Podcast
Questions and Answers
Which scenario would MOST likely decrease the dissolution rate of a drug with limited aqueous solubility in the gastrointestinal (GI) tract?
Which scenario would MOST likely decrease the dissolution rate of a drug with limited aqueous solubility in the gastrointestinal (GI) tract?
- Presence of surfactants in gastric juice and bile.
- Concurrent intake of antacids that significantly increase gastric pH. (correct)
- Administration with a large volume of fluid on an empty stomach.
- Increased gastric motility due to prokinetic agents.
A pharmaceutical scientist is formulating an ophthalmic suspension. Why might they choose to micronize the drug?
A pharmaceutical scientist is formulating an ophthalmic suspension. Why might they choose to micronize the drug?
- To decrease the drug's diffusion coefficient in tear fluid.
- To reduce irritation and improve drug dispersion on the ocular surface. (correct)
- To ensure the drug dissolves completely before reaching the cornea.
- To prevent the drug from penetrating the conjunctiva.
A patient consistently achieves subtherapeutic levels of a weak base drug. Knowing the drug's absorption is dissolution rate-limited, which strategy is LEAST likely to improve bioavailability?
A patient consistently achieves subtherapeutic levels of a weak base drug. Knowing the drug's absorption is dissolution rate-limited, which strategy is LEAST likely to improve bioavailability?
- Administering the drug with cimetidine. (correct)
- Switching to a salt form of the drug with enhanced dissolution properties.
- Administering the drug with an acidic excipient.
- Reducing the particle size of the drug.
A formulator is developing a topical cream containing a sparingly soluble drug. What is the MOST probable reason for choosing micronized drug particles?
A formulator is developing a topical cream containing a sparingly soluble drug. What is the MOST probable reason for choosing micronized drug particles?
Which statement BEST explains the mechanism by which salt formation enhances the dissolution rate of a weakly acidic drug?
Which statement BEST explains the mechanism by which salt formation enhances the dissolution rate of a weakly acidic drug?
Which of the following scenarios would LEAST favor the oral route of drug administration?
Which of the following scenarios would LEAST favor the oral route of drug administration?
The gastric residence time of a drug is least likely to be affected by which of the following factors?
The gastric residence time of a drug is least likely to be affected by which of the following factors?
Naproxen sodium is preferred over naproxen for treating toothache due to its:
Naproxen sodium is preferred over naproxen for treating toothache due to its:
Which of the following is a primary function of the mucus layer in the gastrointestinal (GI) epithelium that directly impacts drug absorption?
Which of the following is a primary function of the mucus layer in the gastrointestinal (GI) epithelium that directly impacts drug absorption?
A drug is formulated as a hydrochloride salt to improve its dissolution rate. What is the MOST likely property of the parent drug?
A drug is formulated as a hydrochloride salt to improve its dissolution rate. What is the MOST likely property of the parent drug?
A scientist aims to formulate a sustained-release oral suspension. Which salt form would be most suitable?
A scientist aims to formulate a sustained-release oral suspension. Which salt form would be most suitable?
How does Phase III of the migrating motor complex (MMC), also known as the 'housekeeper wave,' primarily influence drug absorption?
How does Phase III of the migrating motor complex (MMC), also known as the 'housekeeper wave,' primarily influence drug absorption?
Which factor associated with food intake is MOST likely to decrease the rate of dissolution of a drug in the GI tract?
Which factor associated with food intake is MOST likely to decrease the rate of dissolution of a drug in the GI tract?
Which of the following scenarios would LEAST likely result in altered drug absorption in the gastrointestinal tract?
Which of the following scenarios would LEAST likely result in altered drug absorption in the gastrointestinal tract?
Consider a drug that is a weak base with a pKa of 6.0. Where would this drug be expected to exhibit the highest rate of passive diffusion across the GI membrane?
Consider a drug that is a weak base with a pKa of 6.0. Where would this drug be expected to exhibit the highest rate of passive diffusion across the GI membrane?
In the context of the Noyes-Whitney equation, if the effective surface area of a drug particle in contact with GI fluids is doubled, and all other parameters remain constant, the dissolution rate is:
In the context of the Noyes-Whitney equation, if the effective surface area of a drug particle in contact with GI fluids is doubled, and all other parameters remain constant, the dissolution rate is:
A novel drug is found to be a substrate for P-glycoprotein (P-gp). How would you expect this to affect the oral bioavailability of the drug?
