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Vol. 49, Issue 3, 279-295, September 1997

Red Blood Cells: A Neglected Compartment in Pharmacokinetics and Pharmacodynamics

Peter H. Hinderlinga

Department of Clinical Pharmacology, Berlex Laboratories, Inc., Montville, New Jersey

I. Introduction
II. Salient Features of Red Blood Cells
III. Principles and Definitions
IV. State of the Art
    A. Methodological Aspects
    B. Rate of Partitioning
    C. Extent of Partitioning
    D. Binding Sites
V. Significance of Studying Red Blood Cell Partitioning of Drugs
    A. Rational Choice of Biological Fluid (Whole Blood, Red Blood Cells, Plasma/Serum) for Assaying Drug Concentrations
    B. Significance of Rate and Extent of Red Blood Cell Partitioning for Physiological Interpretation of Organ Clearances and Volumes of Distribution
    C. Red Blood Cells as Probes for in Vivo Drug Distribution
    D. Use of Red Blood Cell Suspensions in Plasma and Buffer to Determine Plasma Protein Binding of Drugs
    E. Significance of Studying the Effects of Drugs on Red Blood Cells
    F. Red Blood Cells as Markers
VI. Conclusions
Acknowledgements
References


a   Address for correspondence: Peter H. Hinderling, Department of Clinical Pharmacology, Berlex Laboratories Inc., P.O. Box 1000, Montville, NJ 07045-1000.


0031-6997/97/4903-0279$03.00/0
PHARMACOLOGICAL REVIEWS
Copyright © 1997 by The American Society for Pharmacology and Experimental Therapeutics



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