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第二章 药物代谢动力学 Pharmacokinetics. Locus of Action “receptors”. Tissue Reservoirs. Bound. Free. Bound. Free. Systemic Circulation. Free drug. Absorption. Exceretion. Bound drug. Metabolites. Transformation. Manners of Transport Across Membrance. Passive transport. Across membrane - PowerPoint PPT Presentation
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第二章 药物代谢动力学Pharmacokinetics
Transformation
Free
Systemic Circulation
Bound drug
Free drug
Metabolites
Locus of Action“receptors”
Bound Free
Tissue Reservoirs
Bound
ExceretionAbsorption
Across membraneand lipid
Across aqueous channel
Carrier-mediated transport
Outside
Inside
Manners of Transport Across Membrance
Passive transport
Routes of Drug Administration
Enteral
within or by way of the GI tract Oral (PO), rectal, sublingual
Parenteral
Not within the alimentary canalInhalation, IM, SC, IP, topical
CentralInto the brain or spinal cordIntrathecal
Routes of Drug Administrationcommon abbreviations…
PO = per os = oral
IV = intravenous = into the vein
IM = intramuscular = into the muscle
SC = subcutaneous = between the skin and muscle
IP = intraperitoneal = within the peritoneal cavity
icv = intracerebroventricular =directly into the ventricle of the brain
Factors Affecting Response to Drugs
Dosage
Route of Administration
Rate of Absorption
Rate of Elimination
Physiochemical properties of the drug
age, sex, species, metabolism, etc…
清
除
率
(ml/
min
)
50
40
30
20
10
00 2 4 6 8
0
20
40
0
1
2
0
15
30
0 1 2 3 4 5 6 7
苯巴比妥 [ 弱酸性药 ] ( 狗)
苯丙胺 [ 弱碱性药 ] (人 )
精神反应
血浆药物浓度
尿排泄量
酸性尿( pH~5
)
碱性尿( pH~7
)
碱性尿pH 7.8-8.0
酸性尿pH<7
排尿( ml/min )
mm
ol/h
m M
计 分 值
尿 pH 值对药物排泄的影响
0 20 40 60 80 100 120
0
2
4
6
8
10
血 浆 阿 司 匹 林 浓 度(m
g/L
)
时间( min )
口服和静脉注射阿司匹林 659mg 后的时 - 量曲线
时间
C
A
B
血 药 浓 度MEC
三种不同的生物利用度A. 吸收速度快、吸收量完全 B. 吸收速度与 A 相同,但吸收量仅为 A 的 50% C. 吸收量完全,但吸收速度为 A 的 50%
血 浆 地 高 辛 浓 度(n
mol
/L)
1 2 3 4 50
1
2
四种由不同药厂生产的相同剂量地高辛片剂的生物利用度
时间( h )
Elimination kinetics 1. First-order elimination
kinetics
0
2
1
0 1 2 3 4 5 6
稳态浓度
药 物 浓 度
Css.max
Css.min
7
多次给药的时 - 量曲线
血 药 浓 度
100
200
300
80 2 4 60 0
0 2 4 6 8
100
200
300
时间(半衰期)
100
200
300
0 2 4 60
A B C
8
MTC
MEC
三种不同给药方案对稳态浓度的影响A. 缩短给药时间 B. 增加给药剂量 C. 负荷量给药
2. Zero-order elimination kinetics
Pharmacokinetic Evaluation of Gepirone Immediate-Release Capsules and Gepirone Extended-Release Tablets in Healthy Volunteers
JOURNAL OF PHARMACEUTICAL SCIENCES, VOL. 92, NO. 9, SEPTEMBER 2003
•Gepirone is a 5-HT1A agonist for
the treatment of major depression.
•half-life of 3 h and good oral bioavailability, and undergoes extensive first-pass metabolism
•Because of its rapid absorption and short half-life, the gepirone-IR (immediate-release formulation) must be administered at least twice daily.
•This regimen results in high peak concentrations and marked peak-to-trough fluctuations in plasma concentrations.
•These fluctuations may contribute to an increased incidence of adverse events, such as nausea, dizziness, headache, and somnolence, and have the potential to result in lower patient compliance and reduced effectiveness.
•extended-release gepirone formulation(ER)immediate-release formulation(IR)
Figure 1. Mean gepirone plasma concentrationsfollowing administration of gepirone-IR formulations(10mgq12 h,n=12) or gepirone-ER formulations (ER-1:20 mg q24 h, n=12; ER-2: 20 mg q24 h, n=12; ER-3:25 mg q24 h, n=12).
Figure 2. Mean 1-PP plasma concentrations followingadministration of gepirone-IR formulations(10 mg q12 h, n=12) or gepirone-ER formulations (ER-1: 20 mg q24 h, n=12; ER-2: 20 mg q24 h, n=12; ER-3:25 mg q24 h, n=12).