ABSORPTION OF

 DRUGS




 SUBMITTED BY

                JASEEM.K

                1ST YEAR M-PHARM
TOPICS

   DEFINITION

   STRUCTURE OF GIT

   MECHANISM OF TRANSPORT

   FACTORS AFFECTING ABSORPTION
            -PHYSIO-CHEMICAL FACTORS
DEFINITION


   It is defined as the process of movement of
    unchanged drug from the site of
    administration to the systemic circulation.
   There always present a correlation between
    plasma concentration of a drug & the
    therapeutic response & thus, absorption can
    also be defined as the process of movement
    of unchanged drug from the site of
    administration to the site of measurement.
    i.e., plasma.
Absorption of drug
STRUCTURE OF CELL
          MEMBRANE
M ECHANISM OF DRUG
                                  ABSORPTION


1. Passive diffusion
2. Carrier- mediated transport:
           a) .Active diffusion
           b). Facilitated diffusion
3. Pore Transport
4. Ionic or Electrochemical diffusion
5. Ion-pair transport
6. Endocytosis
PASSIVE D IFFUSION

Characters
      common.
      Occurs along concentration
       gradient. Non selective
      Not saturable
      Requires no energy
      No carrier is needed
      Depends on lipid solubility.
      Depends on pka of drug - pH of
       medium.
Expressed by Fick’s first law of diffusion -
     “The drug molecules diffuse from a region of
     higher concentration to one of lower
     concentration until equilibrium is attained & the
     rate of diffusion is directly proportional to the
     concentration gradient across the membrane”.

                 dq/dt   =   D A Ko/w (Cgit – Cplm)/Vh




Sink condition

                  dQ/dt =P CGIT
Active Absorption


    Relatively unusual.
    Occurs against concentration
     gradient.
    Requires carrier and energy.
    Specific
    Saturable.
    Iron ,K , Na , Ca
    Uptake of levodopa by brain.
PASSIVE AND ACTIVE TRANSPORT
FACILITATAED DIFFUSION


   Occurs along the concentration gradient

   Require carriers

   Saturable

   Stucture specific

   No energy required

   Mixed order kinetics

   monosaccharides , amino acids , vitamins
Absorption of drug
P ORE T RANSPORT


   Also known as convective transport, bulk flow
    or filtration.

   Important in the absorption of low mol. Wt.
    (less than 100). Low molecular size (smaller
    than the diameter of the pore) & generally
    water-soluble drugs e.g. urea, water & sugars

   The driving force for the passage of the drugs
    is the hydrostatic or the osmotic pressure
    difference across the membrane.
Rate of absorption via pore Transport depends on
the number & size of the pores, & given as follows:

                      dc   =   N. R2. A . ∆C
                      dt          (η) (h)
where,
               dc = rate of the absorption.
               dt
               N = number of pores
               R = radius of pores
               ∆C = concentration gradient
               η = viscosity of fluid in the pores
I ONIC OR E LECTROCHEMICAL
           DIFFUSION


     Charge on membrane          influences   the
      permeation of drugs.

     Molecular forms of solutes are unaffected by
      the membrane charge & permeate faster
      than ionic forms.

     The permeation of anions & cations is also
      influenced by pH.
   Once inside the membrane, the cations are
    attached to negatively charged intracellular
    membrane, thus giving rise to an electrical
    gradient.
   If the same drug is moving from a higher to
    lower concentration, i.e., moving down the
    electrical gradient , the phenomenon is
    known as electrochemical diffusion
   Thus, at a given pH, the           rate   of
    permeation may be as follows:
              Unionized molecule > anions >
    cations
I ON     PAIR TRANSPORT

   It is another mechanism to explain the absorption
    of such drugs which ionize at all pH condition.

   Quaternary ammonium compounds, sulfonic acid

   Although they have low o/w partition coefficient
    values, they will penetrate the membrane by
    forming reversible neutral complexes with
    endogenous ions. e.g. mucin of GIT.

Such neutral complexes have both the required
lipophilicity as well as aqueous solubility for passive
diffusion.

