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.