A book COMPLETLEY DEDICATED to drug Interactions

Started by Kazekage
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Kazekage

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Is there any book that i can purhcase which is exclusivley dedicated to drug interactions? There is a book dedicated to pregnancy, and lots of other things. I need a book which not only states what the drug interaction is, but also what to do with the drug interaction..

For example:
Levaquin + Risperdal

With unkown mechanism it prolongation in the QRS complex. Well what do you do?

If you decided to call the doctor, and the doctor just says go ahead and dispense it anyways,,then what do you tell the patient? What does QRS complex prolongation mean to the patient?

Another example:

Certain drugs increase or decrease concentrations of other drugs. Besides just a chart on elvating/decreasing levels of drugs, what does it really mean in dispensing/monitoring/assessment of patient?

Thanks.
 
Just Google "drug interaction books" and you will get quite a few, some for laypeople and others for health care professionals. Some also include drug/food and drug/supplement interactions, which are just as important.

The best known are the ones published by Hansten and Horn, and Stockley.
 
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Is there any book that i can purhcase which is exclusivley dedicated to drug interactions? There is a book dedicated to pregnancy, and lots of other things. I need a book which not only states what the drug interaction is, but also what to do with the drug interaction..

For example:
Levaquin + Risperdal

With unkown mechanism it prolongation in the QRS complex. Well what do you do?

If you decided to call the doctor, and the doctor just says go ahead and dispense it anyways,,then what do you tell the patient? What does QRS complex prolongation mean to the patient?

Another example:

Certain drugs increase or decrease concentrations of other drugs. Besides just a chart on elvating/decreasing levels of drugs, what does it really mean in dispensing/monitoring/assessment of patient?

Thanks.

. -Drug Interactions: Analysis and Management – Rating Scale.
. -Drug Interactions and Facts: Significance and Documentation.
. -Stockley’s Drug Interactions: Clinical Evidence and Importance.
. -Evaluation of Drug Interactions: four severity levels and recommendations.
 
Drug interaction "books" are 1,000,000,000,000,000,000,000,00 percent useless. Information changes too quickly. The key is not to discover a drug interaction, any stupid computer program can determine that a patient is on two drugs that interact.

The real issue is, what do you do about it. That's what makes a pharmacist and a physician. Clinical judgement. Do you:


  • Ignore and dispense it anyway
  • Dispense it & counsel the patient about what to look for
  • Refuse to dispense it.
  • Consult the physician
No book or computer database can tell you what to do with an individual patient.
 
I guess i will look into those books, pharmacy school doesnt teach you much on drug interactions either, nor do they teach you how to assess/document/monitor drug interactions, of if they did i felt it was lacking on that. We used Dipiro for therapeutics. I need to study for CPJE as well ..
 
I guess i will look into those books, pharmacy school doesnt teach you much on drug interactions either, nor do they teach you how to assess/document/monitor drug interactions, of if they did i felt it was lacking on that. We used Dipiro for therapeutics. I need to study for CPJE as well ..

unfortunately pharmacy school does nothign to prepare you for the practice of pharmacy. they teach you a lot of information that is not relevant to practice so when you come out you have limited experience. there should be more emphasis on what pharmacists do vs doing physical diagnosis and other classes.
 
I guess i will look into those books, pharmacy school doesnt teach you much on drug interactions either, nor do they teach you how to assess/document/monitor drug interactions, of if they did i felt it was lacking on that. We used Dipiro for therapeutics. I need to study for CPJE as well ..

I knew that the Plavix-PPI interaction was complex but who knew that so many factors played a role until I took a class on drug interactions.

Now there's a drug interaction-information question for a pharmacist. If you have time to kill and want to sharpen you interaction skills ---> explain the nature of the interaction/explain factors which may effect this/tell me about the alternatives. What medication do they compare it to and is it a relevant comparison?
 
unfortunately pharmacy school does nothign to prepare you for the practice of pharmacy. they teach you a lot of information that is not relevant to practice so when you come out you have limited experience. there should be more emphasis on what pharmacists do vs doing physical diagnosis and other classes.

I think my pharmacy school was very different from yours. The only times we talked about diagnosis were as an introduction to a topic, diagnosis of a drug-induced issue, or using a drug as part of diagnosis. It was never a bigger lesson than the medication part.

If people feel like pharmacy school didn't prepare them for making clinical decisions, they didn't actually understand the material, they didn't go to a good pharmacy school, or they didn't put in the effort on rotations to learn/practice applying what they learned.
 
i am not sure if the curriculum in pharmacy school has changed, but i do think they need to put more emphasis on drug interactions.