Michaelis-Menten kinetics?

<p>Zero-order process (D)</p> Signup and view all the answers

At high plasma concentrations, what type of kinetics are not seen in drugs given in therapeutic doses?

<p>First order kinetics (B)</p> Signup and view all the answers

What happens to the elimination kinetics with very small doses of drugs such as salicylate and phenytoin?

<p>Elimination kinetics are first order with very small doses and mixed at higher doses. (D)</p> Signup and view all the answers

Which of the following drugs is reported to exhibit capacity limited elimination?

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

What characteristic is exhibited by drugs that demonstrate saturation kinetics regarding their elimination half-life as the dose is increased?

<p>The elimination half-life becomes greater as the dose is increased (B)</p> Signup and view all the answers

What type of kinetics do drugs exhibit when the elimination of the drug does not follow simple first-order kinetics?

<p>Non-linear kinetics (C)</p> Signup and view all the answers

What process describes the elimination of drug by a saturable enzymatic process according to Michaelis-Menten kinetics?

<p>Michaelis-Menten process (C)</p> Signup and view all the answers

At high plasma concentrations, what type of kinetics are not seen in drugs given in therapeutic doses?

<p>First-order kinetics (A)</p> Signup and view all the answers

What are some causes of non-linear pharmacokinetic behavior?

<p>All of the above (D)</p> Signup and view all the answers

Which characteristic describes the plasma level-time curve for a drug that exhibits saturable kinetics when a large dose is given?

<p>An initial slow elimination phase followed by a much more rapid elimination at lower blood concentrations. (B)</p> Signup and view all the answers

What specialized processes may become saturated for drugs given at therapeutic levels?

<p>Metabolism (biotransformation) and active tubular secretion by the kidney. (C)</p> Signup and view all the answers

What may cause renal nephrotoxicity and alter renal drug excretion, leading to non-linear pharmacokinetic behavior?

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

What type of kinetics do drugs exhibit when the elimination of the drug does not follow simple first-order kinetics?

<p>Mixed first-order and zero-order rate processes (B)</p> Signup and view all the answers

What is one of the causes of non-linear pharmacokinetic behavior?

<p>Pathologic alteration in drug absorption, distribution, and elimination (C)</p> Signup and view all the answers

What is dose-dependent pharmacokinetics also termed as?

<p>Non-linear pharmacokinetics (B)</p> Signup and view all the answers

In linear pharmacokinetic models, what did it assume about the pharmacokinetic parameters for a drug when different doses were given?

<p>The parameters would remain constant regardless of the dose (D)</p> Signup and view all the answers

What process describes the elimination of a drug by a saturable enzymatic process according to Michaelis-Menten kinetics?

<p>Saturated enzyme-mediated elimination (D)</p> Signup and view all the answers

What happens to the elimination kinetics with very small doses of drugs such as salicylate and phenytoin?

<p>They exhibit first-order kinetics (A)</p> Signup and view all the answers

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Study Notes

Dose-Dependent Pharmacokinetics

  • Also termed as nonlinear pharmacokinetics

Non-Linear Pharmacokinetic Behavior

  • Caused by deviations from the linear pharmacokinetic profile observed with single low doses of a drug
  • May occur due to saturation of specialized processes, such as enzymatic reactions or active transport, at therapeutic levels
  • Can be altered by biliary excretion and renal nephrotoxicity
  • Processes of drug absorption, distribution, biotransformation, and excretion may involve non-linear pharmacokinetics

Pharmacokinetic Parameters

  • In nonlinear pharmacokinetics, parameters change with the size of the administered dose
  • In linear pharmacokinetic models, parameters are assumed to remain constant with different doses

Objectives of Understanding Non-Linear Pharmacokinetics

  • To predict pharmacokinetic behavior at high doses or with prolonged administration

Saturation Kinetics

  • Type of kinetics that transforms into a mixture of first-order and zero-order rate processes
  • Characterized by a decrease in elimination half-life as the dose is increased
  • Plasma level-time curve exhibits a plateau or sigmoid shape when a large dose is given
  • Process describes the elimination of drug by a saturable enzymatic process according to Michaelis-Menten kinetics

Special Cases

  • Phenytoin and salicylate exhibit capacity-limited elimination, where elimination kinetics change with very small doses

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