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

                     ❑ In highly perfused organs, such as the liver, the distribution rate is relatively high;



                       For most agents, the drug in that tissue rapidly equilibrates with the drug in

                         plasma.

                       For  tissues  in  which  the  distribution  rate  is  lower  (e.g.,  fat),  reaching

                         equilibrium may take much longer.



                 ‒  So, the following compartments are present:



                            Central Compartment                           Peripheral Compartment

                                                                   The  peripheral  compartment  includes
                     The central compartment includes the
                                                                   those organs (e.g., adipose and skeletal
                     well‐perfused  organs  and  tissues
                                                                   muscle)  which  are  less  well‐perfused,
                     (heart, blood, liver, brain and kidney)
                                                                   and    with     which      drug    therefore
                     with which drug equilibrates rapidly.
                                                                   equilibrates more slowly.




                                              Special Compartments:


                    The cerebrospinal fluid (CSF) and central nervous system (CNS) is restricted by the

                   structure of the capillaries and pericapillary glial cells.


                    Drugs also have relatively poor access to pericardial fluid, bronchial secretions

                      and fluid in the middle ear.














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