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Coadministration of entecavir with lamivudine, adefovir dipivoxil,or tenofovir disoproxil fumarate did not result in significant drug interactions.
lamivudine
adefovir dipivoxil
NONE
Entecavir_ddi.xml
DDI-DrugBank.d295.s1
DDI-DrugBank.d295.s1.p3
Particular caution is necessary when using ROMAZICON in cases of mixed drug overdosage since the toxic effects (such as convulsions and cardiac dysrhythmias) of other drugs taken in overdose (especially cyclic antidepressants) may emerge with the reversal of the benzodiazepine effect by flumazenil.
ROMAZICON
cyclic antidepressants
EFFECT
Flumazenil_ddi.xml
DDI-DrugBank.d234.s2
DDI-DrugBank.d234.s2.p0
The effects of allopurinol on didanosine pharmacokinetics in subjects with normal renal function are not known.
allopurinol
didanosine
NONE
Didanosine_ddi.xml
DDI-DrugBank.d43.s3
DDI-DrugBank.d43.s3.p0
Inhibitors of this isoenzyme (e.g., macrolide antibiotics, azole antifungal agents, protease inhibitors, serotonin reuptake inhibitors, amiodarone, cannabinoids, diltiazem, grapefruit juice, nefazadone, norfloxacin, quinine, zafirlukast) should be cautiously coadministered with TIKOSYN as they can potentially increase dofetilide levels.
amiodarone
dofetilide
NONE
Dofetilide_ddi.xml
DDI-DrugBank.d558.s25
DDI-DrugBank.d558.s25.p49
Central Nervous System Depressants: The concomitant use of DURAGESIC (fentanyl transdermal system) with other central nervous system depressants, including but not limited to other opioids, sedatives, hypnotics, tranquilizers (e.g., benzodiazepines), general anesthetics, phenothiazines, skeletal muscle relaxants, and alcohol, may cause respiratory depression, hypotension, and profound sedation, or potentially result in coma or death.
tranquilizers
anesthetics
NONE
Fentanyl_ddi.xml
DDI-DrugBank.d170.s5
DDI-DrugBank.d170.s5.p64
Before taking glimepiride, tell your doctor if you are taking any of the following medicines: - aspirin or another salicylate such as magnesium/choline salicylate (Trilisate), salsalate (Disalcid, others), choline salicylate (Arthropan), magnesium salicylate (Magan), or bismuth subsalicylate (Pepto-Bismol);
glimepiride
Disalcid
ADVISE
Glimepiride_ddi.xml
DDI-DrugBank.d521.s1
DDI-DrugBank.d521.s1.p5
Platelet inhibitors: Drugs such as acetylsalicylic acid, dextran, phenylbutazone, ibuprofen, indomethacin, dipyridamole, hydroxychloroquine and others that interfere with platelet-aggregation reactions (the main hemostatic defense of heparinized patients) may induce bleeding and should be used with caution in patients receiving heparin sodium.
phenylbutazone
heparin sodium
EFFECT
Heparin_ddi.xml
DDI-DrugBank.d488.s2
DDI-DrugBank.d488.s2.p25
Literature reports suggest that oral calcium antagonists may be used in combination with beta-adrenergic blocking agents when heart function is normal, but should be avoided in patients with impaired cardiac function.
calcium antagonists
beta-adrenergic blocking agents
ADVISE
Betaxolol_ddi.xml
DDI-DrugBank.d489.s5
DDI-DrugBank.d489.s5.p0
During clinical trials, iloprost was used concurrently with anticoagulants, diuretics, cardiac glycosides, calcium channel blockers, analgesics, antipyretics, nonsteroidal antiinflammatories, corticosteroids, and other medications.
