First-Pass Effect · Pharmacology

What is meant by the first-pass effect in pharmacology?

  1. The distribution of a drug to peripheral tissues after absorption
  2. The elimination of unchanged drug through the kidneys
  3. The reversible binding of drugs to plasma proteins
  4. The metabolism of a drug before it reaches systemic circulation
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Correct answer: The metabolism of a drug before it reaches systemic circulation

The first-pass effect refers to the metabolism of a drug in the liver and sometimes the intestinal wall before it reaches systemic circulation. This process reduces the amount of active drug available in the bloodstream.

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