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See Figure Phase reactions to a more water-soluble metabolite, which is more likely to be excreted by the kidney or go on to Phase reaction, which involves the addition of oxygen to the drug molecule. In the liver, oxidation reactions are catalysed by a group of enzymes known as the microsomal mixed function oxidase system or the cytochrome P Oxidative reactions take place in many other tissues as well.
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In practice however, because of the large surface area of the small intestine, the majority of drug absorption takes place there. Nevertheless, alteration of stomach pH can alter the absorption characteristics of acidic drugs.
Authored by Dr. Michael B. Tindel, MD