A novel drug is found to be a substrate for P-glycoprotein (P-gp). How would you expect this to affect the oral bioavailability of the drug?
Which statement best characterizes the 'sink conditions' in the context of drug absorption via passive diffusion across the GI membrane?
Which statement best characterizes the 'sink conditions' in the context of drug absorption via passive diffusion across the GI membrane?
Which scenario would MOST likely result in 'sink conditions' for a drug in the bloodstream?
Which scenario would MOST likely result in 'sink conditions' for a drug in the bloodstream?
A novel drug is found to be absorbed via active transport. Which characteristic would MOST likely be associated with its absorption?
A novel drug is found to be absorbed via active transport. Which characteristic would MOST likely be associated with its absorption?
A drug is absorbed into the body via facilitated diffusion. Which statement accurately describes this process?
A drug is absorbed into the body via facilitated diffusion. Which statement accurately describes this process?
Researchers are investigating a new method for delivering macromolecular drugs orally. Which mechanism would MOST likely be involved in the absorption of these large molecules?
Researchers are investigating a new method for delivering macromolecular drugs orally. Which mechanism would MOST likely be involved in the absorption of these large molecules?
A drug is known to be poorly lipid-soluble with a low molecular weight. By which pathway would this drug MOST likely be transported across the intestinal epithelium?
A drug is known to be poorly lipid-soluble with a low molecular weight. By which pathway would this drug MOST likely be transported across the intestinal epithelium?
A drug's oral bioavailability is significantly reduced due to extensive efflux in the small intestine. Which protein is MOST likely responsible for this effect?
A drug's oral bioavailability is significantly reduced due to extensive efflux in the small intestine. Which protein is MOST likely responsible for this effect?
Which factor has the MOST significant impact on the transit time of materials through the small intestine?
Which factor has the MOST significant impact on the transit time of materials through the small intestine?
How does the presence of food in the gastrointestinal (GI) tract affect drug absorption?
How does the presence of food in the gastrointestinal (GI) tract affect drug absorption?
According to the Noyes-Whitney equation, if the diffusion coefficient of a sparingly soluble drug decreases in the presence of food, how is the dissolution rate MOST likely affected?
According to the Noyes-Whitney equation, if the diffusion coefficient of a sparingly soluble drug decreases in the presence of food, how is the dissolution rate MOST likely affected?
An increase in gastric and intestinal motility typically affects the dissolution rate of a sparingly soluble drug by influencing which factor described by the Noyes-Whitney equation?
An increase in gastric and intestinal motility typically affects the dissolution rate of a sparingly soluble drug by influencing which factor described by the Noyes-Whitney equation?
Why is the amorphous form of a drug sometimes preferred over the crystalline form when formulating a medication, particularly for drugs with dissolution rate-limited absorption?
Why is the amorphous form of a drug sometimes preferred over the crystalline form when formulating a medication, particularly for drugs with dissolution rate-limited absorption?
A pharmaceutical company is developing a new drug. During pre-formulation studies, they identify that the drug exhibits polymorphism. Which of the following considerations regarding polymorphism is MOST crucial for ensuring consistent drug performance and bioavailability?
A pharmaceutical company is developing a new drug. During pre-formulation studies, they identify that the drug exhibits polymorphism. Which of the following considerations regarding polymorphism is MOST crucial for ensuring consistent drug performance and bioavailability?
During the crystallization process of a new drug, a scientist aims to produce a specific polymorph known for its enhanced bioavailability. Which factor is MOST influential in directing the formation of the desired polymorph?
During the crystallization process of a new drug, a scientist aims to produce a specific polymorph known for its enhanced bioavailability. Which factor is MOST influential in directing the formation of the desired polymorph?
A pharmaceutical formulation scientist is developing a suppository using cacao butter as the base. Why is it important to avoid complete melting of the stable polymorph of cacao butter during the manufacturing process?
A pharmaceutical formulation scientist is developing a suppository using cacao butter as the base. Why is it important to avoid complete melting of the stable polymorph of cacao butter during the manufacturing process?
For a drug that exhibits polymorphism, what is the primary rationale for a pharmaceutical company to choose the stable polymorph over a metastable polymorph in the formulation of a suspension?
For a drug that exhibits polymorphism, what is the primary rationale for a pharmaceutical company to choose the stable polymorph over a metastable polymorph in the formulation of a suspension?
