Recent comments in /f/askscience
[deleted] t1_j6dpvmb wrote
Reply to comment by sutchatweet in Can you (roughly) determine the dosage of a drug taken based off of the blood concentration? by bynarie
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aziridine86 t1_j6dpq0u wrote
Reply to comment by bynarie in Can you (roughly) determine the dosage of a drug taken based off of the blood concentration? by bynarie
You need an estimate of when the hydrocodone was taken, and an assumption that it was taken as a single dose. Also need to know the route of administration. Probably oral for hydrocodone. Then google "hydrocodone pharmacokinetics" and compare some graphs. May need to convert units also.
Looks like typical concentrations are around 10-100 ng/mL following normal doses in the 10-60 mg range. A blood concentration of 330 ng/mL is quite high based on very brief research.
Published papers on postmortem concentration in hydrocodone overdose give numbers around 0.4-0.5 mg/L (ug/mL) so overdose sounds plausible here, probably took a dose of >100 mg hydrocodone if I had to guess.
This is not legal or medical advice FYI
Historical-Piglet-86 t1_j6dpmfa wrote
Reply to Can you (roughly) determine the dosage of a drug taken based off of the blood concentration? by bynarie
Volume of distribution, time of ingestion, half life of medication, was it taken orally or parenterally, etc, etc, would need to be known.
Also whether this was dose 1 or if there were multiple doses.
But the equations only apply to live people. After death, considerable changes can occur - Some drug concentrations go up, some go down, it’s not exactly predictable.
That being said, I haven’t really used pharmacokinetics and pharmacodynamics for years. Did you ask the person who performed the autopsy?
sutchatweet t1_j6dow2r wrote
Reply to comment by bynarie in Can you (roughly) determine the dosage of a drug taken based off of the blood concentration? by bynarie
This interesting paper might help, although I’ve not read more than the abstract. To back calculate how much was taken you’d need a lot more information including time from dose, was it a single dose or taken repeatedly over time as well as height, weight, fat distribution etc
[deleted] t1_j6dog0l wrote
No_Perspective4340 t1_j6doew6 wrote
Reply to comment by MixPuzzleheaded1730 in Has a new animal species evolved since mankind’s existence? by coding_ac
Not new species per se, but certain human traits and genetic variances are more recent than others. The ability to digest lactose in adults is thought to be a recent development, for instance (https://doi.org/10.1038/500020a). A trend happening in the past couple centuries or so is increased presence of the medial artery (https://doi.org/10.1111/joa.13224).
slashdave t1_j6do6do wrote
Reply to comment by CubanHermes in Is there an upper limit to structure size in a vacuum? Could a sufficiently advanced civilisation build a galaxy sized structure in space or would it become too massive and collapse in on itself? by CubanHermes
Not sure where you are going. Given the choice of any type of construct, of course it is possible. After all, if you could somehow move astronomical masses around, you could just create your own galaxy.
_onemanband_ t1_j6dlcs4 wrote
Reply to comment by [deleted] in What makes it difficult to determine whether nutrient deficiencies are implicated in mental-health issues like ADHD? by LinguisticsTurtle
Unfortunately, that isn't correct - no genetic component has been reproducibly identified. The basis for a genetic component is the apparent heritability of ADHD, which can run in families. However, genetics is not the only explanation for heritability.
bynarie OP t1_j6dkvpp wrote
Reply to comment by [deleted] in Can you (roughly) determine the dosage of a drug taken based off of the blood concentration? by bynarie
The postmortem toxicology report suggests a death of drug overdose, with 0.33ug/ml blood concentration of hydrocodone. So thats what we were trying to estimate.
[deleted] t1_j6dkkv0 wrote
Reply to comment by _onemanband_ in What makes it difficult to determine whether nutrient deficiencies are implicated in mental-health issues like ADHD? by LinguisticsTurtle
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FellowConspirator t1_j6dkil3 wrote
Reply to Can you (roughly) determine the dosage of a drug taken based off of the blood concentration? by bynarie
A single sample? No. Multiple samples? It depends. When dosed, the concentration in blood rises for a period and then declines as it is metabolized and cleared from the body. Each drug has a sort characteristic curve for the drug and it’s metabolites that you could compare to a series of samples taken over time which you may be able to use to determine the initial dose. It depends a bit on the dynamics of the drug clearance, and at what times you took the samples.
avichka t1_j6dkfim wrote
Reply to What makes it difficult to determine whether nutrient deficiencies are implicated in mental-health issues like ADHD? by LinguisticsTurtle
As a scientist and clinician with some exposure to ADHD, and as someone who has put many hours in listening to ADHD experts like David Nowell and Russell Barkley
eg https://www.additudemag.com/intention-deficit-disorder-adhd/amp/
my sense is that the experts seem to conclude that variables such as nutrition may play an exacerbating role in ADHD, possibly making symptoms somewhat more or less pronounced, but likely not a causal role, because nutrition can only act on top of the existing wiring so to speak.
