How to set up a bioavailability problem
Absolute bioavailability is the fraction of an oral dose that reaches the systemic circulation, measured against an IV dose of the same drug, which by definition is 100% available. The measurement is the area under the concentration-time curve (AUC), because AUC is proportional to the amount of drug the body was exposed to. The one thing that makes this a calculation rather than a lookup is that the oral and IV doses in a study are usually different sizes, so the AUCs have to be normalized to their doses before they can be compared.
F = (AUC_oral ÷ dose_oral) × (dose_IV ÷ AUC_IV) = (AUC_oral × dose_IV) ÷ (dose_oral × AUC_IV)
Both forms are the same equation. The second one, written as a single fraction, is the one to use on a calculator, because it avoids rounding two separate factors and multiplying rounded numbers together.
Worked example
A 100 mg IV dose gives an AUC of 40 mg·hr/L. A 250 mg oral dose gives an AUC of 60 mg·hr/L.
numerator = 60 × 100 = 6,000
denominator = 250 × 40 = 10,000
F = 6,000 ÷ 10,000 = 0.6
So F is 0.6, or 60%. Report it as a fraction or a percent depending on what the question asks for; the practice problems here ask for the percent.
Now look at what happens if you skip the normalization: 60 ÷ 40 is 1.5, which would mean the oral dose was 150% bioavailable, more drug absorbed than was given. That's impossible, and it's the built-in check. If F comes out above 1, the doses weren't accounted for.
Why it's dimensionless
The AUC units cancel top and bottom, and so do the dose units. F is a pure ratio. Don't write mg or mg·hr/L after it. That also means the AUC can be in any unit as long as both AUCs are in the same one, and the same for the doses.
Relative bioavailability
The same setup compares two non-IV formulations, for example a generic tablet against the brand: F_relative = (AUC_test ÷ dose_test) × (dose_reference ÷ AUC_reference). Nothing changes except that the reference isn't 100% by definition, so a relative F above 1 is possible and just means the test product was absorbed better than the reference.
Using F in a dose calculation
Once F is known it turns up as a divisor in oral dosing: if an IV dose of 200 mg is needed and F is 0.6, the equivalent oral dose is 200 ÷ 0.6, about 333 mg. And in the loading dose equation from pharmacokinetics, LD = C_target × Vd ÷ (S × F), the F in the denominator is this number. A lower F means a larger oral dose to get the same amount into the body.
Where students lose the points
- Raw AUC ratio. Always divide each AUC by its own dose first, or use the single-fraction form.
- Doses upside down. IV dose goes in the numerator with the oral AUC; oral dose in the denominator with the IV AUC. If that seems backwards, remember you're dividing each AUC by its own dose.
- Fraction reported as percent, or the reverse. 0.6 and 60% are the same answer; 0.6% is not.
- F applied by multiplying when it should divide. To find the oral dose that matches an IV dose, divide by F. To find how much of an oral dose was absorbed, multiply.