Supplement 1: the Most Commonly Used DDI Screening Electronic Databases

Supplement 1: the Most Commonly Used DDI Screening Electronic Databases

<p>Supplement 1: The most commonly used DDI screening electronic databases</p><p>Database Properties Electronic system which provides the information for interacting drug </p><p> pairs with severity rating and referenced literature. For each </p><p> potentially interacting combination it provides information on clinical </p><p> outcomes or adverse reactions and latency period as well as possible Micromedex DrugReax® mechanism. The provided information is drug-specific rather than (http://www.micromedex.com) class-specific. The program classifies the potential DDIs into 4 </p><p> categories: »contraindicated«, »major«, »moderate« and »minor«. The </p><p> grade of documentation gives information about the quality of the </p><p> available data and ranges from »excellent« to »unlikely«. [12–14] The software classifies DDIs by the level of severity and the level of </p><p> scientific evidence. Potential DDIs were classified as »major«, </p><p>Drug Interaction Facts® »moderate« and »minor« according to the clinical outcomes. The level</p><p>(http://www.factsandcomparisons.com of scientific evidence of a potential DDI was classified on a five-point </p><p>) documentation scale, meaning potential DDI was supported by well-</p><p> controlled human studies in level 1 to level 5 where documentation of </p><p> potential DDI is poor or only theoretical. [29] Software classifies potential DDIs into 5 categories from A to X where</p><p>A represents »no known interaction«, B »no action needed«, C </p><p>»monitor therapy«, D »consider therapy modification« and X »avoid Lexi-Interact® combination or contraindication«. All the information is supported by (http://www.lexi.com) referenced literature and its level of scientific evidence. The software </p><p> provides the clinical outcome of the potential DDI and the </p><p> management. [3,31] Pharmavista The drug interaction program originates from the “ABDADatenbank”</p><p>(http://www.pharmavista.ch) published by the “Bundesvereinigung Deutscher Apothekerverbände” </p><p>(Federal Organization of the German Pharmacist Associations). For </p><p> each interacting drug combination, Pharmavista provides information </p><p> on the possible ADR, the clinical management and the mechanism of the pDDI, and provides literature references regarding the pDDI.</p><p>The program classifies severities of pDDIs into five categories: major, </p><p> moderate, minor, insignificant, and unidentified source. [3,33] A freely available online medical decision support tool which screens </p><p> for potential DDIs and classifies them according to mechanism as </p><p>Epocrates Rx® pharmacokinetic, pharmacodynamic or unknown. Potential DDIs are </p><p>(http://www.epocrates.com) classified into categories by management strategy as »contra-</p><p> indicated«, »avoid combination/use alternative«, »modify </p><p> treatment/monitor« and »caution«. [34] Electronic database which features detailed comments on more than </p><p>20000 drug interactions involving about 2000 specific substances. It </p><p>MediQ classifies the potential DDIs according to severity into 4 categories. It </p><p> also provides free texts for each DDI and phamacokinetic and </p><p> pharmacodynamic effects. [35] The software is available on internet and provides classification Drug Interaction Checker according to severity of potential DDIs into 3 categories: major, (http://www.drugs.com) moderate and minor. [36]</p>

View Full Text

Details

  • File Type
    pdf
  • Upload Time
    -
  • Content Languages
    English
  • Upload User
    Anonymous/Not logged-in
  • File Pages
    2 Page
  • File Size
    -

Download

Channel Download Status
Express Download Enable

Copyright

We respect the copyrights and intellectual property rights of all users. All uploaded documents are either original works of the uploader or authorized works of the rightful owners.

  • Not to be reproduced or distributed without explicit permission.
  • Not used for commercial purposes outside of approved use cases.
  • Not used to infringe on the rights of the original creators.
  • If you believe any content infringes your copyright, please contact us immediately.

Support

For help with questions, suggestions, or problems, please contact us