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Problem 4 Now you would like to attain an effective dose concentration and maintain that concentration. Assume that the EDC is 45 ug/ml and you administer a maintenance dose every 2 hours. (a) How much should the maintenance dose be to attain this eventual plasma concentration after an infinite number of doses? (b) After 20 doses, what fraction of the EDC is the actual plasma concentration? (c) How many doses does it take to attain 95% of the EDC?
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Answer #1

A, maintenance dose is a rate of drug administration equal to the rate of elimination of steady state..Half lives of the drug will be steady state level..

Maintenance dose rate=

desired peak concentration (ug/l)X clearance (L/hr)

45 X 2= 90ug/ml

B, Therapeutic drug monitoring (TDM) defined as the drug dosage by maintaining plasma or blood drug concentration with in targeted therapeutic range .plasma concentration obtained during early treatment stages..

45X 20= 900ug/ml

C, ED 95 is the median dose required to achieve a 95% reduction in maximum response of the dose..ED 95 is the ED 50 from the cumulative log dose response curve when the quantum is 95% reduction in twitch height..

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