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- Guardian
- Guardian

... to plan rules. Plan rules are based on FDA approved prescribing and safety information, clinical guidelines, and uses that are considered reasonable, safe and effective. Please note that this program is not intended to limit the doctor’s ability to treat his/her patient’s healthcare needs, but rathe ...
Luxiq - GlaxoSmithKline
Luxiq - GlaxoSmithKline

... administered systemically at relatively low dosage levels. Some corticosteroids have been shown to be teratogenic after dermal application to pregnant laboratory animals. Fertility: There are no data in humans to evaluate the effect of topical corticosteroids on fertility. Nursing Women: The safe us ...
Hydromorphone Hydrochloride Injection, USP, CII (1 mg/mL)
Hydromorphone Hydrochloride Injection, USP, CII (1 mg/mL)

... disease or cor pulmonale, patients having a substantially decreased respiratory reserve, hypoxia, hypercapnia, or preexisting respiratory depression. In such patients, even usual therapeutic doses of opioid analgesics may decrease respiratory drive while simultaneously increasing airway resistance t ...
Prescribing Information
Prescribing Information

... observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. If ZEPATIER is administered with ribavirin, refer to the prescribing information for ribavirin for a description of ribavirin-asso ...
- Boehringer Ingelheim (Canada)
- Boehringer Ingelheim (Canada)

... Frequent undesirable effects of DUOVENT UDV (ipratropium bromide/fenoterol hydrobromide) are fine tremor of skeletal muscles and nervousness, less frequent are tachycardia, increased heart rate, dizziness, palpitations or headache, especially in hypersensitive patients. Potentially serious hypokalem ...
Oxycodone and Acetaminophen Tablets USP 5
Oxycodone and Acetaminophen Tablets USP 5

... more than one acetaminophen-containing product. The excessive intake of acetaminophen may be intentional to cause self-harm or unintentional as patients attempt to obtain more pain relief or unknowingly take other acetaminophen-containing products. The risk of acute liver failure is higher in indivi ...
Adalat OROS PI
Adalat OROS PI

... pharmacodynamic activity. The main metabolite (95%) is the hydroxycarbolic acid derivative; the remaining 5% is the corresponding lactone. Nifedipine is excreted in the form of its metabolites predominantly via the kidneys (60 to 80%) and about 5 – 15% via the bile in the faeces. The unchanged subst ...
a guide to use of common palliative care drugs in renal impairment
a guide to use of common palliative care drugs in renal impairment

... Opioids differ in their potential to cause toxicity when renal function is impaired. However, the evidence base from clinical studies is limited, and stratification of risk is based on the presence of active metabolites, risk of accumulation, and expert opinion. The pharmacokinetics and pharmacodyna ...
ΕΓΚΥΜΟΣΥΝΗ ΚΑΙ ΥΠΕΡΤΑΣΗ
ΕΓΚΥΜΟΣΥΝΗ ΚΑΙ ΥΠΕΡΤΑΣΗ

... Low levels < 100,000 x 109/L may suggest consumption in the microvasculature. Levels correspond to severity and are predictive of recovery rate in post-partum period, especially for women with HELLP syndrome.* ...
Central Nervous System Permeation of Non
Central Nervous System Permeation of Non

... Non-steroidal anti-inflammatory drugs (NSAIDs) and paracetamol are widely used analgesics, acting in both the peripheral tissues and the central nervous system (CNS). However, knowledge on CNS permeation of these drugs in children in sparse. Therefore cerebrospinal fluid (CSF) penetration of diclofe ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... The present study showed that there was no significant difference in the mode of delivery between two groups with a ‘P’ value of 0.365. But spontaneous vaginal delivery was more in the Labetalol group i.e. 28% . When compared to the Nifedipine group i.e. 14%. These results were more or less similar ...
Ketofol_in_the_ED
Ketofol_in_the_ED

... Andolfatto G, Willman E. A Prospective Case Series of Single-syringe Ketamine-Propofol (Ketofol) for Emergency Department Procedural Sedation and Analgesia in Adults. Acad Emerg Med. 2011; 18: 237-245. Phillips W, Anderson A, Rosengreen M, et al. Propofol Versus Propofol/Ketamine for Brief Painful P ...
concerta - Janssen
concerta - Janssen

... other serious cardiac problems. Adults with such abnormalities should also generally not be treated with stimulant drugs (see CONTRAINDICATIONS). General Children: Theoretically there exists a pharmacological potential for all ADHD drugs to increase the risk of sudden/cardiac death. Although confirm ...
St. John`s Wort - American Botanical Council
St. John`s Wort - American Botanical Council

... resulted in significant increases in urinary 6–beta–hydroxycortisol/cortisol ratio, suggesting that SJW is an inducer of CYP3A4, since cortisol is metabolized primarily by CYP3A4. A recent study revealed that constituents of SJW extract, especially hyperforin, are potent ligands (K(i) = 27 nM) for t ...
Percocet® (oxycodone hydrochloride 5 mg / acetaminophen 325 mg)
Percocet® (oxycodone hydrochloride 5 mg / acetaminophen 325 mg)

... prescribe a lower initial dose of the benzodiazepine or other CNS depressant than indicated in the absence of an opioid, and titrate based on clinical response. If an opioid analgesic is initiated in a patient already taking a benzodiazepine or other CNS depressant, prescribe a lower initial dose of ...
Full text - FNWI (Science) Education Service Centre
Full text - FNWI (Science) Education Service Centre

... mechanism in migraine is still unknown, which leads to undesired side effects. Abortive anti- migraines are used to prevent or reduce headache attack in migraine. Based on the pathophysiology of migraine, scientists believed that the neurotransmitter serotonin (5-HT) is involved in the initiation of ...
Overcoming the Bell-Shaped Dose-Response of
Overcoming the Bell-Shaped Dose-Response of

