- Repeated administration of the same dose of drugs with similar clearance should achieve similar s.s. drug conc.
- Repeated administration of the same dose of drugs that have similar fm results in similar metabolite formation rate.
- lower metabolite clearance results in higher steady state metabolite conc.
- So, the metabolite/drug concentration ratio will be higher for drugs with lower metabolite clearance.
The metabolite total body clearance is the volume of the plasma or blood which is completely cleared from the metabolite per unit time. It has units of vloume/time.
The CLT(m) for the metabolite is constant within a patient (dose and concentration independent) when its elimination processes follow first-order kinetics.
The CLT(m) is a measure of the efficiency of all eliminating organs in eliminating the metabolite.
The metabolite elimination rate constant and the metabolite half life (the dependent pharmacokinetic parameters) are dependent on (is determined from) the metabolite total body clearance and the metabolite volume of distribution (the independent pharmacokinetic parameters).
CLT(m)
Vd(m) = k andCLT(m)
Vd(m) =0.693
t 1/2(m)