Table 2.
Prescription pattern of drugs with cytochrome P450-inducing and -inhibitory properties and the proportion of relevant pharmacological interactions in Colombia
Drugs | Patients with inhibitors or inducers | %a | %b | Prevalencec | Patients with interactions | %d | Prevalencec |
---|---|---|---|---|---|---|---|
Cytochrome P450 inhibitors | 40,744 | 64.4 | 100.0 | 26.5 | 12,225 | 30.0 | 8.0 |
Verapamilm | 15,542 | 24.5 | 38.1 | 10.1 | 1774 | 11.4 | 1.2 |
Fluconazolm | 14,944 | 23.6 | 36.7 | 9.7 | 5208 | 34.9 | 3.4 |
Amiodaronem | 3246 | 5.1 | 8.0 | 2.1 | 1880 | 57.9 | 1.2 |
Ketoconazoles | 2586 | 4.1 | 6.3 | 1.7 | 893 | 34.5 | 0.6 |
Diltiazemm | 1855 | 2.9 | 4.6 | 1.2 | 1162 | 62.6 | 0.8 |
Clarithromycins | 1274 | 2.0 | 3.1 | 0.8 | 698 | 54.8 | 0.5 |
Ciclosporinm | 640 | 1.0 | 1.6 | 0.4 | 356 | 55.6 | 0.2 |
Darunavirs | 231 | 0.4 | 0.6 | 0.2 | 44 | 19.0 | <0.1 |
Erythromycinam | 144 | 0.2 | 0.4 | 0.1 | 42 | 29.2 | <0.1 |
Cobicistats (associated1) | 125 | 0.2 | 0.3 | 0.1 | 25 | 20.0 | <0.1 |
Imatinibm | 99 | 0.2 | 0.2 | 0.1 | 13 | 13.1 | <0.1 |
Itraconazoles | 90 | 0.1 | 0.2 | 0.1 | 22 | 24.4 | <0.1 |
Nilotinibm | 68 | 0.1 | 0.2 | <0.1 | 14 | 20.6 | <0.1 |
Dronedaronam | 48 | 0.1 | 0.1 | <0.1 | 33 | 68.8 | <0.1 |
Darunavir/ritonavirs | 46 | 0.1 | 0.1 | <0.1 | 5 | 10.9 | <0.1 |
Ribociclibm | 42 | 0.1 | 0.1 | <0.1 | 1 | 2.4 | <0.1 |
Darunavir/cobicistats | 26 | 0.0 | 0.1 | <0.1 | 12 | 46.2 | <0.1 |
Voriconazoles | 18 | 0.0 | 0.0 | <0.1 | 13 | 72.2 | <0.1 |
Posaconazoles | 16 | 0.0 | 0.0 | <0.1 | 7 | 43.8 | <0.1 |
Ritonavirs | 12 | 0.0 | 0.0 | <0.1 | 6 | 50.0 | <0.1 |
Atazanavir/ritonavirs | 11 | 0.0 | 0.0 | <0.1 | 11 | 100.0 | <0.1 |
Lopinavir/ritonavirs | 6 | 0.0 | 0.0 | <0.1 | 3 | 50.0 | <0.1 |
Aprepitantm | 5 | 0.0 | 0.0 | <0.1 | 0 | 0.0 | <0.1 |
Atazanavirs | 3 | 0.0 | 0.0 | <0.1 | 1 | 33.3 | <0.1 |
Crizotinibm | 2 | 0.0 | 0.0 | <0.1 | 2 | 100.0 | <0.1 |
Isavuconazolm | 2 | 0.0 | 0.0 | <0.1 | 0 | 0.0 | <0.1 |
Cytochrome P450 inducers | 23,233 | 36.6 | 100.0 | 15.1 | 7872 | 33.9 | 5.1 |
Carbamazepines | 18,874 | 29.8 | 81.2 | 12.3 | 6668 | 35.3 | 4.3 |
Phenytoins | 2634 | 4.2 | 11.3 | 1.7 | 759 | 28.8 | 0.5 |
Phenobarbitals | 1667 | 2.6 | 7.2 | 1.1 | 348 | 20.9 | 0.2 |
Bosentanm | 142 | 0.2 | 0.6 | 0.1 | 26 | 18.3 | <0.1 |
Enzalutamides | 102 | 0.2 | 0.4 | 0.1 | 23 | 22.5 | <0.1 |
Rifampicins (alone or associated) | 49 | 0.1 | 0.2 | <0.1 | 16 | 32.7 | <0.1 |
Apalutamides | 48 | 0.1 | 0.2 | <0.1 | 4 | 8.3 | <0.1 |
Etravirinam | 42 | 0.1 | 0.2 | <0.1 | 14 | 33.3 | <0.1 |
Modafinilm | 25 | 0.0 | 0.1 | <0.1 | 1 | 4.0 | <0.1 |
Primidones | 18 | 0.0 | 0.1 | <0.1 | 4 | 22.2 | <0.1 |
Efavirenzm (alone or associated2) | 31 | 0.0 | 0.1 | <0.1 | 9 | 29.0 | <0.1 |
Dabrafenibm | 7 | 0.0 | 0.0 | <0.1 | 0 | 0.0 | <0.1 |
Mitotans | 2 | 0.0 | 0.0 | <0.1 | 0 | 0.0 | <0.1 |
Lumacaftor/ivacaftors | 1 | 0.0 | 0.0 | <0.1 | 0 | 0.0 | <0.1 |
sStrong; mModerate; 1Tenofovir/emtricitabine/elvitegravir; 2Tenofovir/emtricitabine or lamivudine
aPercentage of patients with inhibitors or inducers calculated on total number of people (n = 63,433)
bPercentage of patients with inhibitors or inducers calculated on all inhibitors (n = 40,744) or inducers (n = 23,233)
cPrevalence per 1000 people with medication dispensing
dPercentage of patients with interactions calculated on the totality of each inhibitor or inducer