Drug distribution permeability rate

Figure 7.9 A. Illustrates the differences in perfusion rate on the proposed distribution and redistribution of thiopental. (Redrawn from http //www.cvm.okstate.edu/Courses/vmed5412/LECT006.htm) B. Drug equilibration in the cerebrospinal fluid with plasma water for various drugs in the dog (redrawn from Figure 5-11 in Rowland and Tozer, 2006, and Brodie et al., 1960. Plasma drug concentration was kept constant throughout the study. Thiopental displays perfusion limited distribution whereas the distribution of salicylic acid is permeability rate limited.

DHP drugs bind allosterically. The open L-channel is somehat more permeable to the Ba ion than to the Ca ion but is very much less permeable to the Na ion. Nonetheless, because Na ion concentrations are so much higher than Ca ion concentrations, the actual fraction of charge carried by the two ions is not always so clear. There are a number of states that the L-channel can be in, aside from simply being open or closed. It is the distribution of L-channel molecules among the various states that is influenced by transmembrane voltage. From another view the rate constants between the states are functions of the transmembrane voltage. 

Distribution is the delivery of drug from the systemic circulation to tissues. Once a drug has entered the blood compartment, the rate at which it penetrates tissues and other body fluids depends on several factors. These include (1) capillary permeability, (2) blood flow-tissue mass ratio (i.e., perfusion rate), (3) extent of plasma protein and specific organ binding, (4) regional differences in pH, (5) transport mechanisms available, and (6) the permeability characteristics of specific tissue membranes. 

After a drug is absorbed, it is distributed into various tissue compartments. The rate at which this occurs is determined by the blood flow to the tissues as well as the rate of transfer of the drug from the blood into the tissues. This transfer depends on the vascular permeability to the drug, the relative binding of the drug to blood versus tissue components, the availability of active transport processes, and the concentration gradient... 

The use of distributed pharmacokinetic models to estimate expected concentration profiles associated with different modes of drug delivery requires that various input parameters be available. The most commonly required parameters, as seen in Equation 9.1, are diffusion coefficients, reaction rate constants, and capillary permeabilities. As will be encountered later, hydraulic conductivities are also needed when pressure-driven rather than diffusion-driven flows are involved. Diffusion coefficients (i.e., the De parameter described previously) can be measured experimentally or can be estimated by extrapolation from known values for reference substances. Diffusion constants in tissue are known to be proportional to their aqueous value, which in turn is approximately proportional to a power of the molecular weight. Hence,... 

Furthermore, pharmacokinetic administration, distribution, metabolism and excretion (ADME) factors affect drug bioavailability, efficacy and safety, and, thus, are a vital consideration in the selection process of oral drug candidates in development pipelines. Since solubility, permeability, and the fraction of dose absorbed are fundamental BCS parameters that affect ADME, these BCS parameters should prove useful in drug discovery and development. In particular, the classification can used to make the development process more efficient.For example, in the case of a drug placed in BCS Class II where dissolution is the rate-limiting step to absorption, formulation principles such as polymorph selection, salt selection, complex formation, and particle size reduction (i.e., nanoparticles) could be applied earlier in development to improve bioavailability. 

The increase in new structures generated each year has not resulted in the expected increase of marketed new drugs annually. This has amongst others been attributed to poor pharmacokinetic (PK) properties of the CDs, and as much as 40% of the attrition rate of CDs has been related to poor PK profiles [1]. Given this, reliable screening filters for factors such as absorption, distribution, metabolism, elimination/excretion, and toxicity (ADMET) are highly desirable [2-4], Indeed, the considerable effort that has been invested in the development of experimental absorption filters, for example, cell monolayers for permeability determinations [5, 6] and the turbidimetric method for solubility measurements [7],... 

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