Initial volume of distribution

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The initial volume of distribution (Vi) is a

apparent volume of distribution. Calculation of the initial volume of distribution is the same calculation as that for the apparent volume of distribution
, given by the equation:

Therefore the dose required to give a certain plasma concentration can be determined if the VD for that drug is known. The VD is not a real volume; it is more a reflection of how a drug will distribute throughout the body depending on several physicochemical properties, e.g. solubility, charge, size, etc. The VD may also be used to determine how readily a drug will displace into the body tissue compartments relative to the blood:

Where:

VP = plasma volume

VT = apparent tissue volume

fu = fraction unbound in plasma

fuT = fraction unbound in tissue

References