Table 3.
Drugs involved | Severity of interaction (only commonest drugs listed) | Total | ||||
---|---|---|---|---|---|---|
Contra-indications | Potential major interaction | Potential moderate interaction | Potential minor interaction | |||
Aspirin | n (%) | 0 (0%) | 34 (23%) | 236 (39.7%) | 11 (16.4%) | 281 (34.4%) |
Lisinopril | n (%) | 0 (0%) | 6 (4.1%) | 99 (16.6%) | 9 (13.4%) | 114 (14.0%) |
Clopidogrel | n (%) | 0 (0%) | 2 (1.4%) | 80 (13.4%) | 1 (1.5%) | 83 (10.2%) |
Enalapril | n (%) | 0 (0%) | 1 (.7%) | 62 (10.4%) | 0 (0%) | 63 (7.7%) |
Atenolol | n (%) | 0 (0%) | 2 (1.4%) | 60 (10.1%) | 0 (0%) | 62 (7.6%) |
Bendroflumethiazide | n (%) | 0 (0%) | 53 (35.8%) | 8 (1.3%) | 0 (0%) | 61 (7.5%) |
Glipizide | n (%) | 3 (50%) | 8 (5.4%) | 32 (5.4%) | 18 (26.9%) | 61 (7.5%) |
Diclofenac | n (%) | 0 (0%) | 2 (1.4%) | 58 (9.7%) | 0 (0%) | 60 (7.4%) |
Metformin | n (%) | 0 (0%) | 5 (3.4%) | 38 (6.4%) | 13 (19.4%) | 56 (6.9%) |
Nifedipine | n (%) | 0 (0%) | 4 (2.7%) | 46 (7.7%) | 1 (1.5%) | 51 (6.3%) |
Type of Interaction(only commonest interactions listed) | ||||||
Decreased efficacy | n (%) | 2 (33.3%) | 25 (16.9%) | 291 (48.9%) | 38 (56.7%) | 356 (43.6%) |
Enhanced effects | n (%) | 2 (33.3%) | 18 (12.2%) | 156 (26.2%) | 18 (26.9%) | 194 (23.8%) |
Hypoglycaemia | n (%) | 0 | 11 (7.4%) | 82 (13.8%) | 1 (1.5%) | 94 (11.5%) |
Hypotension | n (%) | 0 | 4 (2.7%) | 70 (11.8%) | 0 (.0%) | 74 (9.1%) |
Hyerglycemia | n (%) | 0 | 11 (7.4%) | 39 (6.6%) | 0 (.0%) | 50 (6.1%) |
Rhabdomyolysis | n (%) | 1 (16.7%) | 33 (22.4%) | 1 (.2%) | 0 (.0%) | 35 (4.3%) |
GI hemorrhage | n (%) | 0 | 0 (.0%) | 25 (4.2%) | 9 (13.4%) | 34 (4.2%) |
Bleeding (other) | n (%) | 0 | 62 (41.9%) | 28 (4.7%) | 1 (1.5%) | 91 (11.2%) |
Thrombosis | n (%) | 0 | 22 (14.8%) | 2 (3.3%) | 0 (.0%) | 24 (2.9%) |
Hyperkalemia | n (%) | 0 | 6 (4.1%) | 10 (1.7%) | 0 (.0%) | 16 (2.0%) |
Lactic acidosis | n (%) | 0 | 0 (.0%) | 16 (2.7%) | 0 (.0%) | 16 (2.0%) |
Total | n (%) | 6 (100%) | 148 (100%) | 595 (100%) | 67 (100%) | 814 (100%) |
Only the commonest drugs and interactions are listed
GI gastro-intestinal