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CHAPTER 7 ABSORPTION KINETICS
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ABSORPTION GIT
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ABSORPTION FROM GIT Oral Dosage Forms
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Advantages of Oral Drugs
Convenient, portable, no pain Easy to take Cheap, no need for sterilization Compact, multi-dose bottles Automated machines producing tablets in large quantities Variety- fast release, enteric coated, capsules, slow release, …..
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ABSORPTION Definition: is the net transfer of drug from the site of
absorption into the circulating fluids of the body. For Oral Absorption 1- Cross the epithelium of the GIT and entering the blood via capillaries 2- Passing through the hepato-portal system intact into the systemic circulation
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ABSORPTION
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Biological Membranes No matter by which route a drug is administered it must pass through several to many biological membranes during the process of absorption, distribution, biotransformation and elimination.
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Cell Membrane Structure
It is a bimolecular layer of lipid material entrained between two parallel monomolecular layers of proteins.
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Cell Membrane Structure
The cell membrane appears to be perforated by water-filled pores of various sizes, varying from about 4 to 10 A
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Drug Transport Transport is the movement of drug from one place to another within the body. Most drugs pass through membranes by diffusion. The process is passive because no external energy is expended. PARACELLULAR TRANSCELLULAR
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PASSIVE DIFFUSION The passage of drug molecules occurring from
the side of high drug concentration to low drug concentration
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Fick’s law of diffusion
Q: is the net quantity of drug transferred across the membrane, t: is the time Ch: is the conc on one side (GIT) and Cl: that on the other side (plasma) x: is the thickness of the membrane A: is surface area of membrane and D: is the diffusion coefficient related to permeability k: is the partition coefficient of the drug
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SMALL INTESTINE VILLI
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PERMEABILITY The permeability of a membrane to a drug depends
on physico-chemical properties of drugs: Lipophilicity: membranes are highly permeable to lipid soluble drugs Molecular size: important in paracellular route and in drugs bound to plasma protein. Macromolecules such as proteins do not traverse cell membrane or do so very poorly Charge: cell membranes are more permeable to unionized forms of drugs because of more lipid solubility
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PERMEABILITY
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Carrier-Mediated Transport
Active Transport The drug is transported against a concentration gradient .This system is an ENERGY consuming system. Example: Glucose and Amino acids transport.
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Passive Facilitated Diffusion
A drug carrier is Required but no ENERGY is necessary. e.g. vitamin B12 transport. Drug moves along conc gradient (from high to low), downhill but faster DRUG CARRIER
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DRUG TRANSPORT
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Characteristics of GIT
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Effect of Food on Drug Absorption
Propranolol
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Effect of Diseases on Drug Absorption
Diseases that cause changes in: Intestinal blood flow GI motility Stomach emptying time Gastric and intestinal pH Permeability of the gut wall Bile and digestive enzyme secretion Alteration of normal GI flora
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Simulation of Drug Absorption by Dissolution Methods
Dissolution tests in vitro measure the rate and extent of dissolution of the drug from a dosage form in an aqueous medium
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Plasma Concentration-Time Curve
ABSORPTION KINETICS Plasma Concentration-Time Curve Absorption Phase Elimination Time Cp Cmax Tmax
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First-Order Absorption
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Absorption Zero-Order Absorption: is seen with controlled
release dosage forms as well as with poorly soluble drugs. The rate of input is constant. First-Order Absorption: is seen with the majority of extravascular administration (oral, IM, SC, rectal, ect..) Most PK models assume first-order absorption unless otherwise stated.
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One Compartment Model for First-Order Absorption and First-Order Elimination
Gastrointestinal, Percutaneous, Subcutaneous, Intramuscular, Ocular, Nasal, Pulmonary, Sublingual,… Drug in dosage form Release Drug particles In body fluid Dissolution Central Compartment (Plasma) ka kel Drug in solution Absorption Elimination
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COMPARTMENTAL MODEL One compartment model with Extravascular
administration Central Compartment ka kel Drug in GIT Route of Administration: Oral, IM, SC, Rectal, ect…
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First-Order Absorption Model
Rate of change = rate of input – rate of output Integrated Equation:
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The Residual Method The rising phase is not log-linear because absorption and elimination are occurring simultaneously
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The Residual Method
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The Residual Method
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The Residual Method
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Cmax and tmax The time needed to reach Cmax is tmax
At the Cmax the rate of drug absorbed is equal to the rate of drug eliminated
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Lag Time The time delay prior to the commencement of
first-order drug absorption is known as lag time Cp Lag time Time
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FLIP-FLOP of ka and kel In a few cases, the kel obtained from oral
absorption data does not agree with that obtained after i.v. bolus injection. For example, the kel calculated after i.v. bolus injection of a drug was 1.72 hr -1, whereas the kel calculated after oral administration was 0.7 hr -1. When ka was obtained by the method of residuals, the rather surprising result was that the ka was 1.72 hr -1
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FLIP-FLOP of ka and kel Drugs observed to have flip-flop characteristics are drugs with fast elimination (kel > ka) The chance for flip-flop of ka and kel is greater for drugs that have a kel > 0.69 hr-1 The flip-flop problem also often arises when evaluating controlled-release products The only way to be certain of the estimates is to compare the kel calculated after oral administration with the kel from intravenous data.
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FLIP-FLOP of ka and kel
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Effect of size of the dose of a drug on the peak concentration and time of peak concentration
The time of peak conc is the same for all doses A >B >C
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Effect of altering ka on Cmax and Tmax
The faster the absorption the higher is the Cmax and the shorter is the Tmax
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Effect of altering kel on Cmax and Tmax
The faster the elimination the lower is the Cmax and the shorter is the Tmax Cp ka= 0.5 hr-1 kel= 0.2 hr-1 kel= 20 hr-1 Time kel= 0.02 hr-1
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Equations
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