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zDDIs Based on Physicochemical Interactions
Biochemical and Molecular Principles of Drug Action Biochemical and Molecular Principles of Drug Action
11
Pharmacology
Professional
03/19/2012

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Term
Ionization Based on
Definition
Acid/base nature
pH
Term
Intermolecular forces Based on
Definition
Functional groups
H-bonding
Term
Molecular Weight Based on
Definition
Chemical structure
Term
Ionization Affects
Definition
Solubility
Absorption
Elimination
Term
Intermolecular forces Affects
Definition
Solubility
Plasma protein binding
Term
Molecular Weight Affects
Definition
Solubility
Absorption
Term
pH effects
Definition
Changes in pH of the drug solution in case of IV/parenteral dosage forms and changes in GI pH incase of oral dosage forms can affect the solubility of drugs by affecting the ionization states of drugs

Addition of compounds with varying degree of acidity or basicity can alter the pH of parenteral dosage forms

In parenteral dosage forms changes in pH can lead to precipitation of drugs from the solution

Mixing of acid and base in parenteral formulation is not recommended due to formation of precipitate
In case of oral formulations, the changes in pH affects absorption and bioavailability of drugs by decreasing solubility

Drugs altering gastric pH such as antacids should not be co-administered with certain drugs as antacids can decrease the therapeutic effects of the drugs

Antacids such as Calcium carbonate (TUMS®), Aluminum hydroxide (Mylanta®), Sodium carbonate (Alka-Seltzer®) and Magnesium hydroxide ( ingredient of Maalox®) can decrease absorption of drugs
Term
Cation-Anion Interactions
Definition
Interaction between a weekly acidic drug and weekly basic drug will result in a salt which will have poor dissociation properties and poor aqueous solubility


The solubility is also dependent on the molecular weight of the salt


Salt resulting from two drugs generally will have poor solubility


Mixing of acidic and basic drugs in an IV bag is not recommended due to generation of insoluble salt
Term
3) Chelation
Definition
Chelation is term used to describe complex of organic molecules with metals such as iron, calcium, mercury, magnesium etc.Chelate is typically large in molecular size with poor water solubility

Chelates of drug molecules with metal ions have poor absorption and decreased bioavailability
Term
Ion-Exchange
Definition
Ion- exchange resins are commonly used in the management of hyperlipoproteinemia

Ion-exchange (IE) resins binds to Bile acid (BA) in the GI lumen to from a non-absorbable complex preventing reabsorption of BA

IE resins can bind to drugs and decrease the absorption by forming large complexes

The dose of IE resin and other drugs should be well spaced
Term
4) Protein binding
Definition
Forces of Interactions:

Electrostatic Interactions

-NH3+ of lysine and N-terminal amino acids
-NH2+ of histidine and -S- of cysteine
-COO- of aspartic and glutamic acid

van der Waal’s forces

Dipole - dipole

Hydrogen bonding
Plasma protein has specific binding sites for drugs

Drugs bound to plasma protein can be displaced by other drugs having high affinity for the same binding site on plasma protein

Displacement from plasma protein binding sites will increase the serum concentration of the drugs

Increase in serum concentration may accentuate the toxicity of the drug

E.g. Aspirin can displace NSAIDs from plasma protein binding site increasing the side-effects of NSAIDs
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