Mechanism of action of warfarin biology essay

Some naturally occurring coumarin derivatives include umbelliferone 7-hydroxycoumarinaesculetin 6,7-dihydroxycoumarinherniarin 7-methoxycoumarinpsoralen and imperatorin.

Mechanism of action of warfarin biology essay

Pharmacokinetics is the study of drug absorption, distribution, metabolism and excretion. The absorption of a drug molecule depends on its physiochemical properties. To gain access to the site of action, drug molecule must cross one or more barriers- the gastrointestinal mucosa, and the membranes that separate the various aqueous compartments of the body, i.

In general, there are four main ways by which small drug molecules cross cell membranes: Many drugs are highly soluble in lipids and therefore penetrate cell membranes freely, by diffusion. Lipid solubility is one of the most important pharmacokinetic characteristic of a drug, which determines its site of action.


Diffusion through Aqueous Channels: In most parts of the body there are gaps between the endothelial cells of the capillaries, which are large enough to permit small drug molecules to cross by aqueous diffusion, but too small to allow protein molecules to pass through.

In central nervous system vascular beds, the capillary endothelium is continuous. In fact, there are tight junctions between adjacent capillary endothelial cells which, together with their basement membrane and a thin covering from the processes of astrocytes separate the blood from the brain tissue.

This blood-brain barrier restricts the passage of lipid insoluble substances from the blood to the brain and cerebrospinal fluid. Lipid insoluble polar drugs such as penicillin, methotrexate gain little access to the brain.

Many cell membranes possess highly specific transport mechanism, i. The carrier-mediated drug transport plays an important role in the transfer of drugs at the renal tubule, biliary tract, gastrointestinal tract and blood brain barrier sites.

How Pharmacokineticss and Pharmacodynamics of Warfarin are altered in different Disease provinces

It involves the transport of a drug molecule across the cell by formation of vesicles. This is applicable to protein and other macromolecules and rarely to drugs. Drugs absorbed from the gastrointestinal tract are carried by portal vein to the liver before reaching the systemic circulation.

Thus, the bioavailability of orally administered drugs is much less as compared to other routes of drug administration. This removal of drug as it passes through liver is called the first pass effect or pre-systemic elimination.

Hepatic Dysfunction

After absorption a drug passes into the circulation. Many drugs are poorly soluble in plasma and are bound to plasma proteins. It is important to know that the free unbound fraction of the drug is pharmacologically active and it is the free fraction of the drug that passes from the circulation into body water, e.

The protein bound fraction of the drug acts as a store from where the free drug is released to maintain steady levels of pharmacologically active drug. The distribution of the drug is an important factor in determining its therapeutic usefulness.

The drugs initially enter the circulation and highly vascular organs, from where, depending on lipid solubility, diffuse out of the circulation into the tissue spaces and some enter the cells and are bound within the tissues.

The drugs pass in between these compartments, but the entry and elimination is only through the central compartment. The average volume of the distribution space for an adult is — plasma 3 litres, extracellular space 15 litres and total body water 36 litres.Yesterday the US Food and Drug Administration sent a letter to the human genetic testing company 23andMe giving them 15 days to respond to a series of concerns about their products and the way they are marketed or risk regulatory intervention.

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Mechanism of action of warfarin biology essay

Philosophy relates to the study of, and attempts to understand, the root nature of reality, existence, and knowledge. There are many questions in life for which there are no set answers, or such diverging opinions on answers that just raise more questions.

The Mechanism Of Action Of SIT Biology Essay Background: Allergen specific immunotherapy (SIT), the only disease modifying treatment for allergic diseases, has been used for about a century while its mechanism of action is not completely understood.

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Cranberries: Health benefits, nutritional content, and risks