Any experiences? [Design Issues]

posted by nobody – 2014-10-20 16:21 (4267 d 23:37 ago) – Posting: # 13757
Views: 28,160

❝ But in renal/hepatic impaired patients we are talking about clearance. That’s the drug, not the formulation.


Not necessarily, might also be on absorption level... I think pathophysiological alterations might include active as well as passive absorption mechanisms as well as presystemic metabolism (both phase I and II)

Οὐδείς

PS: Regarding LZB and "healthy volunteers": prospective trials is one piece of cake, clinical practice (including therapeutic drug monitoring) and e.g. epileptics/immunosuppressants a completely other...

PPS: Finding BE-failures in clinical practice is almost like studying carcinogenicity of a drug from post-marketing surveillance data, i.e. virtually impossible. Maybe for an analgesic you would be able to detect a large difference in Cmax, but how about antihypertensives or even lipid lowering drugs in "primary prevention" (one of my favorite indications).

Kindest regards, nobody

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