Compartmental analysis is an analytical method developed to assume the kinetics ( absorption, distribution, metabolism, half life, excretion, etc.) of a drug, where a live organ is considered as one or more compartments. Observed result helps a researcher to predict how the drug or formulation may act inside body, for how long, if the formulation is suitable to produce maximum deliberation of drugs in body as well as compatibility of drug or drug toxicity study. Among numerous models, in non cmpartmental model it is considerd that the formulation kinetics depend on other variables instead of compartment itself. This slide is an short overview of pharmaceutical compartmental models with a slightly elaborate discussions about different non compartmental analytical methods.
This presentation is about the process by which prolonged therapeutic activity of drug is achieved and it's importance. By this presentation you will learn about dosage regimen, steady state concentration, principle of superposition, drug accumulation, repetitive intravenous injections etc. By this you will also learn how to adjust the dose to the patient.
The Metformin HCL Gastroretentive Floating Sustained released Tablet is formulated by the Wet Granulation technique. This Tablet is containing both Effervescent as well as Non Effervescent system. The HPMC K 100 Swellable polymer is responsible for the Floating. (Non Effervescent system) and The Sodium Bicarbonate is responsible for
the effervescent system. A combination of HPMC K 100 and Xanthum Gum shows better sustained release activity. The Prepared Gastroretentive Floating Sustained released Tablet is Evaluated In terms of bulk density, tapped density, angle of repose, Carr’s Index and, weight variation test, friability test and in vitro study, Total Floating Time. The result associated in Optimized batch is good to Satisfactory and having a good free flowing property. The weight variation and friability these values are within the pharmacopeia limit. The in vitro Dissolution studies shows Maximum percentage of release of drug (99.25) with in end of 8 Hours.
This presentation is about the process by which prolonged therapeutic activity of drug is achieved and it's importance. By this presentation you will learn about dosage regimen, steady state concentration, principle of superposition, drug accumulation, repetitive intravenous injections etc. By this you will also learn how to adjust the dose to the patient.
The Metformin HCL Gastroretentive Floating Sustained released Tablet is formulated by the Wet Granulation technique. This Tablet is containing both Effervescent as well as Non Effervescent system. The HPMC K 100 Swellable polymer is responsible for the Floating. (Non Effervescent system) and The Sodium Bicarbonate is responsible for
the effervescent system. A combination of HPMC K 100 and Xanthum Gum shows better sustained release activity. The Prepared Gastroretentive Floating Sustained released Tablet is Evaluated In terms of bulk density, tapped density, angle of repose, Carr’s Index and, weight variation test, friability test and in vitro study, Total Floating Time. The result associated in Optimized batch is good to Satisfactory and having a good free flowing property. The weight variation and friability these values are within the pharmacopeia limit. The in vitro Dissolution studies shows Maximum percentage of release of drug (99.25) with in end of 8 Hours.
Plasma Drug Concentration Time Profile
Pharmacokinetic Parameter
Pharmacodynamic Parameter
Zero, First Order & Mixed Order Kinetic
Rates & Order Of Kinetics
Pharmacokinetic Models
Application Of Pharmacokinetic
Abbreviated New Drug Application [ANDA]Sagar Savale
An Abbreviated New Drug Application (ANDA) contains data which when submitted to FDA's CDER, Office of Generic Drugs, provides for the review and ultimate approval of a generic drug product.
United State Pharmacopoeia (USP)The establishment of a rational relationship between a biological property, or a parameter derived from a biological property produced by a dosage form, and a physicochemical property or characteristic of the same dosage form.
Food and Drug Administration (FDA) definitionIVIVC is a predictive mathematical model describing the relationship between an in vitro property of a dosage form and a relevant in vivo response. Generally, the in vitro property is the rate or extent of drug dissolution or release while the in vivo response is the plasma drug concentration or amount of drug absorbed.
1. Measurement of Bioavailability:
Direct and indirect methods may be used to assess drug bioavailability. The in-vivo bioavailability of a drug product is demonstrated by the rate and extent of drug absorption, as determined by comparison of measured parameters, e.g., concentration of the active drug ingredient in the blood, cumulative urinary excretion rates, or pharmacological effects.
For drug products that are not intended to be absorbed into the bloodstream, bioavailability may be assessed by measurements intended to reflect the rate and extent to which the active ingredient or active moiety becomes available at the site of action.
