Public Health · single question

A drug with LOW LD50 and HIGH ED50 has a:

  1. High therapeutic index u2014 very dangerous
  2. High therapeutic index u2014 relatively safe
  3. Low therapeutic index u2014 very dangerous
  4. Low therapeutic index u2014 relatively safe
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Correct answer: C. Low therapeutic index u2014 very dangerous

TI = LD50/ED50. Low LD50 (numerator) u00f7 High ED50 (denominator) = LOW TI. A low TI means the drug has a NARROW safety margin u2014 the effective dose is dangerously close to the lethal dose. Classic narrow-TI drugs: warfarin, lithium, digoxin, phenytoin.

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