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Drug Accumulation Index Calculator (R = 1/(1-e^(-kτ)))

· Last updated:2026-08-04

This tool is for informational purposes only and does not constitute medical, financial, or legal advice; consult a qualified professional for advice.

Calculate the drug accumulation index R under repeated fixed-interval dosing with linear first-order elimination: R = 1 / (1 - e^(-kτ)), where k = ln2 / t½ and τ is the dosing interval. R is the ratio of the steady-state peak concentration to the peak concentration after the first dose — it quantifies how much the body burden rises at steady state versus a single dose. For example, dosing once per half-life (τ = t½) gives R = 2. The term e^(-kτ) is the fraction of peak concentration remaining at the end of one interval. Valid only for linear first-order elimination with fixed dose and interval — NOT for Michaelis-Menten drugs (phenytoin) or non-linear kinetics. Not medical advice.

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Written by the Elysia Tools team

Tool usage guide

Learn when to use this tool, what it supports, and how real users apply it.

Key facts

Category
Health
Input types
number
Output type
json
Sample coverage
4
API ready
Yes

Overview

Calculate the drug accumulation index R for repeated fixed-interval dosing with linear first-order elimination. Enter the elimination half-life and dosing interval to calculate R, the ratio of the steady-state peak concentration to the peak after the first dose, along with k and the fraction remaining between doses.

When to use

  • Estimate accumulation when doses are repeated at a fixed interval under linear first-order elimination.
  • Compare how dosing intervals relative to the half-life affect the accumulation index.
  • Review the calculated elimination rate constant and fraction remaining at the end of each interval.

How it works

  1. 1Enter a positive elimination half-life t½ in hours and a positive dosing interval τ in hours.
  2. 2The calculator determines the elimination rate constant using k = ln2/t½.
  3. 3It calculates the fraction remaining after one interval as e^(-kτ).
  4. 4It returns R = 1/(1-e^(-kτ)), with k, the fraction remaining, and the selected decimal precision in JSON output.

Use cases

  • Pharmacokinetic calculations using a known drug half-life and fixed dosing interval.
  • Teaching how half-life and dosing interval influence repeated-dose accumulation.
  • Checking whether a schedule spaced several half-lives apart produces relatively limited accumulation.

Examples

1. Dosing every half-life

Pharmacokinetics student

Background

A student wants to verify the standard accumulation result when the dosing interval matches the elimination half-life.

Problem

Calculate R for a half-life of 8 hours and a dosing interval of 8 hours.

How to use

Enter 8 for Half-life t½, 8 for Dosing interval τ, and select 4 decimal places.

{"halfLife":8,"interval":8,"decimalPlaces":4}

Outcome

The calculator returns R = 2, k = 0.0866 h⁻¹, and a fraction remaining of 0.5.

2. Dosing every three half-lives

Research analyst

Background

An analyst is comparing accumulation at an interval that is three times the known 8-hour half-life.

Problem

Determine the accumulation index for a 24-hour dosing interval.

How to use

Enter 8 for Half-life t½, 24 for Dosing interval τ, and select 4 decimal places.

{"halfLife":8,"interval":24,"decimalPlaces":4}

FAQ

What does the accumulation index R represent?

R is the ratio of the steady-state peak concentration to the peak concentration after the first dose.

What inputs are required?

A positive half-life in hours and a positive dosing interval in hours are required.

What does k mean?

k is the first-order elimination rate constant, calculated as ln2 divided by the half-life, and expressed in h⁻¹.

What happens when the dosing interval equals the half-life?

The accumulation index is R = 2, and the fraction remaining at the end of the interval is 0.5.

Does this calculator apply to every drug?

No. It is valid only for linear first-order elimination with fixed doses and intervals, not nonlinear kinetics such as Michaelis-Menten elimination.

Hub

Pharmacokinetic Teaching and Dose-Model Checks

Explore pharmacokinetic formulas, model assumptions, and result consistency for teaching or QA without giving medication dosing or clinical advice.

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Outcome

The calculator returns R = 1.1429, k = 0.0866 h⁻¹, and a fraction remaining of 0.125.