Zusammenfassung
Die Kombination verschiedener Medikamente gehört zum Alltag in der palliativmedizinischen Arzneimitteltherapie. Mit jeder Substanz steigt das Risiko von Arzneimittelinteraktionen, die die Therapiesicherheit und den Therapieerfolg erheblich beeinflussen können. Patientenindividuelle Faktoren spielen ebenso eine Rolle wie unterschiedliche zeitliche Zusammenhänge. Kenntnisse über pharmakokinetische und pharmakodynamische Eigenschaften verschiedener Substanzen sind zur Abschätzung des Interaktionspotenzials oftmals hilfreich. Nicht jede theoretische Interaktion hat jedoch Relevanz für die klinische Praxis. Wichtig ist ein grundsätzliches Bewusstsein für Wechselwirkungen, um die Arzneimitteltherapie entsprechend planen oder auf neu aufgetretene Symptome adäquat reagieren zu können.
Abstract
In palliative medicine, it is daily routine to combine various drugs. The risk of drug interactions which can affect drug safety and treatment success rises with every additional drug. Individual patient factors play a similar role as do different time contexts. Knowledge about pharmacokinetic and pharmacodynamic characteristics of various substances is helpful to estimate the risk of interactions. Not every theoretical interaction is relevant for clinical practice. It is important to have a basic awareness for interactions in order to plan drug therapy appropriately and to be able to react adequately to new symptoms.
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Constanze Rémi
Apotheke Klinikum der Universität München – Campus Großhadern
Marchioninistraße 15
81377 München
Email: constanze.remi@med.uni-muenchen.de