This phenomenon is known as ion-pair transport.
E NDOCYTOSIS

   It involves engulfing extracellular materials
    within a segment of the cell membrane to
    form a saccule or a vesicle (hence also
    called as corpuscular or vesicular transport)
    which is then pinched off intracellularly

   Fats , starch , oil soluble vitamins

   Insulin

   Absorbed into lymphatic circulation –
    bypassing first pass hepatic metabolism
In endocytosis, there are two process



A)   Phagocytosis



B)   Pinocytosis
P INOCYTOSIS

   This process is important in the absorption of oil
    soluble vitamins & in the uptake of nutrients.
FACTORS AFFECTING DRUG ABSORPTION

                  • PHYSIOLOGICAL FACTOR
PATIENT RELATED
    FACTORS
                  • CLINICAL FACTOR




                  •Physico-chemical factors
PHARMACEUTICAL
    FACTORS
                  •Formulation factors
P HYSICO - CHEMICAL FACTORS


   Drug solubility and dissolution rate.
   Particle size & effective surface area.
   Polymorphism & amorphism.
   Pseudopolymorphism
   Salt form of the drug
   Lipophilicity of the drug
   pKa of the drug & Ph
   Drug stability
D RUG SOLUBILITY &
D ISSOLUTION RATE

   Rate determining process in the absorption of
    orally administered drugs are :-

    1.rate of dissolution

    2.rate of drug permeation through the
    biomembrane

Hydrophobic-RDS- Dissolution

 Eg:- griseofulvin , spiranolactone

Hydrophilic-RDS-permeation rate limited

 Eg: - cromolyn sodium or neomycin
P ARTICLE         SIZE      & EFFECTIVE
SURFACE AREA


   Particle s size and surface area of a solid drugs are
    inversely related to each other

   Smaller particle size-> greater surface area->rapid
    dissolution

   Micronization –grater surface area-rapid
    dissolution

        hydrophilic drugs-follows

                 Eg:-griseofulvin, spiranolactone
   Hydrophobic drugs-micronization-decrease
    in effective surface area-fall in dissolution
    rate
   Causes
   Adsorption of air to surafce
   Particle reaggregation
   Surface charge
    Eg:- aspirin , phenacetin
   In that case add-surfactants –tween 80

                   hydrophilic diluents-PEG ,PVP

                                        DEXTROSE
D) POLYMORPHISM AND AMORPHISM
POLYMORPHISM

When substance exists in
different crystalline
forms, it is polymorphism.




                Plot of Cp Vs Time for three formulations of
                Chloramphenicol Palmitate
AMORPHISM

   These drugs can exist with no internal
    crystal structure.
   Such drug represents the highest energy
    state and can be considered as super
    cooled liquids and thus have greater
    solubility. E.g. Novobiocin.
   Thus, the order of Dissolution & hence
    Absorption for different solid dosage
    forms is amorphous > meta-stable >
    stable.
F) SALT FORM OF THE DRUG

Salt of weak acid and weak
  bases have much higher
  aqueous solubility than the
  free acid or base.




Therefore, if the drug can be
  given as a salt, the
  solubility can be increased
  and the dissolution thus
  can be improved.              Fig 1. It shows the dissolution
                                Profile of various salts
D RUG P K A , LIPOPHILICITY & G I
                                       PH


   According to pH PARTITION THEORY, the process of
    absorption of drug compounds of molecular weight
    greater than 100 Daltons transported across the
    biomembrane by passive diffusion depend upon the
    following factor

        Dissociation constant of the drug i.e., pKa of the drug

        Lipid solubility of the unionized drug i.e., Ko/w

        pH at the absorption site

   The amount of drug that exist in unionized form is a
    function of dissociation constant(pKa) of the drug and pH
    of the fluid at the absorption site.
FOR WEAK ACIDS




