Pharmacokinetics · Pharmacology

A drug has a Volume of Distribution (Vd) of 500 Liters in a 70kg patient. What does this indicate about the drug's distribution?

  1. The drug is restricted to the plasma compartment
  2. The drug is highly bound to plasma proteins
  3. The drug is likely sequestered in peripheral tissues or fat
  4. The drug cannot cross the blood-brain barrier
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Correct answer: The drug is likely sequestered in peripheral tissues or fat

A volume of distribution that exceeds total body water (approximately 42L) suggests that the drug is extensively distributed into tissues. Such high values often indicate high lipid solubility or extensive tissue binding.

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