Biotransformation
Biotransformation of drugs is the process of metabolizing
the parent drug compound and occurs mainly in the liver (hence the term hepatic
metabolism) to different compounds called metabolites. The drug metabolite may
have decreased, increased or undergone no change in pharmacological activity
compared to the parent drug. It may also have a different activity. Some drugs
are what are termed pro-drugs – that is the drug itself is pharmacologically
inactive until it is metabolized by the liver to its active form. A good
example is codeine, which is metabolized to morphine by the body. The metabolite
is more polar (i.e. chemically charged) than the parent drug and therefore is
more readily excreted by the kidney. Drug metabolism can influence dose and frequency
of dosing. Drugs which are metabolized quickly have a short duration of action
and need to be administered more often (two, three or four times daily). Drugs
which are metabolized slowly can have a longer duration of action and may only need
to be given on a once-daily basis.
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