Pharmacotherapy for nontuberculous mycobacterial pulmonary disease

Author:

Velagapudi Manasa1,Sanley Michael J2,Ased Sumaya3,Destache Chris4,Malesker Mark A4

Affiliation:

1. Division of Infectious Disease, Creighton University School of Medicine, Omaha, NE, USA

2. Division of Pulmonary, Critical Care and Sleep Medicine, Creighton University School of Medicine, Omaha, NE, USA

3. SSM St. Louis University Hospital, St. Louis, MO, USA

4. Creighton University School of Pharmacy and Health Professions, Omaha, NE, USA

Abstract

Abstract Purpose To provide an updated review of the diagnosis and pharmacotherapy of nontuberculous mycobacteria pulmonary disease (NTM-PD) and summarize guideline recommendations for an interdisciplinary treatment approach. Summary A systemic approach was taken in which all articles in English in MEDLINE and PubMed were reviewed. The US National Library of Medicine's DailyMed database was used to assess drug package inserts. Analysis of NTM treatment guidelines is summarized in the article with a focus on medications, dosing, interactions, and medication monitoring. Conclusion It is critical to manage patients with NTM with a multidisciplinary team approach. Treatment is prolonged and expensive, and the potential for drug toxicity, adverse effects, and drug interactions requires monitoring. Clinical pharmacists play a role in the management of NTM.

Publisher

Oxford University Press (OUP)

Subject

Health Policy,Pharmacology

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