anticoagulants
antipyretics
NONE
Iloprost_ddi.xml
DDI-DrugBank.d549.s3
DDI-DrugBank.d549.s3.p12
Antiarrhythmics: bepridil, lidocaine (systemic) and quinidine
lidocaine
quinidine
NONE
Indinavir_ddi.xml
DDI-DrugBank.d97.s57
DDI-DrugBank.d97.s57.p5
Although metoclopramide may increase the bioavailability of levodopa by increasing gastric emptying, metoclopramide may also adversely affect disease control by its dopamine receptor antagonistic properties.
metoclopramide
levodopa
MECHANISM
Carbidopa_ddi.xml
DDI-DrugBank.d47.s7
DDI-DrugBank.d47.s7.p0
Barbiturates may decrease the effectiveness of oral contraceptives, certain antibiotics, quinidine, theophylline, corticosteroids, anticoagulants, and beta blockers.
Barbiturates
anticoagulants
EFFECT
Hexobarbital_ddi.xml
DDI-DrugBank.d457.s0
DDI-DrugBank.d457.s0.p5
Lithium carbonate: The anorectic and stimulatory effects of amphetamines may be inhibited by lithium carbonate.
Lithium carbonate
lithium carbonate
NONE
Lisdexamfetamine_ddi.xml
DDI-DrugBank.d158.s15
DDI-DrugBank.d158.s15.p1
Binding to Serum Proteins: The following agents may either inhibit levothyroxine sodium binding to serum proteins or alter the concentrations of serum binding proteins: androgens and related anabolic hormones, asparaginase, clofibrate, estrogens and estrogen-containing compounds, 5-fluorouracil, furosemide, glucocorticoids, meclofenamic acid, mefenamic acid, methadone, perphenazine, phenylbutazone, phenytoin, salicylates, tamoxifen.
levothyroxine sodium
meclofenamic acid
MECHANISM
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s3
DDI-DrugBank.d411.s3.p9
BROVANA, as with other beta2-agonists, should be administered with extreme caution to patients being treated with monoamine oxidase inhibitors, tricyclic antidepressants, or drugs known to prolong the QTc interval because the action of adrenergic agonists on the cardiovascular system may be potentiated by these agents.
beta2-agonists
monoamine oxidase inhibitors
ADVISE
Arformoterol_ddi.xml
DDI-DrugBank.d284.s6
DDI-DrugBank.d284.s6.p4
It is recommended that if CASODEX is started in patients already receiving coumarin anticoagulants, prothrombin times should be closely monitored and adjustment of the anticoagulant dose may be necessary.
CASODEX
anticoagulant
ADVISE
Bicalutamide_ddi.xml
DDI-DrugBank.d266.s1
DDI-DrugBank.d266.s1.p1
Selective Serotonin Reuptake Inhibitors (SSRIs): SSRIs (e.g., fluoxetine, fluvoxamine, paroxetine, sertraline) have been rarely reported to cause weakness, hyperreflexia, and incoordination when coadministered with 5-HT1 agonists.
sertraline
5-HT1 agonists
EFFECT
Almotriptan_ddi.xml
DDI-DrugBank.d299.s6
DDI-DrugBank.d299.s6.p27
- Drugs whose efficacy is impaired by phenytoin include: anticoagulants, corticosteroids, coumarin, digitoxin, doxycycline, estrogens, furosemide, oral contraceptives, rifampin, quinidine, theophylline, vitamin D.
phenytoin
contraceptives
EFFECT
Fosphenytoin_ddi.xml
DDI-DrugBank.d40.s19
DDI-DrugBank.d40.s19.p7
Drugs That Should Not Be Coadministered With VIRACEPT Antiarrhythmics: amiodarone, quinidine Antihistamines: astemizole, terfenadine Antimigraine: ergot derivatives Antimycobacterial agents: rifampin Benzodiazepines midazolam, triazolam GI motility agents: cisapride
VIRACEPT
rifampin
ADVISE
Nelfinavir_ddi.xml
DDI-DrugBank.d340.s6
DDI-DrugBank.d340.s6.p8
The steady state plasma concentrations of imipramine and desipramine have been reported to be increased an average of 31% and 20%, respectively, by the concomitant administration of alprazolam tablets in doses up to 4 mg/day.
