I would like clarification on the role of oxygen as a hydrogen bond acceptor in Lipinski's Rule of 5 (for drug absorption). I have learned in my medicinal chemistry class that both electron pairs from an oxygen atoms are able to individually form hydrogen bonds.
I was wondering if every sp3 hybridized oxygen would account for 2 possible hydrogen bond acceptors in this rule for drug absorption? If not, what other mechanisms or in vivo findings are not causing oxygen to not count as double?