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.