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PharmD clinical pharmacy program Level 3, Semester 2 Biopharmaceutics & Pharmacokinetics (PT608(
5. Protein Binding
‒ Another factor that influences the distribution of drugs is binding to
Tissues Proteins
nucleic acids, albumins,
ligands,
globulins,
calcified tissues,
alpha-1-acid glycoprotein
adenosine triphosphatase
lipoproteins.
It is the unbound or free portion of a drug that diffuses out of plasma.
► The protein-bound drug is:
– a large complex that cannot easily transverse cell or even capillary
membranes and therefore has a restricted distribution.
• Usually pharmacologically inactive. To exert an effect, the drug must
dissociate from protein.
• The free or unbound drug
– Crosses cell membranes and
– It is therapeutically active.
So, plasma proteins act as a reservoir or temporary storage place.
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