Pharmacokinetics

Definition of Pharmacokinetics:

The study of the kinetics of absorption, distribution, metabolism, and excretion (ADME) of drugs, their pharmacologic, therapeutic, or toxic effects on humans and animals.

Why Study Pharmacokinetics?

Applications:

  1. Dosage calculations (general, pediatric, geriatric).

  2. IV infusion medications.

  3. Hospital pharmacy and industrial pharmaceutical research

Pharmacokinetic Data Representation:

  • Plotted as concentration vs. time, typically shown with an IV bolus dose where no absorption phase exists.

  • Key Parameters:

    • C(0): Initial concentration.

    • t1/2: Elimination half-life.

    • k: Elimination rate constant (k = 0.693/t½).

Volume of Distribution (V or Vd)

  • Describes theoretical homogeneous volume for drug distribution.

  • Equation:

    • V=D/C (0) OR V = Cl/ k

    • D= dose

    • C (0) = Initial concentration

  • Helps determine how much of a drug is in the blood vs. peripheral tissues.

Clearance of a Drug (Cl)

  • Volume of plasma cleared of a drug per unit time.

  • Equation:

    • Cl = k × V OR. Cl = Dose/AUC

Area Under the Curve (AUC)

  • Measures total drug exposure over time, representing bioavailability.

  • Equation for IV bolus dose:

    • AUC = C(0) / k

    • Mostly use trapezium rule (a+b/2) × h

Compartment Models

  • One Compartment Model: Drug is absorbed and eliminated uniformly.

  • Two Compartment Model: Drug spreads rapidly to highly perfused organs (e.g., brain, liver) and then to areas with lower blood flow (e.g., muscle, fat).

Bioavailability (F)

  • Fraction of administered drug that reaches systemic circulation.

  • Equation:

    • F = AUC⁰ / AUCIV

Elimination Rate

  • Describes drug concentration change over time:

    • 𝑑𝐶/𝑑𝑡 = −𝑘𝐶

    • Integration yields: C(t) = C(0) × e−kt

Elemenation Rate Constant

  • K = ln 2 / t½ = 0.693/t½