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Oral solid dosage forms
Tablets, capsules, powders — All must break apart before absorption.
Oral liquid dosage forms
Solutions, suspensions, emulsions — Liquids = faster onset because less to break down.
Topical dosage forms
Ointments, creams — Designed for skin; no systemic absorption unless formulated for it.
Other dosage forms
Suppositories, injections — Rectal/vaginal vs. direct systemic entry.
LADME acronym
Liberation, Absorption, Distribution, Metabolism, Excretion
Liberation
Drug is released from its dosage form — Tablet → pieces → dissolved drug
Absorption
Drug crosses a biological membrane into circulation — GI → blood.
Distribution
Drug spreads through tissues and fluids — Blood → organs.
Metabolism
Drug is chemically changed (mostly liver) — Body modifies the drug.
Excretion
Drug leaves the body (mostly kidneys) — Urine is the main exit route.
Where first-pass metabolism occurs
Liver — Oral drugs always visit the liver first.
Which dosage form does NOT undergo liberation
Solution — Already dissolved; nothing to break apart.
Why solutions skip liberation
Drug molecules are already free in liquid — Fastest onset among oral forms.
Physicochemical property that increases dissolution rate
Small particle size — More surface area = faster dissolving.
Why small particle size increases dissolution
Tiny particles expose more surface to fluid — Think: crushed tablet dissolves faster.
What must occur for an oral tablet to begin absorption
Liberation + dissolution — Tablet → disintegrate → dissolve → absorb.
Physicochemical properties influencing drug fate
Particle size, polymorphism, solubility, pH/ionization, stability, Log P
Effect of high crystallinity on dissolution
Slower dissolution — Crystals are tightly packed → harder to dissolve.
Effect of amorphous form on dissolution
Faster dissolution — Looser structure → dissolves easily.
Effect of Log P on drug behavior
Higher Log P = more lipophilic → better membrane crossing — Think: oily drugs slip through membranes
Effect of solubility on absorption
High solubility = fast dissolution = better absorption — Water-loving drugs dissolve quickly.
Route with 100% bioavailability and no biological barrier
Intravenous (IV)
First event for an injectable solution
Immediate entry into systemic circulation — No absorption step.
Which ROA bypasses first-pass metabolism
IV, IM, SL, buccal, transdermal, pulmonary — Anything not swallowed
Barrier for IM administration
Capillary membrane — Drug must cross into blood
Barrier for pulmonary administration
Alveolar membrane — Thin membrane → fast absorption.
Barrier for oral administration
GI tract + liver (first-pass) — Two barriers before reaching blood.