Factors affecting the steady state
drug/metabolite conc ratio (Cont'd)

b - Drug total body clearance

Examine the drug and metabolite conc-time profiles during multiple drug administration of different drugs that have different CLT. All other parameters are similar

Parameters
D (mg) Vd (L) CLΤ(L/hr) fm CLΤ(m)(L/hr) Vd(m) (L)
200 50 15 .8 3 30

15

CLT (L/hr)

Detailed conclusion

Lower drug clearance results in higher steady state. drug conc without affecting the amount of metabolite formed at steady state and the metabolite steady state conc. This leads to lower metabolite/drug conc ratio.