Combination Therapy
Combination therapy, or polytherapy, involves the utilization of multiple
medications or therapies concurrently, whereas monotherapy entails the use
of a single therapy alone.
Typically, these terms denote the simultaneous administration of two or more
medications to address a single ailment. However, they can also encompass
the use of various therapies concurrently, such as medications combined with
talk therapy for depression treatment.
Combination therapy can be achieved by administering separate drugs or
through combination drugs, which are formulations containing multiple active
ingredients.
Polypharmacy, on the other hand, involves the use of multiple medications to
treat distinct conditions.
Diseases commonly treated with combination therapy include tuberculosis,
leprosy, cancer, malaria, and HIV/AIDS. One notable advantage of combination
therapies is their ability to mitigate the development of drug resistance,
as pathogens or tumors are less likely to develop resistance to multiple
drugs simultaneously. To address this, the use of artemisinin-based
monotherapies for malaria is discouraged to prevent the emergence of
resistance.
While combination therapy may initially appear more costly than monotherapy,
it often leads to substantial savings in the long run by reducing treatment
failure rates, case-fatality ratios, and the pace of drug resistance
development. Consequently, less funding is required for the development of
new drugs.
Monotherapy can be employed across various therapeutic approaches, but it is
most commonly associated with the use of a single medication. Although
typically chosen because a single medication is sufficient to treat the
medical condition, monotherapies may also be employed due to adverse side
effects or the risk of dangerous drug interactions.
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