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Basic pharmacokinetics - Pharmaceutical Press

Aims and learning outcomesPharmacokinetics is a fundamental scientific discipline that underpinsapplied therapeutics. Patients need to be prescribed appropriate medicinesfor a clinical condition. The medicine is chosen on the basis of an evidence-based approach to clinical practice and assured to be compatible withany other medicines or alternative therapies the patient may be design of a dosage regimen is dependent on a Basic under-standing of the drug use process (DUP). When faced with a patient whoshows specific clinical signs and symptoms, pharmacists must alwaysask a fundamental question: Is this patient suffering from a drug-relatedproblem? Once this issue is evaluated and a clinical diagnosis is avail-able, the pharmacist can apply the DUP to ensure that the patient is prescribed an appropriate medication regimen, that the patient under-stands the therapy prescribed, and that an agreed concordance plan using the DUP consider: Need for a drug Choice of a drug Goals of therapy Design of regimen Route Dose and frequency Duration Monitoring and review CounsellingOnce a particular medicine is chosen, the principles of clinical pharmaco-kinetics are required to ensure the appropriate formulation of drug ischosen for an appropriate route of administratio

Consider a single IV bolus injection of drug X (see Figure 1.2). As time proceeds, the amount of drug in the body is eliminated. Thus the rate of elimination can be described (assuming first-order elimination) as: Hence X X 0 exp(kt) where X amount of drug X, X 0 dose and k first-order elimination rate constant. Volume of distribution

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