ChemCases.Com
Drug Pathways and Chemical Concepts

Prof. Sally Boudinot

14a. Anatomy of the Gastrointestinal Tract and Phenobarbitol Absorption

Please remember these concepts:

  1. Many processes can be at equilibrium.   But with changes in condition - concentration, temperature -  the system will no longer be at equilibrium and will adjust to try to get there again.
  2. The equilibrium concentrations of H3O+ and OH- are vanishingly small in pure water. 
  3. A weak acid or a weak base drug, in water, will disassociate to some extent.  The pH of the drug solution  will depend upon the pKa.
  4. Buffers stabilize pH.  This stabilized acidity determines the form of drug disassociation in systems.  The Henderson-Hasselbach equation conveniently handles drug ionization questions for buffered systems like the body.
The stomach: Taking an average pH value of 2:

From these calculations, we can easily see that the unionized form of phenobarbitol predominates in regions of low pH, or high acidity.

From using the Henderson-Hasselbach equation, we can see that for every ionized phenobarbitol molecule in solution, there are nearly 260,000 molecules of the unionized species available to cross the lipid stomach membrane. 

But the surface area for absorption is small and the transit time of contents within the stomach is very short, and most of these unionized phenobarbitol molecules are  transported farther down the alimentary canal before they are absorbed.

We can easily calculate the percent of ionized and unionized molecules in the solution at a given pH.

Ionized (Dissociated) vs. Unionized Phenobarbitol

Location/pH Stomach/pH=2 Duodenum/pH=6 Jejunum/pH=7.5 Blood/pH=7.4
Unionized (%)

99.999

     
Ionized(%)

4x10-4

     

to Ionization within the Duodenum

 

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Concept Map for this ChemCase

Case Study in Phenobarbitol
Or move on to
14b Absorption in the Small Intestine

 

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College of Science and Mathematics
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email
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Prof. Sally Boudinot
College of Pharmacy
University of Georgia
Athens, GA
sallyb@rx.uga.edu