How do you calculate daily dose of a med based on half life

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Discussion Overview

The discussion revolves around calculating the daily dose of a medication based on its half-life, specifically focusing on a medication with a 72-hour half-life that is administered daily. Participants explore the elimination rate of the drug and how to determine the steady state dosage in relation to the daily dose.

Discussion Character

  • Technical explanation
  • Mathematical reasoning
  • Exploratory

Main Points Raised

  • One participant proposes that if a medication has a 72-hour half-life, approximately 16% of the drug is eliminated daily, leading to a steady state level that is six times the daily dose.
  • Another participant introduces a mathematical function, R(x) = k 2^-x/72, to describe the remaining amount of the drug over time, aligning with the definition of half-life.
  • A different participant calculates specific remaining amounts of the drug over several days, suggesting that about 26.5% of the drug is eliminated each 24 hours based on their calculations.
  • One participant notes that approximately 0.96% of the drug is lost every hour, derived from the half-life formula.

Areas of Agreement / Disagreement

Participants present multiple approaches and calculations regarding the elimination of the drug and the determination of steady state dosage. There is no consensus on a single method or outcome, as different calculations yield varying results.

Contextual Notes

The discussion includes various assumptions about the drug's behavior over time, and the calculations depend on the interpretation of half-life and elimination rates. Some mathematical steps and definitions may remain unresolved.

Who May Find This Useful

This discussion may be of interest to those studying pharmacokinetics, medical professionals involved in medication dosing, or students learning about drug elimination and half-life calculations.

Juche
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Assume you have a med with a 72 hour half life, but that is dosed daily. How much elimination occurs each day of the drug, and what is the steady state dose compared to the daily dose?

Is it just a linear decrease, so you take 50/72= 0.667, and multiply 0.667x24= 16 which means everyday 16% of the drug in your system is destroyed, and you have 100/16=6 so 6 times as much as the daily dose in your system at any given time (ie if you take 10mg a day you have a steady state level of 60mg in your body)?

If drug half life is exponential I don't know how to solve it.
 
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If k is the initial amount, the amount left in function of x in hours is

R(x) = k 2^-x/72

This is goes along the definition of a half-life: the time it takes for k to be reduced by half. In the function above, you have R(72) = k * 2^-1 = k/2. Now you can evaluate the remaining amount at any x.
 
So if you take 10mg, by day 2 you are down to 7.9 mg, then 6.2mg by day 3, and 5mg by day 4.

So in order to find the stead state dosage do you divide the day 2 value by the initial value (say 10/7.9 = 1.26582), then use 26.582% as the % that is eliminated each 24 hours? I tried it with 10, 20 & 40mg and it all works out with 26.5% being eliminated every 24 hours. If you take the value at day 2 and multiply it by 1.26582 you end up with the day 1 dosage.
 
Well, (1/2)^(1/72) = 99.04%. You could say that 0.96% is lost every hour.
 

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