Oral Drug Administration and Absorption

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Questions and Answers

A drug administered in solid form with poor aqueous solubility is likely to have its absorption limited by which factor?

  • Surface area of the stomach epithelium.
  • The concentration of the drug at the absorption site.
  • The rate of dissolution. (correct)
  • Blood flow to the absorption site.

Why are weakly acidic drugs generally better absorbed in the stomach compared to the small intestine?

  • The pH of the stomach favors the non-ionized form of weakly acidic drugs. (correct)
  • The pH of the stomach favors the ionized form of weakly acidic drugs.
  • The surface area of the stomach is greater than that of the small intestine.
  • The pH of the small intestine is more acidic than the stomach.

Despite the stomach's ability to better absorb weak acids, absorption is generally greater in the small intestine. Which factor contributes most to this?

  • The significantly larger surface area provided by the villi in the small intestine. (correct)
  • The pH of the small intestine is more conducive to drug stability.
  • Blood flow is greater in the stomach.
  • The thick mucosal layer of the stomach hinders absorption.

Which statement accurately describes the relationship between gastric emptying and drug absorption?

<p>Increased gastric emptying typically increases drug absorption, independent of the drug's characteristics. (C)</p> Signup and view all the answers

If a drug is primarily absorbed in its non-ionized form via passive diffusion, what molecular property enhances its absorption?

<p>Increased lipophilicity. (A)</p> Signup and view all the answers

A new drug is developed that is a weak base. Where is this drug likely to be absorbed best?

<p>The small intestine, due to its larger surface area and slightly alkaline conditions. (A)</p> Signup and view all the answers

How does the physical state of a drug (solution, suspension, or solid) affect its absorption in the gastrointestinal tract?

<p>The physical state affects the rate and extent of absorption; solutions are generally absorbed more quickly than solids. (A)</p> Signup and view all the answers

What is the primary mechanism by which the majority of drug absorption occurs in the gastrointestinal tract?

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

A pharmaceutical company is formulating a new drug. To optimize absorption in the small intestine, which strategy should they prioritize, assuming the drug is stable in both acidic and alkaline environments?

<p>Enhance the drug's lipophilicity. (C)</p> Signup and view all the answers

A patient is taking a medication that significantly delays gastric emptying. How might this affect the absorption of another drug that is primarily absorbed in the small intestine?

<p>It will decrease the rate of absorption due to delayed delivery to the small intestine. (C)</p> Signup and view all the answers

Flashcards

Gastrointestinal absorption factors

Regulated by: absorption surface, blood flow, physical state (solution, suspension, solid), water solubility, and drug concentration at absorption site.

Solid drug absorption

Dissolution rate can limit absorption, especially with low water solubility.

Passive Diffusion Favors

Passive diffusion favors absorption of non-ionized, lipophilic forms of drugs.

pH Partitioning Concept

Weak acids are better absorbed in the stomach (pH 1-2), while weak bases are better absorbed in the small intestine (pH 3-6).

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Intestinal Absorption Advantage

Drugs are absorbed more in the intestines because the villi provide an extremely large surface area (200 m^2) for absorption.

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Gastric Emptying Rate

Factors accelerating gastric emptying increase drug absorption, while factors slowing it decrease drug absorption.

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Study Notes

  • Oral administration involves absorption regulated by factors like absorption surface area, blood flow to the absorption site, the drug's physical state (solution, suspension, or solid), its water solubility, and concentration at the absorption site.
  • The dissolution rate can limit the absorption of drugs administered in solid form, especially those with low water solubility.
  • Most drug absorption in the gastrointestinal tract occurs through passive diffusion, which favors absorption of drugs in their non-ionized and more lipophilic form.
  • Weakly acidic drugs are better absorbed in the stomach (pH 1-2) compared to the upper intestine (pH 3-6), while the opposite is true for weakly basic drugs, based on the pH partition concept.
  • Despite the stomach's thick mucous layer and small surface area, the intestinal villi provide a vast surface area (approximately 200 m²).
  • Consequently, drug absorption from the intestine is generally greater than from the stomach, even if the drug is mostly ionized in the intestine but largely non-ionized in the stomach.
  • Factors accelerating gastric emptying likely increase drug absorption rate, while factors slowing gastric emptying should have the opposite effect, regardless of the drug's characteristics.

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