First-Pass Effect · Pharmacology

Which factor increases the likelihood of a significant first-pass effect?

  1. High hepatic enzyme activity
  2. Low blood flow to the liver
  3. Intravenous administration
  4. Reduced intestinal absorption
Show answer and explanation

Correct answer: High hepatic enzyme activity

High hepatic enzyme activity increases the metabolism of drugs during their first pass through the liver. This results in greater loss of active drug before it reaches systemic circulation.

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