Using pharmacokinetic-pharmacodynamic relationships to predict the effect of poor compliance

Clin Pharmacokinet. 2002;41(1):1-6. doi: 10.2165/00003088-200241010-00001.

Abstract

Since it is difficult to improve patient compliance to drug prescriptions, an alternative is to select a drug with less consequences for poor compliance, that is, a drug that has the capacity of 'forgiveness'. Forgiveness is the property of a drug which, when compared with another medicine with different pharmacokinetics and/or concentration-effect relationships, blunts the consequences of missing one or two doses in a row, or has a greater variability in the timing of intake. Simulations show that drugs with a concentration-effect relationship modelled with an effect compartment, for example a delayed response, have more forgiveness. A marker of forgiveness would be of some help for doctors deciding which drug to prescribe to patients who are poor compliers.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Computer Simulation
  • Delayed-Action Preparations
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Drug Labeling
  • Half-Life
  • Humans
  • Models, Biological
  • Pharmaceutical Preparations / administration & dosage*
  • Pharmacokinetics*
  • Pharmacology*
  • Risk
  • Time Factors
  • Tissue Distribution
  • Treatment Refusal*

Substances

  • Delayed-Action Preparations
  • Pharmaceutical Preparations