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Chapter 6

Pharmacokinetics: Drug Excretion and Clearance

药物消除:概述
药物消除:概述
When drugs enter the body, they eventually undergo irreversible elimination. Drug elimination primarily involves excretion and metabolism or ...
消除动力学:一阶和零阶
消除动力学:一阶和零阶
A drug that enters the body is eliminated in due course, primarily via the kidneys. Clearance is a pharmacokinetic parameter, relating a drug's ...
肾脏药物排泄:概述
肾脏药物排泄:概述
The kidneys are primary excretory organs, filtering waste products from the bloodstream and excreting them into urine. The kidneys efficiently eliminate ...
肾脏药物排泄:肾小球滤过
肾脏药物排泄:肾小球滤过
In kidneys, drugs enter the renal artery, pass through the afferent arterioles, and drain into the glomerular capillaries surrounded by the Bowman's ...
肾脏药物排泄:肾小管重吸收
肾脏药物排泄:肾小管重吸收
After glomerular filtration, substances in the tubular lumen transport back into the bloodstream via tubular reabsorption. Nutrients are actively ...
肾脏药物排泄:肾小管分泌
肾脏药物排泄:肾小管分泌
Blood exits glomeruli via efferent arterioles, reaching the capillary plexus surrounding the proximal tubule. Here, unfiltered drugs are secreted into the ...
肾脏药物排泄:尿 pH 值、流速和药物 p<em>k</em>a 的影响
肾脏药物排泄:尿 pH 值、流速和药物 pka 的影响
Urine pH and a drug's pKa determine its percentage ionization, which influences renal reabsorption and elimination. Urine pH depends on diet, drug ...
肝脏药物排泄:肠肝循环
肝脏药物排泄:肠肝循环
The hepatic biliary system expels drugs and metabolites via bile secretions. Hepatocytes lining bile canaliculi produce bile that contains water, ...
肝脏药物排泄:影响因素
肝脏药物排泄:影响因素
Bile, produced by hepatocytes, primarily comprises water, bile salts, and pigments. Membrane transporters in hepatocytes transfer the drug into bile. ...
药物排泄:肺和腺体途径
药物排泄:肺和腺体途径
Drugs are excreted through various unconventional routes, including the lungs, breast milk, and saliva. In the lungs, volatile drugs diffuse into the ...
药物排泄:其他途径
药物排泄:其他途径
Various bodily processes, including sweating, tears, and the digestive system, contribute to drug excretion. Nonionized lipophilic drugs passively diffuse ...
药物清除:概述
药物清除:概述
A drug that enters the body gets eliminated by the kidneys and liver through urine or bile, respectively. A pharmacokinetic parameter, drug clearance, ...
清除模型:生理模型
清除模型:生理模型
Drug clearance features irreversible drug removal from any organ in the body. Physiological models determine clearance through an individual organ, ...
间隙模型: 隔间模型
间隙模型: 隔间模型
Clearance directly measures drug elimination from the central compartment, which comprises plasma and highly perfused organs like kidneys and liver. ...
间隙模型: 非房室模型
间隙模型: 非房室模型
Typically, clearance describes the drug elimination from the body using compartment models. An alternative, the noncompartmental approach, estimates ...
肾脏药物清除率:概述
肾脏药物清除率:概述
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 ...
肾脏药物清除率:肾脏排泄方法之间的比较
肾脏药物清除率:肾脏排泄方法之间的比较
Renal clearance is the summation of kidney filtration, secretion, and reabsorption calculated by a specific equation. It is typically associated with the ...
影响肾脏清除率的因素:药物的理化性质和血浆水平
影响肾脏清除率的因素:药物的理化性质和血浆水平
Various factors impact a drug's renal clearance, including its physical-chemical properties and plasma levels. Molecular size, lipid solubility, and ...
影响肾清除率的因素:药物分布和药物相互作用
影响肾清除率的因素:药物分布和药物相互作用
Renal clearance, pivotal in drug elimination, can be affected by drug distribution and interactions. Drugs with a large distribution volume or bound to ...
影响肾清除率的因素:肾功能损害
影响肾清除率的因素:肾功能损害
Renal dysfunction significantly impairs renal drug clearance. Renal failure can be caused by various factors. Uremia, characterized by impaired glomerular ...
肾功能衰竭:剂量调整
肾功能衰竭:剂量调整
In patients with renal impairment, drugs exhibit altered pharmacokinetics. Reduced renal clearance and elimination rate result in prolonged elimination ...
肾脏药物清除率的测定:图形法和中点法
肾脏药物清除率的测定:图形法和中点法
Renal clearance can be determined using graphical and midpoint methods. In the graphical method, clearance can be calculated and obtained by plotting the ...
肝脏药物清除:限制性和非限制性清除
肝脏药物清除:限制性和非限制性清除
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 ...
肝脏药物清除率:蛋白质结合的影响
肝脏药物清除率:蛋白质结合的影响
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 ...
肝脏药物清除:转运蛋白的作用
肝脏药物清除:转运蛋白的作用
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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