desipramine
alprazolam
MECHANISM
Alprazolam_ddi.xml
DDI-DrugBank.d131.s1
DDI-DrugBank.d131.s1.p2
Therefore, hormonal contraceptives, including oral, injectable, transdermal, and implantable forms, may not be reliable when TRACLEER is co-administered.
hormonal contraceptives
TRACLEER
EFFECT
Bosentan_ddi.xml
DDI-DrugBank.d289.s8
DDI-DrugBank.d289.s8.p0
however, as with other NSAIDs, concomitant administration of Lodine and aspirin is not generally recommended because of the potential of increased adverse effects.
Lodine
aspirin
ADVISE
Etodolac_ddi.xml
DDI-DrugBank.d219.s6
DDI-DrugBank.d219.s6.p2
A rare, but serious, constellation of symptoms, termed serotonin syndrome, has been reported with the concomitant use of selective serotonin reuptake inhibitors (SSRIs) and agents for migraine therapy, such as Imitrex (sumatriptan succinate) and dihydroergotamine.
SSRIs
dihydroergotamine
EFFECT
Dexfenfluramine_ddi.xml
DDI-DrugBank.d423.s4
DDI-DrugBank.d423.s4.p6
There have been reports of interactions of erythromycin with carbamazepine, cyclosporine, tacrolimus, hexobarbital, phenytoin, alfentanil, cisapride, disopyramide, lovastatin, bromocriptine, valproate, terfenadine, and astemizole.
erythromycin
hexobarbital
INT
Erythromycin_ddi.xml
DDI-DrugBank.d397.s8
DDI-DrugBank.d397.s8.p3
In simultaneous treatment with imidazole drugs and coumarin drugs, the anticoagulant effect should be carefully titrated and monitored.
imidazole drugs
coumarin drugs
ADVISE
Ketoconazole_ddi.xml
DDI-DrugBank.d458.s20
DDI-DrugBank.d458.s20.p0
Therefore, caution should be used when administering nitazoxanide concurrently with other highly plasma protein-bound drugs with narrow therapeutic indices, as competition for binding sites may occur (e.g., warfarin).
nitazoxanide
warfarin
MECHANISM
Nitazoxanide_ddi.xml
DDI-DrugBank.d354.s1
DDI-DrugBank.d354.s1.p0
Therefore, co-administration of Duloxetine with other drugs that are extensively metabolized by this isozyme and which have a narrow therapeutic index, including certain antidepressants (tricyclic antidepressants [TCAs], such as nortriptyline, amitriptyline, and imipramine), phenothiazines and Type 1C antiarrhythmics (e.g., propafenone, flecainide), should be approached with caution.
Type 1C antiarrhythmics
flecainide
NONE
Duloxetine_ddi.xml
DDI-DrugBank.d548.s9
DDI-DrugBank.d548.s9.p53
It is advisable to check coagulation time within the first few days after the start and discontinuation of cisapride therapy, with an appropriate adjustment of the anticoagulant dose, if necessary.
cisapride
anticoagulant
ADVISE
Cisapride_ddi.xml
DDI-DrugBank.d237.s5
DDI-DrugBank.d237.s5.p0
The use of NSAIDs in patients who are receiving ACE inhibitors may potentiate renal disease states.
NSAIDs
ACE inhibitors
EFFECT
Naproxen_ddi.xml
DDI-DrugBank.d85.s0
DDI-DrugBank.d85.s0.p0
Although no clinical studies have been conducted, it is likely that the metabolism of levobupivacaine may be affected by the known CYP3A4 inducers (such as phenytoin, phenobarbital, rifampin), CYP3A4 inhibitors (azole antimycotics e.g., ketoconazole;
levobupivacaine
phenobarbital
MECHANISM
Levobupivacaine_ddi.xml
DDI-DrugBank.d320.s3
DDI-DrugBank.d320.s3.p1
Antithyroid agents may decrease thyroidal uptake of sodium iodide I131, a rebound in uptake may occur up to 5 days after sudden withdrawal of Carbimazole.
