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Lack of adverse pharmacodynamic drug interactions with rivastigmine and twenty-two classes of medications.
Grossberg, G T; Stahelin, H B; Messina, J C; Anand, R; Veach, J.
Afiliación
  • Grossberg GT; St Louis University Medical Center, 1221 S. Grand Blvd, St Louis, MO 63104, USA.
Int J Geriatr Psychiatry ; 15(3): 242-7, 2000 Mar.
Article en En | MEDLINE | ID: mdl-10713582
Alzheimer's disease (AD) is often associated with multiple comorbidities and subsequent polypharmacy. Treatment of AD with acetylcholinesterase (AChE) inhibitors can carry a risk of drug interaction with multiple medications often prescribed for other co-existing illnesses. Rivastigmine is an AChE inhibitor that is enzymatically cleaved by AChE, minimally metabolized by cytochrome P450 enzymes, has low protein binding, has a short plasma half-life, and a relatively short duration of action. Such properties make it ideal for use in this patient population. A pharmacodynamic analysis of rivastigmine administered concomitantly with other medications (22 different therapeutic classes) did not reveal any significant pattern of increase in adverse events that would indicate a drug interaction. In summary, rivastigmine was well tolerated and safely administered to a population receiving multiple medications for 'real-world' comorbidities.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carbamatos / Inhibidores de la Colinesterasa / Fenilcarbamatos / Enfermedad de Alzheimer Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: Int J Geriatr Psychiatry Asunto de la revista: GERIATRIA / PSIQUIATRIA Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carbamatos / Inhibidores de la Colinesterasa / Fenilcarbamatos / Enfermedad de Alzheimer Tipo de estudio: Clinical_trials / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: Int J Geriatr Psychiatry Asunto de la revista: GERIATRIA / PSIQUIATRIA Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido