Drug-drug interactions between treatment specific pharmacotherapy and concomitant medication in patients with COVID-19 in the first wave in Spain.

dc.contributor.authorCantudo-Cuenca, M D
dc.contributor.authorGutiérrez-Pizarraya, Antonio
dc.contributor.authorPinilla-Fernández, Ana
dc.contributor.authorContreras-Macías, Enrique
dc.contributor.authorFernández-Fuertes, M
dc.contributor.authorLao-Domínguez, F A
dc.contributor.authorRincón, Pilar
dc.contributor.authorPineda, Juan Antonio
dc.contributor.authorMacías, Juan
dc.contributor.authorMorillo-Verdugo, Ramón
dc.date.accessioned2025-01-07T16:14:02Z
dc.date.available2025-01-07T16:14:02Z
dc.date.issued2021-06-14
dc.description.abstractPrimary aim was to assess prevalence and severity of potential and real drug-drug interactions (DDIs) among therapies for COVID-19 and concomitant medications in hospitalized patients with confirmed SARS-CoV-2 infection. The secondary aim was to analyze factors associated with rDDIs. An observational single center cohort study conducted at a tertiary hospital in Spain from March 1st to April 30th. rDDIs refer to interaction with concomitant drugs prescribed during hospital stay whereas potential DDIs (pDDIs) refer to those with domiciliary medication. DDIs checked with The University of Liverpool resource. Concomitant medications were categorized according to the Anatomical Therapeutic Chemical classification system. Binomial logistic regression was carried out to identify factors associated with rDDIs. A total of 174 patients were analyzed. DDIs were detected in 152 patients (87.4%) with a total of 417 rDDIs between COVID19-related drugs and involved hospital concomitant medication (60 different drugs) while pDDIs were detected in 105 patients (72.9%) with a total of 553 pDDIs. From all 417 rDDIs, 43.2% (n = 180) were associated with lopinavir/ritonavir and 52.9% (n = 221) with hydroxychloroquine, both of them the most prescribed (106 and 165 patients, respectively). The main mechanism of interaction observed was QTc prolongation. Clinically relevant rDDIs were identified among 81.1% (n = 338) ('potential interactions') and 14.6% (n = 61) (contraindicated) of the patients. Charlson index (OR 1.34, 95% IC 1.02-1.76) and number of drugs prescribed during admission (OR 1.42, 95% IC 1.12-1.81) were independently associated with rDDIs. Prevalence of patients with real and pDDIs was high, especially those clinically relevant. Both comorbidities and polypharmacy were found as risk factors independently associated with DDIs development.
dc.identifier.doi10.1038/s41598-021-91953-2
dc.identifier.essn2045-2322
dc.identifier.pmcPMC8203634
dc.identifier.pmid34127740
dc.identifier.pubmedURLhttps://pmc.ncbi.nlm.nih.gov/articles/PMC8203634/pdf
dc.identifier.unpaywallURLhttps://www.nature.com/articles/s41598-021-91953-2.pdf
dc.identifier.urihttps://hdl.handle.net/10668/27699
dc.issue.number1
dc.journal.titleScientific reports
dc.journal.titleabbreviationSci Rep
dc.language.isoen
dc.organizationInstituto de Investigación Biomédica de Sevilla (IBIS)
dc.organizationSAS - Hospital Universitario Virgen del Rocío
dc.page.number12414
dc.pubmedtypeJournal Article
dc.rightsAttribution 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject.meshAged
dc.subject.meshAnalgesics
dc.subject.meshCOVID-19
dc.subject.meshCardiovascular Diseases
dc.subject.meshCohort Studies
dc.subject.meshDiuretics
dc.subject.meshDrug Interactions
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshHydroxychloroquine
dc.subject.meshLopinavir
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshNervous System Diseases
dc.subject.meshPolypharmacy
dc.subject.meshRisk Factors
dc.subject.meshRitonavir
dc.subject.meshSARS-CoV-2
dc.subject.meshSeverity of Illness Index
dc.subject.meshSpain
dc.subject.meshCOVID-19 Drug Treatment
dc.titleDrug-drug interactions between treatment specific pharmacotherapy and concomitant medication in patients with COVID-19 in the first wave in Spain.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number11

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