Abstract
The ratio of metabolite to parent drug concentration (Cm/Cp)of a medium or high extraction ratio (E>0.1)drug administered intravenously has been shown to depend on intrinsic clearance of drug by other metabolic routes (CLr,int)as well as on organ blood flow (Q).In contrast, for a low extraction ratio drug given intravenously or for any drug given by a portal route, this ratio is equal to the ratio of formation clearance (CLf,int)and metabolite clearance (CLm,int).The sensitivity of Cm/Cpto changes in CLr,int and CLf,int has been analyzed quantitatively. It was shown to be dependent on the fraction metabolized to that particular metabolite (fm).
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Supported in part by National Institutes of Health National Research Service Awards GM07348 and GM-07750 from the National Institute of General Medical Sciences and NINCDS Research Grant NS-04053 and NINCDS Research Contract NO l-NS-1-2282.
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Lane, E.A., Levy, R.H. Metabolite to parent drug concentration ratio as a function of parent drug extraction ratio: Cases of nonportal route of administration. Journal of Pharmacokinetics and Biopharmaceutics 9, 489–496 (1981). https://doi.org/10.1007/BF01060891
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DOI: https://doi.org/10.1007/BF01060891