CLINICAL PHARMACOKINETICS & PHARMACOTHERAPEUTIC DRUG MONITORING
UNIT-2
Design of dosage regimens
Drug dosing in the pediatrics patients
Drug dosing in the pediatrics patients
Pediatric Patients means infants, children, adolescents, and
young adults up to the age of 18.
ABSORPTION:
The composition of intestinal fluids and the
permeability of the gut vary during childhood.
Absorption of orally administered drugs is affected by
changes in gastric pH which decreases during infancy
to reach adult values by two years of age.
Infants are at higher risk of toxicity via skin absorption
due to a larger surface area to volume ratio and they
also absorb more of a drug across the skin due to their
thinner stratum corneum.
Bile secretion in the first 2–3 weeks of life is known to
be poor with luminal concentrations lower than in
adults. It is known that drug solubility increases with
bile salt concentration and therefore a difference in
concentration may have an impact on absorption in
younger patients.
Thanks to SNEHA MAVIS.
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