-On administration, indomethacin (a weak electrolyte) must first dissolve in aqueous contents of the gastrointestinal tract -The ionized form of the drug dissolves more rapidly and to a greater extent than the un-ionized form -To enter the bloodstream, however, it needs to cross lipophilic cell barriers, which requires at least some molecules to be in the un-ionized form in the intestines -Once indomethacin has reached its site of action, only the ionized form binds to the receptor -Thus, both ionized and un-ionized forms are important for different aspects of ADME (absorption, distribution, metabolism, excretion) and pharmacodynamics of indomethacin
-According to the Bronsted-Lowry theory of acids and bases, an acid is a compound that can donate a proton and a base is one that can accept a proton -Therefore, there has to be another compound present to receive the proton from the acid, or to provide a proton to the base -In almost all situations, this other compound is water
-The symbol p is an operator that converts a number into its negative logarithm -The pH scale has a range from 0 to 14. -Seven is considered neutral pH where the concentration of hydrogen ions is equal to the concentration of hydroxide ions -A solution pH below 7 means that the solution is acidic and the concentration of hydrogen ions exceeds the concentration of hydroxide ions -If the concentration of hydroxide ions is greater than that of hydrogen ions, the solution is basic or alkaline and has a pH greater than 7
-The pH of body fluids ranges between 1 and (approximately) 8 -The stomach is the most acidic region of the body with a pH that varies between 1 and 3 -The normal pH of intestinal fluids is approximately 6 to 7 -The pH of blood is 7.4, which corresponds to a [H+] of approximately 40 nM (This value can only vary from 37 to 43 nM without serious metabolic consequences) -Local pH in various tissues depends on composition and function of each tissue, and rarely exceeds 8
-The H+ ion will react with a water molecule to produce the hydronium ion, although for convenience we usually do not write the complete reaction -when a strong acid is added to water, hydrogen ion concentration in solution increases and pH decreases -Because a strong acid dissociates completely, the molar concentration of H+ is equal to the molar concentration of acid added for a monoprotic acid (HCl), and twice the molar acid concentration for a diprotic acid (H2SO4).
-Consider the ionization of a weak acid such as acetylsalicylic acid, or aspirin, which has one carboxylic acid group -acetylsalicylic acid is a weak acid because it donates a proton, and the acetylsalicylate ion is a weak base because it accepts a proton. -An acid and base that can be represented by an equilibrium in which the two species differ only by a proton is called a conjugate acid-base pair
-A large value of Ka means that the acid favors giving up protons and dissociates extensively -Consequently, the reverse reaction is not favored; the conjugate base A− is stable and does not have a high propensity to accept protons -The larger the Ka, the stronger the acid HA, and the weaker its conjugate base A− -Therefore, Ka is a property of the conjugate acid-base pair and gives us information about the strengths of both forms
-A buffered solution is one that resists changes in its pH when small amounts of acid or base are added, or when the solution is diluted!! -Buffer solutions contain an acid to react with added OH− and a base to react with added H+. -These can be any weak acid-weak base pair, but are usually a conjugate acid-conjugate base pair.
-An example is a solution of acetic acid (pKa = 4.75) and sodium acetate -If the solution contains equimolar concentrations of the acid and salt, it will have a pH of 4.75. The following equilibrium describes this system: -If additional hydrogen ions are added to this solution, they are consumed in the reaction with CH3COO−, and the equilibrium shifts to the left -If additional hydroxide ions enter, they react with CH3COOH, producing CH3COO−, and shift the equilibrium to the right -In this way, the [H+] and thus the pH of the solution remain constant
-Ingredients to buffer or adjust pH must be nontoxic for the intended route of administration! -Agents for any route of administration should be nonirritating at the needed concentration. -For oral liquid preparations, buffer compounds should not have a disagreeable odor or taste -Agents used for parenteral preparations must be in sterile form or must be rendered sterile