SafeDrug: Dual Molecular Graph Encoders for Recommending Effective and Safe Drug Combinations
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Abstract (arXiv)
Medication recommendation is an essential task of AI for healthcare. Existing works focused on recommending drug combinations for patients with complex health conditions solely based on their electronic health records. Thus, they have the following limitations: (1) some important data such as drug molecule structures have not been utilized in the recommendation process. (2) drug-drug interactions (DDI) are modeled implicitly, which can lead to sub-optimal results. To address these limitations, we propose a DDI-controllable drug recommendation model named SafeDrug to leverage drugs' molecule structures and model DDIs explicitly. SafeDrug is equipped with a global message passing neural network (MPNN) module and a local bipartite learning module to fully encode the connectivity and functionality of drug molecules. SafeDrug also has a controllable loss function to control DDI levels in the recommended drug combinations effectively. On a benchmark dataset, our SafeDrug is relatively shown to reduce DDI by 19.43% and improves 2.88% on Jaccard similarity between recommended and actually prescribed drug combinations over previous approaches. Moreover, SafeDrug also requires much fewer parameters than previous deep learning-based approaches, leading to faster training by about 14% and around 2x speed-up in inference.
Key facts. Cited by 54 papers in the map (data through 14 Oct 2026). Builds on 13 of its 30 references that are in the map. First posted on arXiv 5 May 2021.
Builds on
13 of 30 references.
References · 13
- 2017Attention Is All You Needcited by 60,361
- 2014Adam: A Method for Stochastic Optimizationcited by 37,240
- 2015Convolutional Networks on Graphs for Learning Molecular Fingerprintscited by 754
- 2019Analyzing Learned Molecular Representations for Property Predictioncited by 375
- 2016RETAIN: An Interpretable Predictive Model for Healthcare using Reverse Time Attention Mechanismcited by 349
- 2019Learning Deep Transformer Models for Machine Translationcited by 309
- 2015Doctor AI: Predicting Clinical Events via Recurrent Neural Networkscited by 208
- 2019Pre-training of Graph Augmented Transformers for Medication Recommendationcited by 127
- 2018GAMENet: Graph Augmented MEmory Networks for Recommending Medication Combinationcited by 83
- 2018Dual Memory Neural Computer for Asynchronous Two-view Sequential Learningcited by 27
- 2019CASTER: Predicting Drug Interactions with Chemical Substructure Representationcited by 24
- 2017SMR: Medical Knowledge Graph Embedding for Safe Medicine Recommendationcited by 15
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Citing papers per year: 2022: 1; 2023: 8; 2024: 10; 2025: 18; 2026: 17.
54 papers.
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- 2023GraphCare: Enhancing Healthcare Predictions with Personalized Knowledge Graphscited by 58
- 2022Graph-based Molecular Representation Learningcited by 51
- 2024Large Language Model Distilling Medication Recommendation Modelcited by 26
- 2023ManyDG: Many-domain Generalization for Healthcare Applicationscited by 23
- 2024Predictive Modeling with Temporal Graphical Representation on Electronic Health Recordscited by 9
- 2023VITA: 'Carefully Chosen and Weighted Less' Is Better in Medication Recommendationcited by 8
- 2024TACCO: Task-guided Co-clustering of Clinical Concepts and Patient Visits for Disease Subtyping based on EHR Datacited by 7
- 2024Contrastive Learning on Medical Intents for Sequential Prescription Recommendationcited by 7
- 2026Towards a Medical AI Scientistcited by 7
- 2024RareAgents: Autonomous Multi-disciplinary Team for Rare Disease Diagnosis and Treatmentcited by 6
- 2024Multi-task Heterogeneous Graph Learning on Electronic Health Recordscited by 5
- 2025Unveiling Discrete Clues: Superior Healthcare Predictions for Rare Diseasescited by 5
38 more
- 2025Democratizing Large Language Model-Based Graph Data Augmentation via Latent Knowledge Graphscited by 5
