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This relationship is graphically illustrated (D) with the example of a protonated amine having a pKa of 7. 0. In this case, at urinary pH 7. 0, 50 % of the amine will be present in the protonated, hydrophilic, membrane-impermeant form (blue dots), whereas the other half, representing the uncharged amine, can leave the tubular lumen in accordance with the resulting concentration gradient.
Change in Elimination Characteristics During Drug Therapy (B) With any drug taken regularly and accumulating to the desired plasma level, it is important to consider that conditions for biotransformation and excretion do not necessarily remain constant. Elimination may be hastened due to enzyme induction or to a change in urinary pH. |
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