Inter- and intra-subject variability in ethanol pharmacokinetic parameters: effects of testing interval and dose.

Abstract:

:Calculation of a blood alcohol concentration (BAC) at the time of an offence by forward or back-extrapolation, using population average values for ethanol pharmacokinetic parameters or a single estimate of individual specific parameters, ignores the possibility of inter- and intra-subject variability. In order to estimate inter- and intra-subject variability in the elimination rate and absorption rate, BAC was measured over time in 12 male volunteers on 4 occasions. Subjects received 0.44 g kg(-1) body weight of ethanol on the first study day, and 0.70 g kg(-1) body weight on subsequent study days 1, 11 and 12 weeks later, to enable comparisons in variability over short and long time periods and when the same or different doses were administered. Evidence of both inter- and intra-subject variability was found, with inter-subject variability substantially smaller than intra-subject variability when the dose varied. Forensically important differences in pharmacokinetic parameters were observed within individuals between occasions. These findings could have an important impact on medico-legal issues related to ethanol pharmacokinetics.

journal_name

Forensic Sci Int

authors

Yelland LN,Burns JP,Sims DN,Salter AB,White JM

doi

10.1016/j.forsciint.2007.05.011

subject

Has Abstract

pub_date

2008-02-25 00:00:00

pages

65-72

issue

1

eissn

0379-0738

issn

1872-6283

pii

S0379-0738(07)00519-1

journal_volume

175

pub_type

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