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Clearance (pharmacology)

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Substances in the body can be cleared by various organs, including the kidneys, liver, lungs, etc. Thus, total body clearance is equal to the sum clearance of the substance by each organ (e.g., renal clearance + hepatic clearance + pulmonary clearance = total body clearance). For many drugs, however,
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as plasma is filtered into Bowman's capsule, because the relative increases in concentrations of substance-protein and non-occupied protein are equal and therefore give no net binding or dissociation of substances from plasma proteins, thus giving a constant plasma concentration of free substance
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Most plasma substances have primarily their free concentrations regulated, which thus remains the same, so extensive protein binding increases total plasma concentration (free + protein-bound). This decreases clearance compared to what would have been the case if the substance did not bind to
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rather than filtration, extensive plasma protein binding may increase clearance by keeping concentration of free substance fairly constant throughout the capillary bed, inhibiting a decrease in clearance caused by decreased concentration of free substance through the capillary.
988: 90:, on the other hand, is a measurement of the amount of a substance removed from the body per unit time (e.g., mg/min, ÎĽg/min, etc.). While clearance and excretion of a substance are related, they are not the same thing. The concept of clearance was described by 1502: 2155: 843:
protein. However, the mass removal rate is the same, because it depends only on concentration of free substance, and is independent on plasma protein binding, even with the fact that plasma proteins increase in concentration in the distal
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from which a substance would be completely removed per unit time. Usually, clearance is measured in L/h or mL/min. The quantity reflects the rate of drug elimination divided by plasma concentration.
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is the mass generation rate of the substance - assumed to be a constant, i.e. not a function of time (equal to zero for exogenous (foreign) substances/drugs) or
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of drug elimination. This is the rate of elimination of a substance divided by its concentration. The parameter also indicates the theoretical volume of
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The clearance of a substance is the volume of plasma that contains the same amount of the substance as has been removed from the plasma per unit time.
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There is an important relationship between clearance, elimination half-life and distribution volume. The elimination rate constant of a drug
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When the substance "C" is creatinine, an endogenous chemical that is excreted only by filtration, the clearance is an approximation of the
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In steady-state, it is defined as the mass generation rate of a substance (which equals the mass removal rate) divided by its
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and an analysis of its composition with the aid of the following equation (which follows directly from the derivation of (
983:{\displaystyle \Delta m_{\text{body}}=(-{\dot {m}}_{\text{out}}+{\dot {m}}_{\text{in}}+{\dot {m}}_{\text{gen.}})\Delta t} 3666: 2291: 2219: 482: 3856: 3342: 3051: 1328: 675: 2688:. Cyril Arthur Keele, Neil Eric (12th ed.). London: English Language Book Society, and Oxford University Press. 2399: 839:, clearance is generally dependent on the total concentration (free + protein-bound) and not the free concentration. 207:
reabsorption rate, for the kidney. A physiologic interpretation of clearance (at steady-state) is that clearance is
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Ritter J, Flower R, Henderson G, Rang H. Rang & Dale's Pharmacology. 8th ed. London. Churchill Livingstone; 2015
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Babb AL, Popovich RP, Christopher TG, Scribner BH (1971). "The genesis of the square meter-hour hypothesis".
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that describes its removal rate from the body divided by its volume of distribution (or total body water).
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clearance is solely a function of renal excretion. In these cases, clearance is almost synonymous with
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doubles the clearance halves and that if the serum creatinine quadruples the clearance is quartered.
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throughout the glomerulus, which also would have been the case without any plasma protein binding.
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because a constant amount of the drug is eliminated per unit time, but it is constant in
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Clearance can refer to the volume of plasma from which the substance is removed (i.e.,
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clearance is less commonly used to precisely determine glomerular filtration rate.
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of concentration with respect to time, i.e. the change in concentration with time.
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the initial concentration of the substance/drug (after it has distributed) or
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is equal to the toxin intake plus the toxin generation minus the toxin removal.
110:. Each substance has a specific clearance that depends on how the substance is 4088: 4020: 3912: 3687: 3182: 3161: 3081: 2925: 415: 364: 192: 79: 2703: 3866: 3240: 199:, dialysate flow and dialysate recirculation flow for hemodialysis, and the 87: 2943: 2889: 2734: 2845: 2761: 2683: 1705:{\displaystyle {\frac {\Delta (C\cdot V)}{\Delta t}}=-K\cdot C+{\dot {m}}} 1594:{\displaystyle {\dot {m}}={\dot {m}}_{\text{in}}+{\dot {m}}_{\text{gen.}}} 3988: 3960: 3947: 3716: 3636: 2639:
Clinical Pharmacokinetics and Pharmacodynamics, Concepts and Applications
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must be obtained from the (full) solution of the differential equation (
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Clearance of a substance is sometimes expressed as the inverse of the
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amount of liquid filtered out of the blood that gets processed by the
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In other sites than the kidneys, however, where clearance is made by
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t is dialysis time or time since injection of the substance/drug or
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is equivalent to total clearance divided by the distribution volume
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Transactions of the American Society for Artificial Internal Organs
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for the steady-state condition. If the substance being cleared is
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The general solution of the above differential equation (1) is:
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If one assumes that the volume change is not significant, i.e.
