First-Pass Effect · Pharmacology

Which statement best explains why some drugs are ineffective when given orally?

  1. They are destroyed by gastric acid
  2. They bind strongly to proteins
  3. They undergo extensive first-pass metabolism
  4. They are rapidly excreted by the kidneys unchanged
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Correct answer: They undergo extensive first-pass metabolism

Some drugs are extensively metabolized during their first passage through the liver. As a result, only a small fraction reaches systemic circulation, making oral administration ineffective.

Difficulty: Medium Question 14 of 20

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