Therapeutic Index · Pharmacology

A narrow therapeutic index implies that:

  1. The drug is ineffective at low doses
  2. The toxic dose is much higher than the effective dose
  3. Small increases in dose may cause toxicity
  4. The drug has low bioavailability
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Correct answer: Small increases in dose may cause toxicity

A narrow therapeutic index indicates that the toxic dose is close to the effective dose. Even small increases in dosage or plasma concentration may lead to adverse effects. Therefore, dosing must be precise.

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