In: Anatomy and Physiology
If Substance X is administered at the same time as penicillin, the length of time the penicillin can be found in the blood of the patient is prolonged. Which of the following is the most likely reason why?
Substance X increases the secretion of penicillin into the tubular fluid |
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Substance X and penicillin compete for the same renal transporter responsible for reabsorption. |
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Substance X and penicillin complete for the same renal transporter responsible for secretion |
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Substance X prevents the reabsorption of penicillin from the tubular fluid |
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Substance X increases the filtration of penicillin into Bowman's capsule |
The correct answer is C
Explanation:
Firstly let's clear doubts about tubular reabsorption and secretion..
In excretory stage of pharmacokinetics we can effectively increase or decrease the length of time a drug is present in the blood by two methods
a) either by controlling the tubular reabsorption
b) or by controlling drug's tubular secretion
In the above question we control penicillin's tubular secretion.
To make penicillin long acting, drugs like probenecid (here, substance X) is given; since probenecid has greater affinity for the transporter than penicillin. And thus penicillin is retained in the blood and not secreted back into the filtrate.