- Repeated administration of the same dose of different drugs that have similar clearance will achieve the same drug s.s. conc.
- Repeated administration of the same dose of drugs with increasing fm will result in a proportional increase in the metabolite formation rate
- Since the metabolite clearance is similar the increase in the metabolite formation rate will cause proportional increase in the s.s. metabolite conc and increase in the metabolite/drug concentration ratio at steady state.
The amount of the metabolite formed after drug administration depends on the dose of the drug and fm. If fm is equal to unity (1) for a particular metabolite, this means that the entire dose of the parent drug is converted to that metabolite.
Drugs that undergo parallel metabolism to more than one metabolite have different fm values for each metabolite. The sum of these fm values should not m m be more than one, but it does not have to be equal to one (when the drug elimination involves a pathway other than metabolism).
This fraction should be dose independent when drug elimination follows first-order kinetics. Also, this fraction should not be different for a particular drug in a particular patient after different routes of administrations, if the metabolite is not formed during drug absorption after extravascular administration.