What is Pharmacokinetics: How the Body Eliminates Drugs Over Time?
Mathematical Foundation
Laws & Principles
- The 5 Half-Life Rule: After 5 half-lives, only (1/2)⁵ = 3.125% of the original drug remains. Clinicians consider this 'effectively eliminated.' For a drug with t½ = 6 hours, full clearance takes approximately 30 hours.
- Steady-State (Repeated Dosing): When a drug is taken repeatedly at fixed intervals, concentration builds up until the rate of intake equals the rate of elimination. Steady-state is reached after approximately 4-5 half-lives of consistent dosing.
- First-Order vs. Zero-Order: Most drugs follow first-order kinetics (constant fraction eliminated per unit time). However, some drugs (notably ethanol and aspirin at high doses) follow zero-order kinetics — a constant amount is eliminated per unit time regardless of concentration.
Step-by-Step Example Walkthrough
" A patient takes 400 mg of ibuprofen (half-life ≈ 2 hours). How much remains after 6 hours? "
- 1. C₀ = 400 mg, t½ = 2 hours, t = 6 hours.
- 2. Number of half-lives elapsed: 6 / 2 = 3.
- 3. C(6) = 400 × (1/2)³ = 400 × 0.125 = 50 mg.
- 4. Clearance: 400 - 50 = 350 mg eliminated (87.5% cleared).