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Threshold dose is the minimum dose of drug that triggers minimal detectable biological effect in an animal. [1] At extremely low doses, biological responses are absent for some of the drugs. The increase in dose above threshold dose induces an increase in the percentage of biological responses. [ 2 ]
For many drugs, severe toxicities in humans occur at sublethal doses, which limit their maximum dose. A higher safety-based therapeutic index is preferable instead of a lower one; an individual would have to take a much higher dose of a drug to reach the lethal threshold than the dose taken to induce the therapeutic effect of the drug.
Therefore, an organization's risk threshold is always lower than or equal to its risk tolerance. [5] Exposure past the risk tolerance limit (not to be confused with the risk threshold) is sometimes referred to as 'unacceptable risk', since it won't pass risk acceptance. [9] [10] For a simple example, consider an organization that is willing to ...
The threshold dose-response model is widely viewed as the most dominant model in toxicology. [6] An alternative type of model in toxicology is the linear no-threshold model (LNT), while hormesis correspond to the existence of opposite effects at low vs. high dose, which usually gives a U- or inverted U-shaped dose response curve.
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Tolerability of a particular drug can be discussed in a general sense, or it can be a quantifiable measurement as part of a clinical study. Usually, it is measured by the rate of "dropouts", or patients that forfeit participation in a study due to extreme adverse effects.
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The Hill equation can be used to describe dose–response relationships, for example ion channel-open-probability vs. ligand concentration. [9] Dose is usually in milligrams, micrograms, or grams per kilogram of body-weight for oral exposures or milligrams per cubic meter of ambient air for inhalation exposures. Other dose units include moles ...