Pharmacokinetics and Pharmacodynamics · USMLE Step 1

Which factor would most likely prolong the half-life of a drug in an elderly patient?

  1. Increased clearance
  2. Decreased volume of distribution
  3. Reduced renal or hepatic clearance
  4. Enhanced protein binding
Show answer and explanation

Correct answer: Reduced renal or hepatic clearance

Reduced organ clearance — e.g., renal or hepatic impairment — slows elimination, prolonging half-life. This affects dosing intervals in older patients.

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