The design of the bioavailability study depends on the objectives of the study, the ability to analyze the drug (and metabolites) in biological fluids, the pharmacodynamics of the drug substance, the route of drug administration, and the nature of the drug product.
Pharmacokinetic and/or pharmacodynamic parameters as well as clinical observations and in-vitro studies may be used to determine drug bioavailability from a drug product.
1.1. Pharmacokinetic methods:
These are very widely used and based upon the assumption that the pharmacokinetic profile reflects the therapeutic effectiveness of a drug. Thus these are indirect methods. The two major pharmacokinetic methods are:
The major pharmacokinetic methods are:
Plasma / blood level time profile.
o Time for peak plasma (blood) concentration (t max)
o Peak plasma drug concentration (Cmax)
o Area under the plasma drug concentration–time curve (AUC)
Urinary excretion studies.
o Cumulative amount of drug excreted in the urine (Du)
o Rate of drug excretion in the urine (dDu/dt)
o Time for maximum urinary excretion (t)
C. Other biological fluids
1.2. Pharmacodynamic methods:
IT involves direct measurement of drug effect on a (patho) physiological process as a function of time. Disadvantages of it may be high variability, difficult to measure, limited choices, less reliable, more subjective, drug response influenced by several physiological & environmental factors.
They involve determination of bioavailability from:
Acute pharmacological response.
Therapeutic response.
1.3. In-vitro dissolution studies
Closed compartment apparatus
Open compartment apparatus
Dialysis systems.
1.4. Clinical observations
Well-controlled clinical trials
Non compartmental pharmacokinetics & physiologic pharmacokinetic models by aktDr Ajay Kumar Tiwari
Non Compartmental Analysis
-Assumptions to be made
-Statistical Moment Theory
-Mean Residence Time
-Mean Transit Time (MTT), Mean Absorption Time (MAT), and Mean Dissolution Time (MDT)
-Other Pharmacokinetic Parameters
-Advantages and Disadvantages of Noncompartmental Versus Compartmental Population Analyses
Physiologic Pharmacokinetic Models
-Physiologically based pharmacokinetic (PBPK) modeling
-Assumption to be made
-advantages & disadvantage
SUSTAINED RELEASE (SR) & CONTROL RELEASE.pptxRAHUL PAL
Sustained-release medications are usually labeled with “SR” at the end of their name. These medications prolong the medication's release from a tablet or capsule so that you'll get the medication's benefits over a longer period of time.
CR = controlled release, SR = sustained release, ER = extended release, IR = immediate release. *
The presentation concisely describes the different pharmacokinetic parameters and basics of compartment modelling. It will help undergraduate students to understand the basic concepts of Biopharmaceutics.
The Investigator's Brochure (IB) is a comprehensive document summarizing the body of information about an investigational product (IB) obtained during a drug trial.
Plasma Drug Concentration Time Profile
Pharmacokinetic Parameter
Pharmacodynamic Parameter
Zero, First Order & Mixed Order Kinetic
Rates & Order Of Kinetics
Pharmacokinetic Models
Application Of Pharmacokinetic
Abbreviated New Drug Application [ANDA]Sagar Savale
An Abbreviated New Drug Application (ANDA) contains data which when submitted to FDA's CDER, Office of Generic Drugs, provides for the review and ultimate approval of a generic drug product.
United State Pharmacopoeia (USP)The establishment of a rational relationship between a biological property, or a parameter derived from a biological property produced by a dosage form, and a physicochemical property or characteristic of the same dosage form.
Food and Drug Administration (FDA) definitionIVIVC is a predictive mathematical model describing the relationship between an in vitro property of a dosage form and a relevant in vivo response. Generally, the in vitro property is the rate or extent of drug dissolution or release while the in vivo response is the plasma drug concentration or amount of drug absorbed.
1. Measurement of Bioavailability:
Direct and indirect methods may be used to assess drug bioavailability. The in-vivo bioavailability of a drug product is demonstrated by the rate and extent of drug absorption, as determined by comparison of measured parameters, e.g., concentration of the active drug ingredient in the blood, cumulative urinary excretion rates, or pharmacological effects.
For drug products that are not intended to be absorbed into the bloodstream, bioavailability may be assessed by measurements intended to reflect the rate and extent to which the active ingredient or active moiety becomes available at the site of action.
