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The Operational Multiple Dosing Half-life: A Key to Defining Drug Accumulation in Patients and to Designing Extended Release Dosage Forms
Open accessAbstract
Half-life (t (1/2)) is the oldest but least well understood pharmacokinetic parameter, because most definitions are related to hypothetical 1-compartment body models that don't describe most drugs in humans. Alternatively, terminal half-life (t (1/2,z)) is utilized as the single defining t (1/2) for most drugs. However, accumulation at steady state may be markedly over predicted utilizing t (1/2, z). An apparent multiple dosing half-life (t (1/2, app)) was determined from peak and trough steady-state ratios and found to be significantly less than reported terminal t (1/2)s for eight orally dosed drugs with t (1/2,z) values longer than one day. We define a new parameter, "operational multiple dosing half-life" (t (1/2, op)), as equal to the dosing interval at steady-state where the maximum concentration at steady-state is twice the maximum concentration found for the first dose. We demonstrate for diazepam that the well-accepted concept that t (1/2,z) representing the great majority of the AUC will govern accumulation can be incorrect. Using oral diazepam, we demonstrate that t (1/2, op) is remarkably sensitive to the absorption t (1/2), even when this absorption t (1/2) is much less than t (1/2,z,) and describe the relevance of this in designing extended release dosage forms. The t (1/2, op) is compared with previously proposed half-lives for predicting accumulation.
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For certain drugs and/or formulations, such as those with modified release, prolonged absorption, and multicompartment distribution, terminal half-life (t1/2z) may not accurately reflect how long the drug persists in the body or the actual time required to reach steady state.
“However, for certain drugs and/or formulations, such as those with modified release, prolonged absorption, and multicompartment distribution, t1/2z may not accurately reflect how long the drug persists in the body or the actual time required to reach steady state.”
From Evaluation of Effective Half-Life and Its Impact on Time to Steady State for Oral MeltDose Tacrolimus (LCPT) in De Novo Kidney Transplant Recipients (2025) · cites this paper as [2]
The Introduction and Discussion (pages unavailable) explain that multicompartment kinetics, absorption rate, and extended-release formulations can make terminal half-life a poor predictor of accumulation during repeated dosing. But the Discussion says terminal half-life describes drug loss after dosing stops, and the passages do not establish that it misrepresents how long a drug persists in the body or the time required to reach steady state. (LLM, conf=0.85)
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Cites
Goodman and Gilman's the Pharmacological Basis of Therapeutics
Stigelman, W. H., & Pharm, D. (1986) · Military Medicine · doi:10.1093/milmed/151.1.386 · Cited by 6,796
Goodman and Gilman's, The Pharmacological Basis of Therapeutics
DiStefano, V. (1986) · Journal of Pediatric Ophthalmology & Strabismus · doi:10.3928/0191-3913-19860501-17 · Cited by 579
Kaplan, S. A., Jack, M. L., Alexander, K., & Weinfeld, R. E. (1973) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600621111 · Cited by 260
Zimmerman, J. J., & Kahan, B. D. (1997) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.1997.tb04318.x · Cited by 216
Benet, L. Z. (1972) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600610408 · Cited by 202
Self-citationMultiple-dose pharmacokinetics of ritonavir in human immunodeficiency virus-infected subjects
Hsu, A., Granneman, G. R., Witt, G. F., Locke, C., Denissen, J. F., Molla, A., Valdes, J. M., Smith, J., Erdman, K. A., Lyons, N., et al. (1997) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.41.5.898 · Cited by 185
Iwamoto, M., Wenning, L., Petry, A. S., Laethem, M. E., Smet, M. D., Kost, J. T., Merschman, S., Strohmaier, K. M., Ramael, S., Lasseter, K. C., et al. (2007) · Clinical Pharmacology & Therapeutics · doi:10.1038/sj.clpt.6100281 · Cited by 173
Effective Half‐Life in Clinical Pharmacology
Boxenbaum, H., & Battle, M. (1995) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.1995.tb04117.x · Cited by 106
Chloroquine levels in blood during chronic treatment of patients with rheumatoid arthritis
