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Human Body & Health

An orally administered drug undergoes significant first-pass metabolism. If the intestinal CYP3A4 enzyme is inhibited, which consequence follows?

A)Systemic clearance rate is increased
B)Bioavailability dramatically decreases further
C)Volume of distribution significantly decreases
D)Oral bioavailability will substantially increase

💡 Explanation

When intestinal CYP3A4 is inhibited, first-pass metabolism decreases because the breakdown of the drug in the gut is reduced; therefore, a larger fraction of the drug reaches systemic circulation, and the bioavailability increases rather than decreases or affecting clearance or volume.

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