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Lecture 2
Pharmacological phase:
Absorption: biological membrane penetration.
Biological membrane at the barrier of our
organ which can be single or multi layered.
penetration is actually diffusion.
Fick's first law of diffusion: The rate of transfer of
molecules is proportional to the surface area and
concentration, inversely proportional to thickness of
the Membrane.
Type of diffusion:
Passive diffusion: diffusion of molecules through
membrane without energy expenditure
Aquous diffusion or poor convective
transportation: water helps diffusion cellular
lining contains pores which are filled with
water polar molecules are diffused through
these water channels. Factors that effect
aqueous diffusion: Molecular size, polarity,
membrane potential.
Lipid diffusion: lipid bilayer membraneIs this
the way for hydrophobic drugs
Active transportation: carrier mediated or enzyme
mediated transportation. lower to high region. Drugs
combined with carrier protein and form a complex with
covalent bond, carriers release the drug and return for
another drug this process exhibit situation phenomena.
Facilitated diffusion: mix of passive and active diffusion
higher to lower concentration exhibit saturation
phenomena
Ion pair transportation: electrolyte drugs are transported
by this way PK dependent they are extremely pola. So
here Strong polar drug becomes ionized and Bears with
opposite charges and becomes neutralize these
neutralized molecule penetrates easily temple propanol,
quinine propanol when given with oleic acid it forms a
pair and diffuse rapidly.
vesicular transportation: pinocytosis and phagocytosis
process Dissolves drug and the drug goes to the site of
action. this is a selective process. example polio vaccine
absorbs via pinocytosis. Insulin is absorbed by
phagocytosis.
Lecture number 3
Biological factors that affect absorption:
Structure and composition of biological membrane: semi
permeable in nature. taking this can alter permeability.
Single layer, multi layer membrane. Phospholipid bilayer
which is amphoteric; hydrophilic head and hydrophobic
tail. Integral proteinvery fair of protein, peripheral protein
and I on channel.
Influence of GT: oral administered drug: saliva makes
the drug slippery, esophageal sphincter prevents acid
reflux, Stomach HCL solubilized drug, then drag goes to
dude in AM by peristalsis movement. Gastric emptying
time depends on food nature, Fatty acid and highly
densed food has more stomach emptying time that alters
the absorption time.
Lecture 4
Stereogenic prodrugs are destabilized by hydrolysis as a
result reduced bioavailability.
Effect of small intestine on bio availability: Major site of
absorptionBecause folding of intestinal lining he increases the
surface area where filament like process turn which is called
villi, are situated these villas increase surface area.Small
intestine has more blood flow than stomach and pH level is 7.5
which is neutral and Helps nonionic drug to permit through the
membrane
Large intestine no villino microvilli, less absorption. Some
specific drugs are absorbed well from in this time like to file in,
metoprolol Q filing they give sustained release doses. mucosal
flora has some engine that helps the drug to be absorbed
example lectu lays helps propanil
Some phenomena that effect drug absorption:
gastric emptying time
gastric motility
residence time
gastric pH
gastric secretion
gastric emptying time:
Rapid gastric emptying time: In case of rapid onset of action
example sedatives, Enteric coated tablets. Penicillin
Some drugs are absorbed well in the distal portion of small
intestine example vitamin B12
Delayed gastric emptying time: griseofulvin, absorbs well with
food.
Some drugs irritate gastric mucosa example aspirin
phenylbutazone
Vitamin C should be in the small intestine for prolonged time
for better absorption.
Factors effecting gastric emptying time:
Volume of Meal: follows first order reaction connetics
Composition of meal: Fatty foods increase gastric
emptying time because they are emulsified by bile
secretion and form a complex.
Viscosity of the meal: liquid food rapid emptying time,
solid food delayed.
Temperature of the meal: food and body temperature
difference বেশি হইলে gastric emptying time delayed হয়।
pH of the GIT: Gastric emptying time delays in acidic pH, and
promoted in alkaline pH. Molecular weight of biocompatible
acid Controls gastric emptying time hi molecular weight
decrease emptying time. Biocompatible sodium bicarbonate
promotes emptying rate. Dilute concentration is more effective
Electrolyte and osmotic pressure: low salt concentration
increases emptying rate
Body posture: when standing up downhill phenomenal works
which helps gastric emptying
Emotional state: stressful condition anxiety increases motility.
Sadness decreases motility
Exercise: vigorous exercise decreases emptying
Disease state: diabetes, hyperthyroidism, gastric
ulcerdecreases emptying rate but doodle alser increases
emptying great
Nature of the drug: and the seed, narcotics, analgesics, NT
cholinergic, tricyclic antidepressant decreases emptying rate.
Metro kuklos promide, domperidone, she supplied promote
gastric emptying rate.
Small intestine his main set of drug absorption which has larger
surface area.
1. Transit time in different part of the intestine –
Duodenum 5 min
Jejunum 2 hrs
Ileum 3-6 hrs
Cecum 30 min – 1 hr
Colon 6-12 hrs
Delayed transit time: increases bioavailability because more
absorption occurs.
Example: SRDF, Enteric coated, several vit B
Rapid intestinal transit time: laxatives
Factors effecting transit time :
1. Food: retarded transit time. Digestive enzymes help
increasing transit time
2. Drug: anticholinergic drug decreases, laxative,
metoclopramide increases time.