The design of the bioavailability study depends on the objectives of the study, the ability to analyze the drug (and metabolites) in biological fluids, the pharmacodynamics of the drug substance, the route of drug administration, and the nature of the drug product.
Pharmacokinetic and/or pharmacodynamic parameters as well as clinical observations and in-vitro studies may be used to determine drug bioavailability from a drug product.
1.1. Pharmacokinetic methods:
These are very widely used and based upon the assumption that the pharmacokinetic profile reflects the therapeutic effectiveness of a drug. Thus these are indirect methods. The two major pharmacokinetic methods are:
The major pharmacokinetic methods are:
Plasma / blood level time profile.
o Time for peak plasma (blood) concentration (t max)
o Peak plasma drug concentration (Cmax)
o Area under the plasma drug concentration–time curve (AUC)
Urinary excretion studies.
o Cumulative amount of drug excreted in the urine (Du)
o Rate of drug excretion in the urine (dDu/dt)
o Time for maximum urinary excretion (t)
C. Other biological fluids
1.2. Pharmacodynamic methods:
IT involves direct measurement of drug effect on a (patho) physiological process as a function of time. Disadvantages of it may be high variability, difficult to measure, limited choices, less reliable, more subjective, drug response influenced by several physiological & environmental factors.
They involve determination of bioavailability from:
Acute pharmacological response.
Therapeutic response.
1.3. In-vitro dissolution studies
Closed compartment apparatus
Open compartment apparatus
Dialysis systems.
1.4. Clinical observations
Well-controlled clinical trials
Non compartmental pharmacokinetics & physiologic pharmacokinetic models by aktDr Ajay Kumar Tiwari
Non Compartmental Analysis
-Assumptions to be made
-Statistical Moment Theory
-Mean Residence Time
-Mean Transit Time (MTT), Mean Absorption Time (MAT), and Mean Dissolution Time (MDT)
-Other Pharmacokinetic Parameters
-Advantages and Disadvantages of Noncompartmental Versus Compartmental Population Analyses
Physiologic Pharmacokinetic Models
-Physiologically based pharmacokinetic (PBPK) modeling
-Assumption to be made
-advantages & disadvantage
SUSTAINED RELEASE (SR) & CONTROL RELEASE.pptxRAHUL PAL
Sustained-release medications are usually labeled with “SR” at the end of their name. These medications prolong the medication's release from a tablet or capsule so that you'll get the medication's benefits over a longer period of time.
CR = controlled release, SR = sustained release, ER = extended release, IR = immediate release. *
The presentation concisely describes the different pharmacokinetic parameters and basics of compartment modelling. It will help undergraduate students to understand the basic concepts of Biopharmaceutics.
The Investigator's Brochure (IB) is a comprehensive document summarizing the body of information about an investigational product (IB) obtained during a drug trial.
• In silico (literally alluding the mass use of silicon for semiconductor computer chips) is an expression used to performed on computer or via computer simulation
• In silico tools capable of identifying critical factors (i.e. drug physicochemical properties, dosage form factors) influencing drug in vivo performance, and predicting drug absorption based on the selected data set (s) of input factors.
PHARMACOKINETIC MODELS
Drug movement within the body is a complex process. The major objective is therefore to develop a generalized and simple approach to describe, analyse and interpret the data obtained during in vivo drug disposition studies.
The two major approaches in the quantitative study of various kinetic processes of drug disposition in the body are
Model approach, and
Model-independent approach (also called as non-compartmental analysis).
Measurement of bioavailability and concept of equivalenceRavish Yadav
The all the content in this profile is completed by the teachers, students as well as other health care peoples.
thank you, all the respected peoples, for giving the information to complete this presentation.
this information is free to use by anyone.
What is greenhouse gasses and how many gasses are there to affect the Earth.moosaasad1975
What are greenhouse gasses how they affect the earth and its environment what is the future of the environment and earth how the weather and the climate effects.
Introduction:
RNA interference (RNAi) or Post-Transcriptional Gene Silencing (PTGS) is an important biological process for modulating eukaryotic gene expression.
It is highly conserved process of posttranscriptional gene silencing by which double stranded RNA (dsRNA) causes sequence-specific degradation of mRNA sequences.
dsRNA-induced gene silencing (RNAi) is reported in a wide range of eukaryotes ranging from worms, insects, mammals and plants.