Antithyroid agents
sodium iodide I131
EFFECT
Carbimazole_ddi.xml
DDI-DrugBank.d213.s3
DDI-DrugBank.d213.s3.p0
Fenfluramine may increase slightly the effect of antihypertensive drugs, e.g., guanethidine, methyldopa, reserpine.
Fenfluramine
guanethidine
EFFECT
Fenfluramine_ddi.xml
DDI-DrugBank.d104.s0
DDI-DrugBank.d104.s0.p1
Inhibitors of this isoenzyme (e.g., macrolide antibiotics, azole antifungal agents, protease inhibitors, serotonin reuptake inhibitors, amiodarone, cannabinoids, diltiazem, grapefruit juice, nefazadone, norfloxacin, quinine, zafirlukast) should be cautiously coadministered with TIKOSYN as they can potentially increase dofetilide levels.
cannabinoids
TIKOSYN
ADVISE
Dofetilide_ddi.xml
DDI-DrugBank.d558.s25
DDI-DrugBank.d558.s25.p55
Diphenhydramine hydrochloride has additive effects with alcohol and other CNS depressants (hypnotics, sedatives, tranquilizers, etc).
Diphenhydramine hydrochloride
hypnotics
EFFECT
Diphenhydramine_ddi.xml
DDI-DrugBank.d296.s0
DDI-DrugBank.d296.s0.p2
Coadministration of ethoxzolamide with other diuretics, amphotericin B, and corticosteroids may cause hypokalemia.
ethoxzolamide
amphotericin B
EFFECT
Ethoxzolamide_ddi.xml
DDI-DrugBank.d286.s2
DDI-DrugBank.d286.s2.p1
Benzodiazepines: Combination hormonal contraceptives may decrease the clearance of some benzodiazepines (alprazolam, chlordiazepoxide, diazepam) and increase the clearance of others (lorazepam, oxazepam, temazepam).
hormonal contraceptives
benzodiazepines
MECHANISM
Ethynodiol Diacetate_ddi.xml
DDI-DrugBank.d485.s17
DDI-DrugBank.d485.s17.p8
The effects of adenosine are antagonized by methylxanthines such as caffeine and theophylline.
adenosine
caffeine
EFFECT
Adenosine_ddi.xml
DDI-DrugBank.d226.s4
DDI-DrugBank.d226.s4.p1
Multivalent Cation-Containing Products: Concurrent administration of a quinolone, including ciprofloxacin, with multivalent cation-containing products such as magnesium or aluminum antacids, sucralfate, VIDEX chewable/buffered tablets or pediatric powder, or products containing calcium, iron, or zinc may substantially decrease the absorption of ciprofloxacin, resulting in serum and urine levels considerably lower than desired.
ciprofloxacin
aluminum
MECHANISM
Ciprofloxacin_ddi.xml
DDI-DrugBank.d123.s8
DDI-DrugBank.d123.s8.p11
astemizole midazolam, triazolam cisapride ergot derivatives voriconazole
midazolam
cisapride
NONE
Efavirenz_ddi.xml
DDI-DrugBank.d531.s11
DDI-DrugBank.d531.s11.p5
Digoxin, Nimodipine and Losartan: Bosentan has no significant pharmacokinetic interactions with digoxin and nimodipine, and losartan has no significant effect on plasma levels of bosentan.
Digoxin
Nimodipine
NONE
Bosentan_ddi.xml
DDI-DrugBank.d289.s32
DDI-DrugBank.d289.s32.p0
FLEXERIL may have life-threatening interactions with MAO inhibitors.
