FCA 1 Anaesthetic Refresher Course

An applied pharmacokinetic approach to adjusted drug dosing: Part I – physiological states

S. Mahomed
Southern African Journal of Anaesthesia and Analgesia | Vol 29, No 6 | a1466 | DOI: https://doi.org/10.36303/SAJAA.3064 | © 2023 S. Mahomed | This work is licensed under Other
Submitted: 30 November 2025 | Published: 30 December 2023

About the author(s)

S. Mahomed, Department of Anaesthesia, School of Clinical Medicine, Faculty of Health Sciences, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, South Africa

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Abstract

A patient's age, weight, gender, and pathophysiological state are some factors that may necessitate the adjustment of drug dosing. In addition, pharmacokinetics and pharmacogenomics, drug-drug and food-drug interactions may further alter the pharmacokinetics and pharmacodynamics of a drug. In part I of this topic, the basic principles of pharmacokinetics and the physiological factors that affect drug dosing viz. extremes of age and pregnancy are discussed.

Keywords

applied pharmacokinetics; adjusted drug dosing; physiological states

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