Basics of Volume of Distribution

Definition

The volume of distribution (Vd) is a pharmacokinetic parameter representing an individual drug’s propensity to either remain in the plasma or redistribute to other tissue compartments. It is completely theoritical parameter.

Volume of distribution is proportional to the dose of administration (Dose) and is inversely proportional to the plasma concentration (Conc).

\[V_d = \frac{Dose}{Conc}\]

Generally, volume of distribution is the Vd value after the equilibrium occurs.

Classifications

There are some ‘versions’ of Vd which are used for different works, like:

  • Initial Volume Distribution

    It is also called Volume Distribution for central compartment. It is shown as \(V_i\).

  • Extrapolated Volume Distribution

    It is also known as \(V_d\) of tissue compartment. It is shown as \(V_{extrp}\). It is used seldom.

  • Areal Volume Distribution

    It is shown as \(V_{area}\). It is closer to actual volume distribution.

  • Steady State Distribution

    It is shown as \(V_{ss}\). It is most widely used value of volume distribution. Generally, volume of distribution means Steady State distribution.

Formulae

Name

Formulae

\(V_d\)

\(\\{\frac{X}{C}}\)

\(V_i\)

Null

\(V_{area}\)

\(\\{\frac{X}{K_{el} \times AUC}}\)

\(V_{ss}\)

\(\\{\frac{X}{AUC} \times MRT}\)

The parameters to the above formulae is illustrated below.

Name

Meaning

Derivation

\(X\)

Dose administered

\(C\)

Concentration of drug in plasma

\(t\)

time

\(K_{el}\)

Elimination factor

slope of semilog \(C\) Vs \(t\) curve

\(AUC\)

Area under curve

Area under \(C\) Vs \(t\) curve

\(MRT\)

Mean residence time

\(\\{\frac{AUMC}{AUC}}\)

\(AUMC\)

Area under first moment curve

Area under \((C \times t)\) Vs \(t\) curve

Note

\(V_i\) is calculated by extrapolation of Conc Vs Time curve to t = 0