FOR WEAK BASE
PREDICTION BASED ON THEORY


   FOR WEAK ACIDS
   1.very weak acids(pKa>8)– unionized at all ph—absorption is rapid—
    indipendantof GI ph
   Eg:-phenytoin , ethosuximide
   2.acids in the pKa range 2.5 to 7.5 largely affected by ph change—
    absorption ph dependant—better absorbed from acidic conditions
    of stomach (ph<pKa)where they largely exist in unionized form
   Eg:-aspirin , ibuprofen
   3.strong acids (pKa<2.5) ionized at entire ph range of GIT ---remain
    poorly absorbed
   Eg:-cromolyn sodium
For basic drugs
1.Very weak bases(pKa<5) unionized at all pH values ---
absorption is rapid and pH indipendant
Eg:-diazepam , nitrazepam

2.Bases in pKa range 5 to 11 is pH dependant –better
absorbed from the
Relatively alkaline conditions of the intestine
Eg:-chloroquine , imipramine

3. Strong bases (pKa>11) ionized at entire pH range –
poorly absorbed
Eg:-mecamylamine guanethidine
1)pH-partition Hypothesis
 Simplest principle:



    Unionised            Higher
     Drug:             Absorption


      Ionised            Low
       Drug:           Absorption
• Weak Acid pKa>8
  High         Pentobarbital & aspirin
             • Weak Base pKa<5
Absorption     (Theophylline, caffeine,
               codeine)




   Low       • Strong Acid(Disodium
               cromoglyate)
absorption   • Strong Base(Guanethidine)
LIPOPHILICITY


   Only unionized drug having sufficient lipid
    solubility is absorbed into systemic circulation.

   So drug should have sufficient aqueous solubility
    to dissolve in the fluids at the absorption site and
    lipid solubility high enough to facilitate the
    partitioning of the drug in lipoidal membrane
    and into systemic circulation.
D RUG STABILITY


   Two major stability problems are

     1.degradation of the drug into inactive form

       2.interaction with one or more component
    either of the dosage form or those present in the
    GIT to form a complex that is poorly soluble
REFERENCES

   Brahmankar            D.M;Jaiswal Sunil.B;
    “Biopharmaceutics and Pharmacokinetics–A
    Treatise, second edition 2009.

    A Mechanistic Approach to Understanding the
    Factors Affecting Drug Absorption: A Review of
    Fundamentals Marilyn N. Martinez, PhD, and
    Gordon L. Amidon

   overview of factors affecting oral drug
    absorption BY Nai –Ning Song, Shao u zhang
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Absorption of drug

