Abstract
Theoretical equations are derived to estimate the extent of the hepatic and pulmonary first-pass effect after oral and intraperitoneal administration. This first-pass effect is taken into consideration for the determination of apparent volume of distribution and body clearance. Calculations using data for two normal adult subjects taken from the literature suggest that the fractions of chloroform metabolized in the liver and excreted intact from the lung in the first pass are maximally 0.38 and 0.172. respectively. The apparent volumes of distribution of chloroform in these two subjects are 238 and 283% of their body weight in terms of blood concentration. Close agreement between the predicted and experimental values for the pulmonary excretion clearance is also found.
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Chiou, W.L. Quantitation of hepatic and pulmonary first-pass effect and its implications in pharmacokinetic study. I. Pharmacokinetics of chloroform in man. Journal of Pharmacokinetics and Biopharmaceutics 3, 193–201 (1975). https://doi.org/10.1007/BF01067908
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DOI: https://doi.org/10.1007/BF01067908