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Diagram showing the basic physiologic mechanisms of the kidney
820:{\displaystyle Cl_{tot}={\dfrac {\ln 2\cdot V_{d}}{t_{1/2}}}} 2381:
Renal clearance can be measured with a timed collection of
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C is the concentration or (in the United States often )
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The change in the mass of a toxin within the body (
1064:the change in mass of the toxin in the body during 2443: 2365:with one another. If applied to creatinine (i.e. 2327: 2255: 2183:is the concentration at the beginning of dialysis 2149: 2019: 1957: 1836: 1752: 1704: 1616: 1593: 1496: 1365: 1296: 1247: 1224: 1192: 1154: 1116: 1079: 1056: 1024: 982: 819: 732: 664: 629: 603: 573: 541: 469: 406: 345: 297: 66: 2328:{\displaystyle K={\frac {\dot {m}}{C_{\infty }}}} 2256:{\displaystyle C_{\infty }={\frac {\dot {m}}{K}}} 2207:The solution to the above differential equation ( 542:{\displaystyle K_{el}={\dfrac {Cl_{tot}}{V_{d}}}} 2488:is the plasma concentration (in the USA often ) 1366:{\displaystyle {\dot {m}}_{\text{out}}=K\cdot C} 733:{\displaystyle K_{el}={\dfrac {\ln 2}{t_{1/2}}}} 2478:is the urine concentration (in the USA often ) 2444:{\displaystyle K={\frac {C_{U}\cdot Q}{C_{B}}}} 443:Clearance, half-life and volume of distribution 114:by the nephron. Clearance is a function of 1) 3411: 2967: 2862:Gotch FA, Sargent JA, Keen ML (August 2000). 209:a ratio of the mass generation and blood (or 8: 2369:), it follows from the equation that if the 2481:Q is the urine flow (volume/time) (often ) 377:From the above definitions it follows that 4178: 4138: 4043: 4016: 3980: 3943: 3904: 3831: 3776: 3706: 3651: 3600: 3562: 3484: 3439: 3418: 3404: 3396: 3126: 3000: 2974: 2960: 2952: 2719:"The development of the clearance concept" 2933: 2879: 2835: 2520:at a constant plasma concentration (i.e. 2433: 2416: 2409: 2401: 2317: 2303: 2301: 2293: 2238: 2236: 2227: 2221: 2127: 2123: 2099: 2097: 2088: 2061: 2059: 2051: 1991: 1986: 1944: 1943: 1905: 1879: 1874: 1823: 1822: 1772: 1770: 1736: 1691: 1690: 1640: 1638: 1606: 1585: 1574: 1573: 1563: 1552: 1551: 1536: 1535: 1533: 1477: 1466: 1465: 1455: 1444: 1443: 1399: 1345: 1334: 1333: 1330: 1276: 1270: 1237: 1214: 1184: 1173: 1172: 1169: 1146: 1135: 1134: 1131: 1108: 1097: 1096: 1093: 1069: 1048: 1039: 1014: 965: 954: 953: 943: 932: 931: 921: 910: 909: 893: 884: 804: 800: 789: 769: 754: 745: 717: 713: 695: 683: 677: 652: 648: 642: 616: 592: 586: 562: 556: 530: 513: 502: 490: 484: 458: 452: 384: 382: 332: 331: 329: 284: 283: 245: 240: 226:and is used to model kidney function and 52: 43: 2908:Sharifi M, Ghafourian T (January 2014). 2784: 2782: 2780: 1297:{\displaystyle m_{\text{body}}=C\cdot V} 1193:{\displaystyle {\dot {m}}_{\text{gen.}}} 835:For substances that exhibit substantial 2672:Kaplan Step1 Pharmacology 2010, page 14 2597: 1155:{\displaystyle {\dot {m}}_{\text{out}}} 2580:Table of medication secreted in kidney 2211:) at time infinity (steady state) is: 1117:{\displaystyle {\dot {m}}_{\text{in}}} 1057:{\displaystyle \Delta m_{\text{body}}} 637:divided by elimination rate half-life 168:When referring to the function of the 96:University of Edinburgh Medical School 2824:Nephrology, Dialysis, Transplantation 2037:Solution to the differential equation 1760:one obtains a differential equation: 1204:In words, the above equation states: 7: 2632: 2630: 2393: 2285: 2213: 2043: 1866: 1762: 1630: 1391: 1322: 1262: 876: 232: 181:the amount of blood cleaned per time 172:, clearance is considered to be the 2020:{\displaystyle C{\frac {dV}{dt}}=0} 421:It is derived from a mass balance. 4204:Minimum bactericidal concentration 2685:Samson Wright's applied physiology 2655:. Pharmacology2000.com. 2006-12-27 2318: 2228: 1738: 1663: 1643: 1608: 1488: 1401: 1239: 1216: 1071: 1041: 1016: 974: 886: 25: 2614:clinpharmacol.fmhs.auckland.ac.nz 1389:Equation A1 can be rewritten as: 4194:Minimum inhibitory concentration 2881:10.1046/j.1523-1755.2000.07602.x 831:Effect of plasma protein binding 407:{\displaystyle {\frac {dC}{dt}}} 218:Its definition follows from the 4134:WHO list of essential medicines 3627:Non-specific effect of vaccines 2795:Basic clinical pharmacokinetics 126:, and 3) reabsorption from the 4189:Antimicrobial pharmacodynamics 3365:Fractional excretion of sodium 2377:Measurement of renal clearance 1790: 1778: 1744: 1658: 1646: 1416: 1404: 971: 902: 183:because it has the units of a 1: 4114:Functional analog (chemistry) 2653:"Pharmacokinetics objectives" 2387: 2353: 1753:{\displaystyle \Delta t\to 0} 3667:Hill equation (biochemistry) 2637:Rowland M, Tozer TM (2011). 