Half-Life and Clearance · Pharmacology

What is the 'Extraction Ratio' ($ER$) of an organ like the liver?

  1. The fraction of drug removed from blood in a single pass through the organ
  2. The total amount of drug stored within the organ during steady state dosing
  3. The rate at which the organ synthesizes new metabolizing enzymes
  4. The volume of blood in the organ divided by the total cardiac output
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Correct answer: The fraction of drug removed from blood in a single pass through the organ

The extraction ratio measures an organ's efficiency in removing a drug. For a high $ER$ drug, clearance is limited by blood flow to the organ, whereas for a low $ER$ drug, clearance is limited by the organ's enzymatic capacity.

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