A drug is known to exhibit polymorphism, with a significant difference in bioavailability between its polymorphs. Under what circumstances is this difference in bioavailability MOST likely to be clinically significant?
A drug is known to exhibit polymorphism, with a significant difference in bioavailability between its polymorphs. Under what circumstances is this difference in bioavailability MOST likely to be clinically significant?
A pharmaceutical scientist discovers a new metastable polymorph of an existing drug with significantly enhanced solubility compared to the stable polymorph. What is the MOST important consideration when deciding whether to develop a drug product using this metastable polymorph?
A pharmaceutical scientist discovers a new metastable polymorph of an existing drug with significantly enhanced solubility compared to the stable polymorph. What is the MOST important consideration when deciding whether to develop a drug product using this metastable polymorph?
A drug's bioavailability is observed to significantly decrease when administered with certain antidiarrheal medications. Which of the following mechanisms is most likely responsible for this interaction?
A drug's bioavailability is observed to significantly decrease when administered with certain antidiarrheal medications. Which of the following mechanisms is most likely responsible for this interaction?
A researcher is investigating the use of cyclodextrins to improve the bioavailability of a poorly water-soluble drug. Which statement best describes the expected interaction and outcome?
A researcher is investigating the use of cyclodextrins to improve the bioavailability of a poorly water-soluble drug. Which statement best describes the expected interaction and outcome?
A pharmaceutical scientist aims to enhance the stability of a drug that is prone to acid hydrolysis in the stomach. Which of the following strategies would be most effective?
A pharmaceutical scientist aims to enhance the stability of a drug that is prone to acid hydrolysis in the stomach. Which of the following strategies would be most effective?
Erythromycin, a drug known for its instability in the stomach, is being formulated for oral administration. Which approach would most effectively delay its release until it reaches the intestine?
Erythromycin, a drug known for its instability in the stomach, is being formulated for oral administration. Which approach would most effectively delay its release until it reaches the intestine?
In the development of a new oral suspension, a formulator must consider the solid-state properties of the drug. For which of the following dosage forms are the crystal properties and solid-state form of the drug most critical?
In the development of a new oral suspension, a formulator must consider the solid-state properties of the drug. For which of the following dosage forms are the crystal properties and solid-state form of the drug most critical?
A drug substance can exist in multiple solid-state forms. Which of the following statements accurately describes the prevalence of these forms in pharmaceutical preparations?
A drug substance can exist in multiple solid-state forms. Which of the following statements accurately describes the prevalence of these forms in pharmaceutical preparations?
Which of the following statements accurately differentiates crystalline and amorphous solid states?
Which of the following statements accurately differentiates crystalline and amorphous solid states?
A pharmaceutical scientist aims to produce an amorphous form of a drug to enhance its dissolution rate. Which method is most likely to yield an amorphous solid?
A pharmaceutical scientist aims to produce an amorphous form of a drug to enhance its dissolution rate. Which method is most likely to yield an amorphous solid?
A research team is investigating methods to increase the amorphous content of a crystalline drug substance post-crystallization. Which technique is most likely to achieve this?
A research team is investigating methods to increase the amorphous content of a crystalline drug substance post-crystallization. Which technique is most likely to achieve this?
For a drug exhibiting dissolution rate-limited absorption, which solid-state form is expected to demonstrate substantially better absorption and bioavailability, and what is the underlying reason?
For a drug exhibiting dissolution rate-limited absorption, which solid-state form is expected to demonstrate substantially better absorption and bioavailability, and what is the underlying reason?
Flashcards
Oral Route Advantages
Oral Route Advantages
The oral route is non-invasive, convenient, and often preferred by patients.
GI Mucus Role
GI Mucus Role
Mucus protects the GI epithelium and aids in digestion; it includes mucins and has a turnover time of about 2-4 days.
Stomach Characteristics
Stomach Characteristics
The stomach's volume varies; it plays roles in digestion and has a pH of 1.5 to 3.5 in a fasting state.
