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Volume of distribution

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The volume of distribution (VD) , also known as apparent volume of distribution, is a pharmacological term used to quantify the distribution of a drug throughout the body after oral or intravenous dosing. It is defined as the volume in which the amount of drug would need to be uniformly distributed in to produce the observed blood concentration.

Volume of distribution may be increased by renal failure (due to fluid retention) and liver failure (due to altered body fluid and protein binding). Conversely it may be decreased in dehydration.

The initial volume of distribution describes blood concentrations prior to attaining the apparent volume of distribution and uses the same formula.

Equations

The volume of distribution is given by the following equation:

::::::[} = \frac}}]
Therefore the dose required to give a certain plasma concentration can be determined if the VD for that drug is known. The VD is not a real volume; it is more a reflection of how a drug will distribute throughout the body depending on several physicochemical properties, e.g. solubility, charge, size, etc.

The VD may also be used to determine how readily a drug will displace into the body tissue compartments relative to the blood:

::::::[} = } + } \left(\frac}\right)]
Where:

Examples

| Warfarin | Theophylline, Ethanol | Chloroquine
Drug VD Comments
VD = 8L Reflects a high degree of plasma protein binding.
VD = 30L Represents distribution in total body water.
VD = 15000L Shows highly lipophilic molecules which sequester into total body fat.

External links

 


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