When the drug is eliminated by a saturable metabolic pathway, the decrease in the amount of the drug can be described by the following differential equation:
-dA
dt =Vmax Cp
Km + CpIntegration of this equation and dividing by the volume of distribution gives:
This equation cannot be solved explicitly to obtain an expression that describes the plasma conc-time profile at any time after drug administration. Instead one can solve for the time required for the initial drug conc Cpo to decrease to Cp as follows:
Cp0 - Cp
Vmax +Km
Vmax In(Cp0
Cp )