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Warfarin Management - Adult - Ambulatory Clinical Practice Guideline
Warfarin Management - Adult - Ambulatory Clinical Practice Guideline

... indication for anticoagulation, goal INR range and if potential drug interactions are present3 (Class I, Level C) 6. A baseline INR should be resulted prior to initiating warfarin therapy3 (Class I, Level C) 7. A dose larger than the anticipated maintenance dose (loading dose) of warfarin is inappro ...
2.0 Synopsis
2.0 Synopsis

... < 30 ng/dL in boys) measured at Months 1, 2, 3 and 6; peak-stimulated LH concentrations at Months 1, 2, 3 and 6; suppression of the physical signs of puberty (i.e., breast development in girls and genital development in boys according to pubertal staging and testicular volume in boys by Prader beads ...
Isosorbide Mononitrate Extended-Release Tablets, USP Rx only
Isosorbide Mononitrate Extended-Release Tablets, USP Rx only

... the body for several hours has their antianginal efficacy been restored. Isosorbide mononitrate extended-release tablets, during long-term use over 42 days dosed at 120 mg once daily, continued to improve exercise performance at 4 hours and at 12 hours after dosing but its effects (although better t ...
EVALUATION OF ANTI-INFLAMMATORY ACTIVITY OF ALCOHOLIC EXTRACT OF LEAVES OF
EVALUATION OF ANTI-INFLAMMATORY ACTIVITY OF ALCOHOLIC EXTRACT OF LEAVES OF

... capitalizing out of-pocket costs to the point of marketingapproval at a real discount rate of 11% yields a total pre-approval cost estimate of US$ 802million[2]. The corollary is, a physician would want such a drug which achieves high therapeutic plasma concentration with least adverse effects. Henc ...
pediatric handbook
pediatric handbook

Module 2: Pharmacotherapy - UCLA Integrated Substance Abuse
Module 2: Pharmacotherapy - UCLA Integrated Substance Abuse

...  Opioid receptors are inhibitory • inhibit release of some neurotransmitters (e.g., 5-HT, GABA, glutamate, acetylcholine) • enable the release of dopamine (considered to contribute to the dependence potential of opiates)  Effects on the limbic system produce changes in emotion ...
0771 PTCB 7 09
0771 PTCB 7 09

... supported by teacher instruction and a variety of textbook and Internet resources. Using a modular format, this system allows the student to gain the knowledge and skills required for the entry-level Pharmacy Technician. The second component is the student’s participation in a clinical internship al ...
No Slide Title
No Slide Title

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INHIBITION OF OAT3-MEDIATED RENAL UPTAKE AS A
INHIBITION OF OAT3-MEDIATED RENAL UPTAKE AS A

... pathway. However, the fact that the absolute oral bioavailability of fexofenadine is, on average, 33% means that a considerable amount of fexofenadine is excreted into the urine over a 24-h period (36% of the amount absorbed into the circulating blood) and suggests that renal elimination makes a sig ...
VALIDATED HPTLC ANALYSIS METHOD FOR QUANTIFICATION OF THYMOL CONTENT IN
VALIDATED HPTLC ANALYSIS METHOD FOR QUANTIFICATION OF THYMOL CONTENT IN

... are widely reported in the literature15. High Performance Thin Layer Chromatography is one of the modern sophisticated techniques that can be used for wide diverse applications. It is a simple and powerful tool for high ‐resolution chromatography and trace quantitative analysis is made possible. It ...
Sinemet® CR Product Monograph
Sinemet® CR Product Monograph

...  Nonselective monoamine oxidase (MAO) inhibitors are contraindicated for use with SINEMET® CR. These inhibitors must be discontinued at least two weeks prior to initiating therapy with SINEMET® CR. SINEMET® CR may be administered concomitantly with a MAO inhibitor with selectivity for MAO type B (e ...
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doc - National Bureau of Economic Research

