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PHARMACOKINETIC MODELS
Drug movement within the body is a complex process.
The major objective is therefore to develop a generalized and simple approach to describe ,analyze and interpret the data obtained during in vivo drug disposition studies. The 2 major approaches are Model approach Model independent approach ( non compartmental analysis)
MODEL APPROACH
PHYSIOLOGICAL MODEL
ADVANTAGES: DISADVANTAGES: It provides limited information Ease of derivation of pharmacokinetic parameters regarding the plasma drug concentration time profile. by simple algebraic More often it deals with equations. averages. The same mathematical The method doesn't adequately treatment can be applied to treat non-linear cases. almost any drug/metabolite provided they follow 1st order kinetics. A detailed description of drug disposition characteristics is not required.
APPLICATIONS:
Non compartmental analysis is used to estimate MRT,MTT,MAT Bioavailability Clearance Apparent volume of distribution Half-life Fraction of drug eliminated from body
Key terms:
MEAN RESIDENCE TIME: The average total time molecules of a given dose spend in the body before being eliminated out. MEAN TRANSIT TIME: The average time molecules of a given dose spend in the kinetic system. MEAN ABSORPTION TIME: The time taken for the drug to appear in systemic circulation. When determined after non-instantaneous administration, the MTT =MRT + MAT After I.V.bolus dose, MRT=MTT
MRT
Mean residence time =
AUMC AUC
0 g
tC
( t ) dt
C ( t ) dt
AUMC
AUC
AREA DETERMINATION
A. Integration of Specific Function B. Numerical Integration 1. Linear trapezoidal 2. Log trapezoidal 3. Extrapolation to infinity A. Integration of Specific Function Must elucidate the specific function Influenced by the quality of the fit
AUC
AUMC
Ci P i
Ci P2 i
example : AUC
example : AUMC
C1 C2 P1 P2
C1 C2 2 2 P1 P2
B. Numerical Integration
1.LINEAR TRAPEZOIDAL:
Area t
t2
1
1 2
(t 2 t1 )(C1 C2 )
Area
tn 0
1 2
(C1 C 2 )( t 2 t1 ) 1 (C 2 C 3 )( t 3 t 2 ) ... 2
1 (C n 1 C n )( t n t n 1 ) 2
1.Linear trapezoidal
Advantages: Simple (can calculate by hand) Disadvantages: Assumes straight line btwn data points If curve is steep, error may be large Under or over estimate depends on whether curve is ascending of descending
2.Log trapezoidal
Area
t2 t1
( C 1 C 2 )( t 2 t 1 ) ! ln C 1 ln C 2
Advantages: Disadvantages: Hand calculator Limited application Very accurate for mono May produce large errors exponential on an ascending curve, near the peak, or steeply Very accurate in late time declining points where interval btwn polyexponential curve points is substantially increased
IN GENERAL:
AUC 0
AUMC 0
g
Cn AUC 0 Pz
tn
Cn Cn AUMC 0 2 t n v Pz Pz
tn
Where
Pz
= 2.303 x Ke
AUMC Determination AUC Determination Time (hr) C (mg/L) 0 2.55 1 2.00 3 1.13 5 0.70 7 0.43 10 0.20 18 0.025 Area (mg-hr/L) 2.275 3.13 1.83 1.13 0.945 0.900 Total 10.21
t18
Cxt Area (mg/L)(hr) (mg-hr2/L) 0 2.00 1.00 3.39 5.39 6.89 3.50 6.51 3.01 7.52 2.00 9.80 0.45 37.11
t18
t18
C18 Pz
AUC 0 ! 10.31 mg hr / L
AUMC 0 ! AUMC 0
g
t18
t18C18 C18 2 Pz Pz
2
AUMC 0 ! 39.21 g hr 2 / L
17
Systemic availability:
The fraction of administered drug that reaches the systemic circulation. Commonly used to measure the extent to which drug is available in the body after nonintravenous administration.
CLEARANCE
Total (systemic) Clearance:
dX CLT ! Elimination rate dt ! C concentration in blood
Integrating from 0 p g,
g
CLT !
dX dt dt 0
g
Cdt
0
, where
0
Therefore CLT !
Div AUC 0
g
Additivity of clearance:
Rate of elimination = Rate of Renal Excretion + Rate of Hepatic Metabolism Dividing removal rate by incoming concentration:
ate o liminatio n ! Ca ate o enal Ca xcretion
ate o
epatic Ca
etabolism
X fR ! , Div
g u
CLR ! CLT v f R
g u
VSS !
iv
AUMC 2 AUC
2
HALF LIFE
MRT
V ss ! CL
If drug declines via monoexponential decline MRT=AUMC = C0 /K2 = 1 AUC C0 /K K MRT I.V = 1/K t1/2 = 0.693* 1 k t1/2= o.693 * MRT I.V
Extraction Ratio:
Ratio of the rate of xenobiotic elimination and the rate at which xenobiotic enters the organ.
CONCLUSION:
This overview of noncompartmental methods based on statistical moment theory permits a wide range of analysis, that in most instances, will be adequate to characterize the pharmacokinetics of a drug. There are ofcourse,certain limitations like Nonlinear events are not adequately treated by SMT. Also SMT provides only limited information regarding time course of drug concentration ( averages are considered).