Drug Concentration Over Time

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The page below is a sample from the LabCE course Pharmacology for the Clinical Chemist: Therapeutic Drug Monitoring and Pharmacogenomics. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Drug Concentration Over Time

At some point, after a drug is introduced into the body, it will reach a peak concentration. The drug concentration will then start to decrease as the drug is eliminated. The figure on the right shows a typical drug kinetic when a drug is given intravenously (IV). Different routes of administering medications lead to different kinetics. Inhalation and IV infusion have very fast onset, while oral medications or transdermal drug delivery is much slower as seen in Table 1. The elimination time will also be affected by the absorption time (see second figure).
Table 1. Route and Corresponding Onset Time.
Route Onset Time
Intravenous (IV)<60 seconds
Inhalation <2 min
Sublingual3–4 minutes
Intramuscular (IM)3–4 minutes
Subcutaneous15–30 minutes
Rectal5–30 minutes
Ingestion3–90 minutes
Transdermal patch~12 hours

Representation of a drug kinetic
when a drug is given intravenously.
Kinetics of various drug routes.