... corresponds to about 10 mg/kg CBD (Table 1), while 25 mg/kg of purified CBD was needed to achieve the same effect (Figure 3(c)). This suggests for a better usage of clone 202 extract. It should be noted that agents taken per os need to go through the enterohepatic route prior to exerting their effec ...
Cannabis - Mister Gui
Cannabis - Mister Gui

... Cannabis (also known as marijuana[1] or ganja[2] in its herbal form and hashish in its resinous form[3]) is a psychoactive product of the plant Cannabis sativa L. subsp. indica (= C. indica Lam.). The herbal form of the drug consists of dried mature inflorescences and subtending leaves of pistillate ...
chromium - University of Colorado Denver
chromium - University of Colorado Denver

... o Oral; Recommended Dietary Allowance (RDA) for adults is 50 to 100 micrograms (mcg) daily and for pediatrics it is 10 to 200 mcg daily, depending on age Diabetes → recommendation is 200 to 1000mcg QD PO in divided doses Hyperlipidemia → recommendation is 200mcg PO TID Dysthmic Disorder → recommenda ...
Product Monograph Template - Standard
Product Monograph Template - Standard

... treatment with a MAOI, (including linezolid, an antibiotic which is a reversible non-selective MAO inhibitor and methylene blue, which is a MAOI). Similarly, at least 14 days should elapse after discontinuing citalopram treatment before starting a MAOI. PIMOZIDE Citalopram should not be used in comb ...
Methamphetamine Contamination on Environmental Surfaces
Methamphetamine Contamination on Environmental Surfaces

... the face of an unknown risk to crawling infants, “the process of reducing levels of known contaminants to the lowest practical levels using current available methods and processes” made sense. Due to lower detection limits, the State of Washington recently lowered its acceptable level of contaminati ...
product monograph isoptin sr
product monograph isoptin sr

... not seen in a second study.) No similar changes have been observed in long-term prospective human ophthalmological trials. Renal Renal Insufficiency About 70% of an administered dose of verapamil hydrochloride is excreted as metabolites in the urine. In one study in healthy volunteers, the total bod ...
Effects of Phentermine on Responding Maintained under Multiple
Effects of Phentermine on Responding Maintained under Multiple

... Downloaded from jpet.aspetjournals.org at ASPET Journals on October 29, 2016 ...
LC-Tandem MS Detection of Covalent Binding of Acetaminophen to
LC-Tandem MS Detection of Covalent Binding of Acetaminophen to

... ADRs (Zhou et al., 2005). By serving as haptens, drug-protein adducts may also trigger the autoimmune reactions which are often observed in case of idiosyncratic drug reactions (Uetrecht, 1999; Park et al., 2000). As reviewed by Caldwell and Yan (2006) and Zhou (2003), different methodologies are us ...
Effects of Phentermine on Responding Maintained under Multiple
Effects of Phentermine on Responding Maintained under Multiple

... Downloaded from jpet.aspetjournals.org at ASPET Journals on May 6, 2017 ...
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Drug interaction



A drug interaction is a situation in which a substance (usually another drug) affects the activity of a drug when both are administered together. This action can be synergistic (when the drug's effect is increased) or antagonistic (when the drug's effect is decreased) or a new effect can be produced that neither produces on its own. Typically, interactions between drugs come to mind (drug-drug interaction). However, interactions may also exist between drugs and foods (drug-food interactions), as well as drugs and medicinal plants or herbs (drug-plant interactions). People taking antidepressant drugs such as monoamine oxidase inhibitors should not take food containing tyramine as hypertensive crisis may occur (an example of a drug-food interaction). These interactions may occur out of accidental misuse or due to lack of knowledge about the active ingredients involved in the relevant substances.It is therefore easy to see the importance of these pharmacological interactions in the practice of medicine. If a patient is taking two drugs and one of them increases the effect of the other it is possible that an overdose may occur. The interaction of the two drugs may also increase the risk that side effects will occur. On the other hand, if the action of a drug is reduced it may cease to have any therapeutic use because of under dosage. Notwithstanding the above, on occasion these interactions may be sought in order to obtain an improved therapeutic effect. Examples of this include the use of codeine with paracetamol to increase its analgesic effect. Or the combination of clavulanic acid with amoxicillin in order to overcome bacterial resistance to the antibiotic. It should also be remembered that there are interactions that, from a theoretical standpoint, may occur but in clinical practice have no important repercussions.The pharmaceutical interactions that are of special interest to the practice of medicine are primarily those that have negative effects for an organism. The risk that a pharmacological interaction will appear increases as a function of the number of drugs administered to a patient at the same time.It is possible that an interaction will occur between a drug and another substance present in the organism (i.e. foods or alcohol). Or in certain specific situations a drug may even react with itself, such as occurs with dehydration. In other situations, the interaction does not involve any effect on the drug. In certain cases, the presence of a drug in an individual's blood may affect certain types of laboratory analysis (analytical interference).It is also possible for interactions to occur outside an organism before administration of the drugs has taken place. This can occur when two drugs are mixed, for example, in a saline solution prior to intravenous injection. Some classic examples of this type of interaction include that Thiopentone and Suxamethonium should not be placed in the same syringe and same is true for Benzylpenicillin and Heparin. These situations will all be discussed under the same heading due to their conceptual similarity.Drug interactions may be the result of various processes. These processes may include alterations in the pharmacokinetics of the drug, such as alterations in the absorption, distribution, metabolism, and excretion (ADME) of a drug. Alternatively, drug interactions may be the result of the pharmacodynamic properties of the drug, e.g. the co-administration of a receptor antagonist and an agonist for the same receptor.
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