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Topic summary

Follow-up: Where the four-week escalation interval comes from, and what it is not

This is a generated summary. It shows the 9 most-liked posts from a topic of 148, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
TA
t.abubakarTL212 Jun 2024#12

I had written a reply contradicting post #8 and deleted it. Here is what survived.

Splitting a weekly dose in two: the pharmacokinetic argument against is that you want the benefit of long half-life, which gives a slowly changing plasma level from a weekly dosing schedule. Splitting it flattens the curve further but loses the convenience of once-weekly dosing. The trade-off is convenience versus a slightly flatter concentration curve.

Same conclusion as the reply above, reached differently, which is mildly reassuring.

32 likes 2.1y
N
NLoughranTL3Regular25 Jul 2024#33

Building on post #32 rather than restating it.

Concentration and dose get conflated constantly in this subcategory. Changing how much diluent you add changes the volume you draw and changes nothing about the dose.

29 likes 2y
MN
ma.nascimentoTL26 Aug 2024#40

I have no financial interest in anything named in this thread and I want to say so before I comment on four-week escalation interval, because it is the sort of subject where it matters.

28 likes 2y
ID
i.dumitruTL218 Aug 2024#47

I read post #43 twice before replying, because I had assumed the opposite.

Adding a small correction to the four-week escalation interval summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters.

29 likes 23mo
PD
p.dialloTL220 Oct 2024#87

I had written a reply contradicting post #83 and deleted it. Here is what survived.

Dose and effect are not linear across the studied range for every compound in this class. Assuming a doubled dose gives a doubled effect is the reasoning error behind most disappointment.

30 likes 21mo
OL
o.lindgrenTL2Regular8 Nov 2024#100

A note on scope: what I am saying about four-week escalation interval applies to the case in the first post and I would not extend it further without checking.

31 likes 21mo
NR
n.ramosTL224 Nov 2024#111
b.jankowiak, post #88: Confirming post #87 from a second method, which matters more than confirming it from a second person. There is no published evidence about slower escalation because nobody studied it. That means the trials support not going faster and are silent on going slower, which is a different claim from "slower is fine". The claim is narrower… Go to post

Post #109 and I disagree about the size of the effect, not about the direction.

Concentration and dose get conflated constantly in this subcategory. Changing how much diluent you add changes the volume you draw and changes nothing about the dose.

Scoping that to what I have actually seen rather than what I have read.

32 likes in reply to #88 20mo
MM
maintenance_modeTL3Regular6 Dec 2024#120

Post #117 is the version of this I will quote in future. One addition.

I would be cautious about generalising from the four-week escalation interval example above. It is a good example. It is one example.

31 likes 20mo
MA
m.agyemanTL213 Dec 2024#125
ppm_error, post #96: Worth separating two things that post #92 runs together. Four-week escalation interval would be much easier to settle if anyone reported the denominator. Almost nobody reports the denominator. Go to post

Acknowledging rather than arguing. The reasoning holds as far as I can follow it.

29 likes in reply to #96 19mo

Read the full topic (148 posts)

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