DDI-Explorer

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Overview

The concurrent administration of two or more medicines may result in interaction between their components. Such interaction might be of minor, moderate or serious impact on the health condition of patients. 2 – 3% of drug-drug interactions (DDI) reported at a worldwide level has led to life-threatening, and even fatal, consequences. 14 – 16% of the preventable medications error in the US was attributed to mistaken combination of drug substances. Reasons for this state-of-affair in this matter are too numerous to count. Clinical practioners could not be held responsible for this matter since evidence on the interaction might not have been available at hand when medicines were prescribed to their patients. Such practioners are inclined to blame it on the drug information databases for their inability to avail ready access to relevant information on DDIs matters. In a recent survey in Washington DC area, 510 pharmacy shops, employing DDIs software, were asked to identify the likely interactions in seven dummy prescriptions. These systems failed to identify existing DDIs in about 33% of the case despite the fact that official generic names were used to issue the dummy prescriptions. Such performance rating could have been worse if brand names and/or multiple ingredients products were contained in the dummy prescriptions. Controversy on the reason for such shortcomings is still waging. While some put the blame on the information databases, others blame the efficiency of computerized DDIs systems.

  • Comprehensive Analysis
  • Pills Combination Test
  • Makes Things Simple
  • Precise
  • Accurate Reporting
  • Efficient Tool
  • Facts
  • Comprehensive Analysis

    DDI-Explorer database contains close to 300 Herb-Herb and 8,100 Drug-Herb interactions reports. Different reputable information sources indicate that about 1,100 cases are either to be avoided or contraindicated.
  • Pills Combination Test

    Is really safe to use this combination of medicines? Which of these medicines is safer to use with my contraceptive pills? The DDI-Explorer gives awnsers to all these questions!
  • Makes Things Simple

    Identification of probable drug-drug interactions has always consitetuted a mundane task for clinical practitioners when OTC drugs, multiple-ingredients drug products, herbal and nutritional supplements are prescribed to their patients. Not any more with DDI-Explorer. By ways of covering the entire aspects of DDIs, dynamic interactions occuring at the Target level have been also completely depicted by DDI-Explorer. The same holds true for providing exact information on the additive Iduced Drug Effect specially those that may constiute realistic health hazard like QTc Interval Prolongation, Cardiotoxic, Nephrotoxic and Anticholinergic Effects.
  • Precise

    Accounting for dosage forms and/or route of drug administration totally eliminates false-positive interaction reports.
  • Accurate Reporting

    Science and Evidence-Based reporting of interactions by DDI-Explorer is unprecedented.
  • Efficient Tool

    The majority of interactions are of a kinetic nature, caused by liver enzymes and transporteres. DDI-Explorer has emerged as the most effcient tool that offers the most comprehensive description of such interactions.
  • Facts

    The DDI-Explorer is the most comprehensive system of its kind. Evidence to this effect could be found in the wiki area and would provided by its authors upon request…..

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  • Comprehensive Analysis
  • Pills Combination Test
  • Makes Things Simple
  • Precise
  • Accurate Reporting
  • Efficient Tool
  • Facts

Information pertaining to DDIs is scattered in more than a dozen drug databases. These include the internationally reputed Martindale Extra Pharmacopoeia (Dale), the American Hospital Formulary Service (AHFS), the United States Pharmacopoeia Drug Information (USP-DI), the German Pharmacopoeia and other DDIs specific publications such as Hartman Ammon, Philip Hansten and Evan Stockley. The sources are characterized by the lack of overlap in the body of information they offer. The diagram provided hereunder highlights the overlap between 11,260 interactions reported USP-DI and other databases. Whilst the bracketed values in the below diagram represent the number of DDI reports contained in each database, the values in RED represent the frequency of overlaps.

Relative reporting overlaps between USP-DI database and other major databases

While the signification of the above argument are self-evident, they distinctly underline one of the most serious reasons for prescribing error that could be otherwise detected by healthcare professionals.

Some of other equally serious deficiencies in reporting DDIs may be related to the inadequate identification of DDIs caused by induced drug effects despite the fact that such effects are extensively documented by regulatory agencies.

In addition, the independent, and often inconsistent, reporting of DDIs related to drug and their prodrugs adds extra insult to the injury. For example, some of the life-threatening interactions for Amphetamine and the amphetamine class of drugs are provided in most of the databases. Notwithstanding, DDIs for a dozen of prodrugs and/or precursors of amphetamine or monoamines, are almost totally unreported by such databases.

