DRUG INTERACTION PART 1 Flashcards
The drug whose activity is affected in the interaction.
Object Drug
The entity that triggers an interaction.
Precipitant
warfarin and aspirin
drug-drug interaction
ace inhibitor and k+ sparring
drug-drug interaction
Anti-biotic and oral contraception
drug-drug interaction
Digoxin and diuretics
drug-drug interaction
grapefruit and statins
drug food interaction
Spinach and warfarin
drug food interaction
dairy product and anti biotic
drug food interaction
alcohol and pain killers
drug-food interaction
st. john wort and antidepressant
drug-herb interaction
gingko biloba and blood thinners
drug-herb interaction
ginseng and blood pressure medication
drug-herb interaction
garlic and blood thinners
drug-herb interaction
biotin and troponin level test
drug-laboratory test interaction
Aspirin and liver fxn test
drug-laboratory test interaction
Diuretics and electrolytes
drug-laboratory test interaction
what is the bacteria present in yakult?
probiotic : Lactobacillus casei Shirota
Beta blocker and asthma
drug -dse interaction
Nsaids and peptic ulcer dse
drug -dse interaction
anti cholinergic and glaucoma
drug -dse interaction
Antacid and tetracycline
drug -chemical interaction
chlorine and nitrate meds
drug -chemical interaction
alcohol and disulfiram
drug -chemical interaction
antibiotic and water pollution
drug - environment interaction
cold weather and beta blockers
drug - environment interaction
sunlight and tetracycline
drug - environment interaction
effects of DI:
-increased or decreased effect.
-Enzyme inhibition or induction
Generally quantitative-
Seldom qualitative
-Rapid or slower effect.
-Synergism or antagonism
precipitation
-New or increased adverse effects.
-harmful
desirable or undesirable:
Alaxan® is made up of paracetamol
and ibuprofen.
beneficial; This would be beneficial in the
management of pain and prevent inflammation,
respectively by its components of paracetamol
and ibuprofen.
CONTRIBUTING FACTORS:
2 or more drugs that are being taken by a
patient.
Polypharmacy
CONTRIBUTING FACTORS:
there is now a cumulation of drugs from the first
and second physician.
Multiple Physicians
CONTRIBUTING FACTORS:
Aspirin has several pharmacological effects
such as anti-inflammatory, antithrombotic, analgesic,
anticancer
Multiple Pharmacologic Effects
CONTRIBUTING FACTORS:
illness of the patient becomes more
Multiple Disease/Predisposing Illness
CONTRIBUTING FACTORS:
Patient doubles the amount of drug that would
be taken with the notion that higher doses would give better effects.
Poor Patient Compliance
CONTRIBUTING FACTORS: As patients age, they might become forgetful.
Advancing Age of Patient
CONTRIBUTING FACTORS: drug has low therapeutic index
Drug Related Factor
in vitro; occurs BEFORE drugs are administered
pharmaceutical interaction
pharmaceutical interaction
o Physical incompatibilities
o Chemical incompatibilities
In vivo; occurs AFTER drugs are administered
pharmacological interaction
pharmacological interaction
-PHARMACOKINETICS
-PHARMACODYNAMICS
ADME
PHARMACOKIETICS
SYNERGISM, POTENTIATION, ADDITION AND ANTAGONISM
PHARMACODYNAMIC
Complexation
and adsorption
ABSORPTION INTERACTION
Altered in
Gastrointestinal
(GI) pH
ABSORPTION INTERACTION
Alteration in
GUT motility
ABSORPTION INTERACTION
Inhibition of GI
enzymes
ABSORPTION INTERACTION
Alteration in GI
flora
ABSORPTION INTERACTION
Malabsorption
Syndrome
ABSORPTION INTERACTION
ASA (aspirin) +
Warfarin=Bleeding/hemorrhage due to displacement of warfarin since it is less protein bound
Distribution interactions
more enzymes are produced. Faster metabolism- Decrease in the pharmacological effect of the object drug
Enzyme induction; madaling ma excreet
Slower metabolism; Greater concentration of
the drug in the blood. Resulting to more
Enzyme inhibition; madaling maabsorb
Alteration in
renal blood
flow
Excretion interactions
Alteration
urine pH
Excretion interactions
Competition for active
secretions
Excretion interactions
Forced
diuresis
Excretion interactions
taking one stimulant or CNS stimulant with another stimulant would
result to an increase stimulant action
resulting form the sum of its individual
drug
Addition or
summation
1+1=0
antagonism
Remdesivir (antiviral
agent) is taken with clarithromycin
(microlide antibiotic)
synergism
aspirin and
warfarin resulting to
bleeding/hemorrhage
potentiation