CNS Pharmacology: Alcohol Metabolism and Disulfiram Therapy

Introduction/Overview Alcohol consumption remains a significant public health concern worldwide, contributing to a wide spectrum of medical, social, and economic burdens. Within the central nervous system (CNS), ethanol exerts complex pharmacodynamic effects that encompass modulation of neurotransmitter systems, neuronal excitability, and synaptic plasticity. The metabolism of ethanol, predominantly in hepatic tissue, dictates both the duration…

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Pharmacokinetics: Steady-State Concentration, Loading Dose, and Maintenance Dose Calculations

Introduction Definition and Overview Pharmacokinetics is concerned with the movement of drugs through the body, encompassing absorption, distribution, metabolism, and excretion (ADME). Within this framework, steady-state concentration, loading dose, and maintenance dose calculations constitute essential tools for achieving therapeutic drug levels while minimizing toxicity. Steady-state concentration refers to the equilibrium reached when the rate of…

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Pharmacokinetics: Renal Clearance, Elimination Kinetics, and Half‑Life

Introduction Definition and Overview Pharmacokinetics describes the movement of drugs within the body, encompassing absorption, distribution, metabolism, and excretion (ADME). In particular, renal clearance, elimination kinetics, and half‑life constitute core components that determine how long a drug remains effective and at what concentration it exerts therapeutic or adverse effects. Renal clearance refers to the volume…

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Pharmacokinetics: Enzyme Induction and Inhibition Interactions

Introduction Definition and Overview Enzyme induction and inhibition refer to the modulation of drug-metabolizing enzymes, most notably those of the cytochrome P450 (CYP) superfamily, by exogenous or endogenous agents. Induction enhances enzyme expression or activity, accelerating drug clearance, whereas inhibition reduces enzyme function, prolonging systemic exposure. These interactions are pivotal in determining the pharmacokinetic profile…

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Pharmacokinetics: Phase I and Phase II Biotransformation Reactions

Introduction Biotransformation refers to the enzymatic modification of xenobiotics within the body to enhance solubility and facilitate excretion. Two sequential stages, traditionally termed Phase I and Phase II reactions, constitute the core of drug metabolism. Phase I reactions typically introduce or expose functional groups through oxidation, reduction, or hydrolysis, whereas Phase II reactions conjugate these functional groups with endogenous…

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Pharmacokinetics: Bioavailability, First-Pass Metabolism, and Extraction Ratio

Introduction Definition and Overview Pharmacokinetics encompasses the quantitative description of drug absorption, distribution, metabolism, and excretion (ADME). Within this field, bioavailability, first-pass metabolism, and extraction ratio constitute pivotal concepts that influence the systemic availability of therapeutic agents following non‑intravenous administration. Bioavailability refers to the fraction of an administered dose that reaches the systemic circulation unchanged,…

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Pharmacokinetics: Factors affecting drug absorption and pH partitioning theory

Introduction Drug absorption represents the first and often most critical step in the journey from administration to therapeutic effect. It encompasses the processes by which a pharmaceutical compound traverses biological barriers, enters systemic circulation, and becomes available for interaction with target tissues. In the context of pharmacokinetics, absorption is frequently described by the equation F…

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Pharmacokinetics: Routes of Drug Administration

Introduction Definition and Overview Routes of drug administration refer to the anatomical or physiological pathways by which a therapeutic agent is delivered into the body to achieve its intended pharmacological effect. The selection of a specific route influences the rate and extent of drug absorption, distribution, metabolism, and elimination, thereby shaping the overall pharmacokinetic profile….

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Pharmacokinetics: Membrane Transport Mechanisms of Drugs

Introduction Definition and Overview Membrane transport refers to the regulated movement of molecules across biological membranes, a fundamental determinant of drug disposition. This process governs absorption into the bloodstream, distribution to tissues, and elimination via renal or biliary routes. Membrane transport mechanisms encompass passive diffusion, facilitated diffusion, active transport, and efflux processes, each contributing distinct…

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