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The appropriate use of OTC drugs in multiple medication.

Research Project

Project/Area Number 24590634
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionShowa University

Principal Investigator

IWASE MARIKO  昭和大学, 医学部, 助教 (70424273)

Co-Investigator(Kenkyū-buntansha) NISHIMURA Yuki  昭和大学, 医学部, 講師 (40276572)
KURATA Norimitsu  昭和大学, 教養部, 教授 (80231299)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2012: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords一般用医薬品 / チトクロームP450 / セルフメディケーション / 薬物相互作用
Outline of Final Research Achievements

OTC (Over the counter) drugs have been used for a long time period, however, there is a little information concerning to the drug-drug interaction. In the current study, we investigated the inhibitory effects of commonly used OTC drugs on cytochrome P450 (CYP) activities using human liver microsomes. The possibility of the OTC drugs to cause drug interactions with the prescribed drugs in clinical situation were predicted by using the equation recommended by The Ministry of Health, Labour and Welfare. The results showed that among the studied 26 OTC drugs, bromohexine hydrochloride, tipepidine hibenzate and difenidole hydrochloride extensively inhibited CYP2D6 activity, suggested the possibility of drug interaction at the commonly used clinical dosage level. Because these OTC drugs are considered to use concomitantly with various therapeutic agents, the appropriate medication interview to the patients to avoid the risks of adverse reaction.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (4 results)

All 2014 2013 2012

All Presentation (4 results)

  • [Presentation] The inhibitory effects of gastrointestinal and respiratory drugs on human hepatic microsomal cytochrome P450 activities2014

    • Author(s)
      Mariko Iwase, Yuki Nishimura, Norimitsu Kurata, Atsushi Tsukurimichi, Katsuji Oguchi
    • Organizer
      19th North American ISSX and 29th JSSX meeting
    • Place of Presentation
      San Francisco, California, USA
    • Year and Date
      2014-10-19 – 2014-10-23
    • Related Report
      2014 Annual Research Report
  • [Presentation] 消化器官用薬のcytochrome P450酵素活性に対する阻害効果2013

    • Author(s)
      岩瀬万里子、西村有希、倉田知光、小林真一
    • Organizer
      第34回日本臨床薬理学会学術総会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] Drug-drug interaction with OTC drugs-The inhibitory effect of NSAIDs and cough suppressants on CYP activities2012

    • Author(s)
      Mariko Iwase, Yuki Nishimura, Norimitsu Kurata, Naoki Uchida, Shinichi Kobayashi
    • Organizer
      6th European Congress of Pharmacology
    • Place of Presentation
      Granada, SPAIN
    • Related Report
      2012 Research-status Report
  • [Presentation] 一般用医薬品のcytochrome P450酵素活性に対する阻害効果-総合感冒薬配合成分による影響-2012

    • Author(s)
      岩瀬万里子、西村有希、倉田知光、内田直樹、張本敏江、三邉武彦、戸嶋洋和、川上桃子、小林真一
    • Organizer
      第127回日本薬理学会関東部会
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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