Forking lemma

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Characteristic Description Example value Symbol Formula
Dose Amount of drug administered. 500 mg D Design parameter
Dosing interval Time between drug dose administrations. 24 h τ Design parameter
Cmax The peak plasma concentration of a drug after administration. 60.9 mg/L Cmax Direct measurement
tmax Time to reach Cmax. 3.9 h tmax Direct measurement
Cmin The lowest (trough) concentration that a drug reaches before the next dose is administered. 27.7 mg/L Cmin,ss Direct measurement
Volume of distribution The apparent volume in which a drug is distributed (i.e., the parameter relating drug concentration to drug amount in the body). 6.0 L Vd =DC0
Concentration Amount of drug in a given volume of plasma. 83.3 mg/L C0,Css =DVd
Elimination half-life The time required for the concentration of the drug to reach half of its original value. 12 h t12 =ln(2)ke
Elimination rate constant The rate at which a drug is removed from the body. 0.0578 h−1 ke =ln(2)t12=CLVd
Infusion rate Rate of infusion required to balance elimination. 50 mg/h kin =CssCL
Area under the curve The integral of the concentration-time curve (after a single dose or in steady state). 1,320 mg/L·h AUC0 =0Cdt
AUCτ,ss =tt+τCdt
Clearance The volume of plasma cleared of the drug per unit time. 0.38 L/h CL =Vdke=DAUC
Bioavailability The systemically available fraction of a drug. 0.8 f =AUCpoDivAUCivDpo
Fluctuation Peak trough fluctuation within one dosing interval at steady state 41.8 % %PTF =Cmax,ssCmin,ssCav,ss100
where
Cav,ss=1τAUCτ,ss
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