Therapeutic Dosing Regimens constitute the precise schedule, amount, and route of administration for administering a corrective substance, often a hormone or modulator, to achieve a desired clinical effect while avoiding toxicity. Establishing the correct regimen is critical in endocrinology to mimic natural physiologic secretion patterns, such as pulsatility or diurnal variation. These schedules are individualized based on patient pharmacokinetics and pharmacodynamics.
Origin
This term originates from clinical pharmacology, combining “Therapeutic,” relating to healing, with “Dosing Regimens,” which dictates the temporal and quantitative application of the agent. Its evolution in hormonal health demands adherence to established protocols for safety and efficacy.
Mechanism
The mechanism involves maintaining the active compound concentration within the therapeutic window—above the minimum effective concentration but below the toxic threshold—across the dosing interval. For hormones, this often means designing regimens that replicate the natural secretory rhythm, perhaps through continuous infusion or timed pulsatile delivery, rather than simple constant exposure. Successful implementation ensures sustained receptor engagement at the optimal level for tissue restoration.
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