Organic Drug Distribution Quiz

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What is the main challenge a drug faces after oral administration?

Passing through the gastrointestinal mucosa

Which factor does not affect the ability of a drug to dissolve after oral administration?

Purity of the drug

What determines if a drug will dissolve quickly or slowly after oral administration?

Physical characteristics of the drug

What must a drug do to reach its desired target?

<p>Undergo chemical modification</p> Signup and view all the answers

Where is the site of action for a drug usually located?

<p>On or in a cell</p> Signup and view all the answers

What happens to drugs that do not dissolve well after oral administration?

<p>They may not reach their desired target effectively</p> Signup and view all the answers

What impact can gastrointestinal enzymes have on a drug molecule?

<p>Accelerate its degradation</p> Signup and view all the answers

Why might a new drug be considered for an alternate route of administration?

<p>Low oral bioavailability</p> Signup and view all the answers

Which drug is mentioned as a treatment for ulcerative colitis in the text?

<p>Olsalazine</p> Signup and view all the answers

Why is mesalamine ineffective when taken orally?

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

In what form is chloramphenicol mentioned to be water soluble enough to interact with taste receptors?

<p>Dimeric form</p> Signup and view all the answers

What alternative route of drug administration is NOT mentioned in the text?

<p>Intramuscular</p> Signup and view all the answers

What are the main barriers involved in the distribution or partitioning of drugs in the gastrointestinal tract?

<p>The aqueous environment of the gastrointestinal tract and the lipid bilayer cell membrane of the mucosal cells</p> Signup and view all the answers

Why would parenteral administration be preferred in some cases?

<p>When patients are unable to take drugs orally due to illness</p> Signup and view all the answers

What is a disadvantage of intravenous administration of drugs?

<p>Deposition in tissue depots and liver</p> Signup and view all the answers

Why might some drugs be unsuitable for oral administration?

<p>Because they are metabolized in the liver</p> Signup and view all the answers

What can be a consequence of subcutaneous and intramuscular injections?

<p>Deposition in tissue depots</p> Signup and view all the answers

Where does intravenous administration place the drug within the body?

<p>Directly into the circulatory system</p> Signup and view all the answers

Why does protein binding limit the amount of drug available for interaction with specific receptor sites?

<p>Proteins sequester the drug and reduce its availability</p> Signup and view all the answers

What effect can the protein-bound form of a drug, like suramin, have on the duration of action in the body?

<p>Prolongs the duration of action</p> Signup and view all the answers

How can drug-protein binding lead to clinically significant drug interactions?

<p>By displacing drugs from their protein-binding sites</p> Signup and view all the answers

What impact can displacing warfarin from its albumin-binding sites have on prothrombin time?

<p>Increased prothrombin time</p> Signup and view all the answers

What is the role of tissue depots in drug distribution?

<p>Tissue depots concentrate lipophilic drugs</p> Signup and view all the answers

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

<p>Lipophilic drugs accumulate in tissue depots</p> Signup and view all the answers

Why does the concentration of thiopental rapidly decrease below its effective concentration after administration?

<p>It redistributes into body fat.</p> Signup and view all the answers

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

<p>Decrease duration of action but increase CNS depression.</p> Signup and view all the answers

What happens to the remaining thiopental that diffuses out of tissue depots into systemic circulation?

<p>It is metabolized in the liver.</p> Signup and view all the answers

Which type of barbiturates have the slowest onset of action and longest duration of action?

<p>Those with more polar side chains.</p> Signup and view all the answers

What effect do structural changes favoring partitioning into lipid tissue stores have?

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

Why do barbiturates with more polar side chains enter and leave the CNS more slowly?

<p>They have more difficulty diffusing across tissue depots.</p> Signup and view all the answers

What factors contribute to a drug's ability to dissolve after oral administration?

<p>Particle size, crystal form, and tablet coating</p> Signup and view all the answers

Why is it important for a drug to dissolve quickly after oral administration?