- 2025Fine-grained List-wise Alignment for Generative Medication Recommendationcited by 5
- 2024Node Duplication Improves Cold-start Link Predictioncited by 4
- 2025Natural Language-Assisted Multi-modal Medication Recommendationcited by 4
- 2025Bridging Data Gaps of Rare Conditions in ICU: A Multi-Disease Adaptation Approach for Clinical Predictioncited by 4
- 2024CIDGMed: Causal Inference-Driven Medication Recommendation with Enhanced Dual-Granularity Learningcited by 3
- 2025Recent Developments in GNNs for Drug Discoverycited by 3
- 2023Sequential Condition Evolved Interaction Knowledge Graph for Traditional Chinese Medicine Recommendationcited by 2
- 2023DKINet: Medication Recommendation via Domain Knowledge Informed Deep Learningcited by 2
- 2024OntoMedRec: Logically-Pretrained Model-Agnostic Ontology Encoders for Medication Recommendationcited by 2
- 2025KEDRec-LM: A Knowledge-distilled Explainable Drug Recommendation Large Language Modelcited by 2
- 2026PyHealth 2.0: A Comprehensive Open-Source Toolkit for Accessible and Reproducible Clinical Deep Learningcited by 2
- 2026SafeRx-Agent: A Knowledge-Grounded Multi-Agent Framework for Safe and Explainable Medication Recommendationcited by 2
- 2025SAFER: A Calibrated Risk-Aware Multimodal Recommendation Model for Dynamic Treatment Regimescited by 1
- 2025ARMR: Adaptively Responsive Network for Medication Recommendationcited by 1
- 2025MediRec: Enhancing Chinese Medication Recommendation with Explainable Clinical Reasoningcited by 1
- 2025Traceable Drug Recommendation over Medical Knowledge Graphscited by 1
- 2025Overview of CHIP 2025 Shared Task 2: Discharge Medication Recommendation for Metabolic Diseases Based on Chinese Electronic Health Recordscited by 1
- 2026User-Adaptive Meta-Learning for Cold-Start Medication Recommendation with Uncertainty Filteringcited by 1
- 2026RePrompT: Recurrent Prompt Tuning for Integrating Structured EHR Encoders with Large Language Modelscited by 1
- 2026RxEval: A Prescription-Level Benchmark for Evaluating LLM Medication Recommendationcited by 1
- 2026Teaching LLMs to Recommend and Defer in Underrepresented Epilepsy Carecited by 1
- 2026RES-MR: Risk-Aware Reasoning for Explainable and Safe Medication Recommendationcited by 1
- 2023Decision Support System for Chronic Diseases Based on Drug-Drug Interactionscited by 0
- 2023Knowledge-Induced Medicine Prescribing Network for Medication Recommendationcited by 0
- 2023ALGNet: Attention Light Graph Memory Network for Medical Recommendation Systemcited by 0
- 2024MiranDa: Mimicking the Learning Processes of Human Doctors to Achieve Causal Inference for Medication Recommendationcited by 0
- 2025Lessons Learned from Evaluation of LLM based Multi-agents in Safer Therapy Recommendationcited by 0
- 2025HiRef: Leveraging Hierarchical Ontology and Network Refinement for Robust Medication Recommendationcited by 0
- 2025MMM: Quantum-Chemical Molecular Representation Learning for Combinatorial Drug Recommendationcited by 0
- 2025Dual-Pathway Fusion of EHRs and Knowledge Graphs for Predicting Unseen Drug-Drug Interactionscited by 0
- 2025CafeMed: Causal Attention Fusion Enhanced Medication Recommendationcited by 0
- 2025Medical Test-free Disease Detection Based on Big Datacited by 0
- 2026Improving Rare Medication Recommendation with Counterfactual Data Augmentation and Large Language Modelscited by 0
- 2026GRAIN: Molecules Are Not the Right Granularity -- Active-Ingredient Modeling for Safe Medication Recommendationcited by 0
- 2026Patients-like-me: A Variational LM--GNN Framework for Explainable Clinical Predictioncited by 0
- 2026MiGHT-EHR: A Multi-task Graph Transformer for Heterogeneous Temporal Electronic Health Recordscited by 0
- 2026Coupled Graph--Policy Distillation for Personalized Medication Safety in Older Adults with Multimorbiditycited by 0
50 most cited of 54 All 54 (JSON)
- 2026HEM-Med: A Hierarchical Agentic Memory Framework for Safe Multi-Center Medication Recommendation14 Oct 2026
