Drug Distribution · Pharmacology

Why is the central nervous system (CNS) distribution of many drugs limited despite the brain receiving 15% of cardiac output?

  1. The brain receives very low blood flow overall
  2. The presence of the Blood-Brain Barrier
  3. The brain lacks any drug receptors
  4. The brain is too far from the heart
Show answer and explanation

Correct answer: The presence of the Blood-Brain Barrier

Even with high perfusion, the tight junctions of the BBB endothelial cells and the efflux activity of P-glycoprotein prevent many polar or large molecules from entering the brain parenchyma.

Difficulty: Medium Question 15 of 20

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