The DDI-Explorer has emerged with the promise of accounting for all of the above mentioned shortcomings. With more than two decades of dedicated search in the interaction literature, our system presently provides information based on more than 125,000 interaction reports that have been documented in more than a dozen of reputable information databases.

DDI-Explorer has been supplemented with some unique features that exactly identify the kinetic or dynamic bases for a reported interaction. The implication of liver enzymes and transporters in reported interactions is precisely and concisely provided by the liver and target matrices. Such a tool would prove to be indispensable for practitioners and researchers since it would enable them to predict interaction not reported the relevant literature.

Unlike other databases, the Liver Enzymes / Transporter modality of the DDI-Explorer offers a unique and novel tool that disambiguates the generalized and incomplete reporting of the implication of liver enzymes in DDIs.

The DDI-Explorer is intended for use by professional individuals (pharmacists, physicians, nurses) and corporate establishment such as hospitals, clinics, healthcare institutions and Pharmaceutical industry). It could be also used by ordinary individuals who strongly advised NEVER to change their medicines without consulting with their healthcare professionals.

The DDI-Explorer gives easy online access to the whole database and can be used on your desktop PC, notebook, smartphone, tablet PC and even Smart TV – any device that has a browser and access to the Internet. Mobile apps coming soon!

For further details on the above mentioned arguments, users are requested to consults the author’s review on the topic in the Wiki area here.


Screenshots

Drugs to be analyzed

Drugs to be analyzed

The above prescription is intended to demonstrate how the DDI-Explorer for single and multiple-ingredient products (CIPROBAY and MAALOX PLUS) and how it handles different dosage forms containing the same active ingredient (Terracyline Tablets and Eye Ointment). In addition, it contains the anti-asmatics prodrug Aminophylline.
Direct Interactions

Direct Interactions

As demonstrated by system’s primary output, two additional drugs have been automatically added to the submitted prescription, namely, Theophylline and Oxtriphylline in the evaluation since Aminophylline is a prodrug of Theophylline and Oxtriphylline is the Choline salts of Theophylline. In addition, whilst no interaction was displayed for Tetracycline Eye Ointment, these are detected for the drug administered via the systemic oral route.
Ciprofloxacin and Aminophylline Interaction

Ciprofloxacin and Aminophylline Interaction

It is evident that no clinically significant interactions were reported for Ciprofloxacin and Oxtriphylline by any database.
Theophylline and Ciprofloxacin Interaction

Theophylline and Ciprofloxacin Interaction

However, four life-threatening interactions were detected for the two drugs by many databases.
Extended Search

Extended Search

Theophylline and Ciprofloxacin Extended Interaction

Theophylline and Ciprofloxacin Extended Interaction

Induced Effects

Induced Effects

The apparent lack of consistency related to the involvement of liver enzymes in the elimination of Theophylline and Aminophylline is a reflection of the same due to their independent, and inconsistent, reporting of such involvement in the scientific literature.
Enzymes - Ciprofloxacin

Enzymes - Ciprofloxacin

The apparent lack of consistency related to the involvement of liver enzymes in the elimination of Theophylline and Aminophylline is a reflection of the same due to their independent, and inconsistent, reporting of such involvement in the scientific literature.
Enzymes - Aminophylline

Enzymes - Aminophylline

The apparent lack of consistency related to the involvement of liver enzymes in the elimination of Theophylline and Aminophylline is a reflection of the same due to their independent, and inconsistent, reporting of such involvement in the scientific literature.
Drugs to be analyzed

Drugs to be analyzed

Direct Interactions

Direct Interactions

The above example is intended to demonstrate the unlimited capabilities of the DDI-Explorer to simultaneously evaluate any combination of concurrently administered drugs. The primary system’s output provided by the system becomes very extensive upon including ZYROXIN (a natural supplement marketed in the U.S.A.) to the prescription.
Enzymes - Carbamazepine

Enzymes - Carbamazepine

Precise and detailed evidence for the auto-induction characteristic of Carbamazepine is given in the above diagram.
Enzymes - Amidodarone

Enzymes - Amidodarone

The above diagram show a summary of the involvement of liver enzyme in the elimination of Amiodarone and Fluoxetine. They reveal an unprecedented evidence of a definitive auto-inhibition characteristic for both drugs.
Enzymes - Fluoxetine

Enzymes - Fluoxetine

The above diagram show a summary of the involvement of liver enzyme in the elimination of Amiodarone and Fluoxetine. They reveal an unprecedented evidence of a definitive auto-inhibition characteristic for both drugs.

Videos

Screencasts of the product, coming soon.


