Zero Order Kinetics: The Drug That Doesn't Care How Much You Give It
Imagine you're filling a bathtub. You turn the tap to a fixed flow rate — say, 5 litres per minute. The amount of water in the tub increases by exactly 5 litres every minute, regardless of whether the tub is empty or already half full. That's the core intuition behind zero order kinetics: a constant amount disappears per unit time, no matter how much is left.
Now contrast this with what you probably expect. Most processes in nature follow first order kinetics: the rate depends on how much is present. If you have 100 molecules, 10 might react per second; if you have 10 molecules, only 1 reacts per second. The fraction lost is constant, but the amount lost per second shrinks as the quantity shrinks. Zero order is the opposite — the amount lost per second is fixed, so the fraction lost actually increases as the quantity drops.
The Precise Statement
−dtd[A]=k0
Where [A] is the concentration of the substance (or amount, depending on context), t is time, and k0 is the zero order rate constant with units of concentration per time (e.g., mg/L per hour, or simply mg/hour if we're talking about total amount).
The negative sign indicates the substance is being removed. The key point: the rate does not depend on [A]. It's a flat, constant rate.
The Integrated Form and Half-Life
If you integrate the differential equation, you get a straight line:
[A]t=[A]0−k0t
This is the equation of a line with slope −k0 and intercept [A]0. Plot concentration vs. time, and you get a straight line sloping downward until it hits zero.
The half-life — the time for the concentration to fall to half its initial value — is:
t1/2=2k0[A]0
Notice something crucial: the half-life depends on the initial concentration. Double the starting amount, and the half-life doubles. This is completely different from first order kinetics, where half-life is constant regardless of starting concentration.
A common mistake: students assume half-life is always constant. For zero order, it is not. The half-life changes with the starting amount. If you start with 100 mg, half-life might be 5 hours; start with 200 mg, half-life becomes 10 hours.
Where Does Zero Order Kinetics Actually Happen?
In pharmacology, zero order kinetics is most famously seen with ethanol (alcohol) and aspirin at high doses. The reason is saturation of enzymes.
Your body metabolises alcohol using an enzyme called alcohol dehydrogenase. At low alcohol levels, the enzyme works efficiently and the rate depends on how much alcohol is present (first order). But at higher concentrations — say, after a few drinks — the enzyme becomes saturated. It's working at maximum speed, like a factory running at full capacity. Adding more raw material (alcohol) doesn't make it work faster. The rate becomes constant: a fixed amount of alcohol is metabolised per hour, regardless of how much is in your blood.
This is why alcohol elimination follows a straight line when you plot blood alcohol concentration vs. time. A typical person eliminates about 0.015 g/dL per hour — a fixed amount, not a fixed fraction.
The same saturation principle applies to some drug transporters in the kidneys. When the transport proteins are working at maximum capacity, drug excretion becomes zero order. This is why high doses of certain drugs (like phenytoin) can lead to unexpectedly long elimination times — the system is overwhelmed.
A Quick Comparison Table
| Property | Zero Order | First Order |
|---|
| Rate depends on | Nothing (constant) | Concentration |
| Rate equation | −dtd[A]=k0 | −dtd[A]=k1[A] |