Evidence map›Paper›PMID 38146944›Full record

ArticleAnales del sistema sanitario de Navarra2023

[Nirmatrelvir/ritonavir drug-drug interactions in primary care outpatients].

Andrea Rodríguez Esquíroz, Lorea Sanz Álvarez, Marta Marín Marín, Patricia García González, Paula Aldave Cobos, Javier Garjón Parra

Abstract readEnglish Abstract
In one paragraph

Article in Anales del sistema sanitario de Navarra, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [Health-System Pharmacy services for outpatients are evolving].Anales del sistema sanitario de Navarra · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andrea Rodríguez EsquírozServicio Navarro de Salud-Osasunbidea (SNS-O). Subdirección de Farmacia y Prestaciones. Pamplona. Navarra. España.. andrea.rodriguez.esquiroz@navarra.es.
Lorea Sanz ÁlvarezServicio Navarro de Salud-Osasunbidea (SNS-O). Subdirección de Farmacia y Prestaciones. Pamplona. Navarra. España.. lorea.sanz.alvarez@navarra.es.
Marta Marín MarínServicio Navarro de Salud-Osasunbidea (SNS-O). Subdirección de Farmacia y Prestaciones. Pamplona. Navarra. España.. marta.marin.marin@navarra.es.
Patricia García GonzálezServicio Navarro de Salud-Osasunbidea (SNS-O). Subdirección de Farmacia y Prestaciones. Pamplona. Navarra. España.. patricia.garcia.gonzalez@navarra.es.
Paula Aldave CobosServicio Navarro de Salud-Osasunbidea (SNS-O). Subdirección de Farmacia y Prestaciones. Pamplona. Navarra. España.. paula.aldave.cobos@navarra.es.
Javier Garjón ParraServicio Navarro de Salud-Osasunbidea (SNS-O). Subdirección de Farmacia y Prestaciones. Pamplona. Navarra. España.. javier.garjon.parra@navarra.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe oral antiviral nirmatrelvir/ritonavir interacts with a range of drugs. Candidate patients to receive this antiviral agent are usually vulnerable, multipathological and polymedicated. The objective is to evaluate the pharmaceutical validation prior to the administration of the antiviral. MATERIAL AND

methodsDrug-drug interactions between nirmatrelvir/ritonavir and patients' usual treatment medications were checked in product information and in the UpToDate® and the University of Liverpool® interaction tools. We included validated prescriptions between April/2022 and April/2023 by a Primary Care pharmacist.

resultsOf the 159 study patients, 168 interactions were found in 83 individuals, which may have led to changes of their usual treatment. Statins (25.6%), anticoagulants (10.7%), and antihypertensives (10.7%) were the most frequently implicated therapeutic groups. Discontinuation (53.0%) and dose reduction (22.6%) were the most common treatment changes.

conclusionsOur search of potential drug interactions and subsequent dose adjustments and modifications of the patient's usual treatment has helped avoid potential toxicities ensuring a safe use of nirmatrelvir/ritonavir.

Indexed as

OutpatientsRitonavirAntiviral AgentsDrug InteractionsHumansLactamsLeucineNitrilesPrimary Health CareProlineAntiviral AgentsLactamsLeucinenirmatrelvirNitrilesProlineRitonavir

Identifiers

PMID38146944
PMCPMC10807205

What OpenQuestion holds

Textmetadata
LicenceCC BY-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.