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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pharmaceutical research 5 (1988), S. 76-79 
    ISSN: 1573-904X
    Keywords: chiral drugs ; enantiomeric inversion ; first-pass metabolism ; nonsteroidal antiinflammatory drugs ; ibuprofen
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Notes: Abstract Equations describing plasma concentration–time courses of the individual enantiomers of chiral 2-arylpropionic acid nonsteroidal antiinflammatory drugs were derived from a general model. The model assumes first-order absorption and elimination of the enantiomers with presystemic and/or systemic R-to-S enantiomeric inversion. Utilizing reported pharmacokinetic parameters, plasma concentrations of the enantiomers of ibuprofen (IB) were simulated. In the case of presystemic inversion, S:R plasma concentration ratios remained constant after an initial rise; the ratio progressively increased with time, however, when systemic inversion was assumed. Under the assumption of simultaneous systemic and presystemic inversion, the increase in the ratio in the postabsorptive phase was preceded by a steeper increase during absorption. Furthermore, it was shown that purturbation of IB absorption from the gastrointestinal tract may serve as an important discriminative measure for identification of the inversion site. For systemic and presystemic inversions, negative and positive sigmoidal relationships, respectively, were observed between the S:R concentration ratio 5 hr after drug administration and the time to reach the maximum plasma concentration. The applicability of the model to previously reported IB data is discussed.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1573-904X
    Keywords: apparent systemic clearance ; organ clearance ; pulmonary clearance ; hepatic clearance ; arteriovenous concentration gradient ; first-pass metabolism
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Notes: Abstract The relationships between apparent total-body clearance (CL) and individual organ clearances were mathematically defined with respect to the site of drug administration and measurement. The derived equations can be applied to drugs undergoing different pathways of elimination, including pulmonary clearance. A physiological pharmacokinetic model was used to test the validity of the equations. The apparent systemic clearance values obtained through the equations, using the individual organ clearance values, were identical to those calculated utilizing the model-generated data, indicating the validity of the equations. Furthermore, it was shown that the conventional estimation of CL of drugs subject to pulmonary clearance is highly dependent upon the site of drug administration and measurement. The relationships were further utilized to explain the reported CL values which are higher than the cardiac output. The equations developed here may be used to predict the contribution of different organs, such as the lungs, to the apparent systemic clearance of drugs.
    Type of Medium: Electronic Resource
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