FLEXERIL
MAO inhibitors
INT
Cyclobenzaprine_ddi.xml
DDI-DrugBank.d150.s0
DDI-DrugBank.d150.s0.p0
While it is not known whether this interaction occurs with fibrates other than gemfibrozil, myopathy and rhabdomyolysis have occasionally been associated with the use of fibrates alone, including clofibrate.
fibrates
gemfibrozil
NONE
Clofibrate_ddi.xml
DDI-DrugBank.d12.s8
DDI-DrugBank.d12.s8.p0
Although not studied with alosetron, inhibition of N-acetyltransferase may have clinically relevant consequences for drugs such as isoniazid, procainamide, and hydralazine.
alosetron
hydralazine
EFFECT
Alosetron_ddi.xml
DDI-DrugBank.d364.s15
DDI-DrugBank.d364.s15.p2
However, co administration of fexofenadine hydrochloride with either ketoconazole or erythromycin led to increased plasma concentrations of fexofenadine.
fexofenadine hydrochloride
erythromycin
MECHANISM
Fexofenadine_ddi.xml
DDI-DrugBank.d466.s1
DDI-DrugBank.d466.s1.p1
Drugs that reportedly may increase oral anticoagulant response, ie, increased prothrombin response, in man include:alcohol*;allopurinol;aminosalicylic acid;amiodarone;anabolic steroids;antibiotics;bromelains;chloral hydrate*;chlorpropamide;chymotrypsin;cimetidine;cinchophen;clofibrate;dextran;dextrothyroxine;diazoxide;dietary deficiencies;diflunisal;disulfiram;drugs affecting blood elements;ethacrynic acid;fenoprofen;glucagon;hepatotoxic drugs;ibuprofen;indomethacin;influenza virus vaccine;inhalation anesthetics;mefenamic acid;methyldopa;methylphenidate;metronidazole;miconazole;monoamine oxidase inhibitors;nalidixic acid;naproxen;oxolinic acid;oxyphenbutazone;pentoxifylline;phenylbutazone;phenyramidol;phenytoin;prolonged hot weather;prolonged narcotics;pyrazolones;quinidine;quinine;ranitidine*;salicylates;sulfinpyrazone;sulfonamides, long acting;sulindac;thyroid drugs;tolbutamide;triclofos sodium;trimethoprim/sulfamethoxazole;unreliable prothrombin time determinations;warfarin sodium overdosage.
cinchophen
diazoxide
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p585
The daily dose of ENABLEX should not exceed 7.5 mg when coadministered with potent CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir, nelfinavir, clarithromycin and nefazadone) .
ENABLEX
ketoconazole
ADVISE
Darifenacin_ddi.xml
DDI-DrugBank.d459.s0
DDI-DrugBank.d459.s0.p0
ERGAMISOL (levamisole hydrochloride) has been reported to produce ANTABUSE-like side effects when given concomitantly with alcohol.
levamisole hydrochloride
alcohol
EFFECT
Levamisole_ddi.xml
DDI-DrugBank.d381.s0
DDI-DrugBank.d381.s0.p2
Example inhibitors include azole antifungals, ciprofloxacin, clarithromycin, diclofenac, doxycycline, erythromycin, imatinib, isoniazid, nefazodone, nicardipine, propofol, protease inhibitors, quinidine, and verapamil.
clarithromycin
verapamil
NONE
Chlorpheniramine_ddi.xml
DDI-DrugBank.d235.s4
DDI-DrugBank.d235.s4.p35
However, careful attention must be directed to cross toxicity and possible pharmacokinetic interactions between antiretroviral and antineoplastic drugs.
antiretroviral drugs
antineoplastic drugs
ADVISE
11148572.xml
DDI-MedLine.d115.s14
DDI-MedLine.d115.s14.p0
Codeine in combination with other narcotic analgesics, general anesthetics, phenothiazines, tranquilizers, sedative-hypnotics, or other CNS depressants (including alcohol) has additive depressant effects.
