Main Article Content
Abstract
Chemotherapy is commonly used in cancer patients either as a monotherapy or in combination, as it demonstrates higher effectiveness and lower toxicity compared to single-agent use, while also preventing drug resistance. The combination of chemotherapy drugs, or their use alongside supportive drugs, can increase the risk of drug interactions that may affect treatment outcomes. The purpose of this research is to examine and offer suggestions for the management of medication interactions in cancer patients at the X Cancer Centre polyclinic of X Denpasar Hospital in 2020. The present investigation is a cross-sectional descriptive study with retrospective data collection from medical records in 2020. Drug interaction data were analyzed using Drugs.com, Lexicomp, and Stockley to assess the type of interaction, risk level, severity, and management of each interaction. The results indicated that the most common types of cancer were breast cancer (62.7%) and lymphoma (10.2%), with combination chemotherapy being used in 73.97% of cases. The most frequent type of interaction was pharmacodynamic interaction (50.42%), with risk level C (35.53%) and moderate severity (69.07%). The most common interactions were between chemotherapy drugs and supportive drugs (46.47%). The recommended management of potential drug interactions in cancer patients includes providing a time gap between drug administrations.
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References
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References
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Amtiria, H.R., Khairun, D. and Berawi, N. (2018), Peran Human Epidermal Growth Factor Receptor-2 Pada Kanker Payudara, J Agromedicine Unila |, Vol. 5.
Atalay, F., Gulmez, O. and Ozsancak Ugurlu, A. (2014), “Cardiotoxicity following cyclophosphamide therapy: a case reportâ€, Journal of Medical Case Reports, BioMed Central Ltd., Vol. 8 No. 1, doi: 10.1186/1752-1947-8-252.
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D’Errico, S., Baldari, B., Arcangeli, M., Santurro, A., Frati, P. and Fineschi, V. (2020), “Mast cells activation and high blood tryptase levels due to paclitaxel administration. Is Cremophor EL the culprit? A case reportâ€, Medicine (United States), Lippincott Williams and Wilkins, Vol. 99 No. 43, doi: 10.1097/MD.0000000000022814.
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Elmika, E. and Adi, M.S.A. (2020), “Gambaran Umur, dan Jenis Kelamin Pasien Kanker Payudara di RS Ibnu Sina Kota Makassarâ€, Jurnal Penelitian Kesehatan “SUARA FORIKES†(Journal of Health Research “Forikes Voiceâ€), Forum Ilmiah Kesehatan - Forikes, Vol. 11 No. 1, p. 1, doi: 10.33846/sf11101.
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Hasnita, Y. and Arif Harahap, W. (2019), Pengaruh Faktor Risiko Hormonal Pada Pasien Kanker Payudara Di RSUP.Dr.M.Djamil Padang, Jurnal Kesehatan Andalas, Vol. 8.
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Koni, A.A., Nazzal, M.A., Suwan, B.A., Sobuh, S.S., Abuhazeem, N.T., Salman, A.N., Salameh, H.T., et al. (2022), “A comprehensive evaluation of potentially significant drug-drug, drug-herb, and drug-food interactions among cancer patients receiving anticancer drugsâ€, BMC Cancer, BioMed Central Ltd, Vol. 22 No. 1, doi: 10.1186/s12885-022-09649-3.
Kurniawati, F., Yasin, N.M., Dina, A., Atana, S. and Hakim, S.N. (2021), “Kajian Adverse Drug Reactions Terkait Interaksi Obat di Bangsal Rawat Inap Rumah Sakit Akademik UGMâ€, JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice), Universitas Gadjah Mada, Vol. 10 No. 4, doi: 10.22146/jmpf.60228.
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de Lemos, M.L., Kung, C., Kletas, V., Badry, N. and Kang, I. (2019), “Approach to initiating QT-prolonging oncology drugs in the ambulatory settingâ€, Journal of Oncology Pharmacy Practice, SAGE Publications Ltd, 1 January, doi: 10.1177/1078155217748735.
Lexicom. (2023), “Drug Referential Solution: https://www.wolterskluwer.com/en/solutions/uptodate/enterprise/lexidrugâ€.
Mantang, A., Useng, Y. and Pusmarani, J. (2023), “Hubungan Drug Related Problems (DRP) Kategori Interaksi Obat Pada Penggunaan Obat Pasien Hipertensi di Puskesmas Lalonggasumeeto Kabupaten Konaweâ€, Jurnal Pharmacia Mandala Waluya, Lembaga Penelitian dan Pengabdian Masyarakat Universitas Mandala Waluya, Vol. 2 No. 5, pp. 286–294, doi: 10.54883/jpmw.v2i5.60.
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Sari, D.P. and Gumayesty, Y. (2016), “Faktor-Faktor Yang Berhubungan Dengan Kejadian Kanker Payudara Di Poliklinik Onkologi Rsud Arifin Achmad Provinsi Riauâ€, Jurnal Ilmu Kesehatan Masyarakat, STIKES Al- Insyirah Pekanbaru, Vol. 05 No. 02, pp. 84–92.
Shetty, V., Chowta, M.N., Chowta K, N., Shenoy, A., Kamath, A. and Kamath, P. (2018), “Evaluation of Potential Drug-Drug Interactions with Medications Prescribed to Geriatric Patients in a Tertiary Care Hospitalâ€, Journal of Aging Research, Hindawi Limited, Vol. 2018, doi: 10.1155/2018/5728957.
Shinta R, N. and Surarso, B. (2016), “Terapi Mual dan Muntah Pasca Kemoterapiâ€, Jurnal THT-KL, Vol. 9 No. 2, pp. 74–83.
Sun, D., Li, H., Cao, M., He, S., Lei, L., Peng, J. and Chen, W. (2020), “Cancer burden in China: trends, risk factors and preventionâ€, Cancer Biology and Medicine, Cancer Biology and Medicine, 1 November, doi: 10.20892/j.issn.2095-3941.2020.0387.
Sung, H., Ferlay, J., Siegel, R.L., Laversanne, M., Soerjomataram, I., Jemal, A. and Bray, F. (2021), “Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countriesâ€, CA: A Cancer Journal for Clinicians, Wiley, Vol. 71 No. 3, pp. 209–249, doi: 10.3322/caac.21660.
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