Drug titration

Drug titration is the process of adjusting the dose of a medication for the maximum benefit without adverse effects.

[1] When a drug has a narrow therapeutic index, titration is especially important, because the range between the dose at which a drug is effective and the dose at which side effects occur is small.

[2] Some examples of the types of drugs commonly requiring titration include insulin, anticonvulsants, blood thinners, anti-depressants, and sedatives.

The experimental drug is given in increasing dosages until side effects become intolerable.

[7] A clinical trial in which a suitable dose is found is called a dose-ranging study.

Therapeutic (green) and side effect dose response curves (red) illustrating a typical starting and progressively increasing titrated doses (arrows).