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1
Fate of a drug
i. Absorption
ii. Distribution
iii. Metabolism
iv. Excretion
2
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.
3
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
4
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.
5
Physical properties of the drug.
 Liquids > solids
 Crystalloids > colloids
 Aqueous > oily solutions - at site
 Oily solutions > Aqueous - at cell surface
6
Dosage forms
 Particle size -
 Disintegration time and dissolution rate
 Formulation
 Eg - calcium and magnesium ions used as fillers reduce
the absorption of tetracycline
7
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
8
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.
9
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
10
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
11
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
12
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
13
GI transit time
 Food aids the absorption of
 Chloroquine
 Carbamazepine,
 Ribeoflavin etc
 Food interferes with the absorption of
 Ampicillin
 Aspirin
 Digoxin
 Levodopa etc.
14
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.
15
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
16
Disease states
 Absorption and first pass metabolism may be affected
in conditions like
 malabsorption,
 thyrotoxicosis,
 achlorhydria,
 cirrhosis of the liver,
 biliary obstruction etc
17
Thank you
18

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Drug absorption.pptx

  • 1. 1
  • 2. Fate of a drug i. Absorption ii. Distribution iii. Metabolism iv. Excretion 2
  • 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. 3
  • 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 4
  • 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. 5
  • 6. Physical properties of the drug.  Liquids > solids  Crystalloids > colloids  Aqueous > oily solutions - at site  Oily solutions > Aqueous - at cell surface 6
  • 7. Dosage forms  Particle size -  Disintegration time and dissolution rate  Formulation  Eg - calcium and magnesium ions used as fillers reduce the absorption of tetracycline 7
  • 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 8
  • 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. 9
  • 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 10
  • 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 11
  • 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 12
  • 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 13
  • 14. GI transit time  Food aids the absorption of  Chloroquine  Carbamazepine,  Ribeoflavin etc  Food interferes with the absorption of  Ampicillin  Aspirin  Digoxin  Levodopa etc. 14
  • 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. 15
  • 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 16
  • 17. Disease states  Absorption and first pass metabolism may be affected in conditions like  malabsorption,  thyrotoxicosis,  achlorhydria,  cirrhosis of the liver,  biliary obstruction etc 17