2508: 1200:is the toxin generation rate 3343:Effective renal plasma flow 3187:Intracellular fluid/Cytosol 2530: 2029: 866: 853:membrane transport proteins 134:. Clearance is variable in 78:parameter representing the 27:Pharmacokinetic measurement 4260: 4182:Antimicrobial pharmacology 3662:Dose–response relationship 3592:Desensitization (medicine) 3292:Glomerular filtration rate 3284:Assessment and measurement 3147:Atrial natriuretic peptide 2494:glomerular filtration rate 1864:this can be rewritten as: 346:{\displaystyle {\dot {m}}} 201:glomerular filtration rate 4104:Coinduction (anesthetics) 3375:Tubuloglomerular feedback 3302:Augmented renal clearance 3259:Bicarbonate buffer system 2983:Physiology of the kidneys 2926:10.1208/s12248-013-9541-z 2837:10.1093/ndt/13.suppl_6.10 2545:Augmented renal clearance 2027:, the result is Equation 1162:is the toxin removal rate 197:mass transfer coefficient 4169:Multiple drug resistance 4142:Tolerance and resistance 3510:Physiological antagonist 3264:Respiratory compensation 3021:Clearance of medications 2791:"Plasma protein binding" 2607:"Non-Linear Elimination" 1617:{\displaystyle \Delta t} 1248:{\displaystyle \Delta t} 1225:{\displaystyle \Delta m} 1124:is the toxin intake rate 1080:{\displaystyle \Delta t} 1025:{\displaystyle \Delta t} 118:, 2) secretion from the 67:{\displaystyle Cl_{tot}} 4239:Pharmacokinetic metrics 3920:Neuropsychopharmacology 3682:Cheng-Prussoff Equation 3677:Del Castillo Katz model 3604:Other effects of ligand 3587:Receptor (biochemistry) 3505:Irreversible antagonist 3370:BUN-to-creatinine ratio 3105:Countercurrent exchange 2682:Wright, Samson (1972). 2283:) can be rewritten as: 665:{\displaystyle t_{1/2}} 370:K is the clearance or 132:peritubular capillaries 120:peritubular capillaries 4056:Classical pharmacology 3817:Plasma protein binding 3792:Volume of distribution 3500:Competitive antagonist 2506:- the above equation ( 2445: 2329: 2257: 2151: 2021: 1959: 1838: 1754: 1706: 1618: 1595: 1498: 1367: 1298: 1249: 1226: 1194: 1156: 1118: 1081: 1058: 1026: 984: 860:Derivation of equation 837:plasma protein binding 821: 734: 666: 631: 611:is also equivalent to 605: 604:{\displaystyle K_{el}} 575: 574:{\displaystyle K_{el}} 543: 471: 470:{\displaystyle K_{el}} 408: 361:volume of distribution 347: 299: 162: 108:renal plasma clearance 68: 4164:Antibiotic resistance 3956:Clinical pharmacology 3475:Physiological agonist 3435:Ligand (biochemistry) 3307:Renal clearance ratio 3226:Darrow Yannet diagram 2864:"Whither goest Kt/V?" 2723:Journal of Nephrology 2565:Renal clearance ratio 2446: 2330: 2258: 2203:Steady-state solution 2152: 2022: 1960: 1839: 1755: 1707: 1619: 1596: 1528:terms together, i.e. 1499: 1368: 1299: 1250: 1227: 1195: 1157: 1119: 1082: 1059: 1027: 985: 822: 735: 667: 632: 630:{\displaystyle \ln 2} 606: 576: 544: 472: 409: 348: 300: 220:differential equation 160: 116:glomerular filtration 69: 4061:Reverse pharmacology 3971:Pharmacoepidemiology 3812:Biological half-life 3692:Ligand binding assay 3566:Activity at receptor 3460:Irreversible agonist 3332:Hemodialysis product 3312:Urea reduction ratio 3297:Creatinine clearance 3137:Antidiuretic hormone 2987:acid–base physiology 2868:Kidney International 2605:Ma, Guangda (2020). 2585:Urea reduction ratio 2550:Creatinine clearance 2400: 2367:creatinine clearance 2351:The above equation ( 2292: 2279:The above equation ( 2220: 2050: 1985: 1873: 1769: 1735: 1637: 1605: 1532: 1398: 1329: 1269: 1236: 1213: 1168: 1130: 1092: 1068: 1038: 1013: 883: 744: 676: 641: 615: 585: 555: 483: 451: 381: 328: 239: 185:volumetric flow rate 140:first-order kinetics 94:, a graduate of the 42: 18:Clearance (medicine) 4109:Combination therapy 3997:Pharmacoinformatics 3966:Medicinal chemistry 3572:Mechanism of action 3208:Transcellular fluid 3192:Extracellular fluid 3110:Filtration fraction 2874:(Suppl 76): S3-18. 2570:Sieving coefficient 2471:K is the clearance 2195:is the base of the 1728:If one applies the 1626:difference equation 1232:) during some time 1032:is a period of time 136:zero-order kinetics 4079:Immunopharmacology 4029:Pharmacotoxicology 3930:Psychopharmacology 3722:Intrinsic activity 3622:Pleiotropy (drugs) 3543:Agonist-antagonist 3455:Endogenous agonist 3269:Renal compensation 3198:Interstitial fluid 2789:Winter ME (2003). 