MindMap Gallery Pharmacokinetics
A mind map of pharmacokinetics, the process of drugs in the body: absorption, distribution, metabolism, and excretion. Absorption, distribution, and excretion are the processes by which drugs pass through biological membranes in the body. Metabolism is the process of changes in the molecular structure of drugs. Metabolism and excretion are blood processes. The process of decreasing drug concentration, referred to as the ADME system, is related to membrane transport.
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This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
Pharmacokinetics
The process of drugs in the body
Absorption, distribution, metabolism, and excretion. Absorption, distribution, and excretion are the processes in which drugs pass through biological membranes in the body. Metabolism is the process in which the molecular structure of the drug changes. Metabolism and excretion are the processes in which the blood drug concentration decreases. It is referred to as the ADME system, which is related to the membrane. Transshipment related
drug transport across membranes
passive transport
facilitated diffusion
simple diffusion
It is the main transport mode of drugs in the body
concept
Drugs diffuse from high concentration to low concentration, driven by concentration gradient
Features
No energy required
No need for carrier
No saturation during transport
Simultaneous transport of different drugs without competitive inhibition
Transport stops when the concentrations on both sides of the membrane reach equilibrium
Physicochemical properties of drugs that affect simple diffusion
molecular weight
Drugs with small molecular weight are easy to diffuse
solubility
Highly fat soluble, low polarity, easy to diffuse
Dissociative
Non-ionic drugs can penetrate freely
Drugs are divided into ionic and non-ionic. Ionic drugs are not suitable for penetrating the cell membrane because of the ion barrier (the phenomenon that ionic drugs are restricted to one side of the membrane)
The influence of body fluid pu value on the dissociation of weak acid and weak base drugs
The meaning of pka dissociation constant
When the dissociated and undissociated drugs are equal, that is, when the drug is half dissociated, the pH value of the solution; small changes in pH will significantly affect the dissociation and transport of the drug.
The law of body fluid pH on drug dissociation
Same sex repels, opposite sex attracts
Acidic drugs - dissociate less in acidic solutions and are prone to transmembrane transport. When diffusion equilibrium is reached, they are mainly distributed on the alkaline side; the same is true for basic drugs.
membrane pore filtration
membrane transport
Exit and enter the cell
active transport
Features
Need carrier
specific and selective
need energy
Different drugs competitively inhibit the same carrier
There is saturation
Independent of the concentration on both sides of the membrane
Active transport is when a drug is concentrated in a certain organ or tissue
Summarize
Small molecule, high fat solubility, non-ionic drug, low plasma protein binding rate, easy to transport across membranes, cross blood-brain barrier, placental barrier, breast milk
Drug absorption, distribution, metabolism, excretion and influencing factors
drug absorption
concept
The process of drugs from the site of administration to blood circulation
Way
Mostly passive transport
significance
Absorb quickly, absorb more
Influencing factors
Physical and chemical factors
Lipid solubility, molecular weight
Route of administration
Gastrointestinal absorption
Way
passive transport
Oral administration
main absorption site
Small intestine (large area, large blood flow, pH 4.8~8.2 in the intestinal lumen)
Absorption pathway
Intestinal mucosa-capillaries-hepatic portal vein-liver-hepatic vein-systemic circulation
first pass effect
After oral drugs are absorbed from the gastrointestinal tract, they first enter the hepatic portal vein system. When certain drugs pass through the intestinal mucosa and liver, some of them may be metabolized and inactivated, reducing the amount of drugs entering the systemic circulation and reducing their efficacy.
Sublingual administration
Absorption pathway
Absorbed through oral mucosa
Features
Fast absorption, no first pass effect
Rectal administration
Absorption pathway
Absorbed into blood through sore veins
advantage
Rich blood flow and fast absorption
shortcoming
Absorption and distribution are uneven, and the drug can irritate the rectal mucosa.
Influencing factors
stomach ph
How much intestinal contents
gastric emptying, intestinal motility rate
Injection administration
Features
Absorbs quickly and completely
Way
simple diffusion
Influencing factors
The richer the blood flow at the injection site, the faster and more complete the injection will be.
