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[email protected] NyA RON Sublime drug interactions database W hat a s ub l i m e p l e as ur e i t i s as a c r i ti c al r e s e arc he r and r e p or te r to b e ab l e to pr ai s e the v e ry p r od uc t I hav e b ee n as ke d to r e s e arc h! SFINX database on drug interactions is long awaited and a n instant hit! For many years, Swedish doctors had access to a unique, annually updated and critically evaluated written source of clinically significant drug interactions: the specific interaction chapter of Fass, written by professor Folke Sjöqvist. Fass stopped publishing this chapter in 2004, and its continuation on the website http://fass.se does not even come close to the same quality and usability, so healthcare professionals have been lacking an easily accessible and reliable source on interactions – which is such a common clinical issue when prescribing a drug. This discrepancy was addressed, for instance, in a joint appeal by t h e Swedish Society of Medicine (Svenska Läkaresällskapet) and Swedish Medical Association ( Svenska Läkarförbundet) in Fe br uar y 2007 (Ker s tin Hul ter Å sber g and Anders Dahlqvist). SFINX (Swedish Finnish Interaction X-referencing) is a cooperation between Karolinska Institutet’s department for clinical pharmacology in Huddinge, Sweden, the Department of Drug Management and Informatics of Stockholm County Council a n d Medbase Ltd in Turku, Finland – a spin-off company from the local university’s clinical pharmacology department. The database contains classification (degree of seriousness, instantly demonstrated to the reader through colour coding), consequences and recommendations for clinical management of the interactions. The SFINX interaction database is... the best, most clinically relevant, critically 2662 investigative, up-todate, readable and accessible source for the extensive problem... of drug interactions. More information about the mechanisms and key references are only one keystroke away. This hierarchic “click deeper” system makes the information easily readable and available, and you can select how in-depth you want the information to be yourself. Furthermore, there is a printer friendly summary, which is also good. The database is updated four times per year by a team of doctors, including clinical pharmacologists and pharmacists, who synthesize knowledge from scientific literature and a number of interaction databases and other sources of knowledge to a short, evaluative text. Many other databases and interaction search systems often drown themselves and the user in numerous interactions that are not clinically relevant. This is not the case with SFINX. Janusfönster. In the near future it will hopefully also be incorporated in The Swedish Drug Information Database (Svensk informationsdatabas för läkemedel, SIL) and integrated directly into the various journal systems. The service is free (but obviously cost a lot to create and is expensive to maintain!). The first time you use the SFINX database you must set up an account, but from then on all you need to do is log in at janusinfo.se with your username and password. In conclusion I would like to point out that after many years in the field , SFINX’s interaction database is, even internationally speaking, the best, most clinically relevant, critically investigative, up-to-date, readable and accessible source for the extensive problem (not to mention information problem) of drug interactions . RuneDahlqvist Professor of Clinical Pharmacology at Norrlands University Hospital in Umeå, Sweden http://www.janusinfo.se The database’s search system is based on both substance (generic) name and the brand name of the drug, which makes it more user-friendly for many. You can search for all interactions of a specific drug, or compare it to another specific drug you’re unsure of. Enter at least the three first letters of the substance or drug and then the system will take care of the rest. However you cannot, at least not in this first version, search for a group of drugs, for instance check whether statins are affected by cyclosporine interaction. The information is available to the Swedish public via http://www.janusinfo.se and the decision support system LAkARTiDNiNGEN NR 39 2008 vOLyM 105