Metabolism Flashcards

(6 cards)

1
Q

Site of metabolism

A

Liver

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2
Q

First pass metabolism

A
  • Metabolism that occurs directly following absorption from the gut
  • Drug delivered to systemic circulation via liver
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3
Q

Phase 1 metabolism

A

CP450 mediated

Responsible for phase 1 oxidation

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4
Q

Consequence of extensive first pass

A

Less drug reaches systemic circulation
Less drug absorbed
Low bioavailability

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5
Q

CP450 structure

A

Haem subunit in active site

Fe II/III coordination at active site

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6
Q

Avoiding first pass effect

A
IV
IM
inhaled 
sublingual
buccal
nasal
rectal- enemas 
prodrug
topical- patches, ointment 
vaginal 
pulmonary- aerosol, nebuliser
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