Professional Documents
Culture Documents
Chap. 1 Pharmacokinetics
I. &
II.
-1
A. (Enteral)
1. (Oral):
z (stomach)
(duodenum) (ileum)
z
(hepatic portal circulation)
(first pass metabolism):
Nitrooglycerin 90%
2.(Sublingual):
z
z
z pH
3(Rectal):
z 50%
z pH
z
-1
-1
B. (parenteral)
z
z (lnsulin)
z ()
z
1. (Intravenous, lV):
z
z
z
z
z (hemolysis)
2(lntramuscular IM):
z : (suspension)
(ethylene glycol)
(peanut oil)
:protamine-zinc insulin
-1
3(subcutaneous, sc):
z
z
C.
1.(Inhalation):
z
2(Topical):
z
z
3 (Transdermal):
:
(antimotion sickness) scopolamine
(antiaginal) nitroglycerin
-1
(effciency)
=
(epithelial cells)
A.
(Transport of drug from the Gastrointestinal (GI) tract)
1. (Passive diffusion):
z
z
z
z (carrier)
z
z (aqueous channels)
-1
2 (Active transport):
z (carrier proteins)
z
z
-1
B. pH
-1
C.
1.
>
>
2.
(microvilli)
>
>
3.
Gastric Emptying
1.
: Tetracycline, Penicillin, Lincomycin, Rifampin
2. Tetracychne Tetracycline
3. Ketoconazole
4. Fat>protein>Carbohydrate()
5. Digoxin, Acetaminophen, Pentobarbital, Sulfonamide,
Cephalexin ()
6. griseofulvin
-1
IV (Bioavailability)
A.
1. (First pass hepatic metaboIism):
10
-1
2:
3:
Penicillin G pH
()
11
-1
B. (Bioequivalence)
(bioequivalent)
(bioinequivalent)
C. (Therapeutic equivalence)
(therapeutic
equivalence)
(effectiveness):
12
-1
V. (DRUG DISTRlBUTION)
()
13
-1
A. (Blood fIow)
(adipose tissue, )
B. (CapiIlary permeability)
1(Capillary structure):
2. (Blood-brain barrier)
-
(blood-brain
barrier)
14
-1
2(Drug structure):
z
z
15
-1
()
D.
(PCB)
Drug Metabolism
:
(1) &
(2) (detoxification)
:
1.
diazepam() nordiazepam oxazepam
16
-1
2. (prodrugs):
levodopa dopamine
3. cytochrome P-450
afflatoxin ()
O
O
O
O
OMe
O
OMe
Aflatoxin
O
N
NH
O
NH
OH
DNA
O
O
OMe
(Phase I metabolism)
(: -OH)
(oxidation)
-(mixed function oxidases)
cytochrome P-450
: (reductions)(hydrolysis)
17
-1
(Phase II metabolism)
(conjugation)
(enzyme induction)
cytochrome P-450
18
-1
()
()
(GFR=125ml/min) (RPF = 600ml/min)
20%
(carrier)
pH
NH4Cl
19
-1
3.
20
-1
21