Factors Affecting Absorption
Factors Affecting Absorption
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Gastric Motility Patterns
Gastric Motility Patterns
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Gastric Residence Time
Gastric Residence Time
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Drug Absorption Barriers
Drug Absorption Barriers
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Passive Diffusion
Passive Diffusion
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Dissolution Rate
Dissolution Rate
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Diffusion Coefficient (D)
Diffusion Coefficient (D)
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Effective Surface Area (A)
Effective Surface Area (A)
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Saturation Solubility (Cs)
Saturation Solubility (Cs)
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Influence of Food
Influence of Food
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Particle Size Reduction
Particle Size Reduction
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Weak Electrolyte Solubility
Weak Electrolyte Solubility
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Salt Forms of Drugs
Salt Forms of Drugs
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Factors Beyond Bioavailability
Factors Beyond Bioavailability
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Influence of Agitation
Influence of Agitation
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Sink conditions
Sink conditions
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Active transport
Active transport
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Saturable mechanism
Saturable mechanism
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Facilitated diffusion
Facilitated diffusion
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Endocytosis
Endocytosis
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Paracellular pathway
Paracellular pathway
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Drug efflux
Drug efflux
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Noyes-Whitney equation
Noyes-Whitney equation
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Effects of food on drug absorption
Effects of food on drug absorption
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Transporters for nutrients
Transporters for nutrients
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Complexation
Complexation
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Adsorption
Adsorption
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Chemical stability
Chemical stability
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Micellar solubilization
Micellar solubilization
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Enteric coating
Enteric coating
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Crystalline state
Crystalline state
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Amorphous state
Amorphous state
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Semi-crystalline materials
Semi-crystalline materials
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Milling
Milling
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Bioavailability
Bioavailability
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Amorphous Drug Form
Amorphous Drug Form
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Crystalline Drug Form
Crystalline Drug Form
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Dissolution Rate Limited Absorption
Dissolution Rate Limited Absorption
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Polymorphism
Polymorphism
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Stable vs. Metastable Polymorph
Stable vs. Metastable Polymorph
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Impact of Polymorphs on Bioavailability
Impact of Polymorphs on Bioavailability
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Crystallization Conditions for Polymorphs
Crystallization Conditions for Polymorphs
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Study Notes
Oral Route Advantages
- Convenient and allows self-administration
- Avoids injection-related discomfort
- Potential for sustained drug release
GI Epithelial Mucus
- Protects the GI tract lining and facilitates nutrient absorption
- Main components: glycoproteins, mucins, water
- Turnover time: about 2-3 days, allowing for continuous renewal
Stomach
- Fed state: ~1.5 liters
- Fasting state: ~25-50 ml
- Function: food storage, initial digestion (especially proteins), and antimicrobial action
- pH: ~1.5-3.5
- Secretions: HCl, pepsinogen, mucus
- Phase III (housekeeper wave) of the migrating motor complex (MMC) occurs in the fasting stomach.
Small Intestine and Colon
- Small Intestine:
- Length: ~6-7 meters
- pH: ~5.5-7.5
- Role: primary site of nutrient absorption and drug absorption
- Factors affecting drug absorption: surface area, length, motility
- Colon:
- Length: ~1.5 meters
- pH: ~6-7.5
- Role: water and electrolyte absorption, microbial fermentation, formation of feces
- Factors affecting drug absorption: bacterial microflora, slower transit time
Gastric Motility
- Fasted Stomach:
- Migrating motor complex (MMC) responsible for motility control
- Fed Stomach:
- Reduced motility to allow for food digestion
- Major factors affecting gastric residence time: dosage form size, meal size
- Roles of the pyloric sphincter: restricts the flow of food into the small intestine, regulates emptying rate
Drug Transit Times
- Small intestine: variable, depending on the type and amount of material
- Large intestine: 8-72 hours
Barriers to Drug Absorption
- Gut lumen
- Unstirred water layer
- GI pH: variations affect drug ionization and permeability
- Food: can affect drug absorption, including the effect of grapefruit juice
- Disease states: conditions impact absorption mechanisms
- Luminal enzymes: often affect drugs, particularly by degrading the compounds (e.g., peptides) and dosage forms
- Excipients: targets of lipases
GI Membrane & Drug Transport
- Mechanisms: passive diffusion, active transport, facilitated diffusion, endocytosis, paracellular
- Passive diffusion most common for drug absorption
Passive Diffusion
- Primarily for small, lipophilic molecules
- Factors affecting transport: drug properties, membrane properties, concentration gradient
- Sink conditions maintained when drug concentration in blood considerably less than in the gut lumen.
