2. Fate of a drug
i. Absorption
ii. Distribution
iii. Metabolism
iv. Excretion
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3. Absorption
Entry of a drug into the systemic circulation.
Its movement among various body compartments
Its distribution within the cell
determined by the properties of a series of biological
membranes in the body.
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4. Bio-availability
Amount or % of drug that is absorbed from a given
dosage form and reaches the general circulation.
100% in c/o vascular administration
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5. Factors affecting Absorption and Bioavailability
Factors affecting oral drug absorption and its
bioavailability
a) Drug related.
Physical properties of the drug.
Nature of the dosage form.
b) Patient related
Physiological factors.
Pharmacogenetic factors
Disease states.
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6. Physical properties of the drug.
Liquids > solids
Crystalloids > colloids
Aqueous > oily solutions - at site
Oily solutions > Aqueous - at cell surface
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7. Dosage forms
Particle size -
Disintegration time and dissolution rate
Formulation
Eg - calcium and magnesium ions used as fillers reduce
the absorption of tetracycline
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8. Physiological factors.
Ionization
pH of the G.I fluid and the blood
GI transit time:
Area of the absorbing surface and local circulation
Presence of other agents
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9. lonization:
The mucosal lining of the GI tract is impermeable to
ionized form of weak organic acids and weak organic
bases.
At the body pH, most drugs exist in two forms:
(1) an unionized component,
predominantly lipid soluble -cross the cell membrane
rapidly
(2) an ionized, water soluble component.
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10. pH of the G.I fluid and the blood
Weakly acidic drugs - rapidly absorbed from the
stomach
• (as they exist in the acidic medium of the stomach in an unionized
form)
They act rapidly on oral administration
e .g.,salicylates, Barbiturates
However, most of the weakly acidic drugs are also absorbed
from the duodenum because of their solubility in the alkaline
medium and the large absorbing surface area
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11. pH of the G.I fluid and the blood
Weakly basic drugs absorbed - in the small intestine
(in alkaline environment)
The alkaline environment in which the drugs exist in
an unionized form, facilitates their absorption. Their
actions are delayed when administered orally
e.g.pethidine, ephedrine
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12. pH of the G.I fluid and the blood
At the pH values found in the intestine, the strongly
acidic or basic drugs are highly ionized and hence,
they are poorly absorbed.
Aminogycosides are strong bases and hence their
absorption from GI tract is poor
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13. GI transit time
Gastric emptying time altered by
Presence of food
Volume, viscosity & tonicity of the gastric contents
(Rapid absorption occurs if the drug is given on empty
stomach )
Increased peristalsis dec absorption
Structural alteration of GIT mucosa dec
Eg oedema
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14. GI transit time
Food aids the absorption of
Chloroquine
Carbamazepine,
Ribeoflavin etc
Food interferes with the absorption of
Ampicillin
Aspirin
Digoxin
Levodopa etc.
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15. Area of the absorbing surface and local
circulation
Drugs are absorbed better from the small intestine
than from the stomach
because of the larger surface area.
Reduction in the absorbing surface reduces drug
absorption
Eg – G.I. resection
Increased vasularity can increase absorption.
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16. Presence of other agents
Vitamin C increases the absorption of oral iron
Phytates retard it
Absorption of fat-soluble vitamins reduced in the
presence of liquid paraffin
Calcium (milk,antacids) + tetracyclin insoluble
complexes red absorption
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17. Disease states
Absorption and first pass metabolism may be affected
in conditions like
malabsorption,
thyrotoxicosis,
achlorhydria,
cirrhosis of the liver,
biliary obstruction etc
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