This process mediates resistance to both endogenous parasitic and exogenous pathogenic nucleic acids, and regulates the expression of protein-coding genes.
What are small ncRNAs?
micro RNA (miRNA)
short interfering RNA (siRNA)
Properties of small non-coding RNA:
Involved in silencing mRNA transcripts.
Called “small” because they are usually only about 21-24 nucleotides long.
Synthesized by first cutting up longer precursor sequences (like the 61nt one that Lee discovered).
Silence an mRNA by base pairing with some sequence on the mRNA.
Discovery of siRNA?
The first small RNA:
In 1993 Rosalind Lee (Victor Ambros lab) was studying a non- coding gene in C. elegans, lin-4, that was involved in silencing of another gene, lin-14, at the appropriate time in the
development of the worm C. elegans.
Two small transcripts of lin-4 (22nt and 61nt) were found to be complementary to a sequence in the 3' UTR of lin-14.
Because lin-4 encoded no protein, she deduced that it must be these transcripts that are causing the silencing by RNA-RNA interactions.
Types of RNAi ( non coding RNA)
MiRNA
Length (23-25 nt)
Trans acting
Binds with target MRNA in mismatch
Translation inhibition
Si RNA
Length 21 nt.
Cis acting
Bind with target Mrna in perfect complementary sequence
Piwi-RNA
Length ; 25 to 36 nt.
Expressed in Germ Cells
Regulates trnasposomes activity
MECHANISM OF RNAI:
First the double-stranded RNA teams up with a protein complex named Dicer, which cuts the long RNA into short pieces.
Then another protein complex called RISC (RNA-induced silencing complex) discards one of the two RNA strands.
The RISC-docked, single-stranded RNA then pairs with the homologous mRNA and destroys it.
THE RISC COMPLEX:
RISC is large(>500kD) RNA multi- protein Binding complex which triggers MRNA degradation in response to MRNA
Unwinding of double stranded Si RNA by ATP independent Helicase
Active component of RISC is Ago proteins( ENDONUCLEASE) which cleave target MRNA.
DICER: endonuclease (RNase Family III)
Argonaute: Central Component of the RNA-Induced Silencing Complex (RISC)
One strand of the dsRNA produced by Dicer is retained in the RISC complex in association with Argonaute
ARGONAUTE PROTEIN :
1.PAZ(PIWI/Argonaute/ Zwille)- Recognition of target MRNA
2.PIWI (p-element induced wimpy Testis)- breaks Phosphodiester bond of mRNA.)RNAse H activity.
MiRNA:
The Double-stranded RNAs are naturally produced in eukaryotic cells during development, and they have a key role in regulating gene expression .
Nutraceutical market, scope and growth: Herbal drug technologyLokesh Patil
As consumer awareness of health and wellness rises, the nutraceutical market—which includes goods like functional meals, drinks, and dietary supplements that provide health advantages beyond basic nutrition—is growing significantly. As healthcare expenses rise, the population ages, and people want natural and preventative health solutions more and more, this industry is increasing quickly. Further driving market expansion are product formulation innovations and the use of cutting-edge technology for customized nutrition. With its worldwide reach, the nutraceutical industry is expected to keep growing and provide significant chances for research and investment in a number of categories, including vitamins, minerals, probiotics, and herbal supplements.
This pdf is about the Schizophrenia.
For more details visit on YouTube; @SELF-EXPLANATORY;
https://www.youtube.com/channel/UCAiarMZDNhe1A3Rnpr_WkzA/videos
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Professional air quality monitoring systems provide immediate, on-site data for analysis, compliance, and decision-making.
Monitor common gases, weather parameters, particulates.
Slide 1: Title Slide
Extrachromosomal Inheritance
Slide 2: Introduction to Extrachromosomal Inheritance
Definition: Extrachromosomal inheritance refers to the transmission of genetic material that is not found within the nucleus.
Key Components: Involves genes located in mitochondria, chloroplasts, and plasmids.
Slide 3: Mitochondrial Inheritance
Mitochondria: Organelles responsible for energy production.
Mitochondrial DNA (mtDNA): Circular DNA molecule found in mitochondria.
Inheritance Pattern: Maternally inherited, meaning it is passed from mothers to all their offspring.
