Drug interactions in transplant patients: what everyone should know

被引:42
|
作者
Manitpisitkul, Wana [4 ]
McCann, Erin [3 ]
Lee, Sabrina [2 ]
Weir, Matthew R. [1 ]
机构
[1] Univ Maryland, Sch Med, Div Nephrol, Dept Med, Baltimore, MD 21201 USA
[2] Univ Utah Hosp & Clin, Dept Pharm, Salt Lake City, UT USA
[3] Pittsburgh VA Healthcare Syst, Dept Pharm, Pittsburgh, PA USA
[4] Univ Maryland, Med Ctr, Dept Pharm, Baltimore, MD 21201 USA
关键词
drug-drug interactions; kidney transplantation; safety therapeutic drug monitoring; TACROLIMUS BLOOD-CONCENTRATION; HEPATITIS-C VIRUS; MYCOPHENOLIC-ACID; CYCLOSPORINE-A; PHARMACOKINETIC INTERACTION; LIVER-TRANSPLANTATION; CYTOCHROME-P450; 3A; CONCOMITANT USE; P-GLYCOPROTEIN; RENAL-TRANSPLANTATION;
D O I
10.1097/MNH.0b013e32832edcb2
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review Adverse events due to drug-drug interactions remain a challenge in the postsurgical care of transplant recipients. A combination of potent and selective immunosuppressive drugs, which have a narrow therapeutic index, with medications for the treatment of comorbidities such as dyslipidemia, infection, psychiatric conditions, and hypertension, can lead to life-threatening drug-drug interactions. Recent findings There are a number of important drug-drug interactions which are important for physicians to consider. It is critical to understand the pharmacodynamics and pharmacokinetics of drug-drug interactions, their potential impact on patient care, and the management strategies. Summary Close therapeutic drug monitoring and evaluation of drug-specific side effects continue to be an important key to minimize adverse events due to drug-drug interactions.
引用
收藏
页码:404 / 411
页数:8
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