Background: Although not always avoidable, drug-drug interaction (DDI) is an example of a predictable adverse event. Warfarin is a narrow therapeutic window oral anticoagulant that has been described to interact with antimicrobials (AM), affecting therapy efficacy and/or safety of anticoagulant and/or antimicrobial treatment. Aim: To evaluate the intrarater agreement on information about potential DDI between warfarin and AM present in the Municipal Essential Medicines List of Porto Alegre (REMUME/POA), Rio Grande do Sul, Brazil, between different electronic databases (EDB). Method: This descriptive analysis evaluated the EDB UpToDate®, Drugs.com®, Medscape®, and Micromedex® on information about DDI mechanism, severity classification, and clinical management. Results: Amongst the 20 AM listed, 17 had a potential DDI with warfarin described in at least one EDB. Total agreement rate between EDB regarding classification of DDI was 30%; as for partial concordance, rates among 2 and 3 EDB were respectively 25% and 45%. Most concordant EDB were UpToDate® and Drugs.com® (85%). For mechanism of DDI, the overall concordance rate was 12%; partial agreement was 35% and 23.5% on two and three EDB, respectively. Overall agreement rate for clinical management of DDI was 18%; partial agreement between 2 and 3 EDB was 29% and 53%, respectively. Conclusion: Overall concordance rate is relatively low, considering the information obtained for the three aspects evaluated. The partial concordance rate, however, is higher, reaching 45% of the drugs with concordant DDI classification for three out of four EDB. Further studies are needed to evaluate the robustness of the evidence employed by EDB.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.