Pharmacokinetics: ADME & Dosing

compartment model

A compartment model is a simplified picture that treats the body not as a tangle of organs but as one or a few imaginary tanks of fluid into which a drug mixes. Each compartment is assumed to be well stirred, so the drug spreads evenly within it instantly; the model then tracks how the drug moves between tanks and out of the body. It trades anatomical realism for mathematical tractability.

In a one-compartment model the body behaves as a single tank — the drug equilibrates everywhere at once and the concentration falls as one smooth exponential. A two-compartment model adds a central compartment (blood and well-perfused organs) and a peripheral one (slower tissues like fat and muscle), producing a two-phase decline: a fast distribution phase as drug spreads into tissues, then a slower elimination phase.

These compartments are mathematical conveniences, not real boxes you could dissect out. Their value is practical: they let clinicians estimate parameters like volume of distribution, clearance, and half-life, and predict drug levels for any dosing schedule. Physiologically based models go further by using real organ blood flows and volumes, at the cost of far more complexity.

Intravenous propofol fits a two- or three-compartment model: it works within seconds as it floods the central compartment, then wears off as it redistributes into fat and muscle.

Propofol's quick offset is redistribution, not elimination.

A two-compartment plot shows two slopes on a log-concentration graph: a steep early distribution phase and a shallower later elimination phase.

Also called
compartmental pharmacokinetics隔室模型隔室模型