... questions. Because of the independence of these items, inconsistencies were noted during data processing between responses to the earlier items about whether the OPD had a computerized system for orders for prescriptions or lab tests and responses to the later item about who submits such orders. A d ...
Baclofen Intoxication
Baclofen Intoxication

... Baclofen toxicity is a clinical diagnosis; measuring plasma levels is not always possible, and results can be misleading. The half-life is 3.5 hours in therapeutic use but a serum half-life of up to 34 hours has been estimated after overdose. Animal experiments with radiolabeled baclofen indicate th ...
Update on Serotonin - Mayo Medical Laboratories
Update on Serotonin - Mayo Medical Laboratories

... heterozygous, with 1 normal gene and 1 polymorphic gene, will have a metabolism that is intermediate, between the extensive and poor metabolizers. Identification of a patient’s CYP2D6 genotype may allow appropriate dosing adjustments (#83180 Cytochrome P450 2D6 Genotyping). Patients who are poor met ...
SIMULTANEOUS DETERMINATION OF TRIMETHOPRIM AND SULFAMETHOXAZOLE IN
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... the natural environment following the oral ingestion of the tablets. Pharmacopoeial dissolution test is carried out in acidic medium (0.1 N hydrochloric acid solution) and this environment will prevail for some minutes after in vivo tablets intake. On the other hand, external addition of components ...
An investigation into salbutamol sulphate ion pair interactions and
An investigation into salbutamol sulphate ion pair interactions and

... Figure 3. (a) 3D conformational model of salbutamol sulphate ion-pair (2:1), (carbon atoms in grey, oxygen atoms in red, nitrogen atoms in blue, sulphate atom in yellow & hydrogen atoms in white); (b) structural formula of salbutamol sulphate with the atom numbers and (c) the intermolecular hydrogen ...
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... „ PRESCRIBED 10 MG AMBIEN FOR TRANSIENT INSOMNIA IN MAY OF 2005 „ ON 3RD DAY SHE TOOK THE AMBIEN AROUND 1:57 ...
Doxycycline-coated sutures improve mechanical strength of intestinal anastomoses
Doxycycline-coated sutures improve mechanical strength of intestinal anastomoses

... Anastomotic leakage is a major and unresolved problem in patients undergoing colonic or rectal resection [1]. Under experimental conditions, the strength of intestinal anastomoses diminishes postoperatively reaching a minimum on the third postoperative day [2,3]. Increased matrix metalloproteinase ( ...
Migraine prophylaxis - International Society of Drug Bulletins
Migraine prophylaxis - International Society of Drug Bulletins

... headaches, prophylactic treatment may help. Betablockers, tricyclic antidepressants, and anticonvulsants have the best evidence of efficacy; calcium channel blockers and nonsteroidal anti-inflammatory drugs are also popular because they are well tolerated and inexpensive. We review migraine treatmen ...
Dextromethorphan abuse: Clinical effects
Dextromethorphan abuse: Clinical effects

... (>12 years of age) of DM range from 60 to 120 mg/day in divided doses.19 In children older than 2 years, doses range from 2.5 to 10 mg administered up to four times daily. DM is currently not recommended for use in children younger than 2 years.20 The drug is rapidly absorbed from the gastrointestin ...
Emerging Drug Trends- Salvia Divinorum
Emerging Drug Trends- Salvia Divinorum

... Salvia Divinorum (commonly known as Salvia), an herb of the mint family, is now the most commonly used hallucinogen in the U.S., behind Ecstasy. Used for centuries in divination rituals by the Mazatec tribes of Southern Mexico, it is ingested by chewing the leaves of the plant, drinking extracted ju ...
Patient-Controlled Analgesia
Patient-Controlled Analgesia

... be administered when net flux becomes negative, i.e., when drug is leaving the brain and effect has peaked (17). The change from positive to negative flux occurs over a similar length of time for diverse opioids. Upton et al. (19) examined the relative brain and spinal cord central nervous system (C ...
Aprepitant Emend™ — Merck Frosst Canada Ltd.
Aprepitant Emend™ — Merck Frosst Canada Ltd.

