Which drug is most likely to undergo extensive binding to plasma albumin and show displacement interactions with other drugs?

Correct answer: D. Highly lipid-soluble acidic drug

  • A. Quaternary ammonium compound
  • B. Small inorganic electrolyte
  • C. Highly water-soluble sugar
  • D. Highly lipid-soluble acidic drug

Explanation

Many lipid-soluble acidic drugs bind extensively to albumin, so displacement by another drug can temporarily increase the free active fraction. Water-soluble substances and permanent charged compounds generally show different distribution patterns.

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