A drug that is highly bound to plasma proteins generally has which immediate pharmacokinetic characteristic?

Correct answer: B. A smaller free fraction in plasma

  • A. Complete renal filtration
  • B. A smaller free fraction in plasma
  • C. Rapid entry into cerebrospinal fluid
  • D. Unrestricted tissue penetration

Explanation

Only the unbound fraction of a drug is readily available for distribution, metabolism and renal filtration. Extensive protein binding therefore reduces the immediate free fraction, although equilibrium can later release bound drug.

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