Page 119 - Interactive Theoritical Notes of Bioharmaceutics and pharamcokinetics.docx compressed
P. 119

PharmD clinical pharmacy program            Level 3, Semester 2          Biopharmaceutics & Pharmacokinetics (PT608(

                  A. Drug dissociation and lipid solubility

               ➢ The dissociation constant and lipid solubility of a drug, and the pH at the absorption

                  site, often influence the absorption characteristics of a drug throughout the GIT.

               ➢ This is simplified in the pH-partition hypothesis of drug absorption.

                  A-1 pH-partition theory of drug absorption

               •  According  to  the  pH-partition  hypothesis,  the  GI  epithelia  acts  as  a  lipid  barrier

                  towards drugs which are absorbed by passive diffusion, and those that are lipid soluble

                  will pass across the barrier.

               •  As most drugs are weak electrolytes, the unionized form of weakly acidic or basic

                  drugs (i.e. the lipid-soluble form) will pass across the GI epithelia, whereas the GI

                  epithelia is impermeable to the ionized (i.e. poorly lipid-soluble) form of such drugs.

                  •  Consequently, the absorption of a weak electrolyte will be determined chiefly by

                     the extent to which the drug exists in its unionized form at the site of absorption.

                  •  The extent to which a weakly acidic or basic drug ionizes in solution in the GI fluid

                     may  be  calculated  using  the  appropriate  form  of  the  Henderson-Hasselbalch


                     equation.



                  Henderson and Hasselbalch used the following expressions pertaining to weak acids
                  and weak bases to describe the relationship between pKa and pH:


                                                                                         [              ]
                               For weak acids,                            =      +         [      −              ]
                                                                               

                                                                                       [      −              ]
                               For a weak base drug                  =      +            [              ]
                                                                               











                                                                118
   114   115   116   117   118   119   120   121   122   123   124