PMID- 32477689 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201210 IS - 2153-4063 (Print) IS - 2153-4063 (Electronic) VI - 2020 DP - 2020 TI - A Population-Based Study of Simvastatin Drug-Drug Interactions in Cardiovascular Disease Patients. PG - 664-673 AB - Simvastatin is a commonly used medication for lipid management and cardiovascular disease, however, the risk of adverse events (AEs) with its use increases via drug-drug interaction (DDI) exposures. Patients were extracted if initially diagnosed with cardiovascular disease and newly initiated simvastatin therapy. The cohort was divided into a DDI-exposed group and a non-DDI exposed group. The DDI-exposed group was further divided into gemfibrozil, clarithromycin, and erythromycin exposure groups. The outcome was defined as a composite of predefined AEs. Our results show that the simvastatin-DDI group had a higher illness burden with longer simvastatin exposure time and more medical care follow-up compared with the simvastatin-non-DDI exposed group. AEs occurred more frequently in subjects exposed to interacting drugs with a higher risk for clarithromycin and erythromycin exposed subjects than for gemfibrozil subjects. CI - (c)2020 AMIA - All rights reserved. FAU - Wang, Jin AU - Wang J AD - Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA. AD - OptumLabs Visiting Fellow, Cambridge, MA, USA. FAU - Chi, Chih-Lin AU - Chi CL AD - Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA. AD - School of Nursing, University of Minnesota, Minneapolis, MN, USA. AD - OptumLabs Visiting Fellow, Cambridge, MA, USA. FAU - St Peter, Wendy L AU - St Peter WL AD - College of Pharmacy, University of Minnesota, Minneapolis, MN, USA. FAU - Carlson, Angie AU - Carlson A AD - College of Pharmacy, University of Minnesota, Minneapolis, MN, USA. FAU - Loth, Matt AU - Loth M AD - Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA. AD - School of Nursing, University of Minnesota, Minneapolis, MN, USA. AD - OptumLabs Visiting Fellow, Cambridge, MA, USA. FAU - Pradhan, Prajwal Mani AU - Pradhan PM AD - Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA. AD - OptumLabs Visiting Fellow, Cambridge, MA, USA. FAU - Liang, Yue AU - Liang Y AD - Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA. AD - OptumLabs Visiting Fellow, Cambridge, MA, USA. FAU - Chen, Wei-Yu AU - Chen WY AD - Department of Computer Science & Engineering, University of Minnesota, Minneapolis, MN, USA. AD - OptumLabs Visiting Fellow, Cambridge, MA, USA. FAU - Lenskaia, Tatiana AU - Lenskaia T AD - Bioinformatics and Computational Biology program, University of Minnesota, Minneapolis, MN, USA. AD - OptumLabs Visiting Fellow, Cambridge, MA, USA. FAU - Robinson, Jennifer G AU - Robinson JG AD - Departments of Epidemiology & Medicine, University of Iowa, IA, USA. FAU - Adam, Terrence J AU - Adam TJ AD - Institute for Health Informatics, University of Minnesota, Minneapolis, MN, USA. AD - College of Pharmacy, University of Minnesota, Minneapolis, MN, USA. LA - eng GR - R01 HL143390/HL/NHLBI NIH HHS/United States GR - UL1 TR002494/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20200530 PL - United States TA - AMIA Jt Summits Transl Sci Proc JT - AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science JID - 101539486 PMC - PMC7233072 EDAT- 2020/06/02 06:00 MHDA- 2020/06/02 06:01 PMCR- 2020/05/30 CRDT- 2020/06/02 06:00 PHST- 2020/06/02 06:00 [entrez] PHST- 2020/06/02 06:00 [pubmed] PHST- 2020/06/02 06:01 [medline] PHST- 2020/05/30 00:00 [pmc-release] AID - 3269620 [pii] PST - epublish SO - AMIA Jt Summits Transl Sci Proc. 2020 May 30;2020:664-673. eCollection 2020.