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CLEARANCE

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CLEARANCE :- Ø   Clearance is the most important parameter in clinical drug applications and is useful in evaluating the mechanism by which a drug is eliminated by the whole organism or by a particular organ. Ø   Clearance is a parameter that relates plasma drug concentration with rate of drug elimination according to following equation:       Clearance = Rate of Elimination             -------15                            Plasma drug concentration                                                   Or Cl = (dx/...

RENAL CLEARANCE

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Definition:  It is the volume of blood from which the drug is totally removed in unit time through renal excretion.   Expressed as CL R   It has units : mL/min  Major Organ for Excretion of Drugs is the Kidney.   Functional Units are  Nephron  Bowman‘s Capsule  Proximal Tubule  Loop of Henle  Distal Tubule  Collecting Duct  EQUATION: CL R  = Rate of urinary excretion / Plasma drug concentration  Physiologically,   CL R  =  Rate of Filtration + Rate of Secretion - Rate of Reabsorption                                     Plasma drug concentration (C)  Normal values of:  Renal blood flow (RBF) = 1200 ml/min   Glomerular filtration rate (GFR) = 125 ml/min   Urine flow = 1.5 ml/min.  GFR is measured by exogeneous /endogenous markers like Inuli...

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