Biopharmaceutics and Kinetics

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Questions and Answers

What defines the therapeutic window in pharmacokinetics?

  • The range between minimum effective concentration and maximum safe concentration (correct)
  • The range between peak concentration and minimum effective concentration
  • The difference between the rate of drug absorption and elimination
  • The time taken to reach peak concentration and the overall area under the curve

In a non-intravenous administration of a drug, what is the maximum absorption rate represented as a percentage?

  • 100% (correct)
  • 75%
  • 50%
  • 0%

At what point on the plasma concentration versus time graph does the rate of absorption equal the rate of elimination?

  • tmax
  • AUC
  • Cmax (correct)
  • MEC

What happens to the absorption phase of a drug after reaching Cmax?

<p>Elimination rate surpasses absorption rate leading to a decline (A)</p> Signup and view all the answers

What characterizes the nature of elimination after complete absorption of a drug?

<p>It exhibits first-order kinetics that is exponential. (D)</p> Signup and view all the answers

What is the primary mechanism by which most drugs gain access to the body?

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

Which of the following factors does NOT influence drug distribution in the body?

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

What role does the liver play in the metabolism of drugs?

<p>Increases the polar nature of drugs to aid in renal excretion (C)</p> Signup and view all the answers

Which statement best describes the structure of cell membranes that affects drug permeability?

<p>They are a lipid bilayer with a hydrophilic exterior and hydrophobic interior. (D)</p> Signup and view all the answers

What distinguishes pharmacokinetics from pharmacodynamics?

<p>Pharmacokinetics examines drug absorption, while pharmacodynamics studies drug effects. (B)</p> Signup and view all the answers

What is the primary barrier for water-soluble drugs when penetrating cell membranes?

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

Which transport mechanism does NOT require energy?

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

How does the ionization state of a drug affect its ability to cross lipid membranes?

<p>Uncharged drugs are more soluble in lipid environments. (D)</p> Signup and view all the answers

What does the lipid-aqueous drug partition coefficient indicate?

<p>The ease of drug movement between aqueous and lipid environments. (D)</p> Signup and view all the answers

What is the significance of bioavailability in pharmacology?

<p>It indicates how much drug from a formulation enters systemic circulation. (A)</p> Signup and view all the answers

Which statement about active transport is correct?

<p>It requires energy and often occurs against the concentration gradient. (A)</p> Signup and view all the answers

Which of the following substances is most likely to utilize endocytosis for cell entry?

<p>Large solid particles (D)</p> Signup and view all the answers

What factor greatly influences a drug's ionization state according to the Henderson-Hasselbalch equation?

<p>pH of the environment (D)</p> Signup and view all the answers

What does the term 'half-life' specifically refer to in pharmacology?

<p>The time it takes for the concentration of a drug to decrease to half its value. (D)</p> Signup and view all the answers

Which formulation of a drug most likely has a clinical effect based on the bioavailability graph?

<p>Formulation B, as it remains within the therapeutic window. (A)</p> Signup and view all the answers

What pharmacokinetic parameters are significant in assessing bioequivalence?

<p>AUC, Cmax, and tmax. (A)</p> Signup and view all the answers

What characterizes the concept of 'steady state' in drug dosing?

<p>The drug concentration remains constant after repeated doses. (A)</p> Signup and view all the answers

Why is protein binding important in pharmacokinetics?

<p>It lowers the concentration of free drug in the blood. (C)</p> Signup and view all the answers

What is the implication of having a difference in AUC for formulations A and B?

<p>The rate and extent of absorption differ, but therapeutic effects can vary. (B)</p> Signup and view all the answers

What is a defining limit for bioequivalence in terms of AUC?

<p>An 80-120% difference. (B)</p> Signup and view all the answers

Which statement accurately reflects the role of the medication's concentration at the minimum effective concentration (MEC)?

<p>Clinical effects can be observed only when drug concentration exceeds the MEC. (D)</p> Signup and view all the answers

What physiological role does blood play in the absorption of drugs?

<p>It acts as a 'sink' for absorbed drugs. (A)</p> Signup and view all the answers

Which parameter is essential for determining the absolute bioavailability of a drug?

<p>Fraction of the administered dose absorbed into systemic circulation. (A)</p> Signup and view all the answers

Which factors influence the distribution of drugs in the body?

<p>Aqueous or lipid solubility and blood flow. (A)</p> Signup and view all the answers

In the context of volume of distribution, how is the dose related to concentration and volume?

<p>Dose equals volume multiplied by concentration regardless of solubility. (D)</p> Signup and view all the answers

Which form of a drug is capable of diffusing across biological membranes?

<p>Un-ionized form. (D)</p> Signup and view all the answers

What is the impact of blood flow on drug distribution?

<p>Areas with higher blood flow receive more of the drug. (B)</p> Signup and view all the answers

During intravenous administration, what percentage of bioavailability is typically associated with the procedure?

<p>100% (B)</p> Signup and view all the answers

How does the concentration of drug in plasma compare to that in interstitial fluid?

