Skip to main content

Real and Apparent Volumes of Distribution

  • Living reference work entry
  • First Online:
The ADME Encyclopedia
  • 94 Accesses

Synonyms

Apparent volume of distribution; Real volume of distribution; Steady state volume of distribution; Volume of distribution; Volume of distribution area

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...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  1. Dineen S, Schumacher P. Disorders of acid-base, fluids, and electrolytes. In: Alexander L, Eastman AL, Rosenbaum DH, Thal ER, editors. Parkland trauma handbook. 3rd ed. Amsterdam: Elsevier Inc.; 2009. p. 461–73.

    Chapter  Google Scholar 

  2. Yiengst MJ, Shock NW. Blood and plasma volume in adult males. J Appl Physiol. 1962:195–8.

    Google Scholar 

  3. Wadsworth GR. The blood volume of normal women. Blood. 1954;9(12):1205–7.

    Article  CAS  Google Scholar 

  4. Brown E, Hopper J Jr, Hodges JL Jr, Bradley B, Wennesland R, Yamauchi H. Red cell, plasma, and blood volume in the healthy women measured by radiochromium cell-labeling and hematocrit. J Clin Invest. 1962;41(12):2182–90.

    Article  CAS  Google Scholar 

  5. Fudim M, Miller WL. Calculated estimates of plasma volume in patients with chronic heart failure-comparison with measured volumes. J Card Fail. 2018;24(9):553–60.

    Article  Google Scholar 

  6. Toutain PL, Bousquet-Mélou A. Volumes of distribution. J Vet Pharmacol Ther. 2004;27(6):441–53.

    Article  CAS  Google Scholar 

  7. Avent ML, Rogers BA, Cheng AC, Paterson DL. Current use of aminoglycosides: indications, pharmacokinetics and monitoring for toxicity. Intern Med J. 2011;41(6):441–9.

    Article  CAS  Google Scholar 

  8. Browning DJ. Pharmacology of chloroquine and hydroxychloroquine. Hydroxychloroquine Chloroquine Retinopathy. 2014;4:35–63.

    Article  Google Scholar 

  9. MacIntyre AC, Cutler DJ. In vitro binding of chloroquine to rat muscle preparations. J Pharm Sci. 1986;75(11):1068–70.

    Article  CAS  Google Scholar 

  10. Ono C, Yamada M, Tanaka M. Absorption, distribution and excretion of 14C-chloroquine after single oral administration in albino and pigmented rats: binding characteristics of chloroquine-related radioactivity to melanin in-vivo. J Pharm Pharmacol. 2003;55(12):1647–54.

    Article  CAS  Google Scholar 

  11. Holford NH. Clinical pharmacokinetics and pharmacodynamics of warfarin. Understanding the dose-effect relationship. Clin Pharmacokinet. 1986;11(6):483–504.

    Article  CAS  Google Scholar 

  12. Ducharme J, Farinotti R. Clinical pharmacokinetics and metabolism of chloroquine. Focus on recent advancements. Clin Pharmacokinet. 1996;31(4):257–74.

    Article  CAS  Google Scholar 

  13. Gonzalez D, Schmidt S, Derendorf H. Importance of relating efficacy measures to unbound drug concentrations for anti-infective agents. Clin Microbiol Rev. 2013;26(2):274–88.

    Article  CAS  Google Scholar 

  14. Di L, Rong H, Feng B. Demystifying brain penetration in central nervous system drug discovery. Miniperspective. J Med Chem. 2013;56(1):2–12.

    Article  CAS  Google Scholar 

  15. De Baerdemaeker LEC, Mortier EP, Struys MMRF. Pharmacokinetics in obese patients. Contin Educ Anaesth Crit Care Pain. 2004;4(5):152–5.

    Article  Google Scholar 

  16. Jain R, Chung SM, Jain L, Khurana M, Lau SW, Lee JE, Vaidyanathan J, Zadezensky I, Choe S, Sahajwalla CG. Implications of obesity for drug therapy: limitations and challenges. Clin Pharmacol Ther. 2011;90(1):77–89.

    Article  CAS  Google Scholar 

  17. Barras M, Legg A. Drug dosing in obese adults. Aust Prescr. 2017;40(5):189–93.

    Article  Google Scholar 

  18. Hebbes CP, Thompson JP. Pharmacokinetics of anaesthetic drugs at extremes of body weight. BJA Educ. 2018;18(12):364–70.

    Article  CAS  Google Scholar 

  19. Leal AM, Moreira AC. Daily variation of plasma testosterone, androstenedione, and corticosterone in rats under food restriction. Horm Behav. 1997;31(1):97–100.

    Article  CAS  Google Scholar 

  20. Green B, Duffull SB. What is the best size descriptor to use for pharmacokinetic studies in the obese? Br J Clin Pharmacol. 2004;58(2):119–33.

    Article  Google Scholar 

  21. Faisal W, Tang HM, Tiley S, Kukard C. Not all body surface area formulas are the same, but does it matter? J Glob Oncol. 2016;2(6):436–7.

    Article  Google Scholar 

  22. Gaborit B, Moulin PA, Bege T, Boullu S, Vincentelli C, et al. Lean body weight is the best scale for venous thromboprophylaxis algorithm in severely obese patients undergoing bariatric surgery. Pharmacol Res. 2018;131:211–7.

    Article  Google Scholar 

  23. Pai MP, Nafziger AN, Bertino JS Jr. Simplified estimation of aminoglycoside pharmacokinetics in underweight and obese adult patients. Antimicrob Agents Chemother. 2011;55(9):4006–11.

    Article  CAS  Google Scholar 

  24. Velissaris D, Karamouzos V, Marangos M, Pierrakos C, Karanikolas M. Pharmacokinetic changes and dosing modification of aminoglycosides in critically ill obese patients: a literature review. J Clin Med Res. 2014;6(4):227–33.

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alan Talevi .

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-51519-5_52-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-51519-5

  • Online ISBN: 978-3-030-51519-5

  • eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences

Publish with us

Policies and ethics