2717:Seldin DW (2004). 2441: 2325: 2253: 2147: 2017: 1955: 1834: 1750: 1702: 1614: 1591: 1494: 1363: 1294: 1245: 1222: 1190: 1152: 1114: 1077: 1054: 1022: 980: 870:is derived from a 817: 815: 730: 728: 662: 627: 601: 571: 539: 537: 467: 404: 343: 295: 230:machine function: 163: 64: 4221: 4220: 4217: 4216: 4177: 4176: 4074:Photopharmacology 4069: 4068: 4042: 4041: 4015: 4014: 3979: 3978: 3942: 3941: 3935:Electrophysiology 3925:Neuropharmacology 3880: 3879: 3830: 3829: 3766: 3765: 3753:Therapeutic index 3705: 3704: 3650: 3649: 3599: 3598: 3528: 3527: 3483: 3482: 3393: 3392: 3327:Dialysis adequacy 3322:Standardized Kt/V 3278: 3277: 3236:Davenport diagram 3219:Acid–base balance 3118: 3117: 3095:Renal plasma flow 2830:(Suppl 6): 10–4. 2818:Gotch FA (1998). 2804:978-0-7817-4147-7 2575:Standardized Kt/V 2524:at steady-state) 2465: 2464: 2439: 2349: 2348: 2323: 2311: 2277: 2276: 2251: 2246: 2197:natural logarithm 2171: 2170: 2143: 2112: 2107: 2074: 2069: 2009: 1979: 1978: 1952: 1923: 1897: 1858: 1857: 1831: 1802: 1726: 1725: 1699: 1670: 1588: 1582: 1566: 1560: 1544: 1520:If one lumps the 1518: 1517: 1480: 1474: 1458: 1452: 1387: 1386: 1348: 1342: 1318: 1317: 1279: 1187: 1181: 1149: 1143: 1111: 1105: 1051: 1004: 1003: 968: 962: 946: 940: 924: 918: 896: 814: 727: 536: 402: 340: 319: 318: 292: 263: 224:exponential decay 16:(Redirected from 4251: 4179: 4139: 4119:Polypharmacology 4044: 4017: 4007:Pharmacogenomics 4002:Pharmacogenetics 3981: 3944: 3905: 3832: 3802:Rate of infusion 3777: 3772:Pharmacokinetics 3707: 3652: 3601: 3563: 3558:Pharmacodynamics 3538:Neurotransmitter 3520:Enzyme inhibitor 3485: 3440: 3420: 3413: 3406: 3397: 3348:Extraction ratio 3251:Winters' formula 3127: 3090:Renal blood flow 3016:Pharmacokinetics 3001: 2976: 2969: 2962: 2953: 2947: 2937: 2914:The AAPS Journal 2894: 2893: 2883: 2859: 2853: 2849: 2839: 2815: 2809: 2808: 2786: 2775: 2772: 2766: 2765: 2745: 2739: 2738: 2714: 2708: 2707: 2679: 2673: 2670: 2664: 2663: 2661: 2660: 2649: 2643: 2642: 2634: 2625: 2624: 2622: 2620: 2611: 2602: 2560:Pharmacokinetics 2459: 2450: 2448: 2447: 2442: 2440: 2438: 2437: 2428: 2421: 2420: 2410: 2394: 2371:serum creatinine 2343: 2334: 2332: 2331: 2326: 2324: 2322: 2321: 2312: 2304: 2302: 2286: 2271: 2262: 2260: 2259: 2254: 2252: 2247: 2239: 2237: 2232: 2231: 2214: 2165: 2156: 2154: 2153: 2148: 2146: 2145: 2144: 2139: 2128: 2118: 2114: 2113: 2108: 2100: 2098: 2093: 2092: 2075: 2070: 2062: 2060: 2044: 2026: 2024: 2023: 2018: 2010: 2008: 2000: 1992: 1973: 1964: 1962: 1961: 1956: 1954: 1953: 1945: 1924: 1922: 1914: 1906: 1898: 1896: 1888: 1880: 1867: 1852: 1843: 1841: 1840: 1835: 1833: 1832: 1824: 1803: 1801: 1793: 1773: 1763: 1759: 1757: 1756: 1751: 1720: 1711: 1709: 1708: 1703: 1701: 1700: 1692: 1671: 1669: 1661: 1641: 1631: 1624:the result is a 1623: 1621: 1620: 1615: 1600: 1598: 1597: 1592: 1590: 1589: 1586: 1584: 1583: 1575: 1568: 1567: 1564: 1562: 1561: 1553: 1546: 1545: 1537: 1512: 1503: 1501: 1500: 1495: 1487: 1483: 1482: 1481: 1478: 1476: 1475: 1467: 1460: 1459: 1456: 1454: 1453: 1445: 1392: 1381: 1372: 1370: 1369: 1364: 1350: 1349: 1346: 1344: 1343: 1335: 1323: 1312: 1303: 1301: 1300: 1295: 1281: 1280: 1277: 1263: 1254: 1252: 1251: 1246: 1231: 1229: 1228: 1223: 1199: 1197: 1196: 1191: 1189: 1188: 1185: 1183: 1182: 1174: 1161: 1159: 1158: 1153: 1151: 1150: 1147: 1145: 1144: 1136: 1123: 1121: 1120: 1115: 1113: 1112: 1109: 1107: 1106: 1098: 1086: 1084: 1083: 1078: 1063: 1061: 1060: 1055: 1053: 1052: 1049: 1031: 1029: 1028: 1023: 998: 989: 987: 986: 981: 970: 969: 966: 964: 963: 955: 948: 947: 944: 942: 941: 933: 926: 925: 922: 920: 919: 911: 898: 897: 894: 877: 845:renal glomerulus 826: 824: 823: 818: 816: 813: 812: 808: 795: 794: 793: 771: 765: 764: 739: 737: 736: 731: 729: 726: 725: 721: 708: 697: 691: 690: 671: 669: 668: 663: 661: 660: 656: 636: 634: 633: 628: 610: 608: 607: 602: 600: 599: 580: 578: 577: 572: 570: 569: 548: 546: 545: 540: 538: 535: 534: 525: 524: 523: 504: 498: 497: 476: 474: 473: 468: 466: 465: 413: 411: 410: 405: 403: 401: 393: 385: 352: 350: 349: 344: 342: 341: 333: 313: 304: 302: 301: 296: 294: 293: 285: 264: 262: 254: 246: 233: 191:perspective and 73: 71: 70: 65: 63: 62: 21: 4259: 4258: 4254: 4253: 4252: 4250: 4249: 4248: 4224: 4223: 4222: 4213: 4173: 4159:Drug resistance 4137: 4093: 4065: 4038: 4034:Neurotoxicology 