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Chapter 6

Pharmacokinetics: Drug Excretion and Clearance

Eliminierung von Medikamenten: Überblick
Eliminierung von Medikamenten: Überblick
When drugs enter the body, they eventually undergo irreversible elimination. Drug elimination primarily involves excretion and metabolism or ...
Eliminationskinetik: Erste Ordnung und Nullte Ordnung
Eliminationskinetik: Erste Ordnung und Nullte Ordnung
A drug that enters the body is eliminated in due course, primarily via the kidneys. Clearance is a pharmacokinetic parameter, relating a drug's ...
Ausscheidung von Arzneimitteln in der Niere: Überblick
Ausscheidung von Arzneimitteln in der Niere: Überblick
The kidneys are primary excretory organs, filtering waste products from the bloodstream and excreting them into urine. The kidneys efficiently eliminate ...
Arzneimittelausscheidung in der Niere: Glomeruläre Filtration
Arzneimittelausscheidung in der Niere: Glomeruläre Filtration
In kidneys, drugs enter the renal artery, pass through the afferent arterioles, and drain into the glomerular capillaries surrounded by the Bowman's ...
Arzneimittelausscheidung in der Niere: tubuläre Reabsorption
Arzneimittelausscheidung in der Niere: tubuläre Reabsorption
After glomerular filtration, substances in the tubular lumen transport back into the bloodstream via tubular reabsorption. Nutrients are actively ...
Nierenmedikamentenausscheidung: Tubuläre Sekretion
Nierenmedikamentenausscheidung: Tubuläre Sekretion
Blood exits glomeruli via efferent arterioles, reaching the capillary plexus surrounding the proximal tubule. Here, unfiltered drugs are secreted into the ...
Arzneimittelausscheidung in der Niere: Wirkung des pH-Werts des Urins, der Flussrate und des Arzneimittels p<em>k</em>a
Arzneimittelausscheidung in der Niere: Wirkung des pH-Werts des Urins, der Flussrate und des Arzneimittels pka
Urine pH and a drug's pKa determine its percentage ionization, which influences renal reabsorption and elimination. Urine pH depends on diet, drug ...
Ausscheidung von Lebermedikamenten: Enterohepatisches Radfahren
Ausscheidung von Lebermedikamenten: Enterohepatisches Radfahren
The hepatic biliary system expels drugs and metabolites via bile secretions. Hepatocytes lining bile canaliculi produce bile that contains water, ...
Ausscheidung von Medikamenten in der Leber: Einflussfaktoren
Ausscheidung von Medikamenten in der Leber: Einflussfaktoren
Bile, produced by hepatocytes, primarily comprises water, bile salts, and pigments. Membrane transporters in hepatocytes transfer the drug into bile. ...
Arzneimittelausscheidung: Lungen- und Drüsenwege
Arzneimittelausscheidung: Lungen- und Drüsenwege
Drugs are excreted through various unconventional routes, including the lungs, breast milk, and saliva. In the lungs, volatile drugs diffuse into the ...
Arzneimittelausscheidung: Verschiedene Wege
Arzneimittelausscheidung: Verschiedene Wege
Various bodily processes, including sweating, tears, and the digestive system, contribute to drug excretion. Nonionized lipophilic drugs passively diffuse ...
Drug Clearance: Übersicht
Drug Clearance: Übersicht
A drug that enters the body gets eliminated by the kidneys and liver through urine or bile, respectively. A pharmacokinetic parameter, drug clearance, ...
Clearance-Modelle: Physiologische Modelle
Clearance-Modelle: Physiologische Modelle
Drug clearance features irreversible drug removal from any organ in the body. Physiological models determine clearance through an individual organ, ...
Ausverkaufsmodelle: Fachmodelle
Ausverkaufsmodelle: Fachmodelle
Clearance directly measures drug elimination from the central compartment, which comprises plasma and highly perfused organs like kidneys and liver. ...
Abstandsmodelle: Modelle ohne Kompartiment
Abstandsmodelle: Modelle ohne Kompartiment
Typically, clearance describes the drug elimination from the body using compartment models. An alternative, the noncompartmental approach, estimates ...
Renal Drug Clearance: Überblick
Renal Drug Clearance: Überblick
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 ...
Renal Drug Clearance: Vergleich zwischen renalen Ausscheidungsmethoden
Renal Drug Clearance: Vergleich zwischen renalen Ausscheidungsmethoden
Renal clearance is the summation of kidney filtration, secretion, and reabsorption calculated by a specific equation. It is typically associated with the ...
Faktoren, die die renale Clearance beeinflussen: physikalisch-chemische Eigenschaften des Arzneimittels und Plasmaspiegel
Faktoren, die die renale Clearance beeinflussen: physikalisch-chemische Eigenschaften des Arzneimittels und Plasmaspiegel
Various factors impact a drug's renal clearance, including its physical-chemical properties and plasma levels. Molecular size, lipid solubility, and ...
Faktoren, die die renale Clearance beeinflussen: Arzneimittelverteilung und Arzneimittelwechselwirkungen
Faktoren, die die renale Clearance beeinflussen: Arzneimittelverteilung und Arzneimittelwechselwirkungen
Renal clearance, pivotal in drug elimination, can be affected by drug distribution and interactions. Drugs with a large distribution volume or bound to ...
Faktoren, die die renale Clearance beeinflussen: Nierenfunktionsstörung
Faktoren, die die renale Clearance beeinflussen: Nierenfunktionsstörung
Renal dysfunction significantly impairs renal drug clearance. Renal failure can be caused by various factors. Uremia, characterized by impaired glomerular ...
Nierenversagen: Dosisanpassungen
Nierenversagen: Dosisanpassungen
In patients with renal impairment, drugs exhibit altered pharmacokinetics. Reduced renal clearance and elimination rate result in prolonged elimination ...
Bestimmung der renalen Wirkstoffclearance: Grafische und Midpoint-Methoden
Bestimmung der renalen Wirkstoffclearance: Grafische und Midpoint-Methoden
Renal clearance can be determined using graphical and midpoint methods. In the graphical method, clearance can be calculated and obtained by plotting the ...
Hepatische Arzneimittelclearance: Restriktive und nicht-restriktive Clearance
Hepatische Arzneimittelclearance: Restriktive und nicht-restriktive Clearance
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 ...
Hepatische Wirkstoffclearance: Wirkung der Proteinbindung
Hepatische Wirkstoffclearance: Wirkung der Proteinbindung
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 ...
Hepatische Arzneimittelclearance: Die Rolle der Transporter
Hepatische Arzneimittelclearance: Die Rolle der Transporter
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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