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Trough Level

Meaning

Trough Level, in the context of pharmacology and clinical endocrinology, is the lowest measured concentration of a drug or hormone in the systemic blood plasma, specifically taken immediately prior to the next scheduled dose administration. This metric is a vital parameter in therapeutic drug monitoring, particularly for agents with a narrow therapeutic index, as it directly reflects the minimum effective concentration achieved during the entire dosing interval. Maintaining an adequate trough level is crucial for ensuring sustained therapeutic efficacy and preventing periods of sub-therapeutic deficiency.