<p>It can vary depending on the drug's solubility and binding characteristics. (A)</p> Signup and view all the answers

Which characteristic of a drug would likely result in a high volume of distribution?

<p>Low protein binding and high lipid solubility (D)</p> Signup and view all the answers

What is the primary organ responsible for the metabolism of drugs?

<p>Liver (C)</p> Signup and view all the answers

Which of the following processes increases the polarity of a drug during metabolism?

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

Which metabolic process involves the splitting of a drug into simpler molecules?

<p>Cleavage (C)</p> Signup and view all the answers

Which route is NOT considered a major pathway for drug elimination?

<p>Exhalation through lungs (A)</p> Signup and view all the answers

What defines the half-life of a drug?

<p>Duration for the concentration to decrease to half its initial value (D)</p> Signup and view all the answers

What term is used to describe the process of a drug crossing the glomerular filter in the kidneys?

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

What is the significance of CYP450 enzymes in drug metabolism?

<p>They can produce active metabolites with different pharmacological properties. (C)</p> Signup and view all the answers

Which drug characteristic is associated with a low volume of distribution?

<p>Low lipid solubility and high protein binding (D)</p> Signup and view all the answers

Which of these is NOT a minor pathway of drug elimination?

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

Flashcards

Biopharmaceutics

The study of how a drug's properties affect its absorption into the body.

Pharmacokinetics

The study of how the body processes a drug over time, including absorption, distribution, metabolism, and elimination.

Pharmacodynamics

The study of how a drug interacts with the body to produce its effects.

Passive Diffusion

The primary way many drugs enter the body, moving from a high concentration area to a low concentration area across a membrane.

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Cell Membrane

The cell's outer layer composed of a lipid bilayer, acting as a barrier to most water-soluble molecules.

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Bioavailability

A measure of how much drug reaches the bloodstream after administration, calculated by analyzing the area under the drug concentration-time curve.

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Cmax (Peak Concentration)

The maximum concentration of a drug in the bloodstream after administration.

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Tmax (Time to Peak Concentration)

The time it takes for a drug to reach its maximum concentration in the bloodstream.

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Therapeutic Window

The range of drug concentrations in blood between the minimum effective concentration (MEC) and the maximum safe concentration (MSC).

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Half-Life

The time it takes for the concentration of a drug in the bloodstream to decrease by half.

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Lipid-aqueous drug partition coefficient

The tendency of a drug to move between watery environments (like blood) and fatty environments (like cell membranes). A high partition coefficient means the drug prefers to be in the lipid environment.

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Ionization state of a drug

The state of a drug being either charged (ionized) or uncharged (unionized). Ionized drugs have trouble passing through cell membranes, which are mostly made of fat.

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Drug pKa

A measure of how acidic or basic a drug is. Important because it influences the drug's ionization state, which affects its ability to cross cell membranes.

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Facilitated diffusion

A type of transport across cell membranes that doesn't require energy. It's influenced by concentration gradients - the drug moves from an area of high concentration to an area of low concentration.

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Active transport

A type of transport across cell membranes that requires energy. It allows substances to move against their concentration gradient.

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Endocytosis

A process where cells take in substances from their environment by engulfing them.

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Exocytosis

A process where cells release substances from their interior to the outside by packaging them into vesicles.

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Half-life (Elimination)

Time required for the concentration of a drug in the body to decrease by half, after absorption has stopped. This is important for determining how long a drug will stay in the body and how often it needs to be dosed.

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Cmax

The maximum concentration of a drug in the blood after administration. It indicates the peak level of drug in the body.

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Tmax

The time it takes for a drug to reach its maximum concentration in the blood. It tells us how quickly the drug is absorbed.

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AUC (Area Under the Curve)

The amount of drug that reaches the bloodstream per unit of time after administration. It reflects both the absorption rate and the extent of absorption.

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Bioequivalence

Two dosage forms of the same drug are considered bioequivalent if they are absorbed at the same rate and extent.

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Steady State

A state where the concentration of a drug in the body remains constant over time after repeated doses. This is achieved when the rate of drug administration equals the rate of drug elimination.

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Protein Binding (Drug)

The binding of a drug to plasma proteins in the blood reduces the concentration of free (active) drug available to reach its target site. This can affect the drug's efficacy.

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Drug Absorption

The process by which a drug moves from the site of administration into the systemic circulation.

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Sink Condition

The condition where the blood constantly draws in the drug from the site of absorption, ensuring a high concentration gradient for optimal absorption.

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Absolute Bioavailability

The fraction of a drug dose that reaches the systemic circulation after administration.

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Drug Distribution

The process by which a drug distributes throughout the body's fluids and tissues.

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Plasma

The fluid component of blood, containing proteins like albumin, responsible for carrying and transporting many drugs.

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Interstitial Fluid

The fluid that surrounds cells and acts as a medium for exchange of nutrients and waste.

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Intracellular Fluid

The fluid found inside cells, responsible for cellular processes.

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Volume of Distribution (V)

An imaginary volume of fluid that a drug appears to distribute into, calculated based on the drug's concentration in the plasma.