Diseases: Examples include Leber’s hereditary optic neuropathy (LHON) and mitochondrial myopathy.
Slide 4: Chloroplast Inheritance
Chloroplasts: Organelles responsible for photosynthesis in plants.
Chloroplast DNA (cpDNA): Circular DNA molecule found in chloroplasts.
Inheritance Pattern: Often maternally inherited in most plants, but can vary in some species.
Examples: Variegation in plants, where leaf color patterns are determined by chloroplast DNA.
Slide 5: Plasmid Inheritance
Plasmids: Small, circular DNA molecules found in bacteria and some eukaryotes.
Features: Can carry antibiotic resistance genes and can be transferred between cells through processes like conjugation.
Significance: Important in biotechnology for gene cloning and genetic engineering.
Slide 6: Mechanisms of Extrachromosomal Inheritance
Non-Mendelian Patterns: Do not follow Mendel’s laws of inheritance.
Cytoplasmic Segregation: During cell division, organelles like mitochondria and chloroplasts are randomly distributed to daughter cells.
Heteroplasmy: Presence of more than one type of organellar genome within a cell, leading to variation in expression.
Slide 7: Examples of Extrachromosomal Inheritance
Four O’clock Plant (Mirabilis jalapa): Shows variegated leaves due to different cpDNA in leaf cells.
Petite Mutants in Yeast: Result from mutations in mitochondrial DNA affecting respiration.
Slide 8: Importance of Extrachromosomal Inheritance
Evolution: Provides insight into the evolution of eukaryotic cells.
Medicine: Understanding mitochondrial inheritance helps in diagnosing and treating mitochondrial diseases.
Agriculture: Chloroplast inheritance can be used in plant breeding and genetic modification.
Slide 9: Recent Research and Advances
Gene Editing: Techniques like CRISPR-Cas9 are being used to edit mitochondrial and chloroplast DNA.
Therapies: Development of mitochondrial replacement therapy (MRT) for preventing mitochondrial diseases.
Slide 10: Conclusion
Summary: Extrachromosomal inheritance involves the transmission of genetic material outside the nucleus and plays a crucial role in genetics, medicine, and biotechnology.
Future Directions: Continued research and technological advancements hold promise for new treatments and applications.
Slide 11: Questions and Discussion
Invite Audience: Open the floor for any questions or further discussion on the topic.
2. OUTLINE
• PHARMACOKINETIC MODELS
• CATEGORIZATION
• ALLOMETRIC SCALING
• INTERSPECIES SCALING
• MECHANISTIC MODELS
• COMPARTMENTAL MODEL
• INDIVIDUALANALYSIS
• POPULATION ANALYSIS
• PHYSIOLOGICAL PHARMACOKINETIC
MODELS (PBPK)
• PHYSIOLOGIC PHARMACOKINETIC
MODEL WITH BINDING
3. PHARMACOKINETIC MODELS
• Assumption on parameters like tissue blood flow, plasma or tissue volume etc.
• Predicts and obtains parameters (e.g. Cmax, tmax, t1/2, AUC, clearance, etc.) to predict
drug dosing outcomes, pharmacodynamics, and toxicity.
• Useful in:
- describing time course of drug action;
- improving drug therapy by enhancing drug efficacy;
- minimizing adverse reactions through more accurate dosing regimens.
• Used routinely within the development process of new molecules or drug delivery
systems.
4. CATEGORIZATION
.
EMPIRICAL MODELS
• Focused on describing the data with the
specification of very few assumptions about
the data being analyzed.
• Example: allometric scaling model.
MECHANISTIC MODELS
• Specify assumptions and attempt to
incorporate known factors about the systems
surrounding the data into the model, while
describing the model with equations and
underlying assumptions.
• Example: physiological modeling
and compartmental modeling.
5. ALLOMETRIC SCALING: An empirical model
• Allometry – change of organism’s
characteristics according to size.
• Gives an empirical relationship that
allows for approximate interspecies
scaling based on the size of the species.
6. INTERSPECIES SCALING
• An approach to compare and predict the pharmacokinetics of a drug among different species.
• Used in toxicokinetics and for the extrapolation of therapeutic drug doses in humans from
nonclinical animal drug studies.
• Assumptions:
-Physiologic variables (e.g. Clearance, heart rate, organ weight, and biochemical processes) are
related to the weight or body surface area of the animal species;
- All mammals use the same energy source (oxygen) and energy transport systems across
animal species.
