Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
ESTIMATING PHARMACOKINETIC
PARAMETERS
By
B. Thilakchandra
M.Pharmacy
Department of pharmaceutics
Vaagdevi inistitute of pharmaceutical sciences
Bollikunta, Warangal.
INTRODUCTION
a- active transport
b- passive transpor
. -t
c- simple filtration
e- duct cells pump
Na to blood
f- cell membrane
g- pore
h- intracellular
spaces
i- acinar cell
Composition of saliva
Compasition of saliva
Relation between the concentrations of sodium,
potassium, chloride, and bicarbonate in the saliva and
the rate of salivary flow
METHODS OF STIMULATION OF SALIVA
Methods Volume
• Spitting 0.5 ml/min
• Draining method
• Spitting method
DRAINING METHOD
• Absorbent method
Absorbent method
The Salivette
method
• Salivette • OraSure • Oral-Diffusion-
Sink(ODS)
• p-cyclodextrinl
• Absorbent epichlorhydrin
• Dental cotton copolymer
roll
• 1ml
• 1.5ml • 1ml
FOR ACIDIC DRUGS
•Relating to drug
1. Acidic or basic, and the pKa
2. Lipid-solubility
• Relating to saliva
1. Saliva flow-rate
2. Saliva Ph
3. Saliva binding proteins - usually minimal
• For those acidic drugs with pKa > 8.5 and those basic
drugs with pKa < 5.5, the S/P ratio is independent of pKa.
• This ratio must therefore equal the ratio of fp to fs and,
since fs can usually be considered as unity, the S/P ratio
is equal to the fraction of unbound drug in plasma.
SALIVARY CLEARANCE
Cls = Qs . Cs / Cp
Neutral and acidic drugs
Integration
• Converting to log
• Disadvantage
Total urine collection has to be carried out until no
unchanged drug can be detected in the urine i.e upto 7
half-lives, which may be tedious for drugs having long t/2.
CONCLUSION
• For the measurement of drugs, saliva was suggested as
early as the 1970's as an alternative medium. Since
these years, saliva has been used for therapeutic and
toxicological drug monitoring of a variety of drugs. The
easy noninvasive, stress-free nature of saliva and urine
collection makes it one of the most accessible body
fluids to obtain. The major disadvantage of saliva is that
many drugs are retained for a shorter period of time than
they are in urine. New collecting devices should make
physicians more comfortable with using saliva as an
alternative to blood or urine.
• Measurements of saliva and urine drug concentrations
will usually be of value, only if they accurately reflect the
plasma level., but in future research the mechanisms by
which drugs enter the saliva and urine have to be
clarified more adequately.
References
• Non- invasive methods of estimating pharmacokinetic
parameters. G.G.GRAHAM
• Salivary Diagnostics. DAVID T.WONG
• SALIVA AS AN ANALYTICAL TOOL IN TOXICOLOGY.
Karin M. Höld, B.S.; Douwe de Boer, Ph.D.; Jan
Zuidema, Ph.D.; Robert A.A. Maes, Ph.D.