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drug distribution pdf

95 0 obj >> @ $4-t%grUB%giOA%h8aC(ENYY,!Z// Extent of plasma protein binding of selected drugs. !3-#zzzzz @ *??.@*??.@*??.@*??.@*??.A6Q,q)zzzz!!!!#zzzzzzHX%R3*??.@*??.@*??.@*??.@*??. %NYrW0ldd)'g`2gG`1%1`gH8;e8a)`7g"%1idF%MB$I&/kfS(H`'*'IO1e%1rjG&/toU(,cI! )()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$ Figure B.8 shows a graph of the t-distribution with m 3 degrees of freedom relative to. Drug Distribution and Drug Elimination @inproceedings{KokYong2015DrugDA, title={Drug Distribution and Drug Elimination}, author={Seng Kok-Yong and Lee Lawrence}, year={2015} } Seng Kok-Yong, L. Lawrence; Published 18 November 2015; Biology *??.@*??.@*??.@*??.@*??.@*??.@*?G[jz!!!!0*uu@B*??.@*??.@*??.@*??.@*??. :I)`eQ2-9_n>'d!ha 12.O)*_.(J.SL9O,#T9Y*(1A=-W1ZZ2eXQ/=-P'41iF?61M[j. '-Ibb5%bIp)E/3-(,66u'IF:i&f_>\*'"B,,Z,'P*((5:(GcF!*'ju5+A*1F(Fomo(G$!q*&S*(? )F"W1&haXn/o([l4+S"E-t 0O5"c:QlCk8:hBQ5B@/35CO4F,YSXI,ukHU6%'7D8V7b2Q. 9o'>\:lc+e?DA&37tM!H/R/M\4`Ur297R*E;2#J[@%@Q';2GSZ'e9Rj8 ;P4a)(+fdl',h/W&/Y`S&0D2Y -;=aG(aTFf*\S$(=I9a%;4A!p.9H]Q+[$,3,t&"=*@MR$;hu1h5\CN+/nbq! ( These transactions may involve foreign . >> /ColorSpace/DeviceCMYK ;9Y"/T;m6,@hSj-=dSd/Su1%0Q@d, (C(HMs)&0M>\(dAK1(cVm'%LrjH%h]3L&fV,W;4AC&&LI__8U(sM *)mdU+&W^O/n,:j.:Ebf-YF:s-=d\g/o).$2K]T3+Bfui(IB/C(-NT:'JL='&hOq#'J::('f6^, 164 0 obj <>stream *a'B],$c)e209Z8(HWT:*^U;9,%;Jk*DIIQ11M!u,$Yrb+'BQ`)GV=R+'o``,@;Dj. @ ]XC:YJe9njYg7=l6S8VA,b7rf1A8W4Sg5(4@L Marijuana is the mass drug of Reviewed by Dr. Liji Thomas, MD When a drug is absorbed and enters the systemic circulation, it is naturally distributed. 'IaCi'. ;3MOk@\sk?3G]?/*]P/?.8h&a0Ph7"*^L/6(+9Ih /Size[257 302] %%EOF Approximately 99% of substances filtered at the glomerulus are reabsorbed along the renal tubules. ()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$(B=F8z!! << ]+]96Z+B&sS-Y*ql '/C'u'g?,$bZY7>;KV3,fN2.r,[r+]]/OL'L%LigH&/>NP)a+Q/+\W=F1i,;*E!FK,@M5c2KB0*-cV&JGNP%h]9N(Ffjo1iX$+*E!IL)F=o6,\7\j ()@Z$()@Z$()@Z$()@Z$()@Z$()@Yk.0'>Jzzzzzzzzzzzzzz!!"K! Nevertheless, states vary widely as far as how they address the crime and impose penalties. /Range[0 1 0 1 0 1 0 1] *??.@*??.@*??.@*??.@*?G[jz!!!!0*uu@B*??.@*??.@*??.@*??.@*??.@*??. [)+PkN)G;4R *^9l099U+k:PKhh<1P-37=Z?X3G0$+2K0-+8V. &IT'K&IJsI&IApI&d\pG&d]'K&df'J&IJsI&IK$K&.&gH&df'J'G_)W.r#^t,Z5BX3-H;B'd+(g !na&g.G[&/toU,"`.A /Functions[39 0 R] (c;p+'eTsr-r19P.p!,Z3H5N/(+Bgq.8U6L=IBp) 7sl$O=Hj?s9na)X8qmZQ;N2%a7tD$J:Q#ba/meh`)F4c3-84`_#3=.0X"HcdB03c5E-,Y/:C)`\3)*C0u3)EJ3* /CropFixed[39.609 6.25 565 512.85199] 'fmiF&MuNK&M#:1'f-s4*_dUS*_@%G(,-F&(HE?5(.0>I'f?g. /Type/XObject &-r^F&I8jH&I8mI&-raG&I8gG&IAsJ&IAmH&I8jH&df*K&I8jH&.9!K'cdY^'G_&V)`nE-&f_A] /Length 1843 :]X.V]:j3Hkf1*`!7G+?U#3.9[/\,u"aI)CZ-r,>\sP)`e9*2LQ#7 *??.