7. INTERSPECIES SCALING
Considered factors:
• Aging rate, &
• Life span of the species (MLP).
Maximum life-span potential (MLP)
- Characteristic & genetically controlled,
- Many energy-consuming biochemical processes,
including drug metabolism, vary inversely with the aging
rate or life span of the animal,
-Used for drugs eliminated mainly by hepatic intrinsic
clearance.
Not considered interspecies differences:
• Gender,
• Nutrition,
• Pathophysiology,
• Route of drug administration,
• Polymorphisms.
8. • The general allometric equation obtained by Interspecies scaling method:
y = bW ^a
where , y = pharmacokinetic or physiologic property of interest, b = allometric coefficient,
W = weight or surface area of the animal species, and a = allometric exponent.
Both a and b vary with the drug.
• Relationship between biperiden intrinsic clearance with body weight and MLP:
where, MLP = maximum life-span potential of the species, B = body weight of the species,
clint = hepatic intrinsic clearance of the free drug.
9. MECHANISTIC MODELS
• To create a mathematical and statistical model defined by integrated, matrix, and/or partial differential
equations (equations having derivatives with respect to more than one variable).
• Describe the Pharmacokinetic or Pharmacodynamic behavior of a drug.
• Obtained data “fitted” to suitable techniques to estimating mean parameter along with their variability
in an individual or population.
10. COMPARTMENTAL MODEL
• Different body compartments.
• Aims to develop a model that is associated with predicted concentration values (or whatever
observation is being studied) that are as close as possible to the observed values.
One
compartmental
model
(Central)
Two
compartmental
model
(Central+
Peripheral)
Three
compartmental model
(Central+
Tissue+
Deep tissue)
11. INDIVIDUAL ANALYSIS
• Involves the development of a model using data from one source (such as one human or one animal).
• Can never perfectly predict the observed data as the error is always inherent in data, whether related
to the collection procedures themselves or to analytical assays.
• The relationship between observed and predicted concentration values:
Xi = a vector of known values (such as dose and sampling times), ci= the vector of observed concentrations, εi =
measurement errors, φj= vector of model parameters (i.e. Pharmacokinetic parameters), fi= function that relates ci,
φj and xi.= total number of observations or values.
12. POPULATION ANALYSIS
• An extension of individual analyses, to predicts concentration data associated with different
individuals or animals.
• Similar concept as individual analysis, except takes into consideration of interindividual variability.
• Predicts concentration values and describes the behavior for each individual within the population,
also provides an “overall” (mean or population) set of predictions.
• Unlike individual analysis always use the same structural model to fit all individuals’ data for a
specific drug under study.
Xij = vector of known values (represented by i) for the jth subject, cij= vector of
observed concentrations for the jth subject, εij= measurement errors for the jth
subject, φj= vector of model parameters for the jth subject, and , fij= is the
function that relates cij to φj and xij , i= pharmacokinetic parameter , j= animal
13. PHYSIOLOGICAL PHARMACOKINETIC
MODELS (PBPK)
• Mathematical models describing drug movement and disposition based on organ blood flow and
the organ spaces penetrated by the drug.
• Aims to consider as much as possible all process of drug uptake, distribution and elimination,
• Considers the drug to be blood flow limited.
Drugs carried by blood flow to organs → rapid drug uptake into tissue and a quickly established
constant ratio of drug tissue/ blood partition co efficient, P) → Rapid drug transmembrane
movement, no permeation resistance by capillary membrane → rapidly equilibrates with the
interstitial water.
14. Rate of blood flow to tissue (Qt ) and rate of change in drug concentration with respect to time within a
given tissue organ is expressed as-
C art = arterial blood drug concentration
C vein = venous blood drug
concentration
Q t = blood flowing throw a typical
tissue organ per unit of time.
Clearance (Cl) : The rate of drug elimination is the product of the drug concentration in the
organ and the organ clearance.
15. PHYSIOLOGIC PHARMACOKINETIC
MODEL WITH BINDING
• Unlike PBPK, considers drugs binding to plasma
or tissues.
Assumptions:
• bound and free drug in both tissue and plasma are
in equilibrium,
• Free drug in plasma and in the tissue equilibrates
rapidly,