The drug molecules move between compartments - plasma,
interstitial fluid, intracellular fluid and transcellular fluid.
There are many factors that may affect the rate of distribution
between these compartments that could be either drug related or
related to the host's body. Three of the factors related to the
host are as below:
- Vascularity - Most of the organs in the body
have abundant blood flow, whereas some have relatively lower blood
flow. Drugs reach the organs that has copious blood supply first
and then they get redistributed to the organs with lower supply.
Sometimes drugs may be prevented from reaching the organs with
lower blood supply.
- Transport mechanism - Different compartments
of the body transport different types of drugs. For example -
Passive transport occurs only in the case of lipid soluble drugs
but active transport occurs only where carrier proteins are
present.
- Blood Barriers - Blood barriers such as Blood
Brain Barrier (BBB) do not allow drugs to reach the brain. Only few
drugs such penecillin can pass through the BBB, when it is
disrupted due to meningitis.