Jul 2026· Current Bioinformatics· Vol 21· 0 citations
TL;DR
An overview of how artificial intelligence might serve not only as a tool but also as a strategic solution for safe prescribing and tailored pharmacotherapy, hence opening up new avenues for the field of drug safety science is presented.
Abstract
Drug-drug interactions (DDIs) represent a substantial challenge in contemporary
pharmacotherapy, especially given polypharmacy, the effects of foods, and the modification
of host-microbiota systems on drugs. Although useful, existing DDI identification techniques have
many constraints related to cost, time, and scalability.
A literature review was conducted using PubMed, Scopus, Web of Science, and IEEE
Xplore, focusing on machine learning techniques, deep neural architectures, and network-based
models that integrate multi-omic, pharmacological, and clinical data.
By combining chemical, biological, and clinical data into scalable computer platforms,
demonstrated that artificial intelligence techniques, such as machine learning (ML) and deep learning
(DL), are changing the prediction of DDI. Some notable studies, such as DeepDDI, TP-DDI, and
Decagon, use approaches that successfully capture the intricate PK-PD interactions of pharmaceuticals.
On the other hand, food-drug interactions and microbiome-mediated drug interactions were also
successfully predicted using multimodal and graph-based models, respectively.
Critical issues, such as insufficient data, class imbalance, and model interpretability,
must be addressed through explainable AI and multimodal fusion techniques.
The purpose of this article is to present an overview of how artificial intelligence might
serve not only as a tool but also as a strategic solution for safe prescribing and tailored pharmacotherapy,
hence opening up new avenues for the field of drug safety science.
This review systematically analyzes key challenges in DDI prediction: balancing model performance with interpretability, integrating heterogeneous features, ensuring sample set reliability, and optimizing algorithmic architectures, and outlines promising directions for future innovation.
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