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Table 2 Pharmacist recommendations and acceptance rates

From: Overall performance of a drug–drug interaction clinical decision support system: quantitative evaluation and end-user survey

DDI pair

CMA reviews (n)

Pharmacists’ recommendations (n (%))

Acceptance (%)

Factor Xa inhibitor + other anticoagulant

7216

80 (1.1)

100

QTc prolonging agent + antiarrhythmic agent (flecainide, sotalol) (QTc)

2283

72 (3.2)

80.4

Antiarrhythmic agent (flecainide, amiodarone, sotalol) + antipsychotic (QTc)

834

38 (4.6)

78.4

Dabigatran + other anticoagulant

943

8 (0.8)

100

Antiarrhythmic agent (flecainide, amiodarone, sotalol) + tricyclic and related antidepressant (QTc)

631

26 (4.1)

57.1

Statin (simvastatin, atorvastatin) + non-azithromycin macrolides

477

60 (12.6)

63.5

Quetiapine + CYP3A4 inhibitor

319

32 (10.0)

76.0

Statin (simvastatin, atorvastatin) + azole antifungal agent

209

17 (8.1)

71.4

Statin (simvastatin, rosuvastatin) + cyclosporine

199

10 (5.0)

66.7

Opioid + MAO inhibitor

92

5 (5.4)

100

CYP3A4 substrate + CYP3A4 inducer

107

19 (17.8)

73.3

Valproic acid + carbapenem

63

10 (15.9)

80.0

Saccharomyces boulardii + glucocorticoid (high dose)

69

2 (2.9)

0

Vitamin K antagonist + acetylsalicylic acid (analgetic dose)

78

2 (2.6)

100

Droperidol, pimozide + macrolide (QTc)

57

0 (0)

NA

Intravenous calcium + ceftriaxone

60

2 (3.3)

100

Antiarrhythmic agent (flecainide, amiodarone, sotalol, propafenone) + quinolone (QTc)

56

5 (8.9)

75.0

Serotonergic antidepressant + linezolid

40

6 (15.0)

20.0

Colchicine + CYP3A4 inhibitor (strong)

48

3 (6.3)

100

Colchicine + macrolide

74

2 (2.7)

100

Factor Xa inhibitor + azole antifungal agent

40

4 (10.0)

75.0

Live vaccine + glucocorticoid

26

0 (0)

NA

Alcohol containing drugs + disulfiram

30

0 (0)

NA

  1. DDI, drug–drug interaction; CMA, Check of Medication Appropriateness; QTc, QTc interval prolonging drug–drug interaction