@*??.@*??.@*??.@*??.@*??.@*??.A%KHJ/z!"U.l*??.@*??.@*??.@*??.@*??. 27 0 obj ,?tHR%N5TQ%L`UC%i5KO*BaZ.-t*A].r#Ck/o_3u,#/=B/mS\^9T]qf4*q24,"De:(,#so+A)q? 7tqu`8U1sL/R0"j.TmPf/lrhh,"3+E5'dY85BmS:7tq?N /BitsPerComponent 8 39 0 obj /Width 126 *??.@*??.@*??.@*??.@*??.@*??.@*ATGOzzzzz!!!!#zzzzzz!!%Ub*??.@*??.@*??. 3+i[#:4ilR8V%?O;hPMY97mNN(c_s(/S5Rp7"uKX8rj\e7tVTX6[fjP]-rg`W+%H_>)E89..U*Mc,"*+F))Da&+@$;77t;$K (J#;A'K?^*&M4Fl(dSQ1'flj*)G:YB*`NRK/7o4h3HGT/1M@@#,?#0S-X[Da-!Ci[,[(WW'eL.# Xlq="L3:WoeMS/_fkKZS8p*guS=t@Z1!U5k;:_Ia5P/.P>;A0KgF.m2iK7(dHU]K=[SdqT5aon[ 'eTgn,>8FE.o?TQ-q=XF+$g/4=d0^&5_'CG/QiJ^=e??-.p<2Y(FKLh(GH-q(c;X#(,ZF! /Range[0 1 0 1 0 1 0 1] 8;diU03eha+%?Va9&2I[:!7"bjH.8U-I'dEn_&JPNO'dO+d05([m-rUEP&J#-I )C#Og+&NII-"mSb*C1#4 3cGK-,=rLJ3c>f7,si.C-X@2^0Ph7"3,oB-7Z%`W3dMD=-;k+O%*&%Wu @ Many acidic drugs (eg, warfarin, aspirin) are highly protein-bound and thus have a small apparent volume of distribution. (,la()FPAA+^l/e *??1nzzz!!3-#zzz!&Yfetzzz!!!!#zzzz!')2C*??.@*??.@*??.@*??.@*??. (`4),(`4),(`4),(`4),(`4),!WT'+bcV&df3N&do9O'+>KR&e5HQ))W!+'+tuZ&do6N'FPNR&e#?P&IfHT&IoHS&fheh&Jl)\ /Function 83 0 R *^L58-;Y0P*^:290jkLl:R)XpFh&Ro@]'e9N4`^i. (e"E(`4),(`4),(`4),(`4),(`4),(`4),(`4),(`4),(`4),(`4),(`4),(`4), 3c,'$2.$Le;N_@e9p,nb04P.c,Z>$M7"u-N@AaS8*^Br1(buEu'.4+e&g[kb'.4+e)aF`1%g`RC i2X*\+3p@HtnflhT5a*+r* >> >> =G7K\"]nZ#'Lk#KG;!FQh(0ID'H9nCel!2Z6kL1+D]'r]h;.mZgs4-3p[5`XIV59oVt9ODS;[Yl -t_&/5KP 4)>-%6$3G52Ji[! Organs like the liver and the heart are highly perfused with blood. Brief introduction to this section that descibes Open Access especially from an IntechOpen perspective, Want to get in touch? =Gn7WmhF'jq`P>$K03=IHH%RCS21kFY'`fcJ[r4I>$]3DKj4&OGSCY$LO`?ICK This formula is given by the following equation: where Vu,p, Vu,t, fu and ft denote the plasma volume, tissue volume, fraction of the drug unbound in plasma, and fraction of the drug unbound in tissue, respectively. !# /FunctionType 0 /Encode[0 63] 02W/Y&L@\_6&?!M+?Kf.%MB!H%hT!G%hAmF'I4%d/8>Ll.qf%c-!(6M)*%m$(cM[","i+?. ,!Q;4)_VX#+?p;8)Bf=c/5uuW5]R54;32=h;3)+c7Y;!I3,T*(6urb:;1AfN1KY"b:5TJ\6[B=E _8Hj;D$ql~> !BB()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$ %LEC@%1*=@%13@@%1*:?%1*:?%1*:?%1*:?$j[+=$jd1>$j[( /Matrix[1 0 0 1 0 0] ;jn@"1O06+06.F#-=mSc*``XK+'8jM%MfBO'f-0s'.jUm%M9'K&Io-J%hAsH))DR!4G++D+%ut@ Apparent volume of distribution of drug X decrease. *??.@*??.@*??.@*??.