Assessment of Drug–Drug Interactions in Humans

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Pharmacology".

Deadline for manuscript submissions: closed (30 November 2021) | Viewed by 6079

Special Issue Editors


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Guest Editor
1. Service de Pharmacologie-Toxicologie et Pharmacovigilance, Centre Hospitalo-Universitaire d’Angers, 4 rue Larrey, F-49100 Angers, France
2. Université d’Angers, 40 rue de Rennes, F-49035 Angers, France
Interests: pharmacovigilance; acute and chronic kidney diseases; experimental and clinical vascular remodeling

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Guest Editor
Department of Pharmacology E.A.3801, SFR CAP-santé, Reims University Hospital, 51100 Reims, France
Interests: pharmacology and pharmacokinetic–pharmacodynamic modelling; bioanalysis applied to human medicine such as therapeutic drug monitoring and clinical research methodologies; preclinical and clinical cardiovascular models
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Special Issue Information

Dear Colleagues,

Drug interactions are a public health concern and are at the origin of numerous adverse drug reactions. Drug interactions are a significant source of variability in drug responses. Overlooking this variability in drug response leads to decreased benefits and increased drug risks. The evaluation of drug–drug interactions in drug development and post-marketing surveillance is essential for preventing potential clinical risks for patients.

Advancements in experimental and computational techniques, and pharmacoepidemiology may improve the evaluation of drug–drug interactions and their clinical relevance. Additionally, a synthesis of the literature in the form of a review and meta-analysis is needed. New studies establishing predictive models of pharmacokinetic/pharmacodynamic interactions or their clinical impacts, integrating one or more drugs in various pathophysiological situations, are welcome. These studies’ data will serve as an individualization and anticipation tool for planning and improving patient management.

This Special Issue will highlight the current knowledge on the methods facilitating drug–drug interaction evaluations, new drug–drug interactions with significant clinical impacts, and drug–drug interactions in particular populations. 

Prof. Dr. Marie Briet
Dr. Zoubir Djerada
Guest Editors

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Keywords

  • population pharmacokinetics and pharmacodynamics
  • drug–drug interaction
  • predictive model
  • meta-analysis
  • pharmacoepidemiology
  • drug adverse reaction

Published Papers (1 paper)

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Review

11 pages, 653 KiB  
Review
Clinical Relevance of Drug Interactions with Cannabis: A Systematic Review
by Valentina Lopera, Adriana Rodríguez and Pedro Amariles
J. Clin. Med. 2022, 11(5), 1154; https://doi.org/10.3390/jcm11051154 - 22 Feb 2022
Cited by 23 | Viewed by 5455
Abstract
Concomitant use of cannabis with other drugs may lead to cannabis–drug interactions, mainly due to the pharmacokinetic mechanism involving the family of CYP450 isoenzymes. This narrative systematic review aimed to systematize the available information regarding clinical relevance of cannabis–drug interactions. We utilized the [...] Read more.
Concomitant use of cannabis with other drugs may lead to cannabis–drug interactions, mainly due to the pharmacokinetic mechanism involving the family of CYP450 isoenzymes. This narrative systematic review aimed to systematize the available information regarding clinical relevance of cannabis–drug interactions. We utilized the PubMed/Medline database for this systematic review, using the terms drug interactions and cannabis, between June 2011 and June 2021. Articles with cannabis–drug interactions in humans, in English or Spanish, with full-text access were selected. Two researchers evaluated the article’s inclusion. The level of clinical relevance was determined according to the severity and probability of the interaction. Ninety-five articles were identified and twenty-six were included. Overall, 19 pairs of drug interactions with medicinal or recreational cannabis were identified in humans. According to severity and probability, 1, 2, 12, and 4 pairs of cannabis–drug interactions were classified at levels 1 (very high risk), 2 (high risk), 3 (medium risk), and 5 (without risk), respectively. Cannabis–warfarin was classified at level 1, and cannabis–buprenorphine and tacrolimus at level 2. This review provides evidence for both the low probability of the occurrence of clinically relevant drug interactions and the lack of evidence regarding cannabis–drug interactions. Full article
(This article belongs to the Special Issue Assessment of Drug–Drug Interactions in Humans)
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