Description

Some drugs are available in different formulations. When changing to a different formulation it may be necessary to change the dosage regimen. Simply using the same amount of drug can result in therapeutic problems.


 

Examples of different formulations: oral suspension, rapid release, delayed release

 

Variables:

(1) bioavailability and absorption

(2) rate of drug release

 

If a new formulation has better absorption/bioavailability than a current one, then the same dose of the new formulation will result in high drug levels, possibly causing toxicity.

 

If a new formulation has a lowe absorption then the same dose could cause a subtherapeutic dose.

 

If a drug has a slower release than another, then the drug concentration will probably be more constant.

 

If a drug has a faster release, then there may be wider swings in drug concentration. Use of a smaller dose more often may be necessary.

 

If one formulation has similar bioavailability and a rate of drug release to another, then the same dose can be used. Else problems may occur.

 


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