Active Transport
- Carrier-mediated, requiring ATP; saturable
- Transporters relevant to drug absorption: peptides, sugars, electrolytes, vitamins, bile salts
- Specific chemical structures needed for transport
Facilitated Diffusion
- Less important for drug absorption than passive diffusion
- Requires transporters but no ATP, operating along a concentration gradient
Endocytosis
- Three major types: pinocytosis, receptor-mediated endocytosis, phagocytosis
- Handles large, macromolecular drugs
Paracellular Pathway
- Primarily for small, poorly lipid-soluble drugs (e.g., atenolol)
Drug Efflux
- P-glycoprotein (P-gp) is the main efflux protein in the small intestine
- Can reduce bioavailability, particularly for substrates like digoxin, paclitaxel, cyclosporine
Review Questions
- Small intestinal transit is dependent on the material type and gastric emptying rate and is not constant
- Food can increase or decrease drug absorption.
Noyes-Whitney Equation & Dissolution
- Equation: dC/dt = D A (Cs - C)/h
- Factors influencing dissolution rate: food, surfactants, agitation, volume of fluid
- Dissolution rate is often increased by increasing gastric/intestinal motility
- Large volumes of fluid increase dissolution rate
- Food can reduce the diffusion coefficient of the drug
Particle Size, Surface Area & Dissolution
- Smaller particle size increases surface area and dissolution rate
- Reduction of particle size does not always increase drug absorption
Micronized Drug Use
- Micronization beneficial for oral preparations, ophthalmic solutions, topical ointments/creams, and pulmonary delivery systems
Weak Electrolyte Solubility
- Weak acids have higher solubility in the small intestine; weak bases in the stomach
- Administration of cimetidine (acid secretion blocker) decreases the bioavailability of weak base drugs.
Salt Forms & Dissolution
- Salt forms affect dissolution rate by altered pH and solubility
- Coarse precipitation is less beneficial because of limited surface area
- Fine precipitate gives higher dissolution rate
- Weak acids dissolve more easily in the intestine
- For toothache, naproxen sodium is preferred likely
Strongly Acidic Salts
- Enhancing dissolution of weakly basic drugs in acidic stomach
Factors Beyond Bioavailability
- Stability, hygroscopicity, manufacturability, crystallinity
Drug Concentration in GI Fluids
- Factors affecting concentration: complexation, adsorption, chemical stability, micellar solubilization
Drug Complexation
- Can increase or decrease absorption; depends on specific drugs. Cyclodextrins can be beneficial.
Drug-Adsorbent Interactions
- Adsorbents, such as activated charcoal, may reduce drug absorption
Drug Instability
- Chemical instability is a common issue in the GI tract; it can be addressed by reducing dissolution or using various approaches.
Drug Crystal Properties
- Powder form common, especially for tablets, inhalers, suspensions
- Crystal/solid-state form crucial for drug stability and behaviour in dosage forms
Crystalline vs. Amorphous Forms
- Crystalline: well-ordered structure. Amorphous: disordered structure.
- Amorphous usually faster dissolution, less stable.
- Amorphous not always better for all drugs; dissolution, permeation.
Polymorphism & Polymorphs
- Polymorphism: varying crystal structures of the same molecule.
- Chemical composition same; physical properties and structure different.
- Affects solid dosage forms.
- Metastable polymorphism forms can revert to stable forms over time.
Hydrates, Solvates & Pseudo Polymorphism
- Hydrates: water molecules incorporated. Solvates: other solvents.
- Hydrated forms can have different dissolution rates.
- Anhydrous forms generally dissolve faster if the hydrate forms have strong hydrogen bonds.
pH-Partition Hypothesis
- Lipid solubility critical for passive diffusion. Stronger lipid drugs absorb more easily.
- Most drugs are weak electrolytes.
- Unionized form penetrates GI membrane better (lipid soluble).
pH-Partition & Henderson-Hasselbalch
- Acidic/basic drugs absorb better in regions with corresponding pH.
pH-Partition Hypothesis Limitations
- Other factors influencing absorption (local pH, instability, metabolism locally) needed beside ionization.
Lipid Solubility & Partition Coefficient
- Lipid solubility influences drug absorption.
- Partition coefficient (log P) useful to quantify lipid solubility.
- Homologous series: often a correlation between log P and absorption.
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Description
Overview of oral drug absorption focusing on the GI tract. Covers the roles of the stomach, small intestine, and colon. Includes pH levels, sizes, and key functions relevant to drug uptake and digestion.