Therapeutic Index · Pharmacology

Which scenario would decrease the effective therapeutic index of a drug in a patient?

  1. Improved renal clearance
  2. Reduced drug absorption
  3. Renal impairment causing drug accumulation
  4. Increased plasma protein binding reducing free drug
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Correct answer: Renal impairment causing drug accumulation

Renal impairment can lead to drug accumulation and higher plasma concentrations. This increases the risk of toxicity without changing the effective dose. As a result, the practical therapeutic index narrows.

Difficulty: Medium Question 15 of 20

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