Disease state affects injection site blood flow and drug absorption
For pharmaceutical dosage forms, aqueous solutions are easily absorbed, while oils and suspensions remain locally and are slowly absorbed.
respiratory tract absorption
Features
Fast, no first pass effect
shortcoming
The dosage is difficult to control, and the drug may be irritating to the alveolar epithelium.
Applicable substances
Small molecule fat-soluble, volatile drugs or gases
Absorption from skin and mucous membranes
effect
Local absorption and absorption
Dosage form
Solution>Powder>Tablet
Absorb the environment
ph value
Distribution of drugs
distributed
concept
The process of transporting drugs from blood to tissues and organs
Features
Drug distribution is uneven and out of sync
Way
Mostly passive transport
Influencing factors
Binding to plasma proteins
Overview
Plasma proteins have free form and bound form. The free form leaves the blood, and the bound form is transported into the free form.
What
Albumin, beta-globulin, acidic albumin
General law
Alkaline drugs mostly bind to albumin, while acidic drugs bind to a1 glycoprotein.
Features
Reversibility, saturability, competition
Warings and Greens are not shared with aspirins, which will cause Warings and Greens to become free and cause poisoning. There is a jingle in the previous section.
Special barrier in the body
blood-brain barrier, placental barrier, blood-eye barrier
organizational affinity
Iodine-thyroid; tetracycline and calcium-complex deposited in bones and teeth, etc.
The abscessed organ of the drug is not necessarily the target organ of action
local organ blood flow
The liver, kidney, brain, and heart have rich blood flow and large blood flow. Drugs often reach high concentrations quickly in these organs after absorption.
pH of body fluids and physical and chemical properties of drugs
Weakly acidic drugs are mainly found in extracellular fluid
Weakly basic drugs mainly have higher concentrations in cells
drug metabolism
metabolism
Structural changes that occur in the body of drugs
metabolic site
liver
process
i phase reaction
redox hydrolysis
phase ii reaction
Conjugate (with glucuronic acid, acetyl, glycine, sulfuric acid, etc.)
Metabolic outcome
inactivate
Drug activity decreases or disappears, polarity increases, and is easy to eliminate
activation
precursor activation
Inactive - active
metabolic activation
Both parent and transformed are active
still active
Strength maintained
drug metabolizing enzymes
specific enzyme
AchE, COMT, MAO
non-specific enzyme
Liver enzyme-liver microsomal mixed functional enzyme system, mainly cytochrome P450 (CYP450)
Characteristics of liver drug enzymes
Low selectivity
Effective against various drugs
High variability
Individual differences, congenital conditions, age, etc. can all affect its content and activity.
susceptible to external factors
induced or inhibited
Liver enzyme inducers
Drugs that increase the number or activity of liver enzymes
Phenobarbital, phenytoin, rifampicin, dexamethasone, carbendazepam, etc.
Liver enzyme inhibitors
Drugs that reduce the amount or activity of liver enzymes
Chloramphenicol, erythromycin, isoniazid, cimetidine, etc.
Excretion of drugs
concept
The process in which drugs are excreted from the body in their original form or as metabolites through different excretory organs, so that the effects of the drug are completely eliminated
excretory organs
Mainly the kidneys
Process and influencing factors
process
glomerular filtration, tubular secretion, reabsorption
Some weakly acidic and weakly alkaline drugs actively secreted and excreted by renal tubules
Weakly acidic drugs, such as aspirin, ceftazidime, furosemide, penicillin, thiazide diuretics, probenecid; weakly basic drugs, such as morphine, pethidine, triamterene, dopamine
digestive tract
enterohepatic circulation
The conjugated form excreted from bile into the duodenum is hydrolyzed in the intestine and then reabsorbed, forming enterohepatic circulation, which prolongs the drug's action time.
Basic concepts and related parameters of pharmacokinetics
drug duration relationship
Draw a curve with time as the abscissa and drug concentration as the ordinate.
Subtopic 2
Peak concentration Cmax and time to peak Tmax
Refers to the highest concentration value Cmax of the drug in the plasma after extravascular administration and the time it appears Tmax. The peak time is an indicator of the speed of drug absorption.
