drug interaction, definition of- drug interaction, pharacokinetics, pharmacodynamis and various types of drug interaction and factors affecting drug interaction, including identification of drug interaction. software and analytical technique to find out drug interaction. examples of drug-drug interaction and the result of interaction
2. PHARMACOKINETICS
Pharmacokinetics is the kinetics of absorption,
distribution and elimination (i.e. metabolism and
excretion).
In biopharmaceutics pharmacokinetics can be defined as
the relationship between the change in the concentration
of drug in body(plasma) with respect to the kinetics
factors(A,D,M,E).
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3. PHARMACODYNAMICS
Pharmacodynamics refers to the relationship between the
drug concentration at the site of action(receptor) and the
pharmacologic response.
It includes physiological and biochemical effects of drug
and their mechanism of action at organ/ subcellular/
macromolecular levels.
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4. DRUG INTERACTION
A drug interaction generally refers to a modification of the
expected drug response in the patient as a result of
exposure of a patient to another drug or substance.
The drug whose activity is affected by such an interaction is
called as the OBJECT DRUG and the agent which
precipitates such an interaction is referred as
PRECIPITANT.
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5. EFFECT OF DRUG INTERACTION
1- SYNERGISM
a) additive
1+1=2
b) supraadditive (potentiation)
1+1<2
2- ANTAGONISM
1+1=0 or 0.5
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6. TYPES OF DRUG INTERACTION
PHARMACOKINTIC
PHARMACODYNAMIC
PHARMACEUTICAL COMPOUNDING
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7. DRUG INTERACTION INCLUDES-
1- Drug- drug interaction.
2- Drug- food interaction.
3- Drug- chemical interaction.
4- Drug- disease interaction.
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8. FACTORS CONTRIBUTING TO DRUG INTERACTION
Multiple drug therapy
Multiple prescribers
Multiple disease
Poor patient compliance
Drug related factors
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9. TYPES OF
DRUG
INTERACTIO
N
SOURCE PRECIPITAN
T DRUGS
(examples)
OBJECT
DRUG
EFFECT
PHARMACOKINE
TIC
ABSORPTION Calcium,
magnesium, or
aluminum and
iron salt
Tetracycline Tetracycline
complex causing a
decrease
bioavailability
DISTRIBUTION phenylbutazone warfarin Displacement of
warfarin from
binding
ELIMINATION Polycycline
aromatic
hydrocarbon
theophylline Increases
theophylline
clearance
PHARMACODYN
AMIC
SYNERGISM Alcohol Antihistamines Increases
drowsiness
ANTAGONISM Adrenaline Histamine Fall in BP
PHARMACEUTIC
AL FACTOR
PHYSICAL
/CHEMICAL
INCOMPACTIBLIT
Y
iv. Solution of
aminophylliine has
alkaline PH
epinephrine Decomposition of
epinephrine in
alkaline PH
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