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Chapter 6

Pharmacokinetics: Drug Excretion and Clearance

薬物撲滅:概要
薬物撲滅:概要
When drugs enter the body, they eventually undergo irreversible elimination. Drug elimination primarily involves excretion and metabolism or ...
消去法の動力学: 1 次と 0 次
消去法の動力学: 1 次と 0 次
A drug that enters the body is eliminated in due course, primarily via the kidneys. Clearance is a pharmacokinetic parameter, relating a drug's ...
腎薬物排泄:概要
腎薬物排泄:概要
The kidneys are primary excretory organs, filtering waste products from the bloodstream and excreting them into urine. The kidneys efficiently eliminate ...
腎薬物排泄:糸球体濾過
腎薬物排泄:糸球体濾過
In kidneys, drugs enter the renal artery, pass through the afferent arterioles, and drain into the glomerular capillaries surrounded by the Bowman's ...
腎薬物排泄:尿細管再吸収
腎薬物排泄:尿細管再吸収
After glomerular filtration, substances in the tubular lumen transport back into the bloodstream via tubular reabsorption. Nutrients are actively ...
腎薬物排泄:尿細管分泌
腎薬物排泄:尿細管分泌
Blood exits glomeruli via efferent arterioles, reaching the capillary plexus surrounding the proximal tubule. Here, unfiltered drugs are secreted into the ...
腎薬物排泄:尿中pH、流量、薬物<em>p.K.A</em>の影響
腎薬物排泄:尿中pH、流量、薬物p.K.Aの影響
Urine pH and a drug's pKa determine its percentage ionization, which influences renal reabsorption and elimination. Urine pH depends on diet, drug ...
肝薬物排泄:腸内循環
肝薬物排泄:腸内循環
The hepatic biliary system expels drugs and metabolites via bile secretions. Hepatocytes lining bile canaliculi produce bile that contains water, ...
肝臓の薬物排泄:影響因子
肝臓の薬物排泄:影響因子
Bile, produced by hepatocytes, primarily comprises water, bile salts, and pigments. Membrane transporters in hepatocytes transfer the drug into bile. ...
薬物排泄:肺および腺経路
薬物排泄:肺および腺経路
Drugs are excreted through various unconventional routes, including the lungs, breast milk, and saliva. In the lungs, volatile drugs diffuse into the ...
薬物排泄:その他のルート
薬物排泄:その他のルート
Various bodily processes, including sweating, tears, and the digestive system, contribute to drug excretion. Nonionized lipophilic drugs passively diffuse ...
薬物クリアランス:概要
薬物クリアランス:概要
A drug that enters the body gets eliminated by the kidneys and liver through urine or bile, respectively. A pharmacokinetic parameter, drug clearance, ...
クリアランスモデル:生理学的モデル
クリアランスモデル:生理学的モデル
Drug clearance features irreversible drug removal from any organ in the body. Physiological models determine clearance through an individual organ, ...
クリアランスモデル:コンパートメントモデル
クリアランスモデル:コンパートメントモデル
Clearance directly measures drug elimination from the central compartment, which comprises plasma and highly perfused organs like kidneys and liver. ...
クリアランスモデル:非コンパートメントモデル
クリアランスモデル:非コンパートメントモデル
Typically, clearance describes the drug elimination from the body using compartment models. An alternative, the noncompartmental approach, estimates ...
腎臓の薬物クリアランス:概要
腎臓の薬物クリアランス:概要
Renal clearance is defined as a constant fraction of the central volume of distribution containing the drug excreted by the kidney per unit of time. It is ...
腎臓の薬物クリアランス:腎排泄方法の比較
腎臓の薬物クリアランス:腎排泄方法の比較
Renal clearance is the summation of kidney filtration, secretion, and reabsorption calculated by a specific equation. It is typically associated with the ...
腎クリアランスに影響を与える要因:薬物の物理化学的特性と血漿レベル
腎クリアランスに影響を与える要因:薬物の物理化学的特性と血漿レベル
Various factors impact a drug's renal clearance, including its physical-chemical properties and plasma levels. Molecular size, lipid solubility, and ...
腎クリアランスに影響を与える要因:薬物分布と薬物相互作用
腎クリアランスに影響を与える要因:薬物分布と薬物相互作用
Renal clearance, pivotal in drug elimination, can be affected by drug distribution and interactions. Drugs with a large distribution volume or bound to ...
腎クリアランスに影響を与える要因:腎障害。
腎クリアランスに影響を与える要因:腎障害。
Renal dysfunction significantly impairs renal drug clearance. Renal failure can be caused by various factors. Uremia, characterized by impaired glomerular ...
腎不全:用量調整。
腎不全:用量調整。
In patients with renal impairment, drugs exhibit altered pharmacokinetics. Reduced renal clearance and elimination rate result in prolonged elimination ...
腎臓薬物クリアランスの決定:グラフィカルおよびミッドポイント法
腎臓薬物クリアランスの決定:グラフィカルおよびミッドポイント法
Renal clearance can be determined using graphical and midpoint methods. In the graphical method, clearance can be calculated and obtained by plotting the ...
肝臓の薬物クリアランス:制限的および非制限的なクリアランス
肝臓の薬物クリアランス:制限的および非制限的なクリアランス
Hepatic clearance is the volume of blood cleared of a drug by the liver per unit of time. It equals total body clearance minus renal clearance. Most ...
肝薬物クリアランス:タンパク質結合の影響
肝薬物クリアランス:タンパク質結合の影響
Hepatic clearance can be affected by protein binding based on the extraction ratio of the drug. Drugs with high extraction ratios are flow-limited and ...
肝薬物クリアランス:トランスポーターの役割
肝薬物クリアランス:トランスポーターの役割
In the liver's bile canaliculi, modification of influx and efflux transporters can influence intrinsic clearance. Transporters play a major role in ...
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