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General Pharmacology
Pharmacology: Is the science that deals with the study of drugs.
Drugs: Chemical agents that modify existing living processes without
creation of new ones; used in diagnosis, prevention and treatment of
disease or in prevention of pregnancy.
Subdivisions of pharmacology:while dealing with drugs we
meat
dynamics: Study the different mechanisms of
drug action.
harmaco
kinetics: Study the absorption, distribution,
metabolism and excretion of the drug
therapeutics: Study the therapeutic uses of
drugs.
*Drug nomenclature(names): drugs are identified by
different names
Chemical name

Generic (official
or non
proprietary)
name

Trade
(proprietary)
name

Acetyl salicylic acid
Aspirin
Rivo
Most of drugs are restricted for sale by prescription only.
Some drugs can be used by the public without a
prescription e.g. nasal & oral decongestants (Over-The-
Counter = OTC)
PHARMACOKINETICS
Comprise Absorption, Distribution, Metabolism (Biotransformation) and
Excretion.
DRUG ABSORPTION

Absorption is defined as the passage of a drug from the site of
administration into the blood stream. Most drugs are absorbed (crosses cell
membrane) by Passive diffusion (along concentration gradient with no carrier

or energy).
Factors That Modify Drug Absorption
1)Factors related to the drug:
\u2022 Physicochemical properties of the drug:
a. Lipid solubility: The higher the lipid solubility of the drug the higher the
rate of drug absorption.
b. Degree of drug ionization: the greater the ionization, the lesser the
absorption.
c. pH of the medium: ionization depends on pH of absorbing media

-At acidic pH (stomach) weak acid drugs e.g. Acetyl salicylic acid (Aspirin)
become more unionized\u2192 more lipid soluble\u2192 more absorbable, while weak
basic drug e.g. amphetamine become less unionized (ionized)\u2192 less lipid
soluble\u2192 less absorbable.
-At alkaline pH (Intestine) weak basic drugs become more unionized, more
lipid soluble and more absorbable, while weak acidic drugs become less
unionized, less lipid soluble and less absorbable.

d. Valency: ferrous(Fe+2) salts are more absorbed than ferric
(Fe+3), so vitamin C increases absorption of iron.
\u2022 Pharmaceutical form: Solutions are better absorbed than suspensions, the
smaller the particle size of the powder, the more is the absorption.
2) Factors related to the Patient:
1-Route of Administration:

-Absorption from subcutaneous tissue is more rapid than absorption from
mucous membranes EXCEPT pulmonary alveoli.
- Absorption from skeletal muscle is more rapid and complete than from
subcutaneous sites.
2-State of absorbing surface: diarrhea markedly decrease absorption of
systemically acting drugs.
3-State of general circulation: during hypovolemic shock oral and
subcutaneous rout are ineffective and drugs should be given intravenously.

DRUG DISTRIBUTION
Cell membrane
Endothelium of capillary wall
Intracellular
compartment
Interstitial compartment
Intravascular (Plasma)
compartment
Extracellul
a r
Drugs are distributed to the different tissues and body
fluids, according to the compartmental models.
*One compartment model (intravascular): e.g. drugs with
high molecular weight as heparin has Vd 3-4 L.
*Two compartment model (extracellular distribution):
drug with small molecular weight but ionized e.g.
skeletal muscle relaxants have Vd average of 14 L.
*Multicompartmental model (extracellular and
intracellular distribution) drug with small molecular
weight and lipid soluble as alcohol has Vd average of 42
L.
*Selective distribution: Some drugs have special affinity
for specific tissue. e.g. calcium in bones and iodide in
thyroid gland.
Apparent volume of distribution (Vd): it is a kinetic

parameter of a drug that
correlates dose with plasma
level.

Vd =

Vd is not a real volume, small volume indicates extensive plasma protein binding, but large volume indicates extensive tissue binding.

Vd is increased by increased tissue binding, decreased plasma
binding and increased lipid solubility.
N.B. in average 70 kg adult, the total body water is 42 liter,
extracelllular volume is 14 liter and plasma volume is 4
liter.
A-Patterns of Drug Distribution:
The drug is transported in the blood in either 2 forms bound form OR free
form:
Plasma protein-bound drug
Free drug
Inactive
Active
Non-diffusible
Diffusible
Can't be metabolized
Can be metabolized
Can't be excreted by the kidney.
Can be excreted by the
kidney.
Amount of drug in body
Plasma concentration of drug
of 00

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