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Related Concept Videos

Therapeutic Drug Monitoring: Drug Analysis Methods01:26

Therapeutic Drug Monitoring: Drug Analysis Methods

Therapeutic Drug Monitoring (TDM) is a clinical practice that measures specific drug levels in a patient's blood or body tissues to tailor drug therapy effectively. This monitoring is critical for managing drugs with narrow therapeutic indices like digoxin and phenytoin, ensuring they are both safe and effective. For instance, monitoring theophylline levels in asthma patients involves precision and sensitivity to adjust doses according to individual responses to therapy, ensuring efficacy and...
Drug toxicity: Idiosyncratic Reactions01:16

Drug toxicity: Idiosyncratic Reactions

Idiosyncratic drug reactions represent abnormal chemical responses that vary significantly among individuals, ranging from extreme sensitivity to low doses to insensitivity to high doses. These reactions often occur due to the drug's covalent binding with serum proteins, forming a foreign hapten that triggers an immunotoxicological response. The variability in drug reactions has a strong pharmacogenetic foundation, with genetic differences crucial in how individuals metabolize drugs. For...
Combined Effects of Drugs: Synergism01:27

Combined Effects of Drugs: Synergism

Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Pharmacovigilance01:19

Pharmacovigilance

Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Drug Toxicity: Dose-Dependent Reactions01:24

Drug Toxicity: Dose-Dependent Reactions

Drug toxicities can be stratified into pharmacological, pathological, or genotoxic based on their mechanisms. The incidence and severity of these toxicities generally increase with the drug's concentration in the body and exposure time.Pharmacological toxicity is evident when the therapeutic effects of drugs overshoot into adverse reactions in a predictable, dose-dependent manner. Central nervous system (CNS) depression from barbiturates is a classic example, with effects escalating from...
Drug Toxicity: Allergic Reactions01:30

Drug Toxicity: Allergic Reactions

Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...

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Quadruple-Checkerboard: A Modification of the Three-Dimensional Checkerboard for Studying Drug Combinations
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Patch testing for evaluating drug reactions due to systemic antibiotics.

Peter M H Cham1, Erin M Warshaw

  • 1University of Minnesota, School of Medicine, Minneapolis, MN, USA.

Dermatitis : Contact, Atopic, Occupational, Drug
|May 15, 2007
PubMed
Summary

Patch testing can help diagnose antibiotic-induced drug eruptions. This review examines its use for exanthematous drug eruptions from systemic antibiotics, highlighting diagnostic potential.

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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Published on: August 30, 2018

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Quadruple-Checkerboard: A Modification of the Three-Dimensional Checkerboard for Studying Drug Combinations
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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
11:17

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses

Published on: August 30, 2018

Area of Science:

  • Dermatology
  • Allergy and Immunology
  • Pharmacology

Background:

  • Drug eruptions are common adverse drug reactions.
  • Patch testing is a diagnostic tool for delayed hypersensitivity reactions.
  • Widespread acceptance of patch testing for drug eruptions is limited in North America.

Purpose of the Study:

  • To review the utility of patch testing for diagnosing exanthematous drug eruptions.
  • To focus on drug eruptions caused by systemic antibiotics.
  • To assess the available English-language literature on this topic.

Main Methods:

  • A MEDLINE database search was conducted.
  • Inclusion criteria focused on patch testing for systemic antibiotic-induced drug eruptions.
  • Articles were reviewed for relevance and findings.

Main Results:

  • Evidence suggests patch testing can be valuable for identifying causative antibiotics in exanthematous drug eruptions.
  • Specific antibiotic classes and their association with positive patch tests were identified.
  • Further research is needed to standardize protocols and increase clinical adoption.

Conclusions:

  • Patch testing shows promise as an adjunctive diagnostic tool for antibiotic-induced exanthematous drug eruptions.
  • Increased awareness and standardized protocols could improve its clinical utility.
  • Further investigation is warranted to confirm its efficacy and safety.