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Pharmacokinetic Profile of a Single PI Administered Twice Daily
 
Slide 4 of 22
 
Speaker notes: Looking at the PK of a single protease inhibitor there is the problem that, at the end of a dosing interval, the concentration of drug in plasma falls to a level close to the area of potential replication.
The terminology used varies somewhat:
  Cmin or Ctrough: The lowest concentration reached during the dosing interval
  • tend to be used interchangeably and can usually be considered to mean the same thing
  • there are occasional exceptions to this rule eg nelfinavir (NFV) where Cmin is not always the same as Ctrough.
IC50 or EC50 or IC95: The concentration required to inhibit 50% or 95% of the virus, respectively
  • generated in vitro
  • most pharmacologists use IC50 as the most reliable parameter, but IC90 and IC95 are also used.

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