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This book presents an overview of the diverse and complex
influences that link the mechanisms of adverse drug interactions
(ADIs) with their clinical effects. It provides information to busy
prescribers in a user-friendly form to ensure that they minimize
the risk of harm to patients by ADI.
Adverse Drug Interactions: A Handbook for Prescribers assists
clinicians by providing key information on potential adverse
effects that can result from prescribing two or more drugs for
simultaneous use. Interactions that are likely to give rise to
life-threatening conditions, and which must therefore be completely
avoided, are clearly highlighted. Less threatening but nonetheless
important interactions necessitating practical measures, such as
frequent monitoring and advice to patients, are also discussed.
Presented in a user-friendly format, the book is organised by drug
class and provides a brief summary of the mechanism underlying a
particular interaction, alternative drugs lacking the same
reactions that may be considered, and instructions for monitoring
patients when adverse effects occur. All interactions listed in the
previous edition have been reviewed and updated using the latest
information available. The clinical reality of the widespread use
of potent medicines, whether allopathic, herbal or traditional, has
led to the inclusion of a chapter specifically addressing
over-the-counter drugs and remedies. Importantly, the increasing
relevance of drug interactions due to genetic polymorphisms of
metabolizing enzymes and drug transporters and the associated
influence of these in ethnic groups is discussed. Also discussed is
the risk of interactions in many vulnerable population groups (e.g.
infancy, pregnancy, infections, liver and kidney disease). This
quick and easy reference guide brings together the current evidence
base with a broad range of practical prescribing experience to
produce a source of advice that can be used in the clinic,
pharmacy, or at the patient's bedside.
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