[deleted] t1_j6dk8sn wrote
bynarie OP t1_j6dk7g5 wrote
Reply to comment by [deleted] in Can you (roughly) determine the dosage of a drug taken based off of the blood concentration? by bynarie
Yea we have a toxicology report thats what im trying to get a guess of what dose it is.
[deleted] t1_j6djvtz wrote
[deleted] t1_j6djatj wrote
Reply to comment by azuth89 in What makes it difficult to determine whether nutrient deficiencies are implicated in mental-health issues like ADHD? by LinguisticsTurtle
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[deleted] t1_j6dj7iw wrote
[deleted] t1_j6dit0a wrote
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Ariolan t1_j6dijxw wrote
Reply to What makes it difficult to determine whether nutrient deficiencies are implicated in mental-health issues like ADHD? by LinguisticsTurtle
Analyzing anything that has to do with food. You basically need to lock up people and monitor them eating if you wish to determine any effects at all. It‘s a bit like studying any behaviour: sure people say they do something, but if you wish to link lettuce to any benefiz, your first challenge will be to measure actual lettuce eaters and not only people saying they eat letzuce (who may or may not actually eat lettuce, eat less, say lettuce when they mean cauliflower or spinach etc).
[deleted] t1_j6dhe0o wrote
Reply to Why can an adult’s GI tract expel C. botulinum spores while an infant can’t? by curiousnboredd
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_onemanband_ t1_j6dgys5 wrote
Reply to comment by StuartGotz in What makes it difficult to determine whether nutrient deficiencies are implicated in mental-health issues like ADHD? by LinguisticsTurtle
What about poverty? That could meet these criteria. Or traumatic experiences? At what point should behaviours (inattention, hyperactivity) be considered a disorder contained within an individual, rather than a product of circumstance?
[deleted] t1_j6dgkcr wrote
Reply to comment by annomandaris in Has a new animal species evolved since mankind’s existence? by coding_ac
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_onemanband_ t1_j6dg2ll wrote
Reply to comment by Hot_Flan1220 in What makes it difficult to determine whether nutrient deficiencies are implicated in mental-health issues like ADHD? by LinguisticsTurtle
No genetic explanations for ADHD exist. The studies have claimed to have found them, typically with small sample numbers, have not been reproduced. Currently ADHD has no known aetiology.
warrenv02 t1_j6dfysc wrote
Reply to Shouldn't goldilocks zones shift over time? by LaRoara42
I think the article below best answers your question. Think of the earth’s distance from the sun as fixed but the habitable zone is expanding outwards.
I can’t speak to evolution at all.
For your follow up question in a sci fi way if Venus was in the habitable zone before earth yes we would need to move outward in the solar system.
I think the most fascinating fact in the article is that earth has already moved through 70% of the habitable zone.
TRJF t1_j6dqoel wrote
Reply to Can you (roughly) determine the dosage of a drug taken based off of the blood concentration? by bynarie
In a criminal justice context, an expert toxicologist's opinion is often in the form of whether the concentration in the blood is "consistent with a therapeutic range."
So, for a given medication, there will be studies that say something like (just some random numbers here) "this medication is usually dispensed in doses of 10mg once per day at the low end and 70mg once per day at the high end. People who take a 10mg dose typically have a blood concentration that peaks between X and 2X after approximately an hour, and people who take a 70mg dose typically have a blood concentration that peaks between 7X and 14X after an hour. The substance in the blood has a typical half-life of 8 to 12 hours. On a daily dose, baseline blood levels will stabilize at Y for 10mg daily and Z for 70mg daily."
So, let's say someone has 80X in their blood. A toxicologist will be able to say with confidence "that's not consistent with a therapeutic dose - this person ingested way more of the substance than a doctor would ever prescribe." So, either drug abuse or poisoning.
Now, say someone has 2X in their blood. A toxicologist can say "that's consistent with a therapeutic dose" - but not much more than that. It's quite possible that person took 10mg or 20mg an hour ago, and takes that every day - but they may have taken 70mg 16 to 24 hours ago as a one-off. Or they may have taken 40mg 12 hours ago, and every other day for the last month. Or they may have taken 1,000mg 48 hours ago.
So, that's some of the nuance: it's fairly easy to rule out certain dosage quantities/timelines, but it's much harder to say what actually did happen. A lot of the time, the first one's all that's needed.