The document discusses drug interactions, defining them as interactions between drugs, foods, chemicals, laboratory tests, or diseases. It identifies the main types of interactions as drug-drug, food-drug, chemical-drug, drug laboratory test, and drug disease. The document also outlines the factors that can contribute to drug interactions, such as multiple drug therapy, multiple prescribers, the pharmacological effects and diseases of the patient. It describes the mechanisms of drug interactions as pharmaceutical, pharmacokinetic involving absorption, distribution, metabolism and excretion, and pharmacodynamic involving direct and indirect interactions. Finally, it notes interactions can be minor, moderate or major in their effects on the patient.