Definition
The real volume of distribution of a drug has physiological meaning, as it is related to the volume of body water accessible to the drug (including intracellular and extracellular fluid). Total body water represents 50%–70% of the total body weight; two thirds of it correspond to intracellular fluid, whereas the remaining one third corresponds to extracellular fluid (around 75% interstitial fluid and 25% plasma) [1]. Since an adult presents about 600 mL of body water per kilogram of body weight (which varies between 500 and 700 mL/kg depending on sex and age), the upper bound for the real volume of distribution of a drug will be around 42 L for a person weighing 70 kg. No drug might have, for such an individual, a real volume of distribution significantly above that approximate value. Furthermore, only a drug that...
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Talevi, A., Bellera, C.L. (2021). Real and Apparent Volumes of Distribution. In: The ADME Encyclopedia. Springer, Cham. https://doi.org/10.1007/978-3-030-51519-5_52-1
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DOI: https://doi.org/10.1007/978-3-030-51519-5_52-1
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