Prevention of drug-related complications in cystic fibrosis

Renske van der Meer1, Daan J Touw2, Harry G M Heijerman3

  • 1Department of Pulmonology, Haga Teaching Hospital, The Hague.

Abstract

Insights

New cystic fibrosis treatments improve survival but increase drug side effects. This review examines pharmacotherapies, focusing on managing drug-related complications and toxicity in cystic fibrosis patients.

Area of Science:

  • Pulmonology
  • Pharmacology
  • Medical Genetics

Background:

  • Cystic fibrosis (CF) patient survival has significantly improved due to advancements in drug development and treatment strategies.
  • The advent of targeted therapies, such as cystic fibrosis transmembrane conductance regulator (CFTR) modulators, marks a new era in CF management.
  • Despite progress, CF remains a complex multiorgan disease requiring extensive pharmacotherapy, leading to a higher incidence of treatment-related complications.

Purpose of the Study:

  • To review drug-related side effects in cystic fibrosis patients in the context of modern therapeutic advancements.
  • To provide an overview of current pharmacotherapies for CF, emphasizing indications, side effects, and drug interactions.
  • To highlight the importance of monitoring and preventing drug-induced toxicity in the evolving landscape of CF treatment.

Main Methods:

  • Literature review focusing on recent publications regarding pharmacotherapy in cystic fibrosis.
  • Analysis of studies on antifungal therapies and CFTR modulators.
  • Discussion of drug indications, adverse effects, drug-drug interactions, and toxicity management strategies.

Main Results:

  • Increased life expectancy in CF patients necessitates a greater pharmacotherapeutic burden.
  • Pharmacotherapy significantly impacts patients' quality of life due to time commitment and potential side effects.
  • Emerging treatments like CFTR modulators require careful consideration of their side effect profiles and interactions.

Conclusions:

  • Awareness of potential pharmacotherapy-related side effects and complications is crucial for improving CF patient care.
  • Effective management strategies for drug-induced toxicity and drug-drug interactions are essential.
  • Ongoing research and review of pharmacotherapies are vital to optimize treatment outcomes and quality of life for individuals with cystic fibrosis.

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