Plasma Protein Binding of Acidic Drugs
Acidic drugs are primarily bound to which plasma protein?
- Fibrinogen
- Globulin
- Albumin — Correct Answer
- α1-acid glycoprotein
Correct Answer: Albumin
Acidic drugs are bound primarily to albumin. Basic drugs are bound primarily to α1-acid glycoprotein.
Examples of Albumin-Bound Drugs
- NSAIDs
- Barbiturates
- Phenytoin
- Penicillins
- Tetracyclines
Examples of α1-Acid Glycoprotein-Bound Drugs
- Verapamil
- Lidocaine
- Bupivacaine
- Quinidine
- Prazosin
Clinical Significance
Only the unbound (free) fraction of a drug can diffuse out of capillaries into tissues and exert pharmacologic effects. Drug-protein binding is reversible and follows the law of mass action.
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