The Topic PHARMACOKINETICS & METABOLISM gives you detail information about (1st pass metabolism of drug, organs & enzymes involed in drug metabolism, All Phases of Drug) & All you need to know about BIO-TRANSFORMATION.
3. Biotransformation of Drug is defined as the conversion from one chemical from to another. The ter
ms is used synonymously with Metabolism
The Drug which are enter the through ingestion inhalation or absorption are called as xenobiotics (G
reek: xenos =foreign) or exogenous compound
DEFINITION
4. ORGANS :
1] Liver. 2] Lungs. 3] Kidney 4] Intestine 4] Plasenta 5] Adrenals 6] Skin
1) Liver is primary site for Metabolism of almost all drug because a large variety of Enzymes in large amount in Liv
er are present
2) Metabolism by organs other than liver called as extrahepatic Metabolism
3) The decreasing order of Drug Metabolism Ability of various Organs I.e
Liver > Lungs > Kidney > Intestine > Plasenta > Adrenals > Skin
4) Brain , testes , Muscle , Spleen etc also metabolites drug to a Small extent
Organs Involved in Drug Metabolisum
6. NON MICROSOMAL ENZYMES :
1) Present in soluble from of the cytoplasm & those attached to the mitochondria but not the endoplasmic reticulu
m
2) Non specific that Catalyze few oxidation reaction hydrolytic reaction Nd Conjugation reaction other than Glucaru
nidation
Example: Oxidases, perioxidases, dehydrogenase Esterase
7. FIRST PASS METABOLISM
1) This refers.to Metabolism of a drug during its passage from the site of adsorption into the systemic circulation.
2) All orally admistered drug are exposed to the drug Metabolism Enzymes in the esenssial wall liver
3) presystem Metabolism of limited magnitude can also occur in the skin and in Lungs .
Attribute of Drug With High First pass Metabolism :
* Oral dose is comsiderally higher than sublingual or parental dose
* There is marked individual variation in the oral dose due to difference in the extent of First pass Metabolism
* Oral bioavailability is apparently increase in patient with sever liver disease
* Oral bioavailability of a drug is increase if another drug competing with it in First pass Metabolism is given concurr
ently
Example : Chlorpromazine & Propranolol
8.
9.
10. PHASES OF DRUG METABOLISM
R.T Williams divided the pathways of Metabolism reaction two genernal category phase 1 and phas
e 2 reaction .
PHASE I :
1) Oxidation Reaction
2) Reduction Reaction
3) Hydrolytic Reaction
A】 OXIDATION REACTION :
Oxidation reaction increase hydrophilicity of xenobiotics by introduction polar function
al group such as -oH such a polar metabolites can thus rapidly undergoes phase II reaction or is excreta
ble by the kidney . Oxidation of xenobiotics is nonspecifically catalysed by a number of Enzymes locate
d in the micromes .
RH +O + NADPH + H ------------> ROH + H2O + NADPH
Since NADPH reduced NADP ++
2
12. Others Oxidation Reaction :
1) Oxidation of aromatic carbon atom
2) Oxidation of olefinc (C=C) bonds.
3) Oxidation of benzylic allylic carbon atom
4) Oxidation of aliphatic carbon atom
5) Oxidation of alicyclic carbon atom
B】 REDUCTIVE REACTION :
A number of reductive reaction are extract opposite to Oxidation
Sum Reductive reaction are as follows :
1) Reduction of carbonyl function
2) Reduction of alcohol and C=C bonds
3) Reduction of N- compound
13. C】 HYDROLYTIC REACTION :
* These reaction differ from oxidation and Reductive reaction
* The reaction does not involve change in the state of oxidation of the substance
Sum Hydrolytic Reaction are as follows :
1) Hydrolysis of amides
2) Hydrolytic of ester and ethers
3) Hydrolytic cleavage of non aromatic heterocycles
4) Hydrolytic deologenation
5) Miscellaneous Hydrolytic Reaction
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15.
16. FACTORS AFFECTING DRUG METABOLISM :
1.Physiochemical properties of the drug
2.Chemical Factors
a] Induction of Drug Metabolism Enzymes
b] Induction of Drug Metabolism Enzymes
C] Environmental chemical
3. Biological Factors
a] Species Differences
b] Strain Difference
C] Sex difference
d] Age
e] Altered physiologic Factors
F] Temporal Factors