t C C0 C = C0 e-kt t C CS CE t C CS CE MATH 164, Spring 2001 Due Date: Name(s): Honors Project 0: Drug Dosage Background Two facts will be important in this project. First, the concentration of a drug in the bloodstream from a single dose decreases with time. (Can you see why?) In general, the rate of decrease is proportional to the amount present: thus if C = C(t) is concentration (in mg/mL) as a function of time t (in hours), then dC dt = -kC where k > 0 is a constant, known as the elimination constant of the drug. It follows that C = C0e-kt where C0 is the initial concentration, or C = C0 1 2 t tH where tH is the half-life of the drug. Second, for most drugs there is an effective concentration level CE above which C must stay if the drug is to be effective, and a safe concentration level CS > CE below which C must stay if the drug is to be safe. The Problems 1. You are working with a drug whose elimination constant k is known. (In general, what might k depend on? How might you determine k in practice?) Design a schedule for long-term administration of the drug that will: a) get the concentration to an effective level as soon as possible, b) keep the concentration below a known safe level CS, and c) keep the concentration above a known effective level CE. You may assume that upon administration the drug immediately becomes completely mixed in the bloodstream at its maximum concentration level. (Is this assumption reasonable?) Hint: Over the long-term, concentration levels should look something like this: Two types of administration schedule you will want to avoid are illustrated below: C CS CE t t C CS CE C CS CE t P1 P2 P3 R1 R2 t C CS CE P1 P2 P3 R2R1 What is wrong with these schedules, and what led to the problems? 2. So far, your computations have been quite general in nature. Find data for a real drug1 , and report the administration schedule you designed in concrete terms. Two sequences of interest in understanding the long-term effects of drugs are the (sequence of) peak concentrations {Pn} and the (sequence of) residual concentrations {Rn}. The peak concentration Pn is the concentration of the drug immediately after the nth dose, and the residual concentration Rn is the concentration of the drug immediately before the n + 1st dose. 3. Assuming that a dose of a drug that raises the bloodstream concentration level by C0 is taken at regular time intervals t0, that the elimination constant k of the drug is known, and that upon administration the drug immediately becomes completely mixed in the bloodstream at its maximum concentration level: a) find closed form expressions for Pn and Rn, b) find P = limn Pn, c) describe in pharmaceutical terms the significance of P, d) find R = limn Rn, and e) describe in pharmaceutical terms the significance of R. 1Consult the Physicians Desk Reference, aka "the PDR".