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This fact assumes practical significance with any drug that may be rapidly transformed or possibly inactivated in the liver (first-pass hepatic elimination). Even with rectal administration, at least a fraction of the drug enters the general circulation via the portal vein, because only veins draining the short terminal segment of the rectum communicate directly with the inferior vena cava.
The AUC can thus be used to determine the bioavailability F of a drug. The ratio of AUC values determined after oral or intravenous administration of a given dose of a particular drug corresponds to the proportion of drug entering the systemic circulation after oral administration. |
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