1. Protein binding of drugs Mahesh Thube Patil M.Pharm Sem. II, Dept. Of P’ceu, Government College of Pharmacy, Aurangabad, Maharashtra, India. maheshethube@gmail.com
16. E.g. : Basic Drugs: Imipramine, Amytriptyline, Lidocaine.4. Binding to Globulin
17. II )Binding To Blood Cells Friday, October 01, 2010 GCP Aurangabad. 8 40 % of Blood comprises of blood cells Majority is RBCs: 500 times more diameter as Albumin. RBC Components that binds to drug:
18. B) Tissue Binding Of Drug: Friday, October 01, 2010 GCP Aurangabad. 9 Importance : 1. Apparent Vd. 2. Localization of drug at specific site : so biological half life. Factors affecting : Lipophilicity, structural feature of drug, Perfusion rate, pH difference. Binding Order : Liver > Kidney > Lungs > Muscle.
25. Indomethacine binds to 3site.C) Drug Interaction: 1.Competition between Drugs for binding site. D1: Displaced Drug. D2: Displacer Drug. E.g. Adm. Of Phenylbutazone to Warfarine therapy patient, result in Hemorrhagic reaction. Friday, October 01, 2010 GCP Aurangabad. 12 D2 D2+P D1+P
33. E.g. Aspirins acetylating of Lysine of Alb. So modifying capacity of NSAIDS binding. Friday, October 01, 2010 GCP Aurangabad. 13
34. D) Patient Related: 1.Age: Neonates: Low Alb. content: more free drug. Young Infants: High dose of Digoxine due to large renal clearance. Elderly: Low Alb. : so more free drug. 2.Intersubject Variability: Due to Genetic & Environmental Factors. 3. Disease State: Friday, October 01, 2010 GCP Aurangabad. 14
37. (Amount of drug in body) α( Conc. Of drug in plasma) X α C X = Vd. C Def: Hypothetical Vol. of body fluid into which drug is dissolved or distributed. It is Apparent Vd : Because : All parts of body equilibrated with drug do not have equal conc. Friday, October 01, 2010 GCP Aurangabad. 15
38. Real Vd : has direct physiological meaning, Is related to body water. Friday, October 01, 2010 GCP Aurangabad. 16
39. Markers used to measure Real Vd Friday, October 01, 2010 GCP Aurangabad. 17