Magnitude of Drug–Drug Interactions in Special Populations
Drug–drug interactions (DDIs) are one of the most frequent causes of adverse drug reactions or loss of treatment efficacy. The risk of DDIs increases with polypharmacy and is therefore of particular concern in individuals likely to present comorbidities (i.e., elderly or obese individuals). These sp...
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Published in | Pharmaceutics Vol. 14; no. 4; p. 789 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Switzerland
MDPI AG
04.04.2022
MDPI |
Subjects | |
Online Access | Get full text |
ISSN | 1999-4923 1999-4923 |
DOI | 10.3390/pharmaceutics14040789 |
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Abstract | Drug–drug interactions (DDIs) are one of the most frequent causes of adverse drug reactions or loss of treatment efficacy. The risk of DDIs increases with polypharmacy and is therefore of particular concern in individuals likely to present comorbidities (i.e., elderly or obese individuals). These special populations, and the population of pregnant women, are characterized by physiological changes that can impact drug pharmacokinetics and consequently the magnitude of DDIs. This review compiles existing DDI studies in elderly, obese, and pregnant populations that include a control group without the condition of interest. The impact of physiological changes on the magnitude of DDIs was then analyzed by comparing the exposure of a medication in presence and absence of an interacting drug for the special population relative to the control population. Aging does not alter the magnitude of DDIs as the related physiological changes impact the victim and perpetrator drugs to a similar extent, regardless of their elimination pathway. Conversely, the magnitude of DDIs can be changed in obese individuals or pregnant women, as these conditions impact drugs to different extents depending on their metabolic pathway. |
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AbstractList | Drug-drug interactions (DDIs) are one of the most frequent causes of adverse drug reactions or loss of treatment efficacy. The risk of DDIs increases with polypharmacy and is therefore of particular concern in individuals likely to present comorbidities (i.e., elderly or obese individuals). These special populations, and the population of pregnant women, are characterized by physiological changes that can impact drug pharmacokinetics and consequently the magnitude of DDIs. This review compiles existing DDI studies in elderly, obese, and pregnant populations that include a control group without the condition of interest. The impact of physiological changes on the magnitude of DDIs was then analyzed by comparing the exposure of a medication in presence and absence of an interacting drug for the special population relative to the control population. Aging does not alter the magnitude of DDIs as the related physiological changes impact the victim and perpetrator drugs to a similar extent, regardless of their elimination pathway. Conversely, the magnitude of DDIs can be changed in obese individuals or pregnant women, as these conditions impact drugs to different extents depending on their metabolic pathway. Drug-drug interactions (DDIs) are one of the most frequent causes of adverse drug reactions or loss of treatment efficacy. The risk of DDIs increases with polypharmacy and is therefore of particular concern in individuals likely to present comorbidities (i.e., elderly or obese individuals). These special populations, and the population of pregnant women, are characterized by physiological changes that can impact drug pharmacokinetics and consequently the magnitude of DDIs. This review compiles existing DDI studies in elderly, obese, and pregnant populations that include a control group without the condition of interest. The impact of physiological changes on the magnitude of DDIs was then analyzed by comparing the exposure of a medication in presence and absence of an interacting drug for the special population relative to the control population. Aging does not alter the magnitude of DDIs as the related physiological changes impact the victim and perpetrator drugs to a similar extent, regardless of their elimination pathway. Conversely, the magnitude of DDIs can be changed in obese individuals or pregnant women, as these conditions impact drugs to different extents depending on their metabolic pathway.Drug-drug interactions (DDIs) are one of the most frequent causes of adverse drug reactions or loss of treatment efficacy. The risk of DDIs increases with polypharmacy and is therefore of particular concern in individuals likely to present comorbidities (i.e., elderly or obese individuals). These special populations, and the population of pregnant women, are characterized by physiological changes that can impact drug pharmacokinetics and consequently the magnitude of DDIs. This review compiles existing DDI studies in elderly, obese, and pregnant populations that include a control group without the condition of interest. The impact of physiological changes on the magnitude of DDIs was then analyzed by comparing the exposure of a medication in presence and absence of an interacting drug for the special population relative to the control population. Aging does not alter the magnitude of DDIs as the related physiological changes impact the victim and perpetrator drugs to a similar extent, regardless of their elimination pathway. Conversely, the magnitude of DDIs can be changed in obese individuals or pregnant women, as these conditions impact drugs to different extents depending on their metabolic pathway. |
Author | Bettonte, Sara Marzolini, Catia Berton, Mattia |
AuthorAffiliation | 2 Faculty of Medicine, University of Basel, 4031 Basel, Switzerland 1 Division of Infectious Diseases and Hospital Epidemiology, Departments of Medicine and Clinical Research, University Hospital Basel, 4031 Basel, Switzerland; mattia.berton@unibas.ch (M.B.); catia.marzolini@usb.ch (C.M.) 3 Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool L69 3GF, UK |
AuthorAffiliation_xml | – name: 2 Faculty of Medicine, University of Basel, 4031 Basel, Switzerland – name: 1 Division of Infectious Diseases and Hospital Epidemiology, Departments of Medicine and Clinical Research, University Hospital Basel, 4031 Basel, Switzerland; mattia.berton@unibas.ch (M.B.); catia.marzolini@usb.ch (C.M.) – name: 3 Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool L69 3GF, UK |
Author_xml | – sequence: 1 givenname: Sara orcidid: 0000-0002-7532-7898 surname: Bettonte fullname: Bettonte, Sara – sequence: 2 givenname: Mattia orcidid: 0000-0001-9450-2228 surname: Berton fullname: Berton, Mattia – sequence: 3 givenname: Catia orcidid: 0000-0002-2312-7050 surname: Marzolini fullname: Marzolini, Catia |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35456623$$D View this record in MEDLINE/PubMed |
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Snippet | Drug–drug interactions (DDIs) are one of the most frequent causes of adverse drug reactions or loss of treatment efficacy. The risk of DDIs increases with... Drug-drug interactions (DDIs) are one of the most frequent causes of adverse drug reactions or loss of treatment efficacy. The risk of DDIs increases with... |
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SubjectTerms | Aging Body mass index drug interaction Drug interactions elderly Enzymes Ethnicity Medical Subject Headings-MeSH Metabolism obese Obesity Older people Pharmacokinetics Physiology Pregnancy pregnant women Review special populations |
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Title | Magnitude of Drug–Drug Interactions in Special Populations |
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