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    • Lowest concentration

      • A peak is the highest level of a medication in the blood, while a trough level indicates the lowest concentration. Troughs of medication concentration occur after the drug has been broken down and metabolized by the body.
      www.osmosis.org/answers/peaks-and-troughs
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  2. A trough level is drawn when the drug is at its lowest in the bloodstream, right before the next scheduled dose is given. Medications have a predicted reference range of normal values for peak and trough levels.

    • 2023
  3. en.wikipedia.org › wiki › Trough_levelTrough level - Wikipedia

    In medicine and pharmacology, a trough level or trough concentration (C trough) is the concentration reached by a drug immediately before the next dose is administered, [1] [2] often used in therapeutic drug monitoring.

  4. Trough concentrations can be measured to determine drug accumulation and to reduce the risk of toxicity. Trough samples must be interpreted in the context of the time after the dose when the sample was drawn.

  5. The maximum or “peak” concentration (Cmax) of a drug observed after its administration; the minimum or “trough” concentration (Cmin) of a drug observed after its administration and just prior to the administration of a subsequent dose.

  6. The trough level is the lowest concentration of drug before the next dose. From: Contemporary Practice in Clinical Chemistry (Fourth Edition), 2020

  7. Target range: trough >10 mg/L (total drug) or peak concentration >20 mg/L. patients with serious infections require higher concentrations; monitor the trough concentration and increase the teicoplanin dose if the concentration falls <20 mg/L. toxicity is unusual at trough concentrations <50 mg/L.

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