Presystemic First-Pass Metabolism
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Questions and Answers

Which term describes the ability of the liver and intestine to metabolize substances before reaching the systemic circulation?

  • Systemic availability metabolism
  • Intestinal bypass metabolism
  • Hepatic circulation metabolism
  • Presystemic first-pass metabolism (correct)

What are the major pathways of presystemic intestinal first-pass metabolism in humans?

  • Hydrolysis and conjugation
  • Sulfonation and glucuronidation (correct)
  • Methylation and acetylation
  • Oxidation and reduction

Which enzyme is primarily responsible for the presystemic metabolism of drugs with low bioavailability?

  • CYP2D6
  • CYP2C9
  • CYP1A2
  • CYP3A4 (correct)

How can coadministration of a CYP3A4 inhibitor affect the pharmacokinetics of a drug?

<p>Reduce its metabolism and increase plasma concentration (B)</p> Signup and view all the answers

What effect do inducers have on drug absorption and oral bioavailability?

<p>Reduce absorption and oral bioavailability (C)</p> Signup and view all the answers

Why do orally administered drugs susceptible to glucuronosyltransferases, sulfotransferases, and glutathione transferases have low oral bioavailability?

<p>Due to presystemic first-pass metabolism in the intestine (D)</p> Signup and view all the answers

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