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Related Concept Videos

Dose-Response Relationship: Potency and Efficacy01:22

Dose-Response Relationship: Potency and Efficacy

The potency of a drug is the measure of its ability to produce a biological response and can be compared by looking at the half-maximum effective concentration or EC50 values of different drugs. A lower EC50 value indicates higher potency of the drug. In the dose–response curve of two antihypertensive drugs, candesartan and irbesartan, a significant difference is observed in their EC50 values. A lower EC50 value for candesartan indicates that it is more potent than irbesartan, as it produces...
Directly Acting Muscle Relaxants: Dantrolene and Botulinum Toxin01:26

Directly Acting Muscle Relaxants: Dantrolene and Botulinum Toxin

Directly acting muscle relaxants like dantrolene and botulinum toxin (BoNT) have distinct mechanisms and applications. Dantrolene, a hydantoin derivative, acts on the ryanodine receptor (RYR1) in skeletal muscle cells. RYR1 are calcium channels present at the sarcoplasmic reticulum membrane. In response to excitation, they release calcium ions from the sarcoplasmic reticulum to the cytosol. Calcium promotes actin-myosin-mediated contraction of muscles.
The binding of dantrolene to the RYR1...
Dose-Response Relationship: Overview01:03

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Agonists can bind with and activate receptors, resulting in the formation of drug-receptor complexes. Once formed, these complexes catalyze many biochemical processes at the cellular level and subsequently induce a pharmacologic response. The degree of response is directly proportional to the fraction of activated receptors, which in turn, depends on the concentration of the drug at the receptor site as well as the sensitivity of the receptor. An increase in the administered dose contributes to...

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Related Experiment Video

Updated: Jun 7, 2026

Isokinetic Robotic Device to Improve Test-Retest and Inter-Rater Reliability for Stretch Reflex Measurements in Stroke Patients with Spasticity
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Published on: June 12, 2019

Dose response with onabotulinumtoxinA for post-stroke spasticity: a pooled data analysis.

Stuart A Yablon1, Mitchell F Brin, Amanda M VanDenburgh

  • 1Baylor Institute for Rehabilitation, Dallas, Texas 75246, USA. doctory@earthlink.net

Movement Disorders : Official Journal of the Movement Disorder Society
|October 21, 2010
PubMed
Summary

OnabotulinumtoxinA effectively reduces post-stroke upper limb spasticity, with higher doses yielding greater muscle tone improvements. The study identified optimal onabotulinumtoxinA doses for specific muscles, indicating a saturating dose-response effect.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Pharmacology

Background:

  • Post-stroke spasticity affects upper limb function.
  • OnabotulinumtoxinA is a treatment for spasticity, but dose-response data is limited.
  • Understanding muscle-specific dosing is crucial for effective treatment.

Purpose of the Study:

  • To characterize the dose-response relationship of onabotulinumtoxinA for muscle tone in specific upper limb muscles post-stroke.
  • To identify optimal onabotulinumtoxinA dosages for treating spasticity in individual muscle groups.

Main Methods:

  • Pooled individual patient data from seven multicenter, randomized, double-blind, placebo-controlled trials.
  • Analyzed 544 post-stroke patients (362 onabotulinumtoxinA, 182 placebo).
  • Assessed muscle tone using Ashworth Scale score change at week 6 (AshworthCBL) for specific muscles (FCR, FCU, FDS, FDP, BB).

Main Results:

  • Increasing onabotulinumtoxinA doses correlated with greater AshworthCBL improvements, showing a saturating dose-response.
  • Maximal response (Emax) values varied by muscle: FCR (-1.48), FCU (-1.48), FDS (-0.63), FDP (-0.77), BB (-0.61).
  • Estimated doses for a 1-point AshworthCBL decrease: FCR (22.5U), FCU (18.4U), FDS (66.3U), FDP (42.5U).

Conclusions:

  • OnabotulinumtoxinA demonstrates a saturating dose-response effect on muscle tone in post-stroke spasticity.
  • Findings suggest potentially effective onabotulinumtoxinA doses for selected upper limb muscles.
  • This data aids in optimizing treatment strategies for post-stroke spasticity.