  • 1. ABSORPTION OF DRUGS SUBMITTED BY JASEEM.K 1ST YEAR M-PHARM
  • 2. TOPICS  DEFINITION  STRUCTURE OF GIT  MECHANISM OF TRANSPORT  FACTORS AFFECTING ABSORPTION  -PHYSIO-CHEMICAL FACTORS
  • 3. DEFINITION  It is defined as the process of movement of unchanged drug from the site of administration to the systemic circulation.  There always present a correlation between plasma concentration of a drug & the therapeutic response & thus, absorption can also be defined as the process of movement of unchanged drug from the site of administration to the site of measurement. i.e., plasma.
  • 5. STRUCTURE OF CELL MEMBRANE
  • 6. M ECHANISM OF DRUG ABSORPTION 1. Passive diffusion 2. Carrier- mediated transport: a) .Active diffusion b). Facilitated diffusion 3. Pore Transport 4. Ionic or Electrochemical diffusion 5. Ion-pair transport 6. Endocytosis
  • 7. PASSIVE D IFFUSION Characters  common.  Occurs along concentration gradient. Non selective  Not saturable  Requires no energy  No carrier is needed  Depends on lipid solubility.  Depends on pka of drug - pH of medium.
  • 8. Expressed by Fick’s first law of diffusion - “The drug molecules diffuse from a region of higher concentration to one of lower concentration until equilibrium is attained & the rate of diffusion is directly proportional to the concentration gradient across the membrane”. dq/dt = D A Ko/w (Cgit – Cplm)/Vh Sink condition dQ/dt =P CGIT
  • 9. Active Absorption  Relatively unusual.  Occurs against concentration gradient.  Requires carrier and energy.  Specific  Saturable.  Iron ,K , Na , Ca  Uptake of levodopa by brain.
  • 10. PASSIVE AND ACTIVE TRANSPORT
  • 11. FACILITATAED DIFFUSION  Occurs along the concentration gradient  Require carriers  Saturable  Stucture specific  No energy required  Mixed order kinetics  monosaccharides , amino acids , vitamins
  • 13. P ORE T RANSPORT  Also known as convective transport, bulk flow or filtration.  Important in the absorption of low mol. Wt. (less than 100). Low molecular size (smaller than the diameter of the pore) & generally water-soluble drugs e.g. urea, water & sugars  The driving force for the passage of the drugs is the hydrostatic or the osmotic pressure difference across the membrane.
  • 14. Rate of absorption via pore Transport depends on the number & size of the pores, & given as follows: dc = N. R2. A . ∆C dt (η) (h) where, dc = rate of the absorption. dt N = number of pores R = radius of pores ∆C = concentration gradient η = viscosity of fluid in the pores
  • 15. I ONIC OR E LECTROCHEMICAL DIFFUSION  Charge on membrane influences the permeation of drugs.  Molecular forms of solutes are unaffected by the membrane charge & permeate faster than ionic forms.  The permeation of anions & cations is also influenced by pH.
  • 16. Once inside the membrane, the cations are attached to negatively charged intracellular membrane, thus giving rise to an electrical gradient.  If the same drug is moving from a higher to lower concentration, i.e., moving down the electrical gradient , the phenomenon is known as electrochemical diffusion  Thus, at a given pH, the rate of permeation may be as follows: Unionized molecule > anions > cations
  • 17. I ON PAIR TRANSPORT  It is another mechanism to explain the absorption of such drugs which ionize at all pH condition.  Quaternary ammonium compounds, sulfonic acid  Although they have low o/w partition coefficient values, they will penetrate the membrane by forming reversible neutral complexes with endogenous ions. e.g. mucin of GIT. Such neutral complexes have both the required lipophilicity as well as aqueous solubility for passive diffusion. This phenomenon is known as ion-pair transport.
  • 18. E NDOCYTOSIS  It involves engulfing extracellular materials within a segment of the cell membrane to form a saccule or a vesicle (hence also called as corpuscular or vesicular transport) which is then pinched off intracellularly  Fats , starch , oil soluble vitamins  Insulin  Absorbed into lymphatic circulation – bypassing first pass hepatic metabolism
  • 19. In endocytosis, there are two process A) Phagocytosis B) Pinocytosis
  • 20. P INOCYTOSIS  This process is important in the absorption of oil soluble vitamins & in the uptake of nutrients.
  • 21. FACTORS AFFECTING DRUG ABSORPTION • PHYSIOLOGICAL FACTOR PATIENT RELATED FACTORS • CLINICAL FACTOR •Physico-chemical factors PHARMACEUTICAL FACTORS •Formulation factors
  • 22. P HYSICO - CHEMICAL FACTORS  Drug solubility and dissolution rate.  Particle size & effective surface area.  Polymorphism & amorphism.  Pseudopolymorphism  Salt form of the drug  Lipophilicity of the drug  pKa of the drug & Ph  Drug stability