4011: 3975: 3938: 3900: 3894: 3876: 3826: 3822:Bioavailability 3807:Onset of action 3762: 3701: 3646: 3595: 3552: 3524: 3515:Inverse agonist 3479: 3465:Partial agonist 3429: 3424: 3394: 3389: 3353: 3274: 3213: 3171: 3123:Other functions 3114: 3100:Ultrafiltration 3076: 3030: 3026:Urine flow rate 2989: 2980: 2950: 2907: 2903: 2901:Further reading 2898: 2897: 2861: 2860: 2856: 2817: 2816: 2812: 2805: 2788: 2787: 2778: 2773: 2769: 2747: 2746: 2742: 2716: 2715: 2711: 2696: 2681: 2680: 2676: 2671: 2667: 2658: 2656: 2651: 2650: 2646: 2636: 2635: 2628: 2618: 2616: 2609: 2604: 2603: 2599: 2594: 2589: 2540: 2487: 2477: 2457: 2429: 2412: 2411: 2398: 2397: 2379: 2341: 2313: 2290: 2289: 2269: 2223: 2218: 2217: 2205: 2182: 2163: 2129: 2119: 2084: 2083: 2079: 2048: 2047: 2039: 2001: 1993: 1983: 1982: 1971: 1915: 1907: 1889: 1881: 1871: 1870: 1850: 1794: 1774: 1767: 1766: 1733: 1732: 1718: 1662: 1642: 1635: 1634: 1603: 1602: 1601:and divides by 1572: 1550: 1530: 1529: 1510: 1464: 1442: 1426: 1422: 1396: 1395: 1379: 1332: 1327: 1326: 1310: 1272: 1267: 1266: 1234: 1233: 1211: 1210: 1171: 1166: 1165: 1133: 1128: 1127: 1095: 1090: 1089: 1066: 1065: 1044: 1036: 1035: 1011: 1010: 996: 952: 930: 908: 889: 881: 880: 862: 833: 796: 785: 772: 750: 742: 741: 709: 698: 679: 674: 673: 644: 639: 638: 613: 612: 588: 583: 582: 558: 553: 552: 526: 509: 505: 486: 481: 480: 454: 449: 448: 445: 394: 386: 379: 378: 326: 325: 311: 255: 247: 237: 236: 222:that describes 213:) concentration 193:physiologically 155: 104:renal clearance 76:pharmacokinetic 48: 40: 39: 28: 23: 22: 15: 12: 11: 5: 4257: 4255: 4247: 4246: 4244:Temporal rates 4241: 4236: 4226: 4225: 4219: 4218: 4215: 4214: 4212: 4211: 4206: 4201: 4199:Bacteriostatic 4196: 4191: 4185: 4183: 4175: 4174: 4172: 4171: 4166: 4161: 4156: 4151: 4149:Drug tolerance 4145: 4143: 4136: 4131: 4129:Lists of drugs 4126: 4121: 4116: 4111: 4106: 4101: 4099: 4095: 4094: 4092: 4091: 4086: 4081: 4076: 4070: 4067: 4066: 4064: 4063: 4058: 4052: 4050: 4048:Drug discovery 4040: 4039: 4037: 4036: 4031: 4025: 4023: 4013: 4012: 4010: 4009: 4004: 3999: 3993: 3991: 3977: 3976: 3974: 3973: 3968: 3963: 3958: 3952: 3950: 3940: 3939: 3937: 3932: 3927: 3922: 3917: 3915: 3902: 3896: 3895: 3893: 3892: 3890:Bioequivalence 3887: 3881: 3878: 3877: 3875: 3874: 3864: 3859: 3854: 3849: 3838: 3836: 3828: 3827: 3825: 3824: 3819: 3814: 3809: 3804: 3799: 3789: 3783: 3781: 3774: 3768: 3767: 3764: 3763: 3761: 3760: 3755: 3750: 3724: 3719: 3713: 3711: 3703: 3702: 3700: 3699: 3684: 3679: 3674: 3669: 3664: 3658: 3656: 3648: 3647: 3645: 3644: 3634: 3632:Adverse effect 3629: 3624: 3619: 3607: 3605: 3597: 3596: 3594: 3589: 3584: 3579: 3577:Mode of action 3574: 3569: 3567: 3560: 3554: 3553: 3551: 3550: 3545: 3540: 3535: 3529: 3526: 3525: 3523: 3522: 3517: 3512: 3507: 3502: 3497: 3491: 3489: 3481: 3480: 3478: 3477: 3472: 3467: 3462: 3457: 3452: 3446: 3444: 3437: 3431: 3430: 3425: 3423: 3422: 3415: 3408: 3400: 3391: 3390: 3388: 3387: 3382: 3377: 3372: 3367: 3361: 3359: 3355: 3354: 3352: 3351: 3345: 3336: 3335: 3334: 3324: 3319: 3314: 3309: 3304: 3299: 3294: 3288: 3286: 3280: 3279: 3276: 3275: 3273: 3272: 3271: 3266: 3261: 3253: 3248: 3238: 3233: 3228: 3223: 3221: 3215: 3214: 3212: 3211: 3205: 3200: 3194: 3181: 3179: 3173: 3172: 3170: 3169: 3167:Prostaglandins 3164: 3159: 3157:Erythropoietin 3154: 3149: 3144: 3139: 3133: 3131: 3124: 3120: 3119: 3116: 3115: 3113: 3112: 3107: 3102: 3097: 3092: 3086: 3084: 3078: 3077: 3075: 3074: 3069: 3064: 3059: 3054: 3049: 3044: 3038: 3036: 3032: 3031: 3029: 3028: 3023: 3018: 3013: 3007: 3005: 2998: 2991: 2990: 2981: 2979: 2978: 2971: 2964: 2956: 2949: 2948: 2904: 2902: 2899: 2896: 2895: 2854: 2810: 2803: 2776: 2767: 2740: 2709: 2694: 2674: 2665: 2644: 2626: 2596: 2595: 2593: 2590: 2588: 2587: 2582: 2577: 2572: 2567: 2562: 2557: 2552: 2547: 2541: 2539: 2536: 2490: 2489: 2485: 2482: 2479: 2475: 2472: 2463: 2462: 2453: 2451: 2436: 2432: 2427: 2424: 2419: 2415: 2408: 2405: 2378: 2375: 2347: 2346: 2337: 2335: 2320: 2316: 2310: 2307: 2300: 2297: 2275: 2274: 2265: 2263: 2250: 2245: 2242: 2235: 2230: 2226: 2204: 2201: 2200: 2199: 2188: 2180: 2169: 2168: 2159: 2157: 2142: 2138: 2135: 2132: 2126: 2122: 2117: 2111: 2106: 2103: 2096: 2091: 2087: 2082: 2078: 2073: 2068: 2065: 2058: 2055: 2038: 2035: 2016: 2013: 2007: 2004: 1999: 1996: 1990: 1977: 1976: 1967: 1965: 1951: 1948: 1942: 1939: 1936: 1933: 1930: 1927: 1921: 1918: 1913: 1910: 1904: 1901: 1895: 1892: 1887: 