Pharmacokinetics: Routes and Drug Distribution
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Questions and Answers

Which enzyme is the most abundant in drug metabolism?

  • CYP1A2
  • CYP2D6
  • CYP2C9
  • CYP3A4 (correct)
  • Which drug is an example of a prodrug?

  • Diazepam
  • Oxazepam
  • Morphine
  • Levodopa (correct)
  • Which drug is incapable of becoming ionized?

  • Ipratropium
  • Heparin
  • Digoxin (correct)
  • Glyceryl trinitrate
  • Which drug has a high first-pass effect?

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

    Which drug is uniformly distributed in body water?

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

    Which drug has a permanently ionized form?

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

    Which drug exhibits a high first-pass effect?

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

    Which drug is an example of a prodrug?

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

    Which enzyme is involved in Phase I reactions of drug metabolism?

    <p>Cytochrome P-450 (CYP-450)</p> Signup and view all the answers

    'Warfarin' exhibits which characteristic in terms of apparent volume of distribution (aVd)?

    <p>Low aVd (e.g., 8L)</p> Signup and view all the answers

    Study Notes

    Drug Metabolism Overview

    • CYP450 Enzymes: The most abundant enzymes in drug metabolism, crucial for biotransformation of various drugs.

    Prodrugs

    • Prodrugs: Drugs that are inactive until metabolized into their active form; examples include Codeine and Enalapril.

    Ionization Properties

    • Non-ionizable Drugs: Drugs that cannot become ionized generally have specific structural properties, such as Lipophilic substances or certain neutral compounds.

    First-Pass Effect

    • Drugs with High First-Pass Effect: Substances like Nitroglycerin undergo significant metabolism in the liver before entering systemic circulation.

    Distribution of Drugs

    • Uniform Distribution in Body Water: Drugs like Ethanol tend to distribute evenly across body fluids due to their small molecular size and water solubility.

    Permanently Ionized Drugs

    • Permanently Ionized Drugs: Certain drugs, such as Aminoglycosides, have a constant ionized form due to their chemical structure and pH.

    Phase I Reactions

    • Phase I Reactions: The enzymes involved primarily include members of the Cytochrome P450 (CYP) family, responsible for oxidation and reduction processes in drug metabolism.

    Warfarin Characteristics

    • Warfarin: Exhibits a low apparent volume of distribution (aVd) indicating it is highly protein-bound, limiting its distribution in body compartments.

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    Description

    Test your knowledge of drug administration routes, pH and ionization of drugs, first-pass metabolism, and drug distribution patterns in the body.

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