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Psy 627 Pharmacokinetic Factors Determining Drug Action Notes

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Pharmacokinetic Factors Determining Drug Action notes for Psy 627. *Essential!! *For you!!

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  • August 23, 2024
  • 2
  • 2022/2023
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  • Prof. wilson
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anyiamgeorge19
1.2 Pharmacokinetic Factors Determining Drug Action

Route of administration

The drug (oral medication) is ingested via the mouth.

Absorption & distribution

The medication travels down the esophagus into the stomach, where acids break it down.

From there, the drug’s molecules are absorbed into the bloodstream that nourishes the intestinal

tract and stomach. An empty stomach will absorb the drug much faster than a full one will. Once

the drug enters the circulatory system, it passes through the liver on its way to the central

nervous system (CNS). As the drug goes through the liver, the liver metabolizes (inactivates) it,

effectively decreasing its potency (by roughly 25%) before it enters the CNS. This process is

known as the “First Pass Effect.” Selective barriers, including the blood brain barrier (BBB) and

placental barrier, limit the distribution of the drug into the CNS.

The BBB protects brain tissue and neurons from dangerous molecules that could disrupt

and dysregulate brain functioning. It selectively allows molecules (drugs and nutrients) to enter

the brain while removing waste via a network of capillaries (small blood vessels). The molecules

then selectively pass through the capillaries’ intracellular clefts (small gaps) and fenestrations

(larger openings). Pinocytotic vesicles (larger capillaries) envelope and transport the molecules

across the BBB and into the brain tissue itself. If the brain detects any toxic substances in the

bloodstream, it will trigger the area postrema (AP) in order to expel the toxic substances before

they are taken into circulation by the blood vessels and protect the organism (the individual

taking the drug). The activation of the AP induces vomiting.

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