1884: 1878: 1856: 1855: 1846: 1844: 1830: 1827: 1821: 1818: 1815: 1812: 1809: 1806: 1800: 1797: 1792: 1789: 1786: 1783: 1780: 1777: 1749: 1746: 1743: 1740: 1724: 1723: 1714: 1712: 1698: 1695: 1689: 1686: 1683: 1680: 1677: 1674: 1668: 1665: 1660: 1657: 1654: 1651: 1648: 1645: 1613: 1610: 1581: 1578: 1571: 1559: 1556: 1549: 1543: 1540: 1516: 1515: 1506: 1504: 1493: 1490: 1486: 1473: 1470: 1463: 1451: 1448: 1441: 1438: 1435: 1432: 1429: 1425: 1421: 1418: 1415: 1412: 1409: 1406: 1403: 1385: 1384: 1375: 1373: 1362: 1359: 1356: 1353: 1341: 1338: 1316: 1315: 1306: 1304: 1293: 1290: 1287: 1284: 1275: 1258: 1257: 1244: 1241: 1221: 1218: 1202: 1201: 1180: 1177: 1163: 1142: 1139: 1125: 1104: 1101: 1087: 1076: 1073: 1047: 1043: 1033: 1021: 1018: 1002: 1001: 992: 990: 979: 976: 973: 961: 958: 951: 939: 936: 929: 917: 914: 907: 904: 901: 892: 888: 861: 858: 832: 829: 811: 807: 803: 799: 792: 788: 784: 781: 778: 775: 768: 763: 760: 757: 753: 749: 724: 720: 716: 712: 707: 704: 701: 694: 689: 686: 682: 659: 655: 651: 647: 626: 623: 620: 598: 595: 591: 568: 565: 561: 533: 529: 522: 519: 516: 512: 508: 501: 496: 493: 489: 464: 461: 457: 444: 441: 400: 397: 392: 389: 375: 374: 371: 368: 357: 354: 339: 336: 317: 316: 307: 305: 291: 288: 282: 279: 276: 273: 270: 267: 261: 258: 253: 250: 244: 154: 151: 61: 58: 55: 51: 47: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4256: 4245: 4242: 4240: 4237: 4235: 4232: 4231: 4229: 4210: 4207: 4205: 4202: 4200: 4197: 4195: 4192: 4190: 4187: 4186: 4184: 4180: 4170: 4167: 4165: 4162: 4160: 4157: 4155: 4154:Tachyphylaxis 4152: 4150: 4147: 4146: 4144: 4140: 4135: 4132: 4130: 4127: 4125: 4122: 4120: 4117: 4115: 4112: 4110: 4107: 4105: 4102: 4100: 4096: 4090: 4087: 4085: 4082: 4080: 4077: 4075: 4072: 4071: 4062: 4059: 4057: 4054: 4053: 4051: 4049: 4045: 4035: 4032: 4030: 4027: 4026: 4024: 4022: 4018: 4008: 4005: 4003: 4000: 3998: 3995: 3994: 3992: 3990: 3986: 3982: 3972: 3969: 3967: 3964: 3962: 3959: 3957: 3954: 3953: 3951: 3949: 3945: 3936: 3933: 3931: 3928: 3926: 3923: 3921: 3918: 3916: 3914: 3910: 3906: 3903: 3897: 3891: 3888: 3886: 3883: 3882: 3872: 3868: 3865: 3863: 3860: 3858: 3855: 3853: 3850: 3847: 3843: 3840: 3839: 3837: 3833: 3823: 3820: 3818: 3815: 3813: 3810: 3808: 3805: 3803: 3800: 3797: 3793: 3790: 3788: 3785: 3784: 3782: 3778: 3775: 3773: 3769: 3759: 3756: 3754: 3751: 3748: 3744: 3740: 3736: 3732: 3728: 3725: 3723: 3720: 3718: 3715: 3714: 3712: 3708: 3697: 3693: 3689: 3685: 3683: 3680: 3678: 3675: 3673: 3670: 3668: 3665: 3663: 3660: 3659: 3657: 3653: 3642: 3641:Neurotoxicity 3638: 3635: 3633: 3630: 3628: 3625: 3623: 3620: 3617: 3613: 3610:Selectivity ( 3609: 3608: 3606: 3602: 3593: 3590: 3588: 3585: 3583: 3580: 3578: 3575: 3573: 3570: 3568: 3564: 3561: 3559: 3555: 3549: 3548:Pharmacophore 3546: 3544: 3541: 3539: 3536: 3534: 3531: 3530: 3521: 3518: 3516: 3513: 3511: 3508: 3506: 3503: 3501: 3498: 3496: 3493: 3492: 3490: 3486: 3476: 3473: 3471: 3468: 3466: 3463: 3461: 3458: 3456: 3453: 3451: 3448: 3447: 3445: 3441: 3438: 3436: 3432: 3428: 3421: 3416: 3414: 3409: 3407: 3402: 3401: 3398: 3386: 3383: 3381: 3378: 3376: 3373: 3371: 3368: 3366: 3363: 3362: 3360: 3356: 3349: 3346: 3344: 3340: 3339:PAH clearance 3337: 3333: 3330: 3329: 3328: 3325: 3323: 3320: 3318: 3315: 3313: 3310: 3308: 3305: 3303: 3300: 3298: 3295: 3293: 3290: 3289: 3287: 3285: 3281: 3270: 3267: 3265: 3262: 3260: 3257: 3256: 3254: 3252: 3249: 3246: 3242: 3239: 3237: 3234: 3232: 3229: 3227: 3224: 3222: 3220: 3216: 3209: 3206: 3204: 3201: 3199: 3195: 3193: 3190: 3189: 3188: 3184: 3180: 3178: 3177:Fluid balance 3174: 3168: 3165: 3163: 3160: 3158: 3155: 3153: 3150: 3148: 3145: 3143: 3140: 3138: 3135: 3134: 3132: 3128: 3125: 3121: 3111: 3108: 3106: 3103: 3101: 3098: 3096: 3093: 3091: 3088: 3087: 3085: 3083: 3079: 3073: 3070: 3068: 3067:Oligopeptides 3065: 3063: 3060: 3058: 3055: 3053: 3050: 3048: 3045: 3043: 3040: 3039: 3037: 3033: 3027: 3024: 3022: 3019: 3017: 3014: 3012: 3009: 3008: 3006: 3002: 2999: 2997: 2992: 2988: 2984: 2977: 2972: 2970: 2965: 2963: 2958: 2957: 2954: 2945: 2941: 2936: 2931: 2927: 2923: 2919: 2915: 2911: 2906: 2905: 2900: 2891: 2887: 2882: 2877: 2873: 2869: 2865: 2858: 2855: 2852: 2847: 2843: 2838: 2833: 2829: 2825: 2821: 2814: 2811: 2806: 2800: 2796: 2792: 2785: 2783: 2781: 2777: 2771: 2768: 2763: 2759: 2755: 2751: 2744: 2741: 2736: 2732: 2729:(1): 166–71. 