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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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