» Articles » PMID: 39598554

Drug Interaction-Informed Approaches to Inflammatory Bowel Disease Management

Overview
Journal Pharmaceutics
Publisher MDPI
Date 2024 Nov 27
PMID 39598554
Authors
Affiliations
Soon will be listed here.
Abstract

Inflammatory bowel disease (IBD) is a complex and chronic condition that requires the use of various pharmacological agents for its management. Despite advancements in IBD research, the multifaceted mechanisms involved continue to pose significant challenges for strategic prevention. Therefore, it is crucial to prioritize safe and effective treatment strategies using the currently available pharmacological agents. Given that patients with IBD often require multiple medications due to combination therapy or other underlying conditions, a comprehensive understanding of drug interactions is essential for optimizing treatment regimens. In this review, we examined the pharmacological treatment options recommended in the current IBD management guidelines and provided a comprehensive analysis of the known pharmacokinetic interactions associated with these medications. In particular, this review includes recent research results for the impact of anti-drug antibodies (ADAs) on the concentrations of biological agents used in IBD treatment. By leveraging detailed interaction data and employing personalized dosing strategies, healthcare providers can improve therapeutic outcomes and minimize adverse effects, ultimately improving the quality of care for patients with IBD.

References
1.
Zaher H, Khan A, Palandra J, Brayman T, Yu L, Ware J . Breast cancer resistance protein (Bcrp/abcg2) is a major determinant of sulfasalazine absorption and elimination in the mouse. Mol Pharm. 2006; 3(1):55-61. DOI: 10.1021/mp050113v. View

2.
Oselin K, Anier K . Inhibition of human thiopurine S-methyltransferase by various nonsteroidal anti-inflammatory drugs in vitro: a mechanism for possible drug interactions. Drug Metab Dispos. 2007; 35(9):1452-4. DOI: 10.1124/dmd.107.016287. View

3.
Imani S, Jusko W, Steiner R . Diltiazem retards the metabolism of oral prednisone with effects on T-cell markers. Pediatr Transplant. 1999; 3(2):126-30. DOI: 10.1034/j.1399-3046.1999.00027.x. View

4.
Chen N, Cui D, Wang Q, Wen Z, Finkelman R, Welty D . In vitro drug-drug interactions of budesonide: inhibition and induction of transporters and cytochrome P450 enzymes. Xenobiotica. 2017; 48(6):637-646. DOI: 10.1080/00498254.2017.1344911. View

5.
Sparrow M, Hande S, Friedman S, Lim W, Reddy S, Cao D . Allopurinol safely and effectively optimizes tioguanine metabolites in inflammatory bowel disease patients not responding to azathioprine and mercaptopurine. Aliment Pharmacol Ther. 2005; 22(5):441-6. DOI: 10.1111/j.1365-2036.2005.02583.x. View