method for estimating bioavailability. The drug must be excreted in significant quantities as unchanged drug in the urine. • In addition, timely urine samples must be collected and the total amount of urinary drug excretion must be obtained D ∞ u
• The cumulative amount of drug excreted in the
urine, D ∞ u, is related directly to the total amount of drug absorbed. Experimentally, urine samples are collected periodically after administration of a drug product. Each urine specimen is analyzed for free drug using a specific assay Corresponding plots relating the plasma level–time curve and the cumulative urinary drug excretion dD u/dt • dD u/dt. The rate of drug excretion. Because most drugs are eliminated by a first-order rate process, the rate of drug excretion is dependent on the first-order elimination rate constant k and the concentration of drug in the plasma C p. In , the maximum rate of drug excretion, (dD u/dt)max, is at point B, whereas the minimum rate of drug excretion is at points A and C. Thus, a graph comparing the rate of drug excretion with respect to time should be similar in shape as the plasma level–time curve for that drug . • t ∞. The total time for the drug to be excreted. In and , the slope of the curve segment A–B is related to the rate of drug absorption, whereas point C is related to the total time required after drug administration for the drug to be absorbed and completely excreted t = ∞. The t ∞ is a useful parameter in bioequivalence studies that compare several drug products, as will be described later in this chapter. Calculation of K from Urinary Excretion Data
• The elimination rate constant k may be
calculated from urinary excretion data. In this calculation the excretion rate of the drug is assumed to be first order. The term k e is the renal excretion rate constant, and D u is the amount of drug excreted in the urine An alternative method for the calculation of the elimination rate constant k from urinary excretion data is the sigma-minus method, or the amount of drug remaining to be excreted method