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Pharmacokinetics and Pharmacodynamics

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8.7 : Parameters Affecting Nonlinear Elimination: Zero-Order Input, First-Order Absorption and Two-Compartment Model

Drugs administered through various routes can lead to nonlinear elimination, resulting in complex pharmacokinetic behaviors crucial to understanding efficacious drug dosing.

When a drug is administered through a constant intravenous infusion and eliminated via nonlinear pharmacokinetics, it follows zero-order input. For example, oral drugs undergo first-order absorption upon administration and are eliminated through nonlinear pharmacokinetics.

In the case of subcutaneously administered drugs, absorption from the dermis site into the blood gives rise to a two-compartment model featuring two distinct elimination processes. These processes encompass a saturable receptor-mediated elimination process in the bone marrow alongside a non-saturable elimination process through the kidneys.

Understanding the nuances of nonlinear drug elimination across different administration routes is essential for optimizing drug dosing regimens and ensuring therapeutic efficacy while minimizing the risk of adverse effects.

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