... participating public drug plans. The information in this Overview should not be used as a substitute for clinical judgment in the care of a particular patient nor is it intended to replace professional advice. CADTH is not liable for any damages arising from the use or misuse of any information cont ...
Advances in phage display technology for drug discovery
Advances in phage display technology for drug discovery

... replication, the replicative form produces ss-DNA and also serves as template for phage protein expression. The C-terminal domain anchors the pIII in phage coat by interacting with other phage coat proteins. Therefore, it is responsible for the integration of pIII into the phage coat. The C-terminal ...
A
A

... 58% of migraineurs meet disability and frequency criteria for preventive treatment (ie, 1-2 days of activity restriction per episode), only 5% are currently using preventive therapy, based on 2 large population-based surveys.8,9 Migraine prevention is an unmet need. Preventive migraine therapy emplo ...
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Pharmacokinetics



Pharmacokinetics, sometimes abbreviated as PK (from Ancient Greek pharmakon ""drug"" and kinetikos ""moving, putting in motion""; see chemical kinetics), is a branch of pharmacology dedicated to determining the fate of substances administered externally to a living organism. The substances of interest include pharmaceutical agents, hormones, nutrients, and toxins. It attempts to discover the fate of a drug from the moment that it is administered up to the point at which it is completely eliminated from the body.Pharmacokinetics describes how the body affects a specific drug after administration through the mechanisms of absorption and distribution, as well as the chemical changes of the substance in the body (e.g. by metabolic enzymes such as cytochrome P450 or glucuronosyltransferase enzymes), and the effects and routes of excretion of the metabolites of the drug. Pharmacokinetic properties of drugs may be affected by elements such as the site of administration and the dose of administered drug. These may affect the absorption rate. Pharmacokinetics is often studied in conjunction with pharmacodynamics, the study of a drug's pharmacological effect on the body.A number of different models have been developed in order to simplify conceptualization of the many processes that take place in the interaction between an organism and a drug. One of these models, the multi-compartment model, gives the best approximation to reality; however, the complexity involved in using this type of model means that monocompartmental models and above all two compartmental models are the most-frequently used. The various compartments that the model is divided into are commonly referred to as the ADME scheme (also referred to as LADME if liberation is included as a separate step from absorption): Liberation - the process of release of a drug from the pharmaceutical formulation. See also IVIVC. Absorption - the process of a substance entering the blood circulation. Distribution - the dispersion or dissemination of substances throughout the fluids and tissues of the body. Metabolization (or biotransformation, or inactivation) – the recognition by the organism that a foreign substance is present and the irreversible transformation of parent compounds into daughter metabolites. Excretion - the removal of the substances from the body. In rare cases, some drugs irreversibly accumulate in body tissue.The two phases of metabolism and excretion can also be grouped together under the title elimination.The study of these distinct phases involves the use and manipulation of basic concepts in order to understand the process dynamics. For this reason in order to fully comprehend the kinetics of a drug it is necessary to have detailed knowledge of a number of factors such as: the properties of the substances that act as excipients, the characteristics of the appropriate biological membranes and the way that substances can cross them, or the characteristics of the enzyme reactions that inactivate the drug.All these concepts can be represented through mathematical formulas that have a corresponding graphical representation. The use of these models allows an understanding of the characteristics of a molecule, as well as how a particular drug will behave given information regarding some of its basic characteristics. Such as its acid dissociation constant (pKa), bioavailability and solubility, absorption capacity and distribution in the organism.The model outputs for a drug can be used in industry (for example, in calculating bioequivalence when designing generic drugs) or in the clinical application of pharmacokinetic concepts. Clinical pharmacokinetics provides many performance guidelines for effective and efficient use of drugs for human-health professionals and in veterinary medicine.
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