  • 23. D RUG SOLUBILITY & D ISSOLUTION RATE  Rate determining process in the absorption of orally administered drugs are :- 1.rate of dissolution 2.rate of drug permeation through the biomembrane Hydrophobic-RDS- Dissolution Eg:- griseofulvin , spiranolactone Hydrophilic-RDS-permeation rate limited Eg: - cromolyn sodium or neomycin
  • 24. P ARTICLE SIZE & EFFECTIVE SURFACE AREA  Particle s size and surface area of a solid drugs are inversely related to each other  Smaller particle size-> greater surface area->rapid dissolution  Micronization –grater surface area-rapid dissolution hydrophilic drugs-follows  Eg:-griseofulvin, spiranolactone
  • 25. Hydrophobic drugs-micronization-decrease in effective surface area-fall in dissolution rate  Causes  Adsorption of air to surafce  Particle reaggregation  Surface charge  Eg:- aspirin , phenacetin  In that case add-surfactants –tween 80  hydrophilic diluents-PEG ,PVP  DEXTROSE
  • 26. D) POLYMORPHISM AND AMORPHISM POLYMORPHISM When substance exists in different crystalline forms, it is polymorphism. Plot of Cp Vs Time for three formulations of Chloramphenicol Palmitate
  • 27. AMORPHISM  These drugs can exist with no internal crystal structure.  Such drug represents the highest energy state and can be considered as super cooled liquids and thus have greater solubility. E.g. Novobiocin.  Thus, the order of Dissolution & hence Absorption for different solid dosage forms is amorphous > meta-stable > stable.
  • 28. F) SALT FORM OF THE DRUG Salt of weak acid and weak bases have much higher aqueous solubility than the free acid or base. Therefore, if the drug can be given as a salt, the solubility can be increased and the dissolution thus can be improved. Fig 1. It shows the dissolution Profile of various salts
  • 29. D RUG P K A , LIPOPHILICITY & G I PH  According to pH PARTITION THEORY, the process of absorption of drug compounds of molecular weight greater than 100 Daltons transported across the biomembrane by passive diffusion depend upon the following factor  Dissociation constant of the drug i.e., pKa of the drug  Lipid solubility of the unionized drug i.e., Ko/w  pH at the absorption site  The amount of drug that exist in unionized form is a function of dissociation constant(pKa) of the drug and pH of the fluid at the absorption site.
  • 30. FOR WEAK ACIDS FOR WEAK BASE
  • 31. PREDICTION BASED ON THEORY  FOR WEAK ACIDS  1.very weak acids(pKa>8)– unionized at all ph—absorption is rapid— indipendantof GI ph  Eg:-phenytoin , ethosuximide  2.acids in the pKa range 2.5 to 7.5 largely affected by ph change— absorption ph dependant—better absorbed from acidic conditions of stomach (ph<pKa)where they largely exist in unionized form  Eg:-aspirin , ibuprofen  3.strong acids (pKa<2.5) ionized at entire ph range of GIT ---remain poorly absorbed  Eg:-cromolyn sodium
  • 32. For basic drugs 1.Very weak bases(pKa<5) unionized at all pH values --- absorption is rapid and pH indipendant Eg:-diazepam , nitrazepam 2.Bases in pKa range 5 to 11 is pH dependant –better absorbed from the Relatively alkaline conditions of the intestine Eg:-chloroquine , imipramine 3. Strong bases (pKa>11) ionized at entire pH range – poorly absorbed Eg:-mecamylamine guanethidine
  • 33. 1)pH-partition Hypothesis Simplest principle: Unionised Higher Drug: Absorption Ionised Low Drug: Absorption
  • 34. • Weak Acid pKa>8 High Pentobarbital & aspirin • Weak Base pKa<5 Absorption (Theophylline, caffeine, codeine) Low • Strong Acid(Disodium cromoglyate) absorption • Strong Base(Guanethidine)
  • 35. LIPOPHILICITY  Only unionized drug having sufficient lipid solubility is absorbed into systemic circulation.  So drug should have sufficient aqueous solubility to dissolve in the fluids at the absorption site and lipid solubility high enough to facilitate the partitioning of the drug in lipoidal membrane and into systemic circulation.
  • 36. D RUG STABILITY  Two major stability problems are  1.degradation of the drug into inactive form  2.interaction with one or more component either of the dosage form or those present in the GIT to form a complex that is poorly soluble
  • 37. REFERENCES  Brahmankar D.M;Jaiswal Sunil.B; “Biopharmaceutics and Pharmacokinetics–A Treatise, second edition 2009.  A Mechanistic Approach to Understanding the Factors Affecting Drug Absorption: A Review of Fundamentals Marilyn N. Martinez, PhD, and Gordon L. Amidon  overview of factors affecting oral drug absorption BY Nai –Ning Song, Shao u zhang

Editor's Notes