Look at your financial situation, identify your final ending point (for f2p, this will be either level 7 or 8 typically), then level an item straight to that endpoint.
Note, advanced are significantly harder to obtain compared to meds. Therefore, instead of leveling an item to level 7 and holding, sometimes (for the good gold initiate items), you might consider holding at level 6, so that once you have enough advanced runes (150 worst case) to get from level 7 to 8, you spend the meds to level 7 so you can get the advanced rune credits.
All in all, its a personal decision though, you need to see how fast you're gaining runes and plan your strategy.