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Pharmacodynamic Drug–Drug Interactions

  • SUNY Buffalo

Research output: Contribution to journalReview articlepeer-review

219 Scopus citations

Abstract

Pharmacodynamic drug–drug interactions (DDIs) occur when the pharmacological effect of one drug is altered by that of another drug in a combination regimen. DDIs often are classified as synergistic, additive, or antagonistic in nature, albeit these terms are frequently misused. Within a complex pathophysiological system, the mechanism of interaction may occur at the same target or through alternate pathways. Quantitative evaluation of pharmacodynamic DDIs by employing modeling and simulation approaches is needed to identify and optimize safe and effective combination therapy regimens. This review investigates the opportunities and challenges in pharmacodynamic DDI studies and highlights examples of quantitative methods for evaluating pharmacodynamic DDIs, with a particular emphasis on the use of mechanism-based modeling and simulation in DDI studies. Advancements in both experimental and computational techniques will enable the application of better, model-informed assessments of pharmacodynamic DDIs in drug discovery, development, and therapeutics.

Original languageEnglish
Pages (from-to)1395-1406
Number of pages12
JournalClinical Pharmacology and Therapeutics
Volume105
Issue number6
DOIs
StatePublished - Jun 2019

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