2728: 2724: 2720: 2713: 2710: 2705: 2701: 2697: 2695:0-19-263321-X 2691: 2687: 2686: 2678: 2675: 2669: 2666: 2654: 2648: 2645: 2640: 2633: 2631: 2627: 2615: 2608: 2601: 2598: 2591: 2586: 2583: 2581: 2578: 2576: 2573: 2571: 2568: 2566: 2563: 2561: 2558: 2556: 2553: 2551: 2548: 2546: 2543: 2542: 2537: 2535: 2533: 2532: 2527: 2523: 2519: 2515: 2511: 2510: 2505: 2501: 2499: 2495: 2483: 2480: 2473: 2470: 2469: 2468: 2461: 2454: 2452: 2434: 2430: 2425: 2422: 2417: 2413: 2406: 2403: 2396: 2395: 2392: 2390: 2389: 2384: 2376: 2374: 2372: 2368: 2364: 2360: 2356: 2355: 2345: 2338: 2336: 2314: 2308: 2305: 2298: 2295: 2288: 2287: 2284: 2282: 2273: 2266: 2264: 2248: 2243: 2240: 2233: 2224: 2216: 2215: 2212: 2210: 2202: 2198: 2194: 2193: 2189: 2186: 2179: 2176: 2175: 2174: 2167: 2160: 2158: 2140: 2136: 2133: 2130: 2124: 2120: 2115: 2109: 2104: 2101: 2094: 2089: 2085: 2080: 2076: 2071: 2066: 2063: 2056: 2053: 2046: 2045: 2042: 2036: 2034: 2032: 2031: 2014: 2011: 2005: 2002: 1997: 1994: 1988: 1975: 1968: 1966: 1949: 1946: 1940: 1937: 1934: 1931: 1928: 1925: 1919: 1916: 1911: 1908: 1902: 1899: 1893: 1890: 1885: 1882: 1876: 1869: 1868: 1865: 1863: 1854: 1847: 1845: 1828: 1825: 1819: 1816: 1813: 1810: 1807: 1804: 1798: 1795: 1787: 1784: 1781: 1775: 1765: 1764: 1761: 1747: 1741: 1731: 1722: 1715: 1713: 1696: 1693: 1687: 1684: 1681: 1678: 1675: 1672: 1666: 1655: 1652: 1649: 1633: 1632: 1629: 1627: 1611: 1579: 1576: 1569: 1557: 1554: 1547: 1541: 1538: 1527: 1523: 1514: 1507: 1505: 1491: 1484: 1471: 1468: 1461: 1449: 1446: 1439: 1436: 1433: 1430: 1427: 1423: 1419: 1413: 1410: 1407: 1394: 1393: 1390: 1383: 1376: 1374: 1360: 1357: 1354: 1351: 1339: 1336: 1325: 1324: 1321: 1314: 1307: 1305: 1291: 1288: 1285: 1282: 1273: 1265: 1264: 1261: 1256: 1242: 1219: 1207: 1206: 1205: 1178: 1175: 1164: 1140: 1137: 1126: 1102: 1099: 1088: 1074: 1045: 1034: 1019: 1009: 1008: 1007: 1000: 993: 991: 977: 959: 956: 949: 937: 934: 927: 915: 912: 905: 899: 890: 879: 878: 875: 873: 869: 868: 859: 857: 854: 849: 846: 840: 838: 830: 828: 809: 805: 801: 797: 790: 786: 782: 779: 776: 773: 766: 761: 758: 755: 751: 747: 722: 718: 714: 710: 705: 702: 699: 692: 687: 684: 680: 657: 653: 649: 645: 624: 621: 618: 596: 593: 589: 566: 563: 559: 549: 531: 527: 520: 517: 514: 510: 506: 499: 494: 491: 487: 478: 462: 459: 455: 442: 440: 438: 434: 433:concentration 429: 427: 426:time constant 422: 419: 417: 414:is the first 398: 395: 390: 387: 372: 369: 366: 362: 358: 355: 337: 334: 324: 323: 322: 315: 308: 306: 289: 286: 280: 277: 274: 271: 268: 265: 259: 256: 251: 248: 242: 235: 234: 231: 229: 225: 221: 216: 214: 212: 206: 202: 198: 194: 190: 189:mass transfer 186: 182: 178: 177: 171: 166: 159: 152: 150: 148: 143: 141: 137: 133: 129: 125: 121: 117: 113: 109: 105: 99: 97: 93: 89: 85: 81: 77: 59: 56: 53: 49: 45: 37: 33: 19: 4124:Chemotherapy 4084:Cell biology 3985:Biochemistry 3909:Neuroscience 3870: 3857:Distribution 3787:Loading dose 3470:Superagonist 3427:Pharmacology 3042:Solvent drag 3035:Reabsorption 3010: 2920:(1): 65–78. 2917: 2913: 2871: 2867: 2857: 2827: 2823: 2813: 2794: 2770: 2753: 2749: 2743: 2726: 2722: 2712: 2684: 2677: 2668: 2657:. Retrieved 2647: 2638: 2619:18 September 2617:. Retrieved 2613: 2600: 2529: 2525: 2521: 2517: 2513: 2507: 2503: 2502: 2491: 2466: 2455: 2386: 2380: 2358: 2352: 2350: 2339: 2280: 2278: 2267: 2208: 2206: 2191: 2184: 2177: 2172: 2161: 2040: 2028: 1980: 1969: 1862:product rule 1859: 1848: 1727: 1716: 1525: 1521: 1519: 1508: 1388: 1377: 1319: 1308: 1259: 1208: 1203: 1005: 994: 872:mass balance 865: 863: 850: 841: 834: 550: 479: 446: 430: 423: 420: 376: 320: 309: 228:hemodialysis 217: 208: 180: 173: 167: 164: 146: 144: 130:back to the 111: 107: 103: 100: 92:Thomas Addis 35: 32:pharmacology 29: 4209:Bactericide 3885:Compartment 3696:Patch clamp 3672:Schild plot 3380:Natriuresis 3245:Delta ratio 3231:Base excess 3142:Aldosterone 2512:) is valid 4234:Nephrology 4228:Categories 4089:Physiology 4021:Toxicology 3913:psychology 3862:Metabolism 3852:Absorption 3846:Liberation 3688:Organ bath 3616:Functional 3495:Antagonist 3488:Inhibitory 3443:Excitatory 3255:Buffering 3183:Body water 3162:Calcitriol 3082:Filtration 2659:2013-05-06 2592:References 1860:Using the 416:derivative 365:body water 153:Definition 80:efficiency 3871:Clearance 3867:Excretion 3686:Methods ( 3241:Anion gap 3011:Clearance 3004:Secretion 2994:Creating 2851:Full Text 2756:: 81–91. 