Clinically significant interactions with antipsychotics

Mong Liang Lu, Hsien Yuan Lane

研究成果: 書貢獻/報告類型章節

2 引文 斯高帕斯(Scopus)

摘要

Second-generation antipsychotics (SGAs) have become the mainstay of treatment for patients with schizophrenia and bipolar disorder. The antipsychotic drugs are often prescribed with other medications to improve clinical efficacy or treat comorbid diseases. Drug combinations can cause pharmacokinetic and/or pharmacodynamic drug-drug interactions. Pharmacokinetic interactions can occur during any pharmacokinetic phases, absorption, distribution, metabolism, or excretion. Smoking, caffeine, and food might have influences on the pharmacokinetic profiles of SGAs. Pharmacodynamic drug-drug interactions occur when drugs act at the same or interrelated sites of action, resulting in additive, synergistic, or antagonistic effects of each drug. Among the genes involved in pharmacokinetics, the members of cytochrome P450 family display large interindividual and interethnic variations in activity. Other enzyme systems such as UDP-glucuronosyltransferases also exhibit genetic polymorphism with potential clinical relevance in psychopharmacology. The demographic characteristics might also have impact on pharmacokinetic and/or pharmacodynamic profiles of SGAs. The potential pharmacokinetic interactions would guide antipsychotic dosage adjustments. For antipsychotics, optimal dose titration should be guided by measuring plasma concentrations. Therapeutic drug monitoring (TDM) is a valid tool for tailoring the dosage of antipsychotic drugs. Clinicians must have the knowledge of potential interactions of SGAs and carefully monitor patients to minimize potentially adverse events and maximize therapeutic efficacy.

原文英語
主出版物標題Applied Clinical Pharmacokinetics and Pharmacodynamics of Psychopharmacological Agents
發行者Springer International Publishing
頁面397-421
頁數25
ISBN(電子)9783319278834
ISBN(列印)9783319278810
DOIs
出版狀態已發佈 - 一月 1 2016

    指紋

ASJC Scopus subject areas

  • Medicine(all)
  • Pharmacology, Toxicology and Pharmaceutics(all)

引用此

Lu, M. L., & Lane, H. Y. (2016). Clinically significant interactions with antipsychotics. 於 Applied Clinical Pharmacokinetics and Pharmacodynamics of Psychopharmacological Agents (頁 397-421). Springer International Publishing. https://doi.org/10.1007/978-3-319-27883-4_16