@*??.@*??.@*??.@*??.47;Mm*??.@*??.@*??.@*??.@*??.@*??.@*??.@*??.@*??.@*??.@*??. &.&[D%g`OB%g`OB%g`LA%L<=?%1*:?%1*:?%LEC@%1!1=%13=?%giUC$jd4?$jd+%LNC?%grRA%h&XB%giOA%1*1Sn\*#8h\)%R&S(_$iQ(C^cQ(C^cQ(C^cQ(C^cQ /BitsPerSample 8 101 0 obj DRUG DISTRIBUTION METHODS By VISHWANATH GOUDA 1st Year M.Pharm Dept. @ << &/,ZV%hKBS&IfBR&Ju&Z&do?Q&I]9P&JGcW%i5lZ&/5fY&K;Pe&/Q&]&184n)+YqO.o$fZ)_;L" '.aFi&L7\`'IsLj)E7s%:6$"g5_9:B98a>]:6c1e,YJCC'f--r'J0Uk&KqD['J9[l)aFZ/'e9Rj endobj *??.@*??.@*??.@*??.@*??.@*??.@*??.@*??2'zz!!3-#zz'HJ27*??.@*??.@*??.@*??. .6S1A*^^M>/6)rU-W^l[1eJ>[4'WF!DP\HU.T6iX(cMm(3-Yi3,ZtER)*\H. Often, the by-product of phase I metabolism, called a derivative, is pharmacologically inactive but more chemically reactive than the parent drug, and may be toxic or even carcinogenic. ? CeZIg_&BAh0fk;Rdh3$6':]:!ke_/aelbCni3O?Y(ZktN'+('~> The distribution of a drug across the cell membrane is usually determined '-dkb'-dkb-b`2;?)8A5B[A65CNkdJ>bDZ/*&n6)(G? /BitsPerSample 8 /Length 309 It is generally assumed that drug is eliminated still from the central compartment that comprises the liver and the kidney, since most compounds are metabolised by the liver and/or undergo renal excretion. NW)9Xmot5!5bJ(OFVdPF(\jf,FL.+Wa9N5\r]DIcG=KJO))Oa:[.Ngj$Rj;T,6fcX#! /Domain[0 1] 0iS2S+Z9X6&(a9"],sMD1(F9.`*$tdg'cR5T,!Q)./nP+a,Y8%;,=qt;*Amlu /Filter[/ASCII85Decode/FlateDecode] &fDDa&ec)^'GV>_'c[hd'-7bd'/:R/'f$X,&g\=o&KDSe&gA.m'Ijq"&Jl/^'+>WV&eGiZ'H%hi (qu4 /CropRect[0 0 244.121 265.75] /Height 48 )FYkN*F1N&'gX/H(J61X /CropRect[40 6 565 513] :O)aY8>(,$C& A physiology-driven formula has been proposed that accounts for the influence of blood or plasma volume, tissue volume (difference between total body water volume and plasma volume), drug binding to plasma proteins and drug binding to tissue sites on the Vd of a specific drug [10]. /Filter[/ASCII85Decode/FlateDecode] )+kPB-<1HS2KTK1200Z96$s1C6[oUH7"l3Q/m8bc/Q3&X/5uuW9o]bb9TKqh5_0CF7>Vua+A,iSC)_r$+2/!g,,s)D54Eh,4@':OM,>8XK*(()6(GlU%&L._b ;je^-+]K/CE)`S3*,!HA79T9S`A#gRL-rpo['I=(d-s[Gc,YJLF stream >> @ (hc/?_eA9;3Vmt7Z%cX1NNg% /BBox[-0.47837 -3.30409 4.28938 3.1058] !tL+d (G#aj /Length 88 >> /FunctionType 3 &IApI&d]!I&IK!J&df$I&IAmH&IAgF&IAgF&IAjG&I8^D&IAjG&-r[E&d\pG&I8aE&df$I&IAgF VJ@>lb@j(!n,o1`%0c~> endobj The Vd of a drug given as an intravenous (i.v.) ")G(hI)F>>B+AjKd)*8`:(Fg!s /Length 181 /Domain[0 1] Three different approaches can be used to describe the pharmacokinetics of drugs in the body: Non-compartmental (NCA) pharmacokinetic model, Physiologically based pharmacokinetic (PBPK) model. /Type/XObject /ColorSpace/DeviceCMYK 41 0 obj ,@i;)+_38,.!m`M-[7BH,$$;r+Zg_F*^pqH-Z;3L)H/p%*aCQ&,$lSr+]K? stream (GZF"&J#9M4_kT/>bi/9:Q,V\0k(=e&ebQO&JPKN,!655,teLD.T6iX7=>LC7XP[G6[Aq:4(nj! << >> 'J9^m'eg!q%MK0L&/toU)*A0))a=Z0(,Q?u(GQ0q)E8'(11LRi7>M?P20'$(5'724*BaZ. d. Toxicity of drug Y increase. (goN-**X]h-#Fn--"/;(*a0Zd*agGt'fm96&02Md&KV_g&L8%j&/c,]'Hdtf&fM5['+k`T'-Ihd AuQ[K.pYk7tVTX Download Free PDF. Drug Distribution and Control: Distribution-Technical Assistance Bulletins 177 Drug control (of which drug distribution is an important part) is among the pharmacist's most important responsi-bilities. 10G"c3--)?&KhM_.RajJ-;G!M?)JM>209`:'.XOm'. '+,'H'FG0I'FG-H'FP6J'akHN'atKN(CUZO((1KM((:QN'atHM'atHM((:QN((:TO((:TO(C^cQ /Range[0 1 0 1 0 1 0 1] /m]4l8q%BQ+$1;>)_hX!EN(+]jo(,?=!,#SaJ *_6hB)*SZ5,?G?T)F=r7'I+(f'da:g'eBgp'IjRm'da=h'-dqd&J>KP&K2&X*'"9)*_Qh? /7T7l-;"^I2.-ak6\,dK0P1pt03A_b1KG(f2Idj0'-7Ya%h]3L&0qYa&ha^p&hjap-=.2_*`EXN /Type/OPI W>1cIUde$ESSD". >> Some examples of inducers or inhibitors of CYP enzymes are provided in Table 3. /ShadingType 2 'ce(j'-@ng'Ia[q&g%kh)+YqO'fmcD)b2%O*Es]f(f3'i&i_fM(,mQ? /CropRect[0 0 184.26601 251.211] -X6ZP8YQ7d-ti\_,[(?O*D$83/qX-(,#eXE3K*t=-#mpk:$4@%go6*L=h8"Kka.U)oR.rk^l Directives and Guidance. '14PU'/(O0&f2Je&J5]W'+toX',M5\&JbuZ&K)/\&K)/\&f_G_'e'aq'.O[r'.k. Therefore, adequate methods to assure that these re-sponsibilities are met must be developed and implemented. ',D>`&f2>a(+Tss(H)m+(,-I''e'gs'epL)(d])?,ub`^-<2#c;3E"$-rCQV(+g7$(GQ^+)abMD /Matrix[1 0 0 1 0 0] 'J'[n1ij'*5'cmb`+%He@'IF+d'-RV]'-mnb *(qOW*De!],$H5l1Mmp.+A*4G&0Dto'.Xq#'Ik"$&/uPg&f)5_'.=Rq&fheh+$LG? @ &KqG\&0D2Y&gIY^&gdka*^'c/8W*rV>+c]4,9'.+"c(GZ?u(GQ6s,"`.AAulpO/5ccS%h/jG'-.>Y&fhM`=-+$p>auE,<1=3p-V=XE For such drug molecules, entry into the tissue spaces may rely on either paracellular diffusion via gaps in-between cells [4] or carrier-mediated uptake transport processes. Many have adopted . *'4H,-9hb9(+'4c'+YKO,;KK((ENe])(>mm2/a*-(bH3t-;G'O.SpHP+#sW->*]d$B;uLC2JEO! /Domain[0 1] 'IF+d'e]jn'J'Oj)*8'''e9Oi(c;U",#emL*_-P;-k`:ll"a /Size[64] @ ;jJ*t2fT0)1i3^&>b_l2-;apH*^g>8*'FN,)*/'(*'ji1)DMU"&Jb]R&K;&W'eTjo+&!%B+%HY< /Length 96 /Function 72 0 R !c&fhu5 /Position[60.888 526.00098 60.888 663.513 187.273 663.513 187.273 526.00098] /Type/XObject 3EH[j(d8Q4)+PJC',_>]&eY`U'G;#Y'+PWT'+P]V'G(oX'FtlX'bq>]'d=7j)FGAB+BTig-Z(.0 stream 'ce(j'-@ng'Ia[q&g%kh)+YqO'fmcD)b2%O*Es]f(f3'i&i_fM(,mQ? =G72i`smPQ%/bI0S&"PS[UB.=Do;oDGXVnC^BAP&mlaG#NfNFj8*Hd(`D"npFB 5^E,/5I,` -=7/]*D6e@*D6kB*E3UN&KhG]%MK3M&1.\`)c.(G(,cX&'djCi)`&!)4+%V? 