A general model for metabolite kinetics

iv drug Administration

Parent Drug

fm k

Metabolite

k(m)

Eliminated Metabolite

(1-fm) k

Drug eliminated by other pathways

This model allows for drug elimination by more than one pathway

Only a fraction of the drug dose (fm) is metabolized and the rest (1-fm) is to the metabolite of interest eliminated by other pathways.

The metabolite can be eliminated by one or more pathway with the overall metabolite elimination rate constant equals to k(m).

The rate of change of the metabolite in the body is:

d A(m)

dt
= A fm k - A(m)k(m)

By integration and dividing by the volume of distribution of the metabolite, the metabolite plasma conc-time profile can be described by the following expression:

Cp(m)=

fm k D

Vd(m) (k(m) - k)
(e-kt - e-k(m)t)
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