The journey of the drug
When
the drug is removed of the blister it begins a long journey to be completely
degraded. The drug is swallowed together with water and this serves to disperse
the granules compressed and solubilize them. Depending on the size of the
granules is the rate at which it dissolves. Finally when is completely
dissolved start a process very important and meaningful named absorption.
If the entire drug was solubilized and absorbed we obtain a 100% of the drug in
plasma but if it dissolved or absorbed least will exist fewer drug available in
plasma.
Now
we find with second process known as distribution. This process consists
on how the blood drug is distributed to the tissues to produce the
pharmacologic effect. Each drug has different properties that depend of her
molecular structure, for examples some drugs are soluble in water known as
hydrophilic drugs and also exists drugs are soluble in oil known as lipophilic
drugs. For that pharmacological effect occurs the drug need
interact with the cell receptor that is compatible. Therefore if we have an
obese person and consume a lipophilic drug, this drug will be distributed in
the fat (adipose tissue) and will be not distributed in the receptors tissues
of the drug. Thus for those obese people should be increasing the dose of the
drug, for increase the absorption and thus to increase percentage of drug
distributed to the tissues for to produce pharmacological effect.
Parallel
to this process occurs two more. Since the drug is distributed to the receptors
tissues also is distributed to the liver in which is metabolized process term metabolization,
however also is distributed to the kidneys in there occurs the last process
denominated elimination. The metabolization consists in how the enzymes
through of chemical reactions turn to the drugs in hydrophilic drugs for easy
excretion through the urine. Here comes the concept of half-life,
characteristic for each drug. The half-life is the time in which half of the
drug in the blood is degraded. Therefore drug with less half-life should
disappear en least time or vice versa. For example exists drugs that have a half-life
of 6 hours. The blood drug is degraded a 99% when has passed 5 to 7 half-life,
therefore if consume the previous drug (6 half-life) in 30 to 42 hour there
will be not blood drug.
Thus
the last process consist in the filtration the blood in which several
substances are extracted, drugs including, producing the urine. In this way the
journey of the drug terminates. All these processes are studied in detail by
health professionals (ADME), process known as pharmacokinetics that is defined
as what the body does to the drug.
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