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Vocabulary-style flashcards covering key factors that influence drug absorption.
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Lipid-soluble drugs
Absorb more easily and cross membranes (including the blood-brain barrier) due to high lipid solubility.
Water-soluble drugs
May require transporters and have limited CNS access.
Blood flow to absorption site
Increased blood flow enhances absorption; decreased flow slows it.
Important for IM, SC, and transdermal routes
Temperature
Heat increases absorption via vasodilation; cold reduces absorption.
Can be manipulated in localized drug delivery
Food effects on absorption
Food may enhance or inhibit absorption; fasting may speed or slow absorption.
Food, hunger, fasting
Can speed or slow absorption depending on the drug and gastric motility.
Depends on drug properties and gastric motility
Stress
Reduces GI blood flow and GI activity; may delay absorption.
Chronic stress may affect metabolism
Pain
Activates sympathetic response; reduces blood flow and GI activity; can delay onset of action.
pH
Affects drug ionization; non-ionized forms of acids absorb better. Acidic drugs absorb in stomach. Basic drugs in intestines
Route of administration
Determine speed and extent of absorption
Method of delivering a drug (e.g., IV, oral, sublingual); affects onset and bioavailability (IV = rapid, oral = variable, sublingual = fast, bypasses liver).
First-pass effect
Liver metabolizes drug before it reaches systemic circulation, reduces bioavailability for oral drug
Bioavailability
Percentage of the administered drug that reaches systemic circulation unchanged; IV is 100%, oral varies.
Ionization
The ionization state of a drug (influenced by pH); non-ionized forms cross membranes more readily, affecting absorption.