The PK profile of most of the SMKIs is characterized by first-order elimination [26,27,28,29]. Therefore, the concentration at a random time point during the elimination phase (T2) can be estimated based on the concentration measured at another time point during the elimination phase (T1) using the following pharmacokinetic equation:
And this equation can be rewritten to:
In this equation Ct1 represents the plasma drug concentration measured at the moment of blood withdrawal (i.e., a random time-point). T1/2 represents the elimination half-life and is taken from the SMPC for each drug. The factor ∆t represents the time between the moment of blood withdrawal (i.e., known and measured drug concentration) and the moment of the next drug intake (time point of Ctrough). By filling in the aforementioned factors the product Ct2 is calculated which represents the estimated trough concentration.
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