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Human Body & Health

If a drug with high lipophilicity and a large volume of distribution is administered intravenously but the patient has hypoalbuminemia, which consequence follows regarding the drug's free concentration?

A)Decreased due to enhanced metabolism
B)Unchanged due to constant clearance
C)Increased, leading to greater effect
D)Reduced, due to increased renal excretion

💡 Explanation

Increased free drug concentration will result because the drug typically binds to albumin, and hypoalbuminemia reduces this binding capacity, therefore the unbound (free) fraction increases, rather than remaining unchanged or decreasing due to altered metabolism or excretion.

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