DRUG INTERACTION PART 1 Flashcards

1
Q

The drug whose activity is affected in the interaction.

A

Object Drug

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The entity that triggers an interaction.

A

Precipitant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

warfarin and aspirin

A

drug-drug interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ace inhibitor and k+ sparring

A

drug-drug interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Anti-biotic and oral contraception

A

drug-drug interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Digoxin and diuretics

A

drug-drug interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

grapefruit and statins

A

drug food interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Spinach and warfarin

A

drug food interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

dairy product and anti biotic

A

drug food interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

alcohol and pain killers

A

drug-food interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

st. john wort and antidepressant

A

drug-herb interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

gingko biloba and blood thinners

A

drug-herb interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ginseng and blood pressure medication

A

drug-herb interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

garlic and blood thinners

A

drug-herb interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

biotin and troponin level test

A

drug-laboratory test interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Aspirin and liver fxn test

A

drug-laboratory test interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Diuretics and electrolytes

A

drug-laboratory test interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the bacteria present in yakult?

A

probiotic : Lactobacillus casei Shirota

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Beta blocker and asthma

A

drug -dse interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Nsaids and peptic ulcer dse

A

drug -dse interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

anti cholinergic and glaucoma

A

drug -dse interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Antacid and tetracycline

A

drug -chemical interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

chlorine and nitrate meds

A

drug -chemical interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

alcohol and disulfiram

A

drug -chemical interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
antibiotic and water pollution
drug - environment interaction
26
cold weather and beta blockers
drug - environment interaction
27
sunlight and tetracycline
drug - environment interaction
28
effects of DI: -increased or decreased effect. -Enzyme inhibition or induction
Generally quantitative-
29
Seldom qualitative
-Rapid or slower effect. -Synergism or antagonism
30
precipitation
-New or increased adverse effects. -harmful
31
desirable or undesirable: Alaxan® is made up of paracetamol and ibuprofen.
beneficial; This would be beneficial in the management of pain and prevent inflammation, respectively by its components of paracetamol and ibuprofen.
32
CONTRIBUTING FACTORS: 2 or more drugs that are being taken by a patient.
Polypharmacy
33
CONTRIBUTING FACTORS: there is now a cumulation of drugs from the first and second physician.
Multiple Physicians
34
CONTRIBUTING FACTORS: Aspirin has several pharmacological effects such as anti-inflammatory, antithrombotic, analgesic, anticancer
Multiple Pharmacologic Effects
35
CONTRIBUTING FACTORS: illness of the patient becomes more
Multiple Disease/Predisposing Illness
36
CONTRIBUTING FACTORS: Patient doubles the amount of drug that would be taken with the notion that higher doses would give better effects.
Poor Patient Compliance
37
CONTRIBUTING FACTORS: As patients age, they might become forgetful.
Advancing Age of Patient
38
CONTRIBUTING FACTORS: drug has low therapeutic index
Drug Related Factor
39
in vitro; occurs BEFORE drugs are administered
pharmaceutical interaction
40
pharmaceutical interaction
o Physical incompatibilities o Chemical incompatibilities
41
In vivo; occurs AFTER drugs are administered
pharmacological interaction
42
pharmacological interaction
-PHARMACOKINETICS -PHARMACODYNAMICS
43
ADME
PHARMACOKIETICS
44
SYNERGISM, POTENTIATION, ADDITION AND ANTAGONISM
PHARMACODYNAMIC
45
Complexation and adsorption
ABSORPTION INTERACTION
46
Altered in Gastrointestinal (GI) pH
ABSORPTION INTERACTION
47
Alteration in GUT motility
ABSORPTION INTERACTION
48
Inhibition of GI enzymes
ABSORPTION INTERACTION
49
Alteration in GI flora
ABSORPTION INTERACTION
50
Malabsorption Syndrome
ABSORPTION INTERACTION
51
ASA (aspirin) + Warfarin=Bleeding/hemorrhage due to displacement of warfarin since it is less protein bound
Distribution interactions
52
more enzymes are produced. Faster metabolism- Decrease in the pharmacological effect of the object drug
Enzyme induction; madaling ma excreet
53
Slower metabolism; Greater concentration of the drug in the blood. Resulting to more
Enzyme inhibition; madaling maabsorb
54
Alteration in renal blood flow
Excretion interactions
55
Alteration urine pH
Excretion interactions
56
Competition for active secretions
Excretion interactions
57
Forced diuresis
Excretion interactions
58
taking one stimulant or CNS stimulant with another stimulant would result to an increase stimulant action resulting form the sum of its individual drug
Addition or summation
59
1+1=0
antagonism
60
Remdesivir (antiviral agent) is taken with clarithromycin (microlide antibiotic)
synergism
61
aspirin and warfarin resulting to bleeding/hemorrhage
potentiation