Incoprea Theory
Vol. XVI · 99

Theory 04/Thresholds & Tipping/Antibiotic combinations

Synergy Tips at a Ratio

The claim

Combination synergy appears only within a range of dose ratios, so the same pair of drugs can be synergistic, additive or antagonistic depending on proportion.

01Mechanism

Each drug acts on a different node; the interaction is a product of fractional effects, which peaks at a particular ratio rather than at maximum dose of either.

02Prediction

Synergy should peak at an intermediate ratio.

03Refutation

Synergy depending on dose magnitude rather than ratio would remove the optimum.