Example Calculation:
1. A dose of 200 mg of a drug with V = 30 L and kel = 0.2 hr-1 was given to a patient. What is the drug concentration imediately and after 2 hours?
The following plasma concentrations can be calculated
Cp = Cp0 * e- kel * t
Thus:
Cp0 = 200/30 = 6.7 mg/liter, Cp2 = 4.5
2. The pharmacokinetic parameters kel and V can be determined if we know the dose given and the plasma concentrations at two (or more) times after an IV administration. This is done using Equation 5 in the form:
ln Cp = ln Cp0 - kel*t
If Cp1 = 5.5 mg/liter and Cp4 = 2.3 mg/liter after a 200 mg IV dose then:
slope = -kel = (ln 2.3 - ln5.5) / 4-1
= -.87 / 3 = -0.29 /hr, thus kel = 0.29 /hr.
Now ln Cp 1 = ln Cp0 - kel * t, so
ln 5.5 = ln Cp0 - 0.29 x 1
ln Cp0 = 1.705 + 0.29 = 1.99
Cp0 = 1.99 = Dose / V
V = Dose / V = 200 / 1.99 = 100.5 L
3. A drug with kel = 0.20 hr- 1 and V = 30 L was given. Calculate the dose required by rapid IV, to achieve a plasma concentration of 5.0 ug/ml (= 5.0 mg/L) at 3 hours.
Thus Cp3 = Cp0 * e- kel*t or Cp3 = (Dose / V)*e-kel*t
Substituting in the values we know:
5.0 = (Dose / 30)* e-.20*3
solving for Dose we get
Dose = 150 / .549 = 273.3 mg.