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

e- Metabolite total body clearance

Examine the drug and metabolite conc-time profiles during multiple administration of different drugs that form metabolites with different CLT(m). (All other parameters are similar)

Parameters
D (mg) Vd (L) CLΤ(L/hr) fm CLΤ(m)(L/hr) Vd(m) (L)
300 50 10 .8 6 20

6

CLT(m) (L/hr)

Detailed conclusion

Lower CLT(m) causes proportional increase in the metabolite steady state conc without affecting the drug steady state conc, i.e. higher metabolite/drug conc ratio.