Answer to Practice Problem #4 Dose- and Time-Dependent Pharmacokinetics Tutorial:

A low doses, tissue binding is not saturated. However, as dose is increased, the tissue binding becomes saturated and the Vss will decrease as one increases the dose. This is easily seen by the relationship
Vss
= VP + (fup/fut)VT
As dose increases and tissue binding becomes saturated, the fut increases. If you increase fut while holding all other variables constant, the Vss will decrease. (Note: The curve will look smoother than I have drawn it here, but I am working with the limitations of the drawing program that is compatible with html files.) The lowest the Vss can decrease is when fut becomes so large that (fup/fut)VT becomes very small and Vss = VP. That is why the curve flattens out at the higher doses.
ã 2005 -
Craig K. Svensson, Pharm.D., Ph.D.
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