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

c - Drug volume of distribution

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

Parameters
D (mg) Vd (L) CLΤ(L/hr) fm CLΤ(m)(L/hr) Vd(m) (L)
200 200 5 .8 2 20

200

Vd (L)

Detailed conclusion

The change in the Vd of the drug does not affect the steady state concentration of the drug or the metabolite. So, the drug/metabolite concentration ratio at steady state does not change.