Drug Distribution

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Questions and Answers

What factors govern the ability of a drug to dissolve when administered orally?

  • The drug's molecular weight
  • Type of tablet coating (correct)
  • Color of the tablet
  • The drug's expiration date

What must a drug pass through after oral administration before reaching the site of action?

  • The lymphatic system only
  • Multiple barriers, alternate sites of storage, and metabolic destruction (correct)
  • The circulatory system only
  • No other barriers

How can the dissolution rate of a drug be varied?

  • By altering the molecular weight of the drug
  • By changing the expiration date of the drug
  • By changing the color of the tablet
  • By adjusting the type of tablet matrix (correct)

What is essential for a drug to do to reach its desired target?

<p>Avoid chemical modification (A)</p> Signup and view all the answers

What is one of the main concerns related to a new drug molecule's passage through the gastrointestinal tract?

<p>Being unable to survive in the intestinal tract due to enzyme degradation (D)</p> Signup and view all the answers

Why is mesalamine not effective when administered orally?

<p>It is metabolized to inactive forms before reaching the colon (B)</p> Signup and view all the answers

How does olsalazine address the issue of mesalamine's ineffectiveness when taken orally?

<p>It is a dimer of mesalamine that gets cleaved by intestinal bacteria to release mesalamine (C)</p> Signup and view all the answers

How does chloramphenicol utilize its water solubility advantage according to the text?

<p>To interact with taste receptors on the tongue causing bitterness (C)</p> Signup and view all the answers

Where does drug distribution involve partitioning between the aqueous environment and lipid bilayer cell membrane?

<p>Gastrointestinal tract and mucosal cells (C)</p> Signup and view all the answers

Why might parenteral administration be preferred in some cases?

<p>To bypass the intestinal barrier (B)</p> Signup and view all the answers

What is a disadvantage of intravenous administration in terms of drug distribution?

<p>Rapid distribution throughout the body (D)</p> Signup and view all the answers

Why do subcutaneous and intramuscular injections show slow distribution of the drug?

<p>Diffusion from injection site into systemic circulation (B)</p> Signup and view all the answers

What purpose does adding the palmitic acid moiety serve in chloramphenicol palmitate?

<p>To reduce the parent drug's water solubility (B)</p> Signup and view all the answers

What is a common characteristic of prodrugs like olsalazine and chloramphenicol palmitate?

<p>They are cleaved to smaller compounds to become active (A)</p> Signup and view all the answers

How does the ester prodrug form of enalapril compare to the active form enalaprilic acid?

<p>The prodrug is more effectively absorbed orally (C)</p> Signup and view all the answers

Why must drugs intended to act systemically pass through the gastrointestinal mucosal barrier?

<p>To increase drug absorption into venous circulation (C)</p> Signup and view all the answers

What factors influence the ability of a drug to dissolve when administered orally?

<p>Chemical structure, particle size, crystal form, tablet coating, tablet matrix (A)</p> Signup and view all the answers

Why is it important for a drug administered orally to go into solution?

<p>To facilitate passage through the gastrointestinal mucosa (B)</p> Signup and view all the answers

How can the dissolution rate of a drug be controlled?

<p>By varying the dosage form and physical characteristics (B)</p> Signup and view all the answers

What is a key purpose of chemical modification in drug development?

<p>To help the drug reach its desired target more effectively (B)</p> Signup and view all the answers

What is the purpose of adding the palmitic acid moiety to chloramphenicol to create chloramphenicol palmitate?

<p>To mask the intense bitter taste of the drug (B)</p> Signup and view all the answers

What role do prodrugs like olsalazine and chloramphenicol palmitate play in drug distribution?

<p>They are inactive initially but are converted to active drugs within the body (A)</p> Signup and view all the answers

Why is enalapril administered as the ethyl ester prodrug rather than the active enalaprilic acid?

<p>To improve oral absorption compared to the active form (D)</p> Signup and view all the answers

Why must drugs intended to act systemically pass through the gastrointestinal mucosal barrier?

<p>To reach the bloodstream and distribute throughout the body (D)</p> Signup and view all the answers

What is a disadvantage of intravenous administration in terms of drug distribution according to the text?

<p>Rapid distribution throughout the body (B)</p> Signup and view all the answers

Why might parenteral administration be preferred in some cases based on the text?

<p>To bypass the intestinal barrier (A)</p> Signup and view all the answers

What is an obstacle faced regardless of the route of administration as mentioned in the text?

<p>Direct drug placement in tissue depots (C)</p> Signup and view all the answers

Where does drug distribution involve partitioning between lipid bilayer cell membranes based on the text?

<p>Cell membrane of mucosal cells (D)</p> Signup and view all the answers

What happens to the concentration of thiopental below its effective concentration following administration?

<p>It disappears into tissue protein (A)</p> Signup and view all the answers

How do structural changes in the barbiturate series affect the duration of action and CNS depression?

<p>Decrease duration of action and CNS depression (D)</p> Signup and view all the answers

What characterizes the barbiturates with the slowest onset and longest duration of action?

<p>They enter and leave the CNS slowly due to polar side chains (B)</p> Signup and view all the answers

How does redistribution of thiopental into body fat affect its pharmacological response?

<p>Reduces the pharmacological response (C)</p> Signup and view all the answers

Olsalazine is a monomer of the pharmacologically active mesalamine.

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

Chloramphenicol is effective orally because it is resistant to digestive enzymes in the intestinal tract.

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

Parenteral administration always involves the oral route for drug delivery.

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

The dimeric form of olsalazine is cleaved into two equivalents of mesalamine by bacterial enzymes in the intestine.

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

Protein binding never affects the availability of a drug for biotransformation or receptor interaction.

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

The half-life of a drug in the body is not related to its duration of action.

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

Drug-protein binding interactions can lead to increased prothrombin time and potential hemorrhage.

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

The more hydrophilic a drug is, the more likely it will concentrate in tissue depots.

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

Methylprednisolone sodium succinate is the water-insoluble sodium salt of succinate ester.

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

Acitretin, with a 120-day terminal half-life, is recommended for pregnant women.

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

Proteins usually break down serum proteins in the systemic circulation.

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

Etretinate has a shorter half-life than acitretin.

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

Thiopental's duration of action can be increased by favoring partitioning into lipid tissue stores.

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

Barbiturates with polar side chains have a slower onset of action compared to lipophilic thiopental.

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

The remaining thiopental diffuses back into tissue depots for a pharmacological response.

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

Barbiturates with a slow onset of action contain lipophilic side chains.

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

How does protein binding of a drug impact the availability for biotransformation and receptor interaction?

<p>Limits the amount available for biotransformation and receptor interaction (C)</p> Signup and view all the answers

In what form does the trypanocide suramin remain in the body, affecting its duration of action?

<p>Protein-bound form (D)</p> Signup and view all the answers

What effect can drug-protein binding have on anticoagulant medications like warfarin?

<p>Increases effective concentration (C)</p> Signup and view all the answers

What role do tissue depots play in drug distribution?

<p>Store drugs for prolonged periods (A)</p> Signup and view all the answers

How does the lipophilicity of a drug relate to its concentration in tissue depots?

<p>More lipophilic drugs concentrate less in tissue depots (D)</p> Signup and view all the answers

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