Pharmaceutical Chemistry Drug Metabolism and Pharmacokinetics

Bioavailability and Half-Life

Topic overview

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Absolute bioavailability compares exposure after an extravascular dose with exposure after intravenous administration; relative bioavailability compares non-IV formulations. Oral bioavailability may be reduced by incomplete absorption, first-pass metabolism, efflux transport, drug instability, or interactions. Extraction ratio helps explain how strongly first-pass effects influence some drugs. Bioequivalence assessment uses confidence intervals for AUC and Cmax against a reference product. For first-order elimination, half-life is constant and depends on volume of distribution and clearance; it is not constant when elimination becomes zero-order. Half-life informs dosing intervals, time to steady state, and washout, while physiologic or disease-related changes in distribution or clearance can alter it. In multicompartment kinetics, the clinically relevant half-life refers to the terminal elimination phase.

Learning objectives

What you'll learn

  • Distinguish absolute from relative bioavailability using their exposure comparisons.
  • Identify processes that can reduce oral bioavailability.
  • Explain how extraction ratio relates to first-pass loss and bioavailability.
  • Relate first-order half-life to volume of distribution and clearance.
  • Describe how half-life informs steady state, washout, and dosing considerations.
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