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. 2021 Mar 13;28(7):1421–1430. doi: 10.1093/jamia/ocab019

Table 2.

Validation analysis of potentially novel DDIs, manual chart review results

Object Drug Potential Precipitant Drug % TP Drug-ADR(TP/number of patients reviewed) Comments
simvastatin HCTZ 100 (10/10) NA
simvastatin triamterene 100 (10/10) All DDIWAS-derived (+simvastatin-ADR, +triamterene-ADR) patients were exposed to triamterene via a HCTZ/triamterene combination drug.
amlodipine ezetimibe 90 (9/10)
  • Majority (8/10) of DDIWAS-derived (+amlodipine-ADR, +ezetimibe-ADR) patients also had a statin drug on their allergy lists.

  • The single false-positive DDIWAS-derived (+amlodipine-ADR, +ezetimibe-ADR) patient had neither the object nor potential precipitant drug on their allergy list.

amlodipine levothyroxine 40 (2/5)
  • Reviewed all 5 available DDIWAS-derived (+amlodipine-ADR, +levothyroxine-ADR) patients.

  • Two false-positive DDIWAS-derived (+amlodipine-ADR, +levothyroxine-ADR) patients had neither the object nor potential precipitant drug on their allergy lists.

  • One false-positive DDIWAS-derived (+amlodipine-ADR, +levothyroxine-ADR) patient did not have the potential precipitant drug on their allergy list.

amlodipine valacyclovir 80 (4/5)
  • Reviewed all 5 available DDIWAS-derived (+amlodipine-ADR, +valacyclovir-ADR) patients.

  • The single false-positive DDIWAS-derived (+amlodipine-ADR, +valacyclovir-ADR) patient had neither amlodipine nor valacyclovir on their allergy list.

amlodipine omeprazole 100 (10/10) NA

True-positive patients were those for whom healthcare providers intentionally added both the object and potential precipitant drugs to their allergy lists.

Abbreviations: ADR, adverse drug reaction; DDIWAS, Drug-Drug-Interaction Wide Association Study; HCTZ, hydrochlorothiazide; TP, true-positive.