Basic principles of combination therapy: focus on drug-drug interaction

The article is devoted to the issue of drug interactions in the combination regimens. Today, when drug therapy is the first-line approach for patients with noncommunicable diseases, and the world population ageing leads to an increase in the number of patients with severe comorbidity and polypharmac...

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Main Authors: S. Yu. Martsevich, Yu. V. Lukina, O. M. Drapkina
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2021-11-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/3031
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author S. Yu. Martsevich
Yu. V. Lukina
O. M. Drapkina
author_facet S. Yu. Martsevich
Yu. V. Lukina
O. M. Drapkina
author_sort S. Yu. Martsevich
collection DOAJ
description The article is devoted to the issue of drug interactions in the combination regimens. Today, when drug therapy is the first-line approach for patients with noncommunicable diseases, and the world population ageing leads to an increase in the number of patients with severe comorbidity and polypharmacy, the problem of drug-drug interaction is especially relevant. The article discusses the main types of drug interactions  — pharmacokinetic (related to absorption, distribution, metabolism and excretion of drugs) and pharmacodynamic ones, leading to synergy or antagonism of the pharmacological effects. The consequences of drug interactions can be desirable and undesirable, while the latter are much more common. Attention should be directed precisely to preventing such interactions. Also, using data from special scales and lists (Beers criteria, STOPP/START criteria), the options for various adverse drugdrug interactions are briefly described. In addition, the article provides a number of Internet resources that allow assessing the drug interaction risk when prescribing combination therapy.
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institution Kabale University
issn 1728-8800
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language Russian
publishDate 2021-11-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj-art-940c3b5889594a9a80d7856cc6a7a00a2025-08-20T03:35:45Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252021-11-0120710.15829/1728-8800-2021-30312379Basic principles of combination therapy: focus on drug-drug interactionS. Yu. Martsevich0Yu. V. Lukina1O. M. Drapkina2National Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineNational Medical Research Center for Therapy and Preventive MedicineThe article is devoted to the issue of drug interactions in the combination regimens. Today, when drug therapy is the first-line approach for patients with noncommunicable diseases, and the world population ageing leads to an increase in the number of patients with severe comorbidity and polypharmacy, the problem of drug-drug interaction is especially relevant. The article discusses the main types of drug interactions  — pharmacokinetic (related to absorption, distribution, metabolism and excretion of drugs) and pharmacodynamic ones, leading to synergy or antagonism of the pharmacological effects. The consequences of drug interactions can be desirable and undesirable, while the latter are much more common. Attention should be directed precisely to preventing such interactions. Also, using data from special scales and lists (Beers criteria, STOPP/START criteria), the options for various adverse drugdrug interactions are briefly described. In addition, the article provides a number of Internet resources that allow assessing the drug interaction risk when prescribing combination therapy.https://cardiovascular.elpub.ru/jour/article/view/3031combination therapydrug-drug interactionpharmacokineticspharmacodynamics
spellingShingle S. Yu. Martsevich
Yu. V. Lukina
O. M. Drapkina
Basic principles of combination therapy: focus on drug-drug interaction
Кардиоваскулярная терапия и профилактика
combination therapy
drug-drug interaction
pharmacokinetics
pharmacodynamics
title Basic principles of combination therapy: focus on drug-drug interaction
title_full Basic principles of combination therapy: focus on drug-drug interaction
title_fullStr Basic principles of combination therapy: focus on drug-drug interaction
title_full_unstemmed Basic principles of combination therapy: focus on drug-drug interaction
title_short Basic principles of combination therapy: focus on drug-drug interaction
title_sort basic principles of combination therapy focus on drug drug interaction
topic combination therapy
drug-drug interaction
pharmacokinetics
pharmacodynamics
url https://cardiovascular.elpub.ru/jour/article/view/3031
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AT omdrapkina basicprinciplesofcombinationtherapyfocusondrugdruginteraction