Figure 3-37 Relationships among the median effective dose (ED50 ), median lethal dose (LD50 ), and therapeutic index. These curves were generated from data on animals that were injected with various doses of a sedative-hypnotic and the clinical responses determined. ED50 is the dose of drug required to produce a specific effect (i.e., hypnosis) in 50% of animals to which it is administered (left curve). LD50 is the dose of drug required to produce death in 50% of animals to which drug is administered (right curve). The therapeutic index of the drug is the ratio between LD50 and ED50 (LD50 /ED50 ). LD1 is the lethal dose in 1% of the population, and ED99 is the effective dose in 99% of the population. As drawn, LD1 < ED99 , which would not be clinically acceptable.


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