Phase 3 of extravascular administration
incubation period
The period of time after taking the medication until the effects begin to appear
Duration
The time a drug maintains its effective concentration is related to the rate of drug absorption and elimination
residual period
The time it takes for a drug to fall below its effective concentration and be completely eliminated
Calculation of pharmacokinetic parameters
Apparent volume of distribution Vc
concept
A theoretical or calculated representation of the volume of body fluid occupied by a drug
unit
L or L/Kg
formula
Vc=D (total amount of drug in the body mg)/C0 (plasma drug concentration mg/l)
significance
Can predict the distribution of drugs in the body
If Vd is 5L-drug distribution and plasma
If Vd is 10~20L-the drug is distributed in the extracellular fluid
If Vd is 40L-whole body fluid
If Vd is 100L - the whole body accumulates in a certain organ or tissue
Can convert blood drug concentration and drug dosage
Ca=Da/Vda
Drug excretion rate can be inferred
The greater the Vd - the wider the drug is distributed in the body - the slower the excretion; the smaller the Vd - the smaller the drug is distributed in the body - the faster the excretion
Area under the curve AUC
concept
The total amount of drug in the body for a period of time after a single dose is reflected, which is an indicator of the degree of drug absorption.
Notice
The greater the dose, the greater the amount of drug in the body, and the greater the AUC, which reflects the degree of drug absorption.
BioavailabilityF
concept
The relative amount and rate of drug that can be absorbed into the systemic circulation after extravascular administration
formula
F=A (amount of drug absorbed)/D (amount of drug administered) x100%
Elimination rate constant K
concept
The fraction of drugs eliminated per unit time
Notice
The larger the k, the greater the body’s elimination rate of the drug.
Half-life t1/2
concept
The time required for blood drug concentration to decrease by half
Notice
t1/2 decreases and the elimination rate increases
Clearance rate C1
concept
How much can the collective decrease in solvent plasma drug clearance per unit time
significance
Reflect liver and kidney function
drug elimination kinetics
first order kinetic elimination
nickname
Linear elimination, constant ratio elimination
definition
The elimination rate (the amount of drug eliminated per unit time) is proportional to the amount of drug at that time. After stopping the drug, the drug will be basically eliminated after 5 half-lives.
half life
Constant half-life=0.693/k
importance
More is the way most drugs are eliminated at therapeutic doses
picture
The drug elimination rate becomes slower and slower, the blood drug concentration increases, and the elimination rate increases
zero order dynamics elimination
nickname
Nonlinear elimination, constant elimination
definition
The elimination rate has nothing to do with blood drug concentration and is a fixed value.
half life
no fixed value
importance
Rarely, there are only a few drugs, or when the body's elimination ability is low, or the dosage exceeds the body's maximum elimination ability.
picture
Subtopic 1
Characteristics of blood drug concentration after multiple doses
After 5 consecutive half-lives of administration, the drug concentration in the plasma reaches the steady-state concentration-plateau value
When Css is reached, the rate of administration is equal to the rate of elimination
picture
Subtopic 1
The level of the plateau value Css is proportional to the daily dose per unit time = repeated administration, the dosing interval is less than 1 half-life, and the dose per dose is increased without changing the dosing interval.
picture
The larger the dose, the higher the plateau value and vice versa = the steady-state concentration level increases, but the time to reach the steady-state concentration remains unchanged.
The fluctuation range of blood drug concentration depends on the dosing interval = repeated dosing, no change in dosing dose, shortening the dosing interval
picture
The smaller the dosing interval, the smaller the fluctuation, and vice versa == reduced fluctuation
If the daily dosage per unit time remains unchanged, the plateau value remains unchanged = repeated administration, the dosage interval is greater than 1 half-life, and the dosage does not change
picture
Same as above = the fluctuation amplitude of the time-volume curve increases and changes in a pulse-like manner
Double the first dose
definition
The first dose is twice the usual dose
Features
However, the blood drug concentration quickly reaches the plateau value
Relative bioavailability F'=AUC (test drug)/AUC (control drug) x100%, meaning: compare the absorption of two preparations and evaluate the quality of the preparation
Absolute bioavailability F=AUC (extravascular administration)/AUC (intravascular administration), meaning: to evaluate the degree and speed of drug absorption
F=AUC for oral administration/AUC for injection x100%