<p>To reach the site of action rapidly</p> Signup and view all the answers

What can chemical modification of a drug help achieve?

<p>Facilitate reaching the desired target</p> Signup and view all the answers

How do varying the physical characteristics of a drug affect its dissolution after oral administration?

<p>Speeds up the dissolution process</p> Signup and view all the answers

Why must a drug avoid significant metabolic destruction before reaching the site of action?

<p>To ensure its therapeutic effectiveness</p> Signup and view all the answers

What role do tissue depots play in a drug's distribution within the body?

<p>They store and release the drug over time</p> Signup and view all the answers

What obstacle is common to both intravenous administration and subcutaneous/intramuscular injections according to the text?

<p>Reaching tissue depots and the liver</p> Signup and view all the answers

Which type of drug administration may be preferable for patients who are unable to accept drugs orally due to illness?

<p>Parenteral administration</p> Signup and view all the answers

What makes oral administration of some drugs not possible due to rapid and complete metabolism in the liver?

<p>First-pass effect</p> Signup and view all the answers

Which factor contributes to the rapid distribution of drugs throughout the body in intravenous administration?

<p>Direct entry into the circulatory system</p> Signup and view all the answers

Why is it mentioned that intramuscular injections show slow distribution of drugs into systemic circulation?

<p>Diffusion from the site of injection</p> Signup and view all the answers

What is a possible therapeutic advantage of bypassing the intestinal barrier using parenteral dosage forms?

<p>Patients unable to accept oral drugs</p> Signup and view all the answers

Why is acitretin recommended for a woman who wants to become pregnant?

<p>It has a shorter half-life.</p> Signup and view all the answers

What is the role of esterases in the activation of succinate esters to methylprednisolone?

<p>They catalyze the hydrolysis to form methylprednisolone.</p> Signup and view all the answers

What can be inferred about the biodistribution of etretinate and acitretin based on their respective terminal half-lives?

<p>Etretinate has a longer half-life than acitretin.</p> Signup and view all the answers

How does protein binding affect the availability of drugs in the systemic circulation?

<p>It limits the amount of free drug in circulation.</p> Signup and view all the answers

Why might prodrugs like methylprednisolone sodium succinate be preferred in drug design?

<p>To increase water solubility.</p> Signup and view all the answers

What distinguishes the terminal half-lives of etretinate and acitretin?

<p>Their rate of metabolism in the body.</p> Signup and view all the answers

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

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

What is a characteristic of most prodrugs mentioned in the text?

<p>They are inactive in their native form</p> Signup and view all the answers

Why is enalapril mentioned as an example of a prodrug in the text?

<p>It is metabolized into an active inhibitor of angiotensin-converting enzyme (ACE)</p> Signup and view all the answers

What happens to prodrugs like Olsalazine and chloramphenicol palmitate once they are inside the body?

<p>They are cleaved to smaller compounds, including the active drug</p> Signup and view all the answers

Why does a drug, unless intended for local action, need to pass through the gastrointestinal mucosal barrier?

<p>To enter venous circulation and reach specific receptor sites</p> Signup and view all the answers

How does the initial ester linkage of chloramphenicol palmitate affect drug solubility?

<p>It decreases the drug's water solubility, allowing it to be formulated as a suspension</p> Signup and view all the answers

How does protein binding affect the amount of drug available for interaction with specific receptor sites?

<p>Limits the amount available</p> Signup and view all the answers

What is the significance of a drug remaining in the body in protein-bound form for an extended period?

<p>It prolongs toxic effects</p> Signup and view all the answers

How can drug-protein binding lead to clinically significant drug interactions?

<p>By displacing one drug from the binding site on albumin</p> Signup and view all the answers

Why may a patient require a significant time for a drug's concentration to fall below toxic levels after experiencing serious adverse reactions?

<p>Due to prolonged protein binding of the drug</p> Signup and view all the answers

Which factor can lead to an increased prothrombin time and potential hemorrhage due to drug interactions?

