Missed dose: difference between revisions
Diff·revision 2 → 3·10:13, 17 Oct 2024
Difference between revision 2 and revision 3 of Missed dose. 10 lines changed; the page grew by 597 bytes.
| Revision 2 — 20:01, 29 Sep 2024 MicrodoseMagnus (talk) add the note about drawing air before withdrawal 1,432 bytes ±0 | Revision 3 — 10:13, 17 Oct 2024 Chromatokid (talk) add the preservative point: unpreserved diluent changes the interval 2,029 bytes +597 | ||
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| 10 | For a weekly agent with a half-life of several days, the concentration at the end of a normal dosing interval has fallen to a substantial fraction of its peak, and a missed week extends that decline rather than producing a sudden loss of exposure. For a daily agent with a half-life of hours, a missed day is a larger proportional change but is corrected within a day or two of resuming.{{r|knudsen2019}} | 10 | For a weekly agent with a half-life of several days, the concentration at the end of a normal dosing interval has fallen to a substantial fraction of its peak, and a missed week extends that decline rather than producing a sudden loss of exposure. For a daily agent with a half-life of hours, a missed day is a larger proportional change but is corrected within a day or two of resuming.{{r|knudsen2019}} |
| 11 | 11 | ||
| + | 12 | == The governing arithmetic == | |
| + | 13 | After a dose, concentration falls by half each half-life. For a peptide with a half-life of seven days on a weekly schedule, trough concentration is about half the peak and steady-state accumulation is roughly two-fold. Omitting one dose allows a further halving before the next dose is taken.{{r|knudsen2019}} | |
| + | 14 | ||
| + | 15 | | Half-life | Interval | Fall over one missed interval | | |
| + | 16 | |---|---|---| | |
| + | 17 | | ≈7 days | Weekly | To about half | | |
| + | 18 | | ≈5 days | Weekly | To about two fifths | | |
| + | 19 | | ≈13 hours | Daily | To a few per cent | | |
| + | 20 | | ≈2.4 hours | Twice daily | Essentially complete | | |
| + | 21 | ||
| 12 | == References == | 22 | == References == |
| 13 | {{reflist}} | 23 | {{reflist}} |