Review

Pharmacokinetic Characteristics of Drugs and Their Effects on Therapeutic Efficacy and Safety


Yuhong Guan*

   Hunan University of Technology, Zhuzhou 412000, Hunan, China.
Correspondence: Yuhong Guan, Affiliation:  Hunan University of Technology, Zhuzhou 412000, Hunan, China.
  
Received: 2026-02-10Accepted: 2026-03-15Published: 2026-06-10
Int. J. Pharm. & Pharmacol. 2026, 17(1), 7-13; https://doi.org/10.58244/ijpp.263903
Abstract
The absorption, distribution, metabolism, and excretion of drugs in the body collectively shape the exposure-time curve, which largely determines the intensity of therapeutic response, onset rate, duration, and spectrum of adverse reactions. With the advancement of new drug development and the concept of personalized treatment, the issue of significant differences in exposure at the same dose regimen, as well as inconsistent efficacy and toxicity profiles, has become increasingly prominent. Pharmacokinetic (PK) characteristics thus serve as the critical link connecting "dose-exposure-therapeutic effect/safety." This article systematically reviews the core concepts of PK from four dimensions—absorption, distribution, metabolism, and excretion—explains their impact pathways on onset and duration, targeting and therapeutic window, as well as acute and chronic toxicity risks. Based on this, it discusses clinical optimization strategies for drug use based on pharmacokinetic characteristics, providing insights for exposure control, risk identification, and individualized dosing.
Keywords: Drug exposure; Therapeutic window; Individualized dosing

Full Text

Download the full text PDF for viewing and using it according to the license of this paper.

Funding

This research was no funding provided.

References

  1. Kruse M, Stankeviciute S, Perry S. Clinical pharmacology—how it shapes the drug development journey[J]. European Journal of Clinical Pharmacology, 2025: 1-8.
  2. Widmer N, Guidi M, Buclin T. Population Pharmacokinetics in Oncology and Its Clinical Applications[J]. Pharmaceutics, 2024, 16(6): 711.
  3. Habet S.[3]Habet S. Narrow therapeutic index drugs: clinical pharmacology perspective[J]. Journal of Pharmacy and Pharmacology, 2021, 73(10): 1285-1291.
  4. Lee J L, Shah N M, Makmor-Bakry M, [4]Lee J L, Shah N M, Makmor-Bakry M,  et al. A systematic review of population pharmacokinetic analyses of polyclonal immunoglobulin G therapy[J]. International Immunopharmacology, 2021, 97: 107721.
  5. Lennernäs H, Cook J, Hesselink D A. Therapeutic drug monitoring—Does it really matter?[J]. British Journal of Clinical Pharmacology, 2025, 91(6): 1527-1529.
CC BY 4.0
© 2026 by author(s). Licensee MOSP, Macao, China. This is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY 4.0) license.
Disclaimer: The statements, opinions and data contained in this journal are solely those of the individual authors and contributors and not of Macao Scientific Publishers and/or the editors. Macao Scientific Publishers and/or the editors disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content.
Cite

Reference format:

Citation information is incomplete. Please contact the editorial office.

Share

Copy the link below to share this article:

Contact Us

Contact us via:

Email
Not available
Telephone
Not available
Supplementary

No supplementary material is available for this article.

Download PDF
PDF281 KB

Enter code to download

Captcha

Submit Your Manuscript Now