2704:396722036 2423:⋅ 2363:inversely 2359:clearance 2319:∞ 2309:˙ 2244:˙ 2229:∞ 2134:⋅ 2125:− 2105:˙ 2095:− 2067:˙ 1950:˙ 1935:⋅ 1929:− 1829:˙ 1814:⋅ 1808:− 1785:⋅ 1745:→ 1739:Δ 1697:˙ 1682:⋅ 1676:− 1664:Δ 1653:⋅ 1644:Δ 1609:Δ 1580:˙ 1558:˙ 1542:˙ 1489:Δ 1472:˙ 1450:˙ 1434:⋅ 1428:− 1411:⋅ 1402:Δ 1358:⋅ 1340:˙ 1289:⋅ 1240:Δ 1217:Δ 1179:˙ 1141:˙ 1103:˙ 1072:Δ 1042:Δ 1017:Δ 975:Δ 960:˙ 938:˙ 916:˙ 906:− 887:Δ 864:Equation 783:⋅ 777:⁡ 703:⁡ 622:⁡ 363:or total 359:V is the 338:˙ 290:˙ 275:⋅ 269:− 88:Excretion 36:clearance 3989:genetics 3961:Pharmacy 3948:Medicine 3758:Affinity 3717:Efficacy 3655:Analysis 3637:Toxicity 3130:Hormones 3052:Chloride 2944:24202722 2890:10936795 2735:15151274 2538:See also 740:. Thus, 203:and the 3899:Related 3842:(L)ADME 3796:Initial 3780:Metrics 3727:Potency 3710:Metrics 3612:Binding 3582:Binding 3450:Agonist 3072:Protein 3062:Glucose 2935:3889537 2846:9719197 2762:5158139 2467:Where: 2173:Where: 1006:where: 581:). But 435:in the 321:Where: 205:tubular 176:kidneys 147:cleared 128:nephron 124:nephron 122:to the 112:handled 74:) is a 3901:fields 3203:Plasma 3047:Sodium 2942:  2932:  2888:  2844:  2801:  2760:  2733:  2702:  2692:  2498:Inulin 1260:Since 211:plasma 170:kidney 84:plasma 4098:Other 3835:LADME 3385:Urine 3358:Other 3152:Renin 2996:urine 2610:(PDF) 2383:urine 1730:limit 437:blood 3987:and 3911:and 3747:TD50 3743:LD50 3739:ED50 3735:IC50 3731:EC50 3533:Drug 3317:Kt/V 3057:Urea 2985:and 2940:PMID 2886:PMID 2842:PMID 2799:ISBN 2758:PMID 2731:PMID 2700:OCLC 2690:ISBN 2621:2023 2555:Kt/V 2514:only 2504:Note 2391:)): 1587:gen. 1526:gen. 1524:and 1479:gen. 1320:and 1278:body 1186:gen. 1050:body 967:gen. 895:body 3844:: ( 2930:PMC 2922:doi 2876:doi 2832:doi 2534:). 2522:not 2518:not 2388:10b 2354:10b 2342:10b 2281:10a 2270:10a 1347:out 1148:out 923:out 367:or 179:or 106:or 30:In 4230:: 3745:, 3741:, 3737:, 3733:, 3694:, 3690:, 3614:, 3185:: 2938:. 2928:. 2918:16 2916:. 2912:. 2884:. 2872:76 2870:. 2866:. 2840:. 2828:13 2826:. 2822:. 2793:. 2779:^ 2754:17 2752:. 2727:17 2725:. 2721:. 2698:. 2629:^ 2612:. 2509:11 2496:. 2458:11 2185:or 2033:: 1628:: 1565:in 1522:in 1457:in 1110:in 945:in 874:: 774:ln 700:ln 672:, 619:ln 439:. 215:. 98:. 34:, 3873:) 3869:( 3848:) 3798:) 3794:( 3749:) 3729:( 3698:) 3643:) 3639:( 3618:) 3419:e 3412:t 3405:v 3350:) 3341:( 3247:) 3243:( 3210:) 3196:( 2975:e 2968:t 2961:v 2946:. 2924:: 2892:. 2878:: 2848:. 2834:: 2807:. 2764:. 2737:. 2706:. 2662:. 2623:. 2531:9 2526:K 2486:B 2484:C 2476:U 2474:C 2460:) 2456:( 2435:B 2431:C 2426:Q 2418:U 2414:C 2407:= 2404:K 2344:) 2340:( 2315:C 2306:m 2299:= 2296:K 2272:) 2268:( 2249:K 2241:m 2234:= 2225:C 2209:9 2192:e 2181:o 2178:C 2166:) 2164:9 2162:( 2141:V 2137:t 2131:K 2121:e 2116:) 2110:K 2102:m 2090:o 2086:C 2081:( 2077:+ 2072:K 2064:m 2057:= 2054:C 2030:1 2015:0 2012:= 2006:t 2003:d 1998:V 1995:d 1989:C 1974:) 1972:8 1970:( 1947:m 1941:+ 1938:C 1932:K 1926:= 1920:t 1917:d 1912:C 1909:d 1903:V 1900:+ 1894:t 1891:d 1886:V 1883:d 1877:C 1853:) 1851:7 1849:( 1826:m 1820:+ 1817:C 1811:K 1805:= 1799:t 1796:d 1791:) 1788:V 1782:C 1779:( 1776:d 1748:0 1742:t 1721:) 1719:6 1717:( 1694:m 1688:+ 1685:C 1679:K 1673:= 1667:t 1659:) 1656:V 1650:C 1647:( 1612:t 1577:m 1570:+ 1555:m 1548:= 1539:m 1513:) 1511:5 1509:( 1492:t 1485:) 1469:m 1462:+ 1447:m 1440:+ 1437:C 1431:K 1424:( 1420:= 1417:) 1414:V 1408:C 1405:( 1382:) 1380:4 1378:( 1361:C 1355:K 1352:= 1337:m 1313:) 1311:3 1309:( 1292:V 1286:C 1283:= 1274:m 1243:t 1220:m 1176:m 1138:m 1100:m 1075:t 1046:m 1020:t 999:) 997:2 995:( 978:t 972:) 957:m 950:+ 935:m 928:+ 913:m 903:( 900:= 891:m 867:1 810:2 806:/ 802:1 798:t 791:d 787:V 780:2 767:= 762:t 759:o 756:t 752:l 748:C 723:2 719:/ 715:1 711:t 706:2 693:= 688:l 685:e 681:K 658:2 654:/ 650:1 646:t 625:2 597:l 594:e 590:K 567:l 564:e 560:K 532:d 528:V 521:t 518:o 515:t 511:l 507:C 500:= 495:l 492:e 488:K 463:l 460:e 456:K 399:t 396:d 391:C 388:d 335:m 314:) 312:1 310:( 287:m 281:+ 278:C 272:K 266:= 260:t 257:d 252:C 249:d 243:V 60:t 57:o 54:t 50:l 46:C 38:( 20:)

Index

Clearance (medicine)
pharmacology
pharmacokinetic
efficiency
plasma
Excretion
Thomas Addis
University of Edinburgh Medical School
glomerular filtration
peritubular capillaries
nephron
nephron
peritubular capillaries
zero-order kinetics
first-order kinetics

kidney
kidneys
volumetric flow rate
mass transfer
physiologically
mass transfer coefficient
glomerular filtration rate
tubular
plasma
differential equation
exponential decay
hemodialysis
volume of distribution
body water

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