Drug interactions-1 (Notes from KDT)
Definition:- Modification of response to one drug by another drug or non drug (like food ,beverageslike alcohol,smoking) when they are administered simultaneously or in quick succession . Factors for drug interactions:- 1.Multiple drugs for same disease. 2.Multiple prescribers. 3.Multiple diseases. 4.Poor patient compliance . 5. Drug factors like it is not palatable or too many in frequency . 6.Multiple unknown action of drugs. 7. Most imp is patients age . Effects of drug interaction:- 1.Quantitative i.e Increase or decrease the response intensity. 2. Qualitative:- abnormal /different type of response. Mechanism of drug interaction :- A.Pharmacokinetic interactions include, 1.Absorption (either complex formation ,pH change ,or alteration in motility of GIT.) 2. Distribution:- (displacement from plasma protein binding site + inhibition of metabolism /or excretion) 3. Metabolism:- ( induction of enzymes or inhibition of enzymes or hepatic b...