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Videos de Conceptos Relacionados

Combined Effects of Drugs: Antagonism01:30

Combined Effects of Drugs: Antagonism

The combined effects of drugs can result in various interactions, of which an important type is antagonism. Antagonism is a mechanism where one drug inhibits or counteracts the effects of another drug. Antagonism can occur through various means, including receptor binding, allosteric modulation, functional interaction, chemical reactions, and pharmacokinetic processes.
The most common type is receptor antagonism, where one drug acts as an antagonist to block the effects of another drug by...
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...
Agonism and Antagonism: Quantification01:14

Agonism and Antagonism: Quantification

When drugs are administered, they can elicit either an agonist or antagonist effect on the body. Agonism occurs when a drug activates a specific receptor, triggering a biological response. On the other hand, antagonism happens when a drug binds to the same receptors but blocks their activation, thereby preventing a biological response.
To quantify these effects, researchers use a dose-response curve, which provides valuable information about the potency and efficacy of a drug. Potency refers to...
Pharmacokinetics: Drug–Drug Interactions01:25

Pharmacokinetics: Drug–Drug Interactions

Drug interactions occur when the pharmacological effect of one drug is altered by another substance, either enhancing or diminishing its activity. The drug whose activity is altered is known as the object drug, and the substance causing the alteration is called the agent drug or the precipitant. The net effects of these interactions are mostly undesirable, leading to decreased effectiveness or increased adverse effects. In rare cases, interactions can be beneficial, such as the enhanced...
Pharmacokinetics: Drug–Food and Drug–Viral Interactions01:26

Pharmacokinetics: Drug–Food and Drug–Viral Interactions

A drug interaction occurs when the concurrent use of another drug, food, or an external substance alters the pharmacological activity of a drug. This interaction can modify the action of the original drug, affecting its effectiveness and safety.Drug–food interactions are significant as they impact drug absorption, metabolism, and excretion. For example, grapefruit juice is a well-known disruptor of drug metabolism. It inhibits the cytochrome P450 3A4 enzyme, crucial for the metabolism of many...
Drug toxicity: Drug–Drug Interaction01:30

Drug toxicity: Drug–Drug Interaction

Drug–drug interactions can precipitate toxicity through multiple mechanisms. Absorption interactions alter how drugs enter the body, exemplified when ranitidine increases the absorption of basic drugs, while cholestyramine decreases the levels of propranolol. Protein binding interactions occur when drugs share the same binding sites on plasma proteins. Drugs like aspirin and warfarin, when bound in excess, can lead to increased free drug concentrations, enhancing the potential for...

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Video Experimental Relacionado

Updated: Jul 15, 2026

High-throughput Identification of Synergistic Drug Combinations by the Overlap2 Method
07:51

High-throughput Identification of Synergistic Drug Combinations by the Overlap2 Method

Published on: May 21, 2018

Interacciones entre hierbas y medicamentos.

A Fugh-Berman1

  • 1George Washington University School of Medicine and Health Sciences, Department of Health Care Sciences, Washington, DC 20037, USA. fughberman@aol.com

Lancet (London, England)
|February 16, 2000
PubMed
Resumen

El uso simultáneo de remedios a base de hierbas y productos farmacéuticos puede conducir a interacciones peligrosas. Los proveedores de atención médica deben aconsejar a los pacientes que eviten mezclar hierbas y medicamentos debido a los posibles efectos adversos.

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Área de la Ciencia:

  • Farmacología Farmacología.
  • La Medicina Integral es una medicina integrada.
  • La medicina a base de hierbas es una medicina herbal.

Sus antecedentes:

  • El uso simultáneo de productos a base de hierbas y medicamentos farmacéuticos es común.
  • Los remedios a base de hierbas pueden interactuar con los medicamentos, alterando su eficacia y seguridad.
  • La comprensión de estas interacciones entre hierbas y medicamentos es crucial para la atención al paciente.

Objetivo del estudio:

  • Revisar y resumir casos documentados de interacciones entre hierbas y medicamentos.
  • Para resaltar los posibles efectos adversos derivados de la combinación de hierbas y productos farmacéuticos.
  • Para enfatizar la importancia de la conciencia clínica y el asesoramiento del paciente con respecto al uso de drogas a base de hierbas.

Principales métodos:

  • Revisión de la literatura de las interacciones reportadas entre hierbas y medicamentos.
  • Identificación de hierbas específicas y sus agentes farmacéuticos que interactúan.
  • Categoría de las interacciones basadas en los resultados clínicos (por ejemplo, sangrado, síndrome de serotonina, biodisponibilidad alterada).

Principales resultados:

  • El uso simultáneo de warfarina con ginkgo, ajo, dong quai o danshen puede aumentar el riesgo de sangrado.
  • La hierba de San Juan puede causar síndrome de serotonina leve con ISRS y disminuir la biodisponibilidad de digoxina, teofilina, ciclosporina y fenprocoumón.
  • El Panax ginseng puede inducir manía en pacientes que toman antidepresivos; la nuez betel puede exacerbar los efectos extrapiramidales con los neurolepticos.
  • La yohimbina puede aumentar el riesgo de hipertensión con los antidepresivos tricíclicos; el regaliz potencia los corticosteroides.
  • Ciertas preparaciones chinas y ayurvédicas pueden disminuir las concentraciones sanguíneas de medicamentos específicos.

Conclusiones:

  • Las interacciones entre hierbas y fármacos presentan riesgos significativos, que van desde la eficacia alterada del fármaco hasta los eventos adversos graves.
  • Muchas de las interacciones reportadas carecen de un análisis detallado, lo que requiere una interpretación cautelosa.
  • Los profesionales de la salud deben aconsejar proactivamente a los pacientes sobre los peligros potenciales de combinar productos a base de hierbas con medicamentos recetados o de venta libre.