Augustijns, P., Geusens, P., & Verbeke, N. (1992) · European Journal of Clinical Pharmacology · doi:10.1007/bf00280130 · Cited by 94
Drug Information Handbook: A Comprehensive Resource for All Clinicians and Healthcare Professionals
Lacy, C. F. (2004) · Medical Entomology and Zoology · Cited by 80
Pharmacokinetics and metabolism of bepridil
Benet, L. Z. (1985) · The American Journal of Cardiology · doi:10.1016/0002-9149(85)90799-4 · Cited by 73
Self-citationBailey, J. M. (2002) · Clinical Pharmacokinetics · doi:10.2165/00003088-200241110-00001 · Cited by 46
Budde, K., Neumayer, H. H., Lehne, G., et al. (2004) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfh322 · Cited by 46
Pharmacokinetics: A Modern View
Benet, L. Z. (1984) · Medical Entomology and Zoology · Cited by 45
Self-citationCollste, P., Garle, M., Rawlins, M. D., et al. (1976) · European Journal of Clinical Pharmacology · doi:10.1007/bf00561667 · Cited by 37
Dhillon, S., & Richens, A. (1981) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1981.tb01317.x · Cited by 30
Newcombe, D. A. L., Bochner, F., White, J. M., et al. (2004) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2004.04.004 · Cited by 28
An Improved Intercept Method for the Assessment of Absorption Rate in Bioequivalence Studies
Macheras, P. E., Symillides, M., & Reppas, C. I. (1996) · Pharmaceutical Research · doi:10.1023/a:1016421630290 · Cited by 26
Colburn, W. A. (1984) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600730308 · Cited by 26
Estimation of an Effective Half-Life
Kwan, K. C., Bohidar, N. R., & Hwang, S. S. (1984) · Springer eBooks · doi:10.1007/978-1-4613-2799-8_14 · Cited by 21
Wright, J. D., MA, T., Chu, C. K., & Boudinot, F. D. (1996) · Biopharmaceutics & Drug Disposition · doi:10.1002/(sici)1099-081x(199604)17:3 · Cited by 18
Boni, J. P., Korth-Bradley, J. M., Richards, L. S., Chiang, S. T., HICKS, D. R., & Benet, L. Z. (2000) · Clinical Pharmacokinetics · doi:10.2165/00003088-200039060-00006 · Cited by 17
Self-citationWagner, J. G. (1967) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.1967.tb00290.x · Cited by 17
Dosage Intervals Based on Mean Residence times
Wagner, J. G. (1987) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600760111 · Cited by 9
Optimal extravascular dosing intervals
Veng‐Pedersen, P., & Modi, N. B. (1991) · Journal of Pharmacokinetics and Biopharmaceutics · doi:10.1007/bf01061664 · Cited by 4
Flagged first, then by citations
Research works printed but not linked: 2
- L. Z. Benet. Multiple dosing half-life. A composite term useful in designing therapeutic regimens. Presented at The Third Japanese–American Conference on Pharmacokinetics and Biopharmaceutics, Kyoto, Japan (1985), as available through reference 4.
- F. H. Dost. Der Blutspiegel. Thieme, Leipzig, 1953, pp. 252–255.
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Gidal, B. E., Clark, A. M., Anders, B., & Gilliam, F. (2017) · Epilepsy Research · doi:10.1016/j.eplepsyres.2016.10.020 · Cited by 26
Momper, J. D., Venkataramanan, R., Jantz, A. S., Cibrik, D. M., Birdwell, K., Nguyen, T., Masters, B. M., & Patel, S. J. (2025) · Therapeutic Drug Monitoring · doi:10.1097/ftd.0000000000001270 · Cited by 3
Metadata
- Authors
- Sahin, S., & Benet, L. Z.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Benet, Leslie Z.
- ORCID
- Benet, Leslie Z.
- Venue
- Pharmaceutical Research
- Published
- 2008-11-18
- Volume
- 25
- Issue
- 12
- Pages
- 2869-2877
- ISSN
- 0724-8741 (ISSN-L)
- 1573-904X
- PMC
- PMC3581066
- OpenAlex
- W2043996867
- Cited by
- 108
- References
- 25
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 8 · 2023: 7 · 2022: 15 · 2021: 7 · 2020: 11 · 2019: 4 · 2017: 3 · 2016: 11 · 2015: 1 · 2014: 2 · 2013: 5 · 2012: 4
- FWCI
- 5.16
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Pharmaceutical Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Hacettepe University Institutional Repository (hacettepe.edu.tr) (submittedVersion, other-oa)
- Funders
- National Institute of General Medical Sciences (R21GM075900, R21 GM 75900)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pharmaceutical studies and practices
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Drug Solubulity and Delivery Systems
- Keywords
- drug accumulation, steady-state accumulation, terminal half-life, dosing interval, diazepam, absorption half-life, extended release dosage forms, oral administration
- MeSH terms
- Delayed-Action Preparations, Half-Life, Humans
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