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

                Clearance  is  equal  to  the  rate  of  elimination  divided  by  the  (arterial)  drug

               concentration before drug passes through the organ of elimination (CA):



                                                                  (     −     
                                                                              )
                                                           =
                                                                           






                The ratio of the rate of elimination to the rate at which drug enters an organ is a

                  dimensionless term that is called Extraction ratio (E).



                                                               
                                                                  
                         =
                                                     



                                                  )
                                      (     −     
                                =
                                                


                                        (     −     
                                                  )
                                       =
                                                  





                  The extraction ratio quantifies the efficiency of an organ with respect to drug

                   elimination:


                     If an organ is incapable of eliminating the drug, CA = CV, and the extraction

                        ratio will be zero (E= 0).

                     If, however, the organ is so efficient in metabolizing or eliminating the drug

                        that CV = 0, then the extraction ratio approaches unity (E=1).

                     The extraction ratio of a drug will be a number between 0 and 1.



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