Drug Distribution · Pharmacology

Basic drugs, such as Lidocaine and Propranolol, primarily bind to which plasma protein, especially during acute inflammation?

  1. Albumin
  2. Lipoprotein
  3. Corticosteroid-binding globulin
  4. Alpha-1 acid glycoprotein
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Correct answer: Alpha-1 acid glycoprotein

Alpha-1 acid glycoprotein is an acute-phase reactant that primarily binds basic drugs. Its levels increase significantly during stress, surgery, or infection, which can alter the free fraction of the drugs it carries.

Difficulty: Medium Question 7 of 20

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