Codeine
anesthetics
EFFECT
Codeine_ddi.xml
DDI-DrugBank.d464.s0
DDI-DrugBank.d464.s0.p1
On the basis of the metabolism of bexarotene by cytochrome P450 3A4, ketoconazole, itraconazole, erythromycin, gemfibrozil, grapefruit juice, and other inhibitors of cytochrome P450 3A4 would be expected to lead to an increase in plasma bexarotene concentrations.
gemfibrozil
bexarotene
MECHANISM
Bexarotene_ddi.xml
DDI-DrugBank.d467.s2
DDI-DrugBank.d467.s2.p14
The treatment of ewes with an intravenous (IV) injection of trichlorfon, insufficient to produce significant inhibition of erythrocyte acetylcholinesterase (AChE) activity, appeared to produce additive effects with those produced by subsequent treatment with 4 mg of coumaphos/kg/day.
trichlorfon
coumaphos
EFFECT
46730.xml
DDI-MedLine.d5.s3
DDI-MedLine.d5.s3.p0
Binding to Serum Proteins: The following agents may either inhibit levothyroxine sodium binding to serum proteins or alter the concentrations of serum binding proteins: androgens and related anabolic hormones, asparaginase, clofibrate, estrogens and estrogen-containing compounds, 5-fluorouracil, furosemide, glucocorticoids, meclofenamic acid, mefenamic acid, methadone, perphenazine, phenylbutazone, phenytoin, salicylates, tamoxifen.
perphenazine
phenylbutazone
NONE
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s3
DDI-DrugBank.d411.s3.p143
Concomitant administration of FACTIVE and calcium carbonate, cimetidine, omeprazole, or an estrogen/progesterone oral contraceptive produced minor changes in the pharmacokinetics of gemifloxacin, which were considered to be without clinical significance.
FACTIVE
cimetidine
MECHANISM
Gemifloxacin_ddi.xml
DDI-DrugBank.d347.s1
DDI-DrugBank.d347.s1.p1
Also, concomitant administration of quinolones with products containing iron, multivitamins containing zinc, or Videx (didanosine) chewable/buffered tablets or the pediatric powder for oral solution may result in low urine levels.
quinolones
zinc
MECHANISM
Cinoxacin_ddi.xml
DDI-DrugBank.d562.s7
DDI-DrugBank.d562.s7.p2
The benzodiazepines, including alprazolam, produce additive CNS depressant effects when co-administered with other psychotropic medications, anticonvulsants, antihistaminics, ethanol, and other drugs which themselves produce CNS depression.
alprazolam
anticonvulsants
EFFECT
Alprazolam_ddi.xml
DDI-DrugBank.d131.s0
DDI-DrugBank.d131.s0.p6
Bromocriptine mesylate may interact with dopamine antagonists, butyrophenones, and certain other agents.
Bromocriptine mesylate
butyrophenones
INT
Bromocriptine_ddi.xml
DDI-DrugBank.d272.s1
DDI-DrugBank.d272.s1.p1
Patients receiving other narcotic analgesics, general anesthetics, phenothiazines, tranquilizers, sedative-hypnotics, tricyclic antidepressants or other CNS depressants (including alcohol) concomitantly with DILAUDID may exhibit an additive CNS depression.
CNS depressants
DILAUDID
EFFECT
Hydromorphone_ddi.xml
DDI-DrugBank.d26.s0
DDI-DrugBank.d26.s0.p34
Certain drugs including thiazides, corticosteroids, thyroid products, and sympathomimetics may reduce the hypoglycemic action of Starlix and other oral antidiabetic drugs.
thiazides
antidiabetic drugs
EFFECT
Nateglinide_ddi.xml
DDI-DrugBank.d460.s15
DDI-DrugBank.d460.s15.p4
Concomitant medications were grouped as ACE inhibitors, oral anticoagulants, calcium channel blockers, beta blockers, cardiac glycosides, inducers of CYP3A4, substrates and inhibitors of CYP3A4, substrates and inhibitors of P-glycoprotein, nitrates, sulphonylureas, loop diuretics, potassium sparing diuretics, thiazide diuretics, substrates and inhibitors of tubular