- 2026ARMED: Adaptive Retrieval-Augmented Medication Recommendation12 Oct 2026
- 2026RES-MR: Risk-Aware Reasoning for Explainable and Safe Medication Recommendation10 Oct 2026
- 2026HADRec: A Hierarchy-Aware Drug Recommendation Framework by Fusing Molecular Knowledge and Electronic Health Record1 Oct 2026
- 2026ReLMem: Learning Recurrent Memory for Longitudinal EHR Modeling29 Sep 2026
- 2026Coupled Graph--Policy Distillation for Personalized Medication Safety in Older Adults with Multimorbidity10 Aug 2026
- 2026MiGHT-EHR: A Multi-task Graph Transformer for Heterogeneous Temporal Electronic Health Records5 Aug 2026
- 2026Patients-like-me: A Variational LM--GNN Framework for Explainable Clinical Prediction4 Aug 2026
- 2026GRAIN: Molecules Are Not the Right Granularity -- Active-Ingredient Modeling for Safe Medication Recommendation30 Jul 2026
- 2026Improving Rare Medication Recommendation with Counterfactual Data Augmentation and Large Language Models23 Jul 2026
- 2026Teaching LLMs to Recommend and Defer in Underrepresented Epilepsy Care30 Jun 2026
- 2026SafeRx-Agent: A Knowledge-Grounded Multi-Agent Framework for Safe and Explainable Medication Recommendation27 May 2026
38 more
- 2026RxEval: A Prescription-Level Benchmark for Evaluating LLM Medication Recommendation14 May 2026
- 2026RePrompT: Recurrent Prompt Tuning for Integrating Structured EHR Encoders with Large Language Models20 Apr 2026
- 2026Towards a Medical AI Scientist30 Mar 2026
- 2026User-Adaptive Meta-Learning for Cold-Start Medication Recommendation with Uncertainty Filtering30 Jan 2026
- 2026PyHealth 2.0: A Comprehensive Open-Source Toolkit for Accessible and Reproducible Clinical Deep Learning23 Jan 2026
- 2025Medical Test-free Disease Detection Based on Big Data26 Nov 2025
- 2025CafeMed: Causal Attention Fusion Enhanced Medication Recommendation18 Nov 2025
- 2025Dual-Pathway Fusion of EHRs and Knowledge Graphs for Predicting Unseen Drug-Drug Interactions10 Nov 2025
- 2025Overview of CHIP 2025 Shared Task 2: Discharge Medication Recommendation for Metabolic Diseases Based on Chinese Electronic Health Records9 Nov 2025
- 2025Traceable Drug Recommendation over Medical Knowledge Graphs31 Oct 2025
- 2025MediRec: Enhancing Chinese Medication Recommendation with Explainable Clinical Reasoning24 Oct 2025
- 2025MMM: Quantum-Chemical Molecular Representation Learning for Combinatorial Drug Recommendation9 Oct 2025
- 2025HiRef: Leveraging Hierarchical Ontology and Network Refinement for Robust Medication Recommendation14 Aug 2025
- 2025Lessons Learned from Evaluation of LLM based Multi-agents in Safer Therapy Recommendation15 Jul 2025
- 2025Bridging Data Gaps of Rare Conditions in ICU: A Multi-Disease Adaptation Approach for Clinical Prediction8 Jul 2025
- 2025ARMR: Adaptively Responsive Network for Medication Recommendation6 Jul 2025
- 2025SAFER: A Calibrated Risk-Aware Multimodal Recommendation Model for Dynamic Treatment Regimes7 Jun 2025
- 2025Recent Developments in GNNs for Drug Discovery2 Jun 2025
- 2025Fine-grained List-wise Alignment for Generative Medication Recommendation26 May 2025
- 2025KEDRec-LM: A Knowledge-distilled Explainable Drug Recommendation Large Language Model27 Feb 2025
- 2025Democratizing Large Language Model-Based Graph Data Augmentation via Latent Knowledge Graphs19 Feb 2025
- 2025Unveiling Discrete Clues: Superior Healthcare Predictions for Rare Diseases23 Jan 2025
- 2025Natural Language-Assisted Multi-modal Medication Recommendation13 Jan 2025
- 2024RareAgents: Autonomous Multi-disciplinary Team for Rare Disease Diagnosis and Treatment17 Dec 2024
- 2024Multi-task Heterogeneous Graph Learning on Electronic Health Records14 Aug 2024
- 2024Contrastive Learning on Medical Intents for Sequential Prescription Recommendation13 Aug 2024
- 2024MiranDa: Mimicking the Learning Processes of Human Doctors to Achieve Causal Inference for Medication Recommendation23 Jul 2024
- 2024TACCO: Task-guided Co-clustering of Clinical Concepts and Patient Visits for Disease Subtyping based on EHR Data14 Jun 2024