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What is the volume of distribution?

The volume of distribution (Vd) is a theoretical volume that represents the total amount of drug in the body at a given time, divided by the concentration of the drug in the plasma. It reflects how widely the drug distributes throughout the body.

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Why do lipophilic drugs have higher Vd?

Drugs with high lipid solubility tend to have a larger Vd because they readily distribute into tissues other than blood, like fat and muscle. This means less drug remains in the blood, leading to a higher Vd.

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Why do water-soluble drugs have lower Vd?

Drugs with high water solubility tend to have a lower Vd because they remain primarily in the blood, leading to a lower Vd.

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What is biotransformation?

Biotransformation is the chemical changes a drug undergoes within the body, often by enzymes.

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What is drug metabolism?

Metabolism is the process of altering a drug's structure by chemical reactions in the body, usually to make it more water-soluble for easier removal.

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Where does drug metabolism mostly happen?

The liver is a major organ responsible for drug metabolism, using enzymes like CYP450 to alter the drug's structure.

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How does the body eliminate drugs?

The kidneys are the main organs for drug elimination, filtering waste products, including drugs, from the bloodstream.

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What is the half-life of a drug?

The half-life of a drug is the time it takes for the drug's concentration in the bloodstream to decrease by half.

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How does half-life influence drug dosing?

Drugs with short half-lives need more frequent dosing to maintain therapeutic levels, while drugs with long half-lives require less frequent dosing.

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What is the importance of CYP450 enzymes?

The CYP450 enzyme system in the liver can generate active metabolites with properties different from the original drug, potentially impacting the drug's effects.

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Study Notes

Biopharmaceutics

  • Study of how drug properties (dosage form, route), affect drug absorption rate and extent
  • Pharmacokinetics: Time course of drug absorption, distribution, metabolism, elimination
  • Pharmacodynamics: Biochemical and physiological drug effects

Absorption

  • Passive diffusion: Movement down concentration gradient across membrane without carrier proteins; not saturable, low specificity. Majority of drugs use this method.
  • Cell membranes: Lipid bilayer barrier mostly impermeable to water-soluble molecules (ions)
  • Polar molecules: Low permeability across lipid bilayers
  • Facilitated diffusion: Carrier proteins required, saturable process.
  • Active transport: Energy-dependent movement against concentration gradient; carrier proteins involved. Important for larger molecules.
  • Endocytosis and exocytosis: Processes for moving large molecules across membranes.

Bioavailability

  • Amount of drug reaching systemic circulation
  • Dependent on dosage form and administration route
  • Therapeutic response dependent on adequate drug concentration at site of action
  • Bioavailability measured as the area under the blood plasma concentration-time curve (AUC)

Single oral dose

  • Initial rise = absorption phase (absorption rate > elimination)
  • Peak (Cmax)= absorption rate = elimination rate
  • Elimination phase = elimination rate > absorption rate
  • Plasma concentration decline follows exponential curve
  • Minimum effective concentration (MEC): Lowest drug concentration for pharmacological effect
  • Maximum safe concentration (MSC): Highest concentration without adverse effects
  • Therapeutic window: Range of concentrations between MEC & MSC

Factors influencing bioavailability

  • Pharmacokinetic parameters: Cmax, Tmax, AUC, half-life

Drug absorption for 3 formulations of the same drug

  • Similar AUC for A and B
  • Different actions, results (different Cmax and tmax).

Bioequivalence

  • Comparing two dosage forms to determine if they're equivalent in terms of rate and extent of absorption
  • Use AUC, Cmax, and tmax as parameters
  • Limits (80-120%) differences acceptable based on safety and therapeutic effects
  • Regular drug dosing: Accumulation and steady state

Steady State

  • Drug input equals elimination during the dosing interval.
  • Accumulation of drug occurs until concentration does not increase over time.

Protein Binding

  • Drugs may bind to plasma proteins, reducing free (active) drug concentration.

Oral vs. Intravenous Administration

  • Oral administration: Absorption process influences drug concentration in plasma.
  • Intravenous (IV): 100% of the dose is available directly into blood stream

Metabolism

  • Biotransformation: Changes drug into a different form.
  • Many possible changes – oxidation, reduction, conjugation, cleavage.
  • Usually increased hydrophilicity improves elimination/excretion.
  • Primarily in liver but also occurs in kidneys, lungs, GI tract.

Elimination

  • Major sites of elimination: Kidneys, liver; Minor sites: Lungs, sweat, saliva.
  • Kidney: Filtration, secretion of metabolites
  • Liver: Metabolism to more polar compounds for excretion.

Half-life

  • Time taken for drug concentration to fall by 50%
  • Important for frequency of dosing

Volume of distribution (Vd)

  • Volume theoretically required to contain the entire dose of drug in the body at the same concentration measured in plasma
  • Influenced by solubility in water/tissues & drug binding to plasma/tissues

Absolute bioavailability

  • Fraction of administered dose absorbed into systemic circulation relative to IV dose.

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