Pharmacokinetics Lecture 7: The Role of Liver in Drug Metabolism
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Questions and Answers

Which organ is primarily responsible for drug metabolism in the body?

  • Intestines
  • Lungs
  • Liver (correct)
  • Kidneys
  • What is the first phase of drug metabolism called?

  • Phase 2
  • Enzymatic conversion phase
  • Phase 1 (correct)
  • Cytochrome P450 phase
  • Which enzyme family is responsible for metabolizing more than 60% of drugs on the market?

  • CYP1A2
  • CYP2D6
  • CYP450 (correct)
  • CYP3A4
  • What is a major consequence of liver failure on drug metabolism?

    <p>Reduction in liver enzyme activity</p> Signup and view all the answers

    What is the primary site for drug metabolism other than the liver?

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

    What is the definition of liver clearance in pharmacokinetics?

    <p>The volume of blood or fluid from which the drug is completely removed per unit time</p> Signup and view all the answers

    How does a change in blood flow to the liver affect drug clearance?

    <p>Highly sensitive to changes in blood flow</p> Signup and view all the answers

    How does a decrease in protein binding affect the pharmacokinetics of drugs with low extraction?

    <p>AUC increases and half-life decreases</p> Signup and view all the answers

    What is the impact of hepatic failure on drug handling?

    <p>Reduced exposure of drugs to the liver and increased plasma concentrations</p> Signup and view all the answers

    What is the purpose of using the Child-Pugh scoring system in relation to drug recommendations?

    <p>To predict disease severity and patient outcome</p> Signup and view all the answers

    Which of the following is NOT a phase of drug metabolism?

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

    Which enzyme family is responsible for metabolizing the majority of drugs in the body?

    <p>Cytochrome P450</p> Signup and view all the answers

    What is the primary function of phase II drug metabolism?

    <p>Conjugation of drugs</p> Signup and view all the answers

    Which organ plays a significant role in the first-pass metabolism of orally administered drugs?

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

    What effect does genetic polymorphism in drug-metabolizing enzymes have on drug metabolism?

    <p>Reduced drug efficacy</p> Signup and view all the answers

    What is the primary site of drug metabolism in the body?

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

    Which enzyme family is responsible for metabolizing the majority of drugs on the market?

    <p>DNA polymerase</p> Signup and view all the answers

    What is the purpose of the Child-Pugh scoring system in relation to drug recommendations?

    <p>It evaluates lung function prior to prescribing respiratory medications</p> Signup and view all the answers

    How does hepatic failure impact drug handling?

    <p>It increases drug metabolism and clearance</p> Signup and view all the answers

    What is the first phase of drug metabolism called?

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

    Study Notes

    • Drug metabolism is a process that involves the enzymatic conversion of drugs into metabolites, typically in the liver and intestines.
    • The liver is one of the primary sites of drug metabolism.
    • Drug metabolism is split into two phases: Phase 1 and Phase 2.
    • Phase 1 metabolism is mediated by enzymes, particularly from the Cytochrome P450 (CYP) family.
    • CYP enzymes metabolize over 60% of drugs on the market.
    • Liver impairment, such as liver failure, can affect drug metabolism.
    • Clearance is a term used in pharmacokinetics to describe the removal of drug from the liver.
    • High clearance drugs, such as Alprenolol and Propranolol, are affected less by changes in blood flow.
    • Low clearance drugs, such as Warfarin and Diazepam, are sensitive to changes in blood flow and plasma protein binding.
    • Hepatic failure is a condition that can affect the handling of drugs by the liver, leading to changes in metabolism, distribution, and plasma concentrations.
    • The Child-Pugh scoring system is used to make recommendations for individual drugs in the context of hepatic failure.
    • The liver plays a crucial role in drug metabolism, and liver impairment can significantly affect drug clearance and pharmacokinetics.

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    Description

    This quiz covers the role of the liver in drug metabolism, including the processes and clinical outcomes associated with changes in drug metabolism. It explores the two primary sites of drug metabolism in the body and the phases of drug metabolism.

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