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10.1016/j.medcle.2020.06.012

http://scihub22266oqcxt.onion/10.1016/j.medcle.2020.06.012
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suck abstract from ncbi


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pmid32953990      Med+Clin+(Engl+Ed) 2020 ; 155 (7): 281-287
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  • Potential drug-drug interactions in COVID 19 patients in treatment with lopinavir/ritonavir #MMPMID32953990
  • Brandariz-Nunez D; Correas-Sanahuja M; Guarc E; Picon R; Garcia B; Gil R
  • Med Clin (Engl Ed) 2020[Oct]; 155 (7): 281-287 PMID32953990show ga
  • OBJECTIVES: To determine the prevalence of potential interactions in COVID19 patients receiving lopinavir/ritonavir (LPV/r). The secondary objective was to develop recommendations and identify the risk factors associated with presenting potential interactions with LPV/r. SUBJECTS AND METHODS: Cross-sectional and multicenter study with the participation of 2 hospitals. COVID 19 patients over 18 years of age, admitted to hospital and under treatment with LPV/r were included. A screening of potential interactions related to LPV/r and home and hospital medication was carried out. Lexicomp(R) (Uptodate), HIV-drug interactions and COVID-drug interactions were used as the query database. RESULTS: 361 patients with a mean age of 62.77?+/-?14.64 years were included, where 59.6% (n?=?215) were men. 62.3% (n?=?225) had 1 or more potential interactions and 26, 87% (n?=?97) 2 or more. The independent variables associated with presenting >/=1 potential interactions were age (>65) (OR 1.95; 95% CI 1.06-3.59, P?=?.033), ICU admission (OR 9.22; CI 95% 1.98-42.93; P?=?.005), previous respiratory pathology (OR 2.90; 95% CI 1.15-7.36; P?=?.024), psychiatric (OR 4.14; 95 CI% 1.36-12.61; P?=?.013), dyslipidemia (OR 3.21; 95% CI 1.63-6.35; P?=?.001) and the number of drugs prescribed (OR 4.33; 95% CI 2.40-7.81; P?=?.000). CONCLUSION: The prevalence of potential interactions in COVD 19 patient undergoing treatment with LPV/r is high, with age (>65), ICU admission, previous respiratory and psychiatric pathology, dyslipidemia and the number of prescribed drugs acting as risk factors.
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