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Absorption Affected by: 1. Physiological factors route of administration drug distribution 2. Drug chemical physical properties dissolution rate (solids) hydrophilicity/hydrophobicity B. Amsden CHEE 440 Pathways of Oral Absorption Two main mechanisms of transport across the gastrointestinal membrane: 1. 2. Transcellular diffusion Paracellular diffusion B. Amsden CHEE 440 Transcellular Diffusion The transcellular pathway is composed of 3 mechanisms: passive diffusion, carrier-mediated transport, endocytosis Passive diffusion dm AK o / w DA,BCd C r dt x B. Amsden CHEE 440 Partition coefficient, Ko/w for absorption into cell, drug must pass through lipid cell membrane consider two immiscible phases (oil and water) and a drug which is soluble in both (ex. cyclosporine), at equilibrium. oil water a c, o cons tan t a c ,w ideal and ideally dilute solutions : drug oil K o/ w drug wat er B. Amsden CHEE 440 Clinical Significance of Ko/w prediction of absorption of drugs through various tissues absorption of acidic drugs from colon log %abs 0.156pKa 6.8 0.366 log K o/ w 0.755 absorption of basic drugs from small intestine log %abs 0.131log K o/ w 0.362log Ko / w 2 B. Amsden CHEE 440 Partition Coefficient and Absorption Optimum Ko/w B. Amsden CHEE 440 Carrier-Mediated Transport Active transport B. Amsden CHEE 440 Drug Solubility Solubility: the extent to which a drug dissolves under a given set of conditions of solvent and temperature significance drugs must be in solution before they can be absorbed drugs of low aqueous solubility present formulation problems saturation concentration, Csat limit of solubility of a solute in a solvent at a given T B. Amsden CHEE 440 Dissolution Rate important for tablets, capsules, suspensions slow dissolution rate = low bioavailability consider a solid particle in water stagnant water layer Csat C = Cb Noyes-Whitney Eqn B. Amsden dm DAC sat kAC sat dt h CHEE 440 Dissolution Rate But, surface area changes with time; for spherical particles: kCsat t r ro r = radius at time t ro= initial radius = density for N particles: M o M t 1 B. Amsden 3 1 3 M = mass of particles = cube-root dissolution constant CHEE 440 Factors influencing Csat crystal structure: polymorphism, hydrates pH salt form common ion effect co-solvents B. Amsden CHEE 440 Process of Dissolution crystal solid + solvent + dissolved solute B. Amsden CHEE 440 Crystalline Solids Have a regular, ordered structure composed of identical repeating units - unit cell • ex. cubic, rhombic, tetragonal Have distinct melting pts (Tf). Strength of bonds between atoms, molecules determines : geometry of unit cell Tf, Hf Hf Tf T ln X2 R Tf T B. Amsden CHEE 440 Crystalline Solids Electrostatic, Covalent Bonds ex. NaCl, graphite (C4) strong bonds - cubic unit cell hi Tf, hi Hf (eg. Tf= 801°C for NaCl) stable structure hard, brittle B. Amsden CHEE 440 Crystalline Solids Van der Waals, H-bonds ex. organic compounds weak bonds low Tf, low Hf (e.g. Tf = 238°C for caffeine) soft materials metastable structures B. Amsden CHEE 440 Polymorphism molecule can crystallize into more than one crystal structure metastable form transforms to stable form over time • usually nonreversible process monotropic polymorphism many polymorphic forms possible • progesterone - 2 • nicotinamide - 4 dissolution rate changes with polymorphic form B. Amsden CHEE 440 Amorphism no crystal structure no distinct Tf supercooled liquids - subdued molecular motion flow under an applied pressure generally easier to dissolve B. Amsden CHEE 440 Crystal Hydrates solvent trapped when compound crystallizes - solvates solvent is water - hydrates no water - anhydrate solvent-compound interactions H2O further stabilizes lattice - polymorphic solvates H2O occupies void spaces - pseudopolymorphic solvates B. Amsden CHEE 440 Crystal Hydrates anhydrate has higher Tf, generally dissolves faster B. Amsden CHEE 440 Crystal Hydrates Significance incorporation of H2O affects bioabsorption rate and bioactivity B. Amsden CHEE 440 pH and drug solubility weakly acidic drug pHp the pH below which the drug precipitates from solution S So pHp pKa log So weakly basic drug pHp the pH above which the drug precipitates from solution So pHp pKw pK b log S So B. Amsden CHEE 440 Drug Salt Form salt solubility depends on nature of counter-ion B. Amsden CHEE 440 Slightly Soluble Electrolytes ex. Al(OH)3, Ca2CO3, ZnO, drug salts AgCl(s) Ag+(L) + Cl-(L) Ksp = [Ag+] [Cl-] = 1.25(10-10) at 25°C Al(OH)3 Al3+(L) + 3OH-(L) Ksp = [Al3+] [OH-]3 = 7.7(10-13) at 25°C beware of common ion effect (salting-out) B. Amsden CHEE 440 Other solubility issues Cosolvents solvents which, when combined, increase the solubility of a given compound • ex. phenobarbital in water has a solubility of 0.1g/100 ml, in alcohol 1 g in 10 ml, and in 20% alcohol/water 0.3 g/100 ml Combined effect of pH and cosolvent adding alcohol to buffered solution of weak electrolyte increases solubility of undissociated form decreases pHp for a weakly acidic drug B. Amsden CHEE 440 pH and Ko/w Dissociated portion of drug does not dissolve in oil phase. Partition coefficient HA o K o/ w HA w Apparent partition coefficient HAo K app HA w A w B. Amsden CHEE 440 pH and Ko/w As pH changes, [HA]w changes: weak acid : weak base : B. Amsden 1 log K log K app log 1 10pH pK a 1 log K log K app log 1 10pKa pH CHEE 440 Summary Absorption of drug is influenced by combination of permeability and solubility Implications of Low Drug Permeability incomplete absorption rapid, complete dissolution needed release may need to be modified increase exposure to an absorption window possible retarded release if a saturable transport phenomenon exists Implications of Low Drug Solubility • poor absorption • may need co-solvent or penetration enhancer B. Amsden CHEE 440