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6 Extravascular routes of drug administration

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114 Basic Pharmacokinetics<br />

Mass <strong>of</strong> <strong>drug</strong> (mg)<br />

120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

Drug remaining<br />

to be absorbed<br />

Cumulative <strong>drug</strong><br />

absorbed<br />

0 2 4 6<br />

Time (h)<br />

Drug in the body<br />

Cumulative <strong>drug</strong><br />

eliminated<br />

Cumulative <strong>drug</strong><br />

excreted unchanged<br />

8 10 12<br />

Figure 6.10 Rectilinear (RL) plot <strong>of</strong> disposition <strong>of</strong> extravascularly administered <strong>drug</strong>, showing the fraction <strong>of</strong> <strong>drug</strong> unabsorbed<br />

versus time.<br />

Mass <strong>of</strong> <strong>drug</strong> (mg)<br />

100<br />

10<br />

1<br />

0.1<br />

Cumulative <strong>drug</strong> absorbed<br />

Drug remaining<br />

to be absorbed<br />

Time (h)<br />

Cumulative <strong>drug</strong><br />

eliminated<br />

Cumulative <strong>drug</strong><br />

excreted unchanged<br />

Drug in the body<br />

0 2 4 6 8 10 12<br />

Figure 6.11 Semilogarithmic (SL) plot <strong>of</strong> disposition <strong>of</strong> extravascularly administered <strong>drug</strong>, showing the fraction <strong>of</strong> <strong>drug</strong><br />

unabsorbed versus time.<br />

Integration <strong>of</strong> Eq. (6.21) from t = 0 to t = ∞ yields<br />

(XA)t = 1<br />

<br />

dXu<br />

+<br />

Ku dt<br />

K<br />

(Xu)t. (6.22)<br />

Ku<br />

From Eq. (6.18), we see that the first term to the<br />

right <strong>of</strong> the equal sign in Eq. (6.22) is equal to (X)t,<br />

the amount <strong>of</strong> <strong>drug</strong> in the body at time t. In the second<br />

term, (Xu)t is the cumulative amount <strong>of</strong> <strong>drug</strong> excreted<br />

by the kidney at time t. We may view the ratio K/Ku<br />

as a factor that will convert (Xu)t to the cumulative<br />

amount <strong>of</strong> <strong>drug</strong> eliminated by all pathways, including<br />

both renal excretion and metabolism. Thus Eq. (6.22)<br />

shows that cumulative absorbed <strong>drug</strong> is the sum <strong>of</strong><br />

<strong>drug</strong> currently in the body plus the cumulative mass<br />

<strong>of</strong> <strong>drug</strong> that has already been eliminated at time t.<br />

At t = ∞, the rate <strong>of</strong> urinary excretion <strong>of</strong> <strong>drug</strong><br />

is zero; so, the first term <strong>of</strong> Eq. (6.22) drops out,<br />

resulting in<br />

(XA)∞ = K<br />

(Xu)∞<br />

Ku<br />

Sample chapter for Basic Pharmacokinetics 2nd edition<br />

(6.23)<br />

where (Xu)∞ is the cumulative amount <strong>of</strong> excreted<br />

<strong>drug</strong> at time infinity.

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