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6 Cards in this Set

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Interactions with clinical therapy


-How do we define an interaction?

A change in a drug’s function/effect when administered with food or another drug or substance.

How do we define an interaction?

Food (Milk)


Herbals (St. John’s Wort)


Drugs


Lifestyle (Smoking, Alcohol)

When will an interaction become significantly important?

1.) In NTI drugs (high risk drugs)


2.) High risk patients (pregnancy, Geriatrics, Paediatrics)

What type of interactions can we see? (Good interactions)

-Potentiating effect (e.g. Combine Anti-biotics)


-Antagonism


(E.g antidote)

What are the undesirable interactions?

1.)Toxicity ( diuretics&NSAIDS exacerbating renal impairment)


2.) Loss of effect (Carbamazepine causes Warfarin to loose its Clinical function.)

How can interactions affect ADME?

1.) Absorption- Stomach/small-intestines.


2.) Distribution- tissue level


3.) Metabolism- Liver


4.) Elimination- Kidneys



NB- Interactions can occur at any stage in ADME although this depends on the route of administration e.g. oral route has more of a risk of interactions than an IV bolus