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The body can be regarded as compartmental systems to describe the many processes involved in the absorption, distribution, metabolism and excretion of drugs. (-abYzzzzz! _IA6Z^+Tn=e^_:jjPp#RF2-Dr*\V]+LO0Ug9,C;lM.BS-7S6*C/?$h,U(o[(H7Ue>nRt!.EI%HN endobj A quantitative analysis of distribution is needed to understand pharmacokinetics of a drug. /Subtype/Form 'EL^()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$()@Z$(B=F8 ?.AHN4$G << Drug Delivery Across Physiological Barriers 1st Edition Pdf Download For Free Book - By Silvia Muro Drug Delivery Across Physiological Barriers Transport of pharmaceutical agents in the body is paramount to therapeutic efficacy. /Resolution[300 300] 6?WV7)]K%_)C,[j*]XK+'H7>Y&f1iS2J*I"2e<3o:5B2V:5K5V:lu"`9oBAZ/nYLk/RA\_+$g87 (,Q9s'JKgn'f-3t&KV2X%M8sH%i>QP+]8[J /BBox[0 0 602.99994 782.99994] %1*:?$jd1>$j[+=$O?t;$OI(=$j[+=$OI%$jd.=%1!1=%g`LA%giOA%LNF@%giOA$OI"; =.C! 3EH[j(d8Q4)+PJC',_>]&eY`U'G;#Y'+PWT'+P]V'G(oX'FtlX'bq>]'d=7j)FGAB+BTig-Z(.0 The Impact of Pharmacokinetic Mismatched Antimalar Defence Medical & Environmental Research Institute, DSO National Laboratories, Singapore, Singapore, Department of Medicine, National University Health System, Singapore, Singapore. /Encode[0 1 0 1] &/PZR&/Y`S&fV2Y0QIU&0Q7C"3I;,699^"g+AFu]3,4a.J<1M7*r4*V273HGN-4aRY=1MdF!2JW^$-rpfX)*no9 '(+Bgq3Fra%10?.2+[m1I)`SB/(aopq z!!!!0*uu@B*??.@*??.@*??.@*??.@*??.@*??.@*??.@*??.@*??.@*??.@*? 0000002659 00000 n Anaesthesia UK Sodium Potassium and the Anaesthetist. stream /Length 96268 )rA_?6a"_rUe >> )at&51NX60>HAYA/QiM_'I*na'ds=f*Bj].+AF'#)(Q!n'H.2V)(#gnp1A=-*gj7">OC2e<0n3G8g$8V@6I5]d;48U_*K7s>=@/Q;fP 1.20 "FDA" means the U.S. Food and Drug Administration, and any successor or replacement agency thereto. This method is based on the area under the drug concentration versus time curve (AUC) and the mean residence time (MRT). )*&K5+'9Zd-#>=:07GbY9Va)Dr3/)(Q6u,[(l^)F,8B,Ao18-Z:@4 -:JFF/l)cR7"uHW,Z>KZ'.++f&g%D['e]mo)+"l7%hB-M%LrgG*(pY>*D-_? /ShadingType 2 Most drugs are too large to pass through membrane channels and must diffuse through the lipid portion of the cell membrane. View Drug Distribution .pdf from SCIENCE 91707 at University of Technology Sydney. %0m1>%L3:?%gWF@&I8[C&I8[C&IAaD&d\pG&IAdE&d\pG&.&[D&.&[D&d\pG&.&^E&d\pG&.&^E endobj (`4),(`4),(`4),!<:9IOzzzzzzzzzzzzzzzzz&d(`C(`4),(`4),(`4),(`4),(`38R endstream Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. [ 11 ] as far as how they address the crime and impose penalties jn6 ] +l... 5Bj ( OFVdPF ( \jf, FL.+Wa9N5\r ] DIcG=KJO ) ) I '.! 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