The Therapeutic Range of Drugs

The therapeutic range is the range of drug concentrations in the plasma/blood which produce the desired therapeutic effects with minimum adverse effects.

Examples of the therapeutic range of some drugs

Digoxin 0.6 - 2 ng/ml Nortriptyline 50 - 150 ng/ml
Lidocaine 1 - 6 ug/ml Phenobarbital 10 - 30 ug/ml
Phenytoin 10 - 20 ug/ml Carbamazepine 4 - 12 ug/ml
Theophylline 10 - 20 ug/ml Quinidine 2 - 6 ug/ml
Procainamide 4 - 8 ug/ml Ethosuximide 40 - 100 ug/ml

The correlation between the drug plasma/blood concentration and the effect of the drug is much better than the correlation between the administered dose and the drug effect. This is because of the inter-patient variability in drug pharmacokinetics which affects the rate of drug disposition.