Accepted answer
Moving the day by 28 stretches one interval from 7 days to 35 — one interval, and then it is over. At a seven-day half-life the trough at the end of a normal week sits at 50 per cent of the preceding peak. At the end of a 35-day week it sits at 0.5^(35÷7) = 3.1 per cent: a fall of 46.9 percentage points, once, after which every interval is 7 days again. That is the entire pharmacokinetic content of the change. Whether 46.9 points of trough is worth anything is a question about your own tolerability curve rather than about the molecule. A move of 28 days is longer than the interval itself, which makes it not a shift at all but a missed dose followed by a new schedule — and it should be reasoned about as one. Timing changes are made under supervision; nothing here is medical advice.
Start with the interval since the missed dose, because that single number determines the answer.
The published guidance for the weekly agents is broadly: if the missed dose is remembered within about five days, take it and continue on the usual day; if more than five days have passed, skip it and take the next scheduled dose.
Never take two doses close together to compensate. The peak exposure is roughly doubled, and gastrointestinal tolerability tracks peak exposure closely.
Half-lives across the class span roughly thirteen hours to one week, which is why the answer is agent-specific.
Nothing here is medical advice, and research-use compounds are not approved for human use.
Two or more missed weekly doses means considering a lower restarting step.
6Does the same interval logic apply to the daily agents, or is it shorter? – forty_two_c 4 months ago 5Any reason the interval is four weeks rather than five, given the half-life? – tandem_gradient 2 months ago add a comment