POSOLOGY
Dose is the quantity of drug given to the patient at one time.The quantity should be adequate to produce certain therapeutic effects.It should not be too small or too large.If too large, undesirable effects will appear.However there are individual variations and the same drug in the same doses may show marked differences in response.Some persons may be highly sensitive and respond to a very small dose, while others are more resistant and fail to respond except in very large doses.This is known as “normal biological variation”.
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posology (doses of drug) |
The United States Pharmacopoeia gives only an “average dose”. It is for the prescriber to adjust the dose according to the requirements of the patient.
Daily dose:
It is the total amount of the drug which can be given in the day either as a single dose, as with emetine hydrochloride, or the total amount is to be divided into three or four doses.The total daily dose of sodium amino salicylate is 10 to 15 g and it should be given in divided doses.Total dose:
It is the amount of the drug to be given to the patient during the full course of treatment. It should not be exceeded on account of toxicity. Thus the dose of colchicine is 1/2 to 1mg. Total dose is 8 mg.Single dose:
Means that only one dose should be given during the day. Single dose of Emetine is 30 to 60mg.For the treatment of certain diseases it is necessary to use a large dose initially to produce an effective concentration as quickly as possible and then to use small dose to maintain the effect. The former is known as “initial or loading dose” and the latter as “maintenance dose”. The initial dose of sulphadiazine is 3 g and subsequent dose is 1 g. Initial dose of digoxin is 1 to 1.5 mg and the maintenance dose is 0.25 mg once or twice daily.
For certain drugs the British Pharmacopoeia does not prescribe any dose and expects the physician to select the dose according to the requirements of the patients; for example, no dose is given for insulin and some of the antibiotics.
Median Lethal Dose(LD50):
It is the amount of drug which is fatal to 50 percent of experimental animals. It is the measure of acute toxicity of the drugs.Median Effective Dose(ED50):
It is the amount of the drug which produces the desired therapeutic effect in 50 percent of experimental animals. It is the measure of effectiveness of the drug.Therapeutic Index(Therapeutic Ratio):
It is the ratio of median lethal dose to the median effective dose. The higher is the ratio the safer is the drug.Toxic Dose:
It is the amount of drug which produces undesirable harmful effects of serious nature and liable to endanger the life of the patient.Fatal Dose:
It is the amount of drug which is liable to cause death due to toxic effect of the drug in a normal person.Also Read
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