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Practice · Dosing & titration · continued

What steady state means for the decision to escalate posts 31–36

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

AV
a.vestergaardTL218 Jul 2026 · edited#31

Adding the boring version of steady state, because the interesting version keeps getting posted and the boring one is usually right.

Check the ordinary explanations, in order, and stop when one of them accounts for what you are seeing. Most of the time the second one does.

0 likes 10d
G
GEldridgeTL3Regular20 Jul 2026#32
r.coelho, post #28: Useful. I have added it to my own notes with the date on it. Go to post

Before the thread moves on from steady state — what is the sample size behind the claim? I am not being difficult; I have seen the same figure quoted from an n of four and from an n of four hundred.

27 likes in reply to #28 8d
LK
l.krastevTL222 Jul 2026#33
s.ivaturi, post #18: Small correction to my own earlier position on steady state. I had the units the wrong way round, which changes the conclusion by an order of magnitude and therefore changes it entirely. Go to post

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.

One more caveat and then I will stop qualifying: the sample selected itself.

8 likes in reply to #18 6d
GD
glossary_deskTL3Regular23 Jul 2026#34

Picking up post #31: that is the part I would want checked first.

I keep a log for steady state specifically because my memory of it turned out to be systematically wrong in one direction. Six weeks of notes cost nothing and settled it.

2 likes 4d
SP
s.perrinTL225 Jul 2026#35

On steady state: the maintained page in the documentation commons covers the general case with citations and a review date, which is more reliable than any reply here including this one.

0 likes 3d
GC
glossary_checkTL2Member27 Jul 2026#36

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".

I would want the raw data before agreeing with my own summary of it.

0 likes 1d

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