Definition
-Pharmacokinetics (in Greek: 〝 pharmacon 〞 meaning drug and
〝 kinetikos 〞 meaning putting in motion , the study of time
dependency) is a branch of pharmacology dedicated to the
determination of the fate of substances administered externally
to a living organism.
MTC
Therapeutic range
Intensity
MEC
Duration
Onset time
100
90
80
concentration
70
60 IV
50 Oral
40 Rectal
30
20
10
0
0 5 10 20 30 60 120 180
minutes
Pharmacokinetic models
★Drugs are in a dynamic state with the body.
★Physicochemical considerations
1.pKa and degree of ionization
2.lipid solubility
3.dissolution of rate
Physiological considerations on drug absorption
〝 Cell membrance 〞
★Passive diffusion : ﹝ 高﹞ →﹝低﹞ , most drugs
--The movement of drug from a region of high to one low concentration
and no work required.
★Active diffusion : ﹝ 低﹞ →﹝高﹞ , 如: Vitamin C
--Carrier --Specificity
--Saturation of transport --Competitive inhibition
--against concentration gradient --ATP needed
★Pinocytosis :
--The absorption of small fat, oil droplets, solid particle, starch,
vitamin A, D, E, K.
★Pore transport :
--Very small molecules (urea, water, sugar) are able to rapidly cross
cell membranes as the membrane contained pores.
Physiological considerations on drug absorption
〝 Gastric emptying 〞
■The transit of drug through stomach
dissolution absorption
Tablet, Capsule Drug in solution
disintegration dissolution
Granules, Aggregates
Factors affecting the dissolution rate
★The effective surface area of the drug:
--Particle size: the smaller the drug particles, the greater of surface
area for a given amount of drug, especially for a
hydrophobic drug. (ex: aspirin, digoxin, phenobarbital)
-- Manufacturing process: such as lubricant, disintegrating agent and
compression force.
★The saturation solubility of the drug:
--Salt form : the dissolution rate of a salt form of a drug should be great
than the rate of the non-ionized form of the drug .
-- pH effect: as pH increased, the dissolution rate of W.A. is increased;
as pH increased, the dissolution rate of W.B. is increased.
-- Solvate form: drug can associate with solvent to produce crystalline
form called solvate. (ex: caffeine, theophylline, ampicillin)
Factors affecting the dissolution rate
★The influence of food:
--GI tract content↑: gastric emptying↓, dissolution rate↓
--High protein content: secretion of bile salt and blood flow ↑ ,
dissolution rate↑
★The effect of food:
--Fatty food: delay stomach emptying time beyond 2 hrs.
--Fluid: distend stomach and speed up stomach emptying.
--Full glass of water: sufficient water is necessary for dissolution of
the drug.
Drugs whose absorption is reduced, delayed,
increased, or not affected by the presence of
food.
Rapid perfused
Brain 0.75 2.0
Liver 1.55 3.5
Kidney 1.2 0.5
Heart 0.25 0.5
Less rapid perfused
Muscle 0.8 48.0
Skin 0.4 6.5
Poorly perfused
Fat 0.25 14.0
Skeleton 0.2 17.0
Plasma protein binding
Plasma protein normal range of drug bound
concentration (g/L)
Albumin 35-50 acidic drug
α-acid glycoprotein 0.4-1.0 basic drug
Lipoprotein variable variable
Inactivation of drug
Active metabolite from an active drug
Activation of inactive drugs
Phase I Reaction/Nonsynthetic
reaction
Oxidative reaction: Barbiturates,
Phenothiazine
Cyclization: Proguanil
Decyclization: Phenytoin
Phase II/synthetic reaction
• Glucuronide conjugation: Oral contraceptive
• Acetylation: Sulphonamides
• Methylation: Adrenaline
• Sulphate conjugation: adrenal and sex steriods
• Glycine conjugation: Salicylates
• Glutathione conjugation: paracetamol
• Ribonucleoside/nucleotide synthesis: alcohol
Other
• Microsomal
These are located in the smooth
endoplasmic reticulum, primarily in the
liver
• Nonmicrosomal
These are present in the cytoplasm and
mitochondria of hepatic cell.
Drug changes to active metabolite
Imipramine (Tofranil®) Despramine
Propranolol ( Inderal®) 4-hydroxypropranolol
Lidocaine (Xylocainel®) monoethylglycinexylidide
Renal Function
1. Glomerular filtration
2. Active tubular
secretion
3. Passive tubular
reabsorption
4. Excretion
Excreted drug = (Filtered+ secreted) - reabsobed