Potential interactions between psychotropic drugs and alcohol and tobacco dependence

Abstract The aim of this study was to identify and analyze the potential interactions between psychotropic drugs and alcohol and tobacco addiction. A cross-sectional study was carried out on secondary data collection in a Center for Psychosocial Care in Alcohol and Other Drugs. Subjects aged 18 year...

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Main Authors: Diego Zapelini do Nascimento, Gabriela Moreno Marques, Fabiana Schuelter-Trevisol
Format: Article
Language:English
Published: Universidade de São Paulo 2022-12-01
Series:Brazilian Journal of Pharmaceutical Sciences
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100771&tlng=en
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author Diego Zapelini do Nascimento
Gabriela Moreno Marques
Fabiana Schuelter-Trevisol
author_facet Diego Zapelini do Nascimento
Gabriela Moreno Marques
Fabiana Schuelter-Trevisol
author_sort Diego Zapelini do Nascimento
collection DOAJ
description Abstract The aim of this study was to identify and analyze the potential interactions between psychotropic drugs and alcohol and tobacco addiction. A cross-sectional study was carried out on secondary data collection in a Center for Psychosocial Care in Alcohol and Other Drugs. Subjects aged 18 years old and over, with alcohol and tobacco dependence, who were taking psychotherapies were included. Medical records with the most recent prescriptions were reviewed. Potential interactions between psychotropic drugs and alcohol and tobacco were analyzed using the Micromedex database and stratified according to clinical risks and mechanisms of action. The Pearson’s Chi-square test was used to find significant associations between the variables of interest. The significance level was set at 5%. Between the 2010-2018 period, 2,322 subjects were treated at the care center. Of these, 1,020 fulfilled the inclusion criteria, out of whom 515 (50.5%) were dependent on alcohol and 310 (30.4%) were dependent on tobacco. We found 1,099 potential interactions between psychotropic drugs and alcohol and 160 potential interactions between psychotropic drugs and tobacco. In relation to alcohol dependence, psychotropic drugs interacted largely with moderate clinical risk, and pharmacokinetic mechanisms of action. In relation to tobacco dependence, high clinical risk interactions and pharmacodynamic mechanisms of action predominated.
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spelling doaj.art-9814e30487184080a614662ad37dd57b2022-12-22T03:45:54ZengUniversidade de São PauloBrazilian Journal of Pharmaceutical Sciences2175-97902022-12-015810.1590/s2175-97902022e20401Potential interactions between psychotropic drugs and alcohol and tobacco dependenceDiego Zapelini do Nascimentohttps://orcid.org/0000-0002-7323-185XGabriela Moreno Marqueshttps://orcid.org/0000-0001-9296-7574Fabiana Schuelter-Trevisolhttps://orcid.org/0000-0003-0997-1594Abstract The aim of this study was to identify and analyze the potential interactions between psychotropic drugs and alcohol and tobacco addiction. A cross-sectional study was carried out on secondary data collection in a Center for Psychosocial Care in Alcohol and Other Drugs. Subjects aged 18 years old and over, with alcohol and tobacco dependence, who were taking psychotherapies were included. Medical records with the most recent prescriptions were reviewed. Potential interactions between psychotropic drugs and alcohol and tobacco were analyzed using the Micromedex database and stratified according to clinical risks and mechanisms of action. The Pearson’s Chi-square test was used to find significant associations between the variables of interest. The significance level was set at 5%. Between the 2010-2018 period, 2,322 subjects were treated at the care center. Of these, 1,020 fulfilled the inclusion criteria, out of whom 515 (50.5%) were dependent on alcohol and 310 (30.4%) were dependent on tobacco. We found 1,099 potential interactions between psychotropic drugs and alcohol and 160 potential interactions between psychotropic drugs and tobacco. In relation to alcohol dependence, psychotropic drugs interacted largely with moderate clinical risk, and pharmacokinetic mechanisms of action. In relation to tobacco dependence, high clinical risk interactions and pharmacodynamic mechanisms of action predominated.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100771&tlng=enAlcoholismDrug interactionsPharmacoepidemiologyTobacco use disorderSubstance-related disorders
spellingShingle Diego Zapelini do Nascimento
Gabriela Moreno Marques
Fabiana Schuelter-Trevisol
Potential interactions between psychotropic drugs and alcohol and tobacco dependence
Brazilian Journal of Pharmaceutical Sciences
Alcoholism
Drug interactions
Pharmacoepidemiology
Tobacco use disorder
Substance-related disorders
title Potential interactions between psychotropic drugs and alcohol and tobacco dependence
title_full Potential interactions between psychotropic drugs and alcohol and tobacco dependence
title_fullStr Potential interactions between psychotropic drugs and alcohol and tobacco dependence
title_full_unstemmed Potential interactions between psychotropic drugs and alcohol and tobacco dependence
title_short Potential interactions between psychotropic drugs and alcohol and tobacco dependence
title_sort potential interactions between psychotropic drugs and alcohol and tobacco dependence
topic Alcoholism
Drug interactions
Pharmacoepidemiology
Tobacco use disorder
Substance-related disorders
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502022000100771&tlng=en
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AT gabrielamorenomarques potentialinteractionsbetweenpsychotropicdrugsandalcoholandtobaccodependence
AT fabianaschueltertrevisol potentialinteractionsbetweenpsychotropicdrugsandalcoholandtobaccodependence