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Date May 2011 Marks available 4 Reference code 11M.3.sl.TZ2.D3
Level SL Paper 3 Time zone TZ2
Command term Discuss and Explain Question number D3 Adapted from N/A

Question

During drug development, trials are conducted to determine the therapeutic window.

Explain the meaning of the term therapeutic window and discuss its importance in drug administration.

Markscheme

if concentration is too high it will have harmful side effects / determination of the lethal dose (to 50% of the population) / OWTTE;

if concentration is too low it has little or no beneficial effect / determination of the effective dose / dose which has a noticeable effect (on 50% of the population) / OWTTE;

therapeutic window is the range between these doses / range over which a drug can be safely administered / ratio of \({\text{L}}{{\text{D}}_{50}}\): \({\text{E}}{{\text{D}}_{50}}\);

for minor ailments a larger window is desirable, for serious conditions a smaller window may be acceptable / OWTTE;

(therapeutic window) depends on the drug/age/sex/weight;

a small therapeutic window means that an overdose is a high risk / OWTTE;

Examiners report

Many candidates clearly had an understanding of therapeutic window and placebos but failed to score full marks as insufficient details were given.

Syllabus sections

Options » D: Medicinal chemistry » D.1 Pharmaceutical products and drug action
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