Volume of Distribution
Body Compartment Model
Volume of Distribution is considered in relation to body “compartments”.
Some large molecules stay mainly in the plasma and have a very small Vd. Hydrophilic or highly polar small molecule drugs, like penicillins, distribute into the extracellular fluid (ECF) and have a relatively small Vd. Highly lipid soluble drugs, such as tricyclic antidepressants, distribute far more widely into tissues and have a large VD.
Inject drug, and progressively add compartments to see what happens as the drug distributes more widely in the body.
You will see that Ab (Amount in body), Vd and Cp are clearly related.
PLASMA 5L
ECF 15L
TISSUE
Step 1
Inject Monoclonal Antibody
dose (Ab) = 100mg
conc (Cp) = 20mg/L
vol(Vd) = 5L
Step 2
Inject Hydrophilic Drug
dose (Ab) = 100mg
conc (Cp) = 6.7mg/L
vol(Vd) = 15L
Step 3
Inject Lipophilic Drug
dose (Ab) = 100mg
conc (Cp) = 0.02mg/L
vol(Vd) = 5000L