Features


Benefits

Why do you need DDI-Explorer?

For personal use:

For professional use:


FAQ

General questions

Can drug interactions be really dangerous?

Yes, absolutely. According to statistical data of the USA about 14 - 16% of human and resources losses are the cause of preventable medications errors (PME) that cost the US 176 Billion Dollars (1995). Besides, 2.8% IAs resulted in fatalities, 14.5% IAs were life- threatening.

What is the generic and brand drug names?

Each medicine has an approved name called the generic name. A group of medicines that have similar actions often have similar-sounding generic names. For example, phenoxymethylpenicillin, ampicillin, amoxicillin and flucloxacillinare in one group of antibiotics. Many medicines also have one or more brand (trade) names. This is chosen by the company that makes it. Several companies may make the same generic medicine, each with their own brand name. The name is often chosen to be memorable for advertising, or to be easier to say or spell than the generic name. For example, paracetamol is a generic name. There are several companies that make this with brand names such as Panado®, Calpol®, etc.

How does DDI-Explorer work?

The DDI-Explorer gives results based on our "know-how" algorithms of cross-databases information processing, so that we give precise and most complete information about drugs and their dosage.

Is DDI-Explorer reliable?

The DDI-Explorer is a reliable and trustworthy tool because it uses transparent safe processing algorithms and up-to-date information from world-wide drugs databases (AHFS, Stockley, MARTINDALE, USP-DI, F&C, etc.). The DDI-Explorer has access to more drugs databases than any other tool on the market. More scientific information available at wiki area.

Usability questions

Can I use DDI-Explorer without Internet?

The full access to complete version of DDI-Explorer requires Internet. However we're planning to make compact versions of DDI-Explorer as smartphone apps that may work without Internet.

Do you have a trial or demo access to DDI-Explorer?

Generally, we do not give a trial access. You may get a complete information about our product using screenshots, demo videos, texts, presentations and information at the wiki area. Our managers are pleased to make live presentations for you, consult and answer all your questions. Please, fill in the contact form and we will assign a personal manager for you.

Pricing and license questions

Does the DDI-Explorer functionality depend on pricing plan?

No, the DDI-Explorer provides the complete full functionality no matter what pricing plan you use. The difference between the pricing plans is only in the support features.

Can I use the DDI-Explorer for my work?

Yes, you can. The DDI-Explorer gives reliable results and is safe to use at your professional activities. However, you need to apply for the professional license. Besides, your company may apply for enterprise license that is more suitable for organizations.

Can I apply for personal license?

You can apply for the license if you're going to use the product as individual for personal (or family) use. You need professional license if you work as a doctor, nurse or in medical or healthcare company (clinic, hospital, drug store, etc.) or you plan to use it at your work or business (e.g. consulting company, law company, etc.).

Do you have any discounts?

Sometimes we make discounts, e.g. for Christmas or Black Friday, but it's not a general rule and may vary. We have flexible pricing plans that already include price reduction in higher plans. We have special offers for our existing clients for subscription renewals; please contact your personal manager for more information.


Reviews & feedback

Coming soon.


Software & hardware requirements

The DDI-Explorer is distributed on SaS model, so everything you need is a modern browser (Chrome, Firefox, IE, Safari, etc.) and Internet to access the product. It doesn't matter what operating system you use (Windows, Linux, iOS, Android, etc.). After you purchase the license, you will get a link and one or more username/password for authenticated access. You may use any device desktop PC, notebook, smartphone, tablet PC, etc. The DDI-Explorer works behind proxy-servers, so there will be no problems accessing it in corporate environments with strict security policies. There are no requirements for the Internet channel, you may use Wi-Fi, wired LAN connection, satellite Internet or mobile (2G, 3G, 4G, etc.).


Clients

Among our clients that use the DDI-Explorer are:


Wiki

More information about the concept of DDI-Explorer, scientific results and explanations, statistical data and presentations available at wiki area.


Support

We provide support services for our clients according to their pricing plans. The support is available via ticket system (coming soon), online chat (coming soon), support form and phone via call-center (coming soon).


Pricing and licenses

Currently the product is at final testing stage. Please, fill this form for pre-order to be the first who will gain access to the DDI-Explorer. You will get special pricing and offers when the product goes live. We will assign personal manager for you who will inform you about the development details and help you pre-order/buy the product.

Please, provide your full name, so we can contact you if required
Please, select what licensing type you're interested in
The organization where you work
Please, specify your contact phone in international format, e.g. +7 (843) 233-30-03
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