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PHBP Ass3 Nrdabu Drug Absorption Ansels
PHBP Ass3 Nrdabu Drug Absorption Ansels
Exercise No. 2
TRANSPORT PROCESSES
Drugs permeate at the site of absorption towards the systemic circulation and into its target site
of action before eliciting its therapeutic activity. For drug to be absorbed into the systemic
circulation, it must first cross the cell membrane. This process is highly dependent on the
physicochemical property of the drug and certain specific biochemical properties of the cell
membrane. The integrity of the cell membrane may pose a significant barrier to drug delivery.
Different transport processes are identified by which specific drugs, according to their
physicochemical properties cross the cell membrane. These are passive diffusion, convective
transport, active transport, facilitated transport, ion-pair transport and pinocytosis.
1. Enumerate and discuss the different transport mechanisms of drug absorption. Give at least
two (2) examples of substances or drugs transported by these mechanisms. Illustrate the
movement of these drugs across the cell membrane through different transport mechanisms.
Facilitated Transport
It's a carrier-mediated Facilitated Transport
transport as well, but it ● Vitamin B12
moves down a gradient
and doesn't require any
energy. For drugs, it is
saturable and
structurally selective.
Also called as Pore ● Ionized sulfonamides
Convective Transport Transport refers to the ability
of very small molecules to ● Inorganic and organic
pass cell membranes quickly, electrolytes up to 150 to
as though the membrane 400MW
contained channels or pores.
Phagocytosis Phagocytosis
Vesicular Transport It is the engulfment of ● Cells
→ Phagocytosis bigger particles or
macromolecules that ● Cellular debris
→ Pinocytosis are ingested by
macrophages.
Pinocytosis Pinocytosis
Cellular process that ● Ferritin and Insulin
allows fluid to be
actively transported ● Sabin polio vaccine
from outside the cell
through the cell's
membrane and into the
cell's interior.
2. Discuss the Fick’s Law of diffusion and its significance in drug transport.
lumen intro the tissue and extracellular spaces. Diffusion is spontaneous and temperature
dependent.
3. Compare the different features of the stomach and the intestine and relate each in drug
absorption.
→ Stomach
● Basic drugs are solubilized rapidly in the presence of stomach acid.
● Absorption of oral drugs does not start immediately due to the stomach-emptying time.
● Enteric coated drug medications release the drug in the stomach due to the high pH of
stomach, thus it can cause irritation to the stomach.
→ Intestine
● The most important site for drug absorption, particularly the duodenum area.
● If a medicine is absorbed in the small intestine, it enters the hepatic portal vein via the
mesenteric arteries and travels to the liver before reaching the systemic circulation.
● Due to anatomic features such as villi and microvilli that give a wide surface area, the
duodenal portion of the small intestine demonstrates the maximum drug absorption.
Delay in gastric emptying time for the medicine to reach the duodenum slows the rate
and possibly the degree of drug absorption, extending the drug's onset time
Increasing the rate of gastric emptying and gastro-intestinal motility enhances the rate
of medication absorption, while higher gastrointestinal motility is related with a decrease
in the rate of absorption for other drugs, such as digoxin and riboflavin.
5. State how transporters are involved in the absorption, distribution and elimination of drugs.
ABSORPTION P-glycoprotein has a definite role in reducing permeability across the
gastrointestinal system when it comes to absorption. As a result, partial, variable, and
non-linear absorption affects a wide range of medications.
6. What is a placebo? Discuss the significance of placebo in assessing the therapeutics effects of
many drugs.
A placebo is frequently included to demonstrate that the treatment are effective and
that the study is sensitive enough to detect the clinical effect in the study's patient
population. The test and reference products' superiority over the placebo is likewise
assessed using the same dichotomous outcome of "therapeutic cure." For safety
considerations, the use of placebo may not be used in some studies.
References:
Nimmo W. S. (1976). Drugs, diseases and altered gastric emptying. Clinical pharmacokinetics,
1(3), 189–203.
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http://howmed.net/pharmacology/factors-affecting-absorption-of-drugs/
BIOPHARMACEUTICS AND PHARMACOKINETICS
BSPH 2Y1-2