Chapter 19

Multi-Compartment Pharmacokinetic Models

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Effect of changing Distribution Parameters on Drug Concentration versus Time

Changing the Ratio of k12 to k21

Effect of different k12/k21 ratios

Figure 19.4.1 Plot of Cp versus Time Showing the Effect of Different k12/21 Ratio Values
k12/k21 ratio from 4/1 to 1/4

Click on the figure to view the interactive graph

From the k12 and k21 values we can assess the extent of distribution of drug into the peripheral compartment. The higher the ratio k12/k21 the greater the distribution of drug into the peripheral compartment. The larger the individual values of k12 and k21 the faster is the transfer between the central and peripheral compartments and the more the body behaves as a single compartment.

As the ratio increases the distribution phase is more pronounced. Conversely with the ratio 1/4 there is very little distribution phase. Also note that the β value or the slope of the terminal phase is changing even though the kel is fixed at 0.167 hr-1.

Changing the Magnitude of k12 and k21 (Same Ratio)

With faster and faster distribution the initial drop in plasma concentration becomes quite rapid. If you were sampling every 30 minutes, the initial phase would be missed. The data would look just like a one compartment model. Redrawing the slow plot with k12/k21 (0.5/0.25) over 24 hours and gives a plot that is definitely still biexponential.

Effect of k12 and k21 magintude

Figure 19.4.2 Plot of Cp versus Time Showing the Effect of Different k12/21 Magnitudes
k12/k21 magnitude from 0.5/0.5 to 16/8

Click on the figure to view the interactive graph

Changing the Magnitude of V2

With larger values of V2 there is more distribution into the peripheral compartment. This leads to a bigger drop in Cp at early time points and a slower beta elimination phase.

Effect of different V<sub>2</sub> values

Figure 19.4.1 Plot of Cp versus Time Showing the Effect of Different V2 values
V2 from 2.5 to 80 L

Click on the figure to view the interactive graph

Changing the Magnitude of CL2

Larger values of CL2, the distribution clearance, produce a faster drop in the early Cp values.

Effect of different V<sub>2</sub> values

Figure 19.4.1 Plot of Cp versus Time Showing the Effect of Different CL2 values
CL2 from 0.375 to 24 L/hr.

Click on the figure to view the interactive graph


Simulate other concentration versus time curves after IV bolus administration with the two compartment pharmacokinetic model using

macro constants (A, B, α and β) Interactive plot

or micro constants (kel, k12, k21, and V1) Interactive plot


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