What is Pharmacokinetics?
Pharmacokinetics is the branch of pharmacology that describes what the body does to a drug over time. It focuses on how a drug is absorbed, distributed, metabolized, and eliminated, commonly summarized as ADME.
Absorption
- How a drug enters the bloodstream
- Influenced by route of administration (oral, intravenous (IV), intramuscular (IM), etc.), drug formulation, and patient factors
- Determines bioavailability (fraction of drug that reaches systemic circulation)
Distribution
- How the drug spreads throughout body tissues and fluids
- Affected by blood flow, tissue binding, plasma protein binding, and lipid solubility
- Described by volume of distribution (Vd)
Metabolism
- Chemical modification of the drug, mainly in the liver
- Often involves cytochrome P450 enzymes
- Can activate prodrugs or inactivate active drugs
Elimination
- Removal of the drug from the body
- Primarily via kidneys (urine), but also bile, feces, lungs, and sweat
- Determines clearance and half-life
Key Pharmacokinetic Parameters
- Half-life (t½): Time for plasma drug concentration to reduce by half
- Clearance (Cl): Volume of plasma cleared of drug per unit time
- Steady state: Point where drug intake equals elimination
- Bioavailability (F): Fraction of administered dose reaching circulation
In short, pharmacokinetics explains drug concentration changes over time, helping determine dosing, frequency, and route of administration.