- 2024Predictive Modeling with Temporal Graphical Representation on Electronic Health Records7 May 2024
- 2024CIDGMed: Causal Inference-Driven Medication Recommendation with Enhanced Dual-Granularity Learning1 Mar 2024
- 2024Node Duplication Improves Cold-start Link Prediction15 Feb 2024
- 2024Large Language Model Distilling Medication Recommendation Model5 Feb 2024
- 2024OntoMedRec: Logically-Pretrained Model-Agnostic Ontology Encoders for Medication Recommendation29 Jan 2024
- 2023VITA: 'Carefully Chosen and Weighted Less' Is Better in Medication Recommendation19 Dec 2023
- 2023ALGNet: Attention Light Graph Memory Network for Medical Recommendation System9 Dec 2023
- 2023Knowledge-Induced Medicine Prescribing Network for Medication Recommendation23 Oct 2023
- 2023DKINet: Medication Recommendation via Domain Knowledge Informed Deep Learning31 May 2023
- 2023Sequential Condition Evolved Interaction Knowledge Graph for Traditional Chinese Medicine Recommendation29 May 2023
50 newest of 54 All 54 (JSON)
- 2026SafeRx-Agent: A Knowledge-Grounded Multi-Agent Framework for Safe and Explainable Medication Recommendationcited by 2
- 2025Lessons Learned from Evaluation of LLM based Multi-agents in Safer Therapy Recommendationcited by 0
- 2026HEM-Med: A Hierarchical Agentic Memory Framework for Safe Multi-Center Medication Recommendationcited by 0
- 2026HEM-Med: A Hierarchical Agentic Memory Framework for Safe Multi-Center Medication Recommendation14 Oct 2026
- 2026SafeRx-Agent: A Knowledge-Grounded Multi-Agent Framework for Safe and Explainable Medication Recommendation27 May 2026
- 2025Lessons Learned from Evaluation of LLM based Multi-agents in Safer Therapy Recommendation15 Jul 2025
- 2023GraphCare: Enhancing Healthcare Predictions with Personalized Knowledge Graphscited by 58
- 2022Graph-based Molecular Representation Learningcited by 51
- 2024Large Language Model Distilling Medication Recommendation Modelcited by 26
- 2023ManyDG: Many-domain Generalization for Healthcare Applicationscited by 23
- 2024Predictive Modeling with Temporal Graphical Representation on Electronic Health Recordscited by 9
- 2023VITA: 'Carefully Chosen and Weighted Less' Is Better in Medication Recommendationcited by 8
- 2024TACCO: Task-guided Co-clustering of Clinical Concepts and Patient Visits for Disease Subtyping based on EHR Datacited by 7
- 2024Contrastive Learning on Medical Intents for Sequential Prescription Recommendationcited by 7
- 2026Towards a Medical AI Scientistcited by 7
- 2024RareAgents: Autonomous Multi-disciplinary Team for Rare Disease Diagnosis and Treatmentcited by 6
- 2024Multi-task Heterogeneous Graph Learning on Electronic Health Recordscited by 5
- 2025Unveiling Discrete Clues: Superior Healthcare Predictions for Rare Diseasescited by 5
12 most cited of 48 All 48 (JSON)
- 2026HADRec: A Hierarchy-Aware Drug Recommendation Framework by Fusing Molecular Knowledge and Electronic Health Record1 Oct 2026
- 2026ReLMem: Learning Recurrent Memory for Longitudinal EHR Modeling29 Sep 2026
- 2026Coupled Graph--Policy Distillation for Personalized Medication Safety in Older Adults with Multimorbidity10 Aug 2026
- 2026MiGHT-EHR: A Multi-task Graph Transformer for Heterogeneous Temporal Electronic Health Records5 Aug 2026
- 2026Patients-like-me: A Variational LM--GNN Framework for Explainable Clinical Prediction4 Aug 2026
- 2026GRAIN: Molecules Are Not the Right Granularity -- Active-Ingredient Modeling for Safe Medication Recommendation30 Jul 2026
- 2026Improving Rare Medication Recommendation with Counterfactual Data Augmentation and Large Language Models23 Jul 2026
- 2026Teaching LLMs to Recommend and Defer in Underrepresented Epilepsy Care30 Jun 2026
- 2026RxEval: A Prescription-Level Benchmark for Evaluating LLM Medication Recommendation14 May 2026
- 2026RePrompT: Recurrent Prompt Tuning for Integrating Structured EHR Encoders with Large Language Models20 Apr 2026
- 2026Towards a Medical AI Scientist30 Mar 2026
- 2026User-Adaptive Meta-Learning for Cold-Start Medication Recommendation with Uncertainty Filtering30 Jan 2026
12 newest of 48 All 48 (JSON)