PT - JOURNAL ARTICLE AU - W A Colburn AU - M Gibaldi TI - Pharmacokinetic model of presystemic metabolism. DP - 1978 Mar 01 TA - Drug Metabolism and Disposition PG - 193--196 VI - 6 IP - 2 4099 - http://dmd.aspetjournals.org/content/6/2/193.short 4100 - http://dmd.aspetjournals.org/content/6/2/193.full SO - Drug Metab Dispos1978 Mar 01; 6 AB - A pharmacokinetic perfusion model is presented that describes the disposition of drugs that are subject to both first-pass hepatic and intestinal epithelial metabolism. Equations are developed to estimate hepatic and intestinal epithelial clearances by determining drug concentrations as a function of time in both portal and peripheral vein blood after oral and iv administration, and by determining or estimating the flow rate of blood perfusing the gastrointestinal tissues. A method that can be used, under the stated conditions, to approximate the systemic availability after oral administration of drugs subject to presystemic metabolism is also developed.