<p>Increased effective concentration of warfarin</p> Signup and view all the answers

In which type of tissue depots are lipophilic drugs more likely to concentrate?

<p>Inert tissue depots</p> Signup and view all the answers

Why is acitretin recommended for a woman who would like to become pregnant?

<p>It has a shorter half-life compared to etretinate.</p> Signup and view all the answers

What is the purpose of using prodrug design?

<p>To extend the biological half-life of the active drug.</p> Signup and view all the answers

What effect does protein binding have on drugs once they enter the systemic circulation?

<p>Delays the clearance of drugs from the body.</p> Signup and view all the answers

How does the terminal half-life of etretinate compare to that of acitretin?

<p>Etretinate has a shorter half-life than acitretin.</p> Signup and view all the answers

What is significant about the biodistribution of prodrugs like methylprednisolone sodium succinate?

<p>They alter the distribution and biological half-life of the active drug.</p> Signup and view all the answers

Why are succinate esters used in drug design, specifically for methylprednisolone sodium succinate?

<p>To enhance water solubility of the drug.</p> Signup and view all the answers

How does protein binding affect a drug’s biodistribution according to the text?

<p>Limits access to certain body compartments</p> Signup and view all the answers

What is the role of the albumin–drug complex in drug distribution as mentioned in the text?

<p>Acts as a reservoir for free drug</p> Signup and view all the answers

How does protein binding impact a drug’s duration of action in the body?

<p>Prolongs the duration of action</p> Signup and view all the answers

Why might drugs bound to proteins like albumin be retained in maternal circulation and not cross the placental barrier?

<p>Prevention of fetal exposure to drugs</p> Signup and view all the answers

How does protein binding impact a drug’s effective solubility?

<p>Reduces drug solubility</p> Signup and view all the answers

What effect does the large size of the drug–protein complex have on renal excretion of the drug?

<p>Prevents rapid excretion through glomerular membranes</p> Signup and view all the answers

Why is palmitic acid moiety added as an ester to chloramphenicol?

<p>To mask the intense bitter taste</p> Signup and view all the answers

What is a common feature of most prodrugs mentioned in the text?

<p>They are inactive in their native form</p> Signup and view all the answers

Why is enalapril mentioned as an example of a prodrug?

<p>To demonstrate its enhanced oral absorption</p> Signup and view all the answers

What is the main purpose of converting chloramphenicol into chloramphenicol palmitate?

<p>To enhance its interaction with taste receptors</p> Signup and view all the answers

How do prodrugs like olsalazine and chloramphenicol palmitate become active drugs?

<p>By being cleaved to smaller compounds</p> Signup and view all the answers

Why do most prodrugs need to be metabolized to their active agents?

<p>To convert them from inactive to active forms</p> Signup and view all the answers

How does the presence of protein-bound drug in the body for an extended period affect the occurrence of serious adverse reactions?

<p>Delays the occurrence of serious adverse reactions</p> Signup and view all the answers

What can result from one drug displacing another from the binding site on albumin due to drug-protein binding phenomenon?

<p>Increased hemorrhage risk</p> Signup and view all the answers

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

<p>The more lipophilic the drug, the more it concentrates in tissue depots</p> Signup and view all the answers

What role do tissue depots play in drug distribution within the body?

<p>Serve as storage locations for drugs</p> Signup and view all the answers

How can displaced warfarin from its albumin-binding sites affect prothrombin time?

<p>Increased prothrombin time</p> Signup and view all the answers

Why do structural changes in the barbiturate series favoring partitioning into lipid tissue stores decrease duration of action?

<p>Increased central nervous system (CNS) depression</p> Signup and view all the answers

Why are barbiturates with slow onset of action and long duration of action said to contain more polar side chains?

<p>To slow down entry and exit from the CNS</p> Signup and view all the answers

What happens to the remaining thiopental that diffuses out of tissue depots into systemic circulation?

<p>It is metabolized in the liver</p> Signup and view all the answers

Why do barbiturates with more polar side chains enter and leave the central nervous system (CNS) more slowly?

<p>To increase diffusion out of tissue depots</p> Signup and view all the answers

How does protein binding affect drug availability for interaction with receptors?

<p>It decreases the amount of free drug available</p> Signup and view all the answers

What role do structural changes in barbiturate series that favor partitioning into lipid tissue stores play in CNS depression?

<p>They increase CNS depression</p> Signup and view all the answers

Chemical modification is not used to facilitate a drug reaching its desired target.

<p>False</p> Signup and view all the answers

Drugs administered orally always remain in solution as they pass through the gastrointestinal tract.

<p>False</p> Signup and view all the answers

Protein binding does not affect the distribution of drugs in the body.

<p>False</p> Signup and view all the answers

Dosage form and physical characteristics of a drug do not impact its dissolution rate after oral administration.

<p>False</p> Signup and view all the answers

A drug can easily reach its desired target without passing through various barriers in the body.

<p>False</p> Signup and view all the answers

The ability of a drug to dissolve after oral administration is solely determined by its chemical structure.

<p>False</p> Signup and view all the answers

Olsalazine is a monomer of the pharmacologically active mesalamine.

<p>False</p> Signup and view all the answers

Chloramphenicol is water insoluble enough to produce a pleasant taste when in contact with taste receptors on the tongue.

<p>False</p> Signup and view all the answers

Drugs that survive in the intestinal tract are more likely to be considered for oral administration than alternative routes.

<p>True</p> Signup and view all the answers

Metabolic degradation of drugs by intestinal bacteria can sometimes be advantageous.

<p>True</p> Signup and view all the answers

Parenteral administration is always preferred over oral administration for new drugs.

<p>False</p> Signup and view all the answers

Chloramphenicol palmitate is less water soluble than chloramphenicol.

<p>False</p> Signup and view all the answers

Parenterally administered drugs can easily cross the blood-brain barrier.

<p>False</p> Signup and view all the answers

Intraspinal routes deliver drugs directly into the brain.

<p>False</p> Signup and view all the answers

Methylprednisolone acetate is more water-soluble than methylprednisolone.

<p>False</p> Signup and view all the answers

The prodrug approach does not affect the solubility characteristics of a drug.

<p>False</p> Signup and view all the answers

The blood-brain barrier is composed of loosely joined epithelial cells.

<p>False</p> Signup and view all the answers

Injecting a drug directly into specific organs or areas of the body cannot bypass the BBB.

<p>False</p> Signup and view all the answers

Subcutaneous and intramuscular injections result in rapid distribution of the drug throughout the body.

<p>False</p> Signup and view all the answers

Intravenous administration causes the drug to be rapidly distributed throughout the body.

<p>True</p> Signup and view all the answers

The first-pass effect refers to drugs being metabolized in tissues other than the liver before reaching systemic circulation.

<p>False</p> Signup and view all the answers

Parenteral dosage forms are only used for patients who cannot tolerate oral drug administration.

<p>False</p> Signup and view all the answers

Drugs distributed via intravenous administration may end up in tissue depots and the liver.

<p>True</p> Signup and view all the answers

Protein binding can lead to clinically significant drug-drug interactions when one drug displaces another from the binding site on hemoglobin.

<p>False</p> Signup and view all the answers

The lipophilicity of a drug does not affect its concentration in tissue depots.

<p>False</p> Signup and view all the answers

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

<p>False</p> Signup and view all the answers

Suramin, a trypanocide drug, remains in the body in the protein-bound form for up to 3 months with a half-life of 50 days.

<p>True</p> Signup and view all the answers

Drugs bound to proteins like albumin are easily transported across the placental barrier.

<p>False</p> Signup and view all the answers

Neutral fat accounts for a small percentage of body weight and has minimal importance as a tissue depot for drugs.

<p>False</p> Signup and view all the answers

The lipophilicity of a drug does not impact its concentration in tissue depots.

<p>False</p> Signup and view all the answers

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