3. Diseases : 3 type diseases –
GI disease: pathogenic conditions like diarrhea,
constipation affect absorption pattern, motility,
leading to reduced bioavailability.
Cardiovascular : can inhibit normal functioning
parameters. Can cause intestinal edema, reduced
blood flow in GI, altered Gastric emptying time pH,
microbial flora change.
Hepatic : hampers fast pass metabolism. Example:
propanolol.
Effect of pH: pH affects some parameters: disintegration,
dissolution, absorption, stability.
1. Disintegration of enteric coated tablet affected by pH.
Others don’t
2. Dissolution is applicable for weakly acidic or weakly basic,
affects Oral bioavailability. Acidic drug- undissociated in
acidic environment. As a result, better absorption. But in
alkaline environment it is ionized and become difficult to
pass lipid bilayer membrane. Active transportation is
required which is selective and saturated phenomena
designed.
3. Stability : pH hampers drug stability. Example : penicillin
G, erythromycine degrades in acidic media.
Enzyme: proteolytic enzyme of intestine degrades drug with
polypeptide linkage or proteinacious drug. Example insulin,
oxytocin, vasopressin
Interaction with GI contents:
1. Food drug interaction : delayed absorption : aspiring,
paracetamol, diclofenac, digoxin. Decreased absorption :
penicillin, erythro, levodopa, iron. Increased absorption :
griseofulvin, diazepum, water soluble Vit. Not affected:
methyl dopa, propylthiouracil.
2. Drug drug interaction :
Physiochemical drug drug interaction :
absorption : antidiarrheal with absorbent (kaoline,
pectin) interfere with other drugs ( promazine,
vencomycin). Result, retarded or no absorption.
Complexion: fe, Mg, Al, Ca antacids bind with
tetracycline and form unabsorbable complex. Result,
no absorption.
pH change: NaHCO3 in antacids changes pH to alkalies,
as a result Tetracycline absorption reduces.
Physiological drug drug: gastric emptying time
alteration.
First pass metabolism : also called pre systemic
metabolism because drug is metabolized before
entering into the systemic circulation. Decreases
absorption. Four type of enzymes are responsible. They
are
Luminal enzyme: Found in gut fluid and intestinal
pancreatic secretion. Example: chloramphenicol
palmitate is hydrolyzed and activated; peptide is
engine breaks amide linkage which inactivate a drug
example protein drug
Gut wall enzymes: found in stomach intestine and
example alcohol dehydrogenase inactivate ethanol
Bacterial engine: found in colonic region which is
microflora can activate drugs or make it toxic
example: sulphasalazine becomes hydrolyzed and
produce sulfapyridine and five amino salicylic acid.
Hepatic enzyme: first fast metabolism occurs.
Example: Isoprinosine, propanol
Lecture 6
8. Vaginal administration:
PH of vaginal secretion
Microorganisms of vaginal secretion
Conveniency in use
Distribution
Trapezoidal rules:
It is a rule that evaluates area under the curves by dividing the
total area into smaller trapezoids rather than rectangles.
Model:
Types
Absolute bio :
Ratio between bio-availability of a drug given oral and
intravenous.
Lecture 15
Bioavailability and Bio equivalence
Parallel Design : The aim of experimental designs is to minimize
the experimental variables and to avoid a bias. In a parallel
design, two formulations are administered to two groups of
volunteers.
To avoid a bias, formulations may be administered randomly to
the volunteers. The major disadvantage of this design is that
the inter-subject variation is not being corrected. It has been
proved beyond doubt that most of the times inter-subject
variation is greater than the variation between any
formulations. Therefore, a cross-over design is preferred in
bioavailability/bioequivalence trials to avoid influence of a
inter-subject variation.
Drug products
Test products: Test product(s) may be new drug formulations
developed by a pharmaceutical technologist or new dosage
forms of an existing drug.
Reference standard A chemical or generic product has to be
compared with some standard dosage form to verify its in-vivo
performance·. In general, the Food and Drug Administration
(FDA) accepts any innovator's drug product as a reference
standard.
Sampling: The biological sample to be used in the study has to
be decided before the commencement of a bioavailability
study. Two techniques :
Invasive : during blood collection. For morphologic study
like toxicity study, cumulation factor distinction.
Noninvasive : urine sample collection for measuring drug
half life.
The advantages of urinary excretion studies are:
it involves non-invasive method of sampling
the concentration of the drug in the urine is often greater
than that in blood/serum allowing easy estimation of the
drug
the amount of the drug excreted in urine is obtained
directly.
urinary excretion method has several disadvantages as
well.
urinary excretion studies are not useful in estimating the
absorption rate of a rapidly absorbing drug.
In some cases, the metabolites of the drug are also
concentrated in the sample that interferes with the
estimation of the unchanged drug in the urine sample.
Data collection problem as volunteers have to keep
bladder full for constant urination
Volunteer: age, sex ,physical state same. Bp, respiration, pulse,
every parameters should be checked.
Analytical instruments :
Clearance The rate of elimination of a drug from the body is
directly proportional to the plasma concentration.
Systemic clearance describes the efficiency with which drugs
are permanently eliminated from the body. Both drug input
rate (dosage rate) and systemic clearance determine the
average steady state plasma concentrations of a drug.
Metabolic clearance(MCR) is defined as the volume of blood
irreversibly cleared of a substance in time (usually about
1500L/day in case of aldosterone).