Drug Clearance It refers to the ratio of rate of drug elimination to the concentration of drug in biological fluid(C). CL = rate of elimination / C Rate of elimination • For most of the drugs, elimination is not saturable & rate of drug elimination is directly proportional to concentration. Rate of elimination = CL x C ==> The difference between drug clearance and drug elimination is that : • Clearance is Volume of blood cleared of drug per unit time and Elimination is amount of drug cleared from blood per unit time. Total Body Clearance • The total body systemic clearance , CLtotal is the sum of all clearances from drug metabolising and drug eliminating organs. ...