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 inPharmaceutics Vol. 14; no. 4; p. 789
Main Authors Bettonte, Sara, Berton, Mattia, Marzolini, Catia
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 04.04.2022
MDPI
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ISSN1999-4923
1999-4923
DOI10.3390/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.
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
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Keywords pregnant women
drug interaction
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special populations
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SecondaryResourceType review_article
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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pubmedcentral
proquest
pubmed
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SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
StartPage 789
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
URI https://www.ncbi.nlm.nih.gov/pubmed/35456623
https://www.proquest.com/docview/2653015200
https://www.proquest.com/docview/2654285199
https://pubmed.ncbi.nlm.nih.gov/PMC9027396
https://doaj.org/article/ef926d1dbcd7499d91606a6264909211
Volume 14
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