Antibiotics and Lipid-Modifying Agents: Potential Drug–Drug Interactions and Their Clinical Implications

Evidence-based prescribing requires taking into consideration the many aspects of optimal drug administration (e.g., dosage, comorbidities, co-administered drugs, etc.). A key issue is the administration of drugs for acute disorders that may potentially interfere with previously prescribed long-term...

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Main Authors: Marios Spanakis, Danny Alon-Ellenbogen, Petros Ioannou, Nikolaos Spernovasilis
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Pharmacy
Subjects:
Online Access:https://www.mdpi.com/2226-4787/11/4/130
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author Marios Spanakis
Danny Alon-Ellenbogen
Petros Ioannou
Nikolaos Spernovasilis
author_facet Marios Spanakis
Danny Alon-Ellenbogen
Petros Ioannou
Nikolaos Spernovasilis
author_sort Marios Spanakis
collection DOAJ
description Evidence-based prescribing requires taking into consideration the many aspects of optimal drug administration (e.g., dosage, comorbidities, co-administered drugs, etc.). A key issue is the administration of drugs for acute disorders that may potentially interfere with previously prescribed long-term medications. Initiating an antibiotic for an acute bacterial infection constitutes a common example. Hence, appropriate knowledge and awareness of the potential DDIs of antibiotics would lead to proper adjustments, thus preventing over- or under-treatment. For example, some statins, which are the most prescribed lipid-modifying agent (LMA), can lead to clinically important drug–drug interactions (DDIs) with the concurrent administration of antibiotics, e.g., macrolides. This review discusses the clinically significant DDIs of antibiotics associated with co-administrated lipid-lowering therapy and highlights common cases where regimen modifications may or may not be necessary.
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spelling doaj.art-6acbc86009624c458ee0faa5f3da14422023-11-19T02:38:23ZengMDPI AGPharmacy2226-47872023-08-0111413010.3390/pharmacy11040130Antibiotics and Lipid-Modifying Agents: Potential Drug–Drug Interactions and Their Clinical ImplicationsMarios Spanakis0Danny Alon-Ellenbogen1Petros Ioannou2Nikolaos Spernovasilis3Department Forensic Sciences and Toxicology, Faculty of Medicine, University of Crete, 71003 Heraklion, GreeceDepartment of Basic and Clinical Sciences, University of Nicosia Medical School, 2417 Nicosia, CyprusDepartment of Internal Medicine & Infectious Diseases, University Hospital of Heraklion, 71110 Heraklion, GreeceDepartment of Infectious Diseases, German Oncology Center, 4108 Limassol, CyprusEvidence-based prescribing requires taking into consideration the many aspects of optimal drug administration (e.g., dosage, comorbidities, co-administered drugs, etc.). A key issue is the administration of drugs for acute disorders that may potentially interfere with previously prescribed long-term medications. Initiating an antibiotic for an acute bacterial infection constitutes a common example. Hence, appropriate knowledge and awareness of the potential DDIs of antibiotics would lead to proper adjustments, thus preventing over- or under-treatment. For example, some statins, which are the most prescribed lipid-modifying agent (LMA), can lead to clinically important drug–drug interactions (DDIs) with the concurrent administration of antibiotics, e.g., macrolides. This review discusses the clinically significant DDIs of antibiotics associated with co-administrated lipid-lowering therapy and highlights common cases where regimen modifications may or may not be necessary.https://www.mdpi.com/2226-4787/11/4/130antibioticslipid-modifying agentsdrug–drug interactionspharmaceutical careantibiotic stewardshipgood prescribing practices
spellingShingle Marios Spanakis
Danny Alon-Ellenbogen
Petros Ioannou
Nikolaos Spernovasilis
Antibiotics and Lipid-Modifying Agents: Potential Drug–Drug Interactions and Their Clinical Implications
Pharmacy
antibiotics
lipid-modifying agents
drug–drug interactions
pharmaceutical care
antibiotic stewardship
good prescribing practices
title Antibiotics and Lipid-Modifying Agents: Potential Drug–Drug Interactions and Their Clinical Implications
title_full Antibiotics and Lipid-Modifying Agents: Potential Drug–Drug Interactions and Their Clinical Implications
title_fullStr Antibiotics and Lipid-Modifying Agents: Potential Drug–Drug Interactions and Their Clinical Implications
title_full_unstemmed Antibiotics and Lipid-Modifying Agents: Potential Drug–Drug Interactions and Their Clinical Implications
title_short Antibiotics and Lipid-Modifying Agents: Potential Drug–Drug Interactions and Their Clinical Implications
title_sort antibiotics and lipid modifying agents potential drug drug interactions and their clinical implications
topic antibiotics
lipid-modifying agents
drug–drug interactions
pharmaceutical care
antibiotic stewardship
good prescribing practices
url https://www.mdpi.com/2226-4787/11/4/130
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