Steady State Example

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The page below is a sample from the LabCE course Pharmacology for the Clinical Chemist: Therapeutic Drug Monitoring and Pharmacogenomics. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Steady State Example

If a drug is given at its half-life, it should reach steady-state after 5 doses. For example, if the drug gentamicin has an elimination half-life of 12 hours and is given every 12 hours, the drug should reach steady-state after 5 half-lives (60 hours).
Notice in the diagram that this kind of dosing results in a 'saw-tooth' pattern. Peaks correspond to the times right after the drug is taken; troughs correspond to the times right before the next dose.
Of course, a physician may want to get a patient into the therapeutic range more quickly. In this case, a higher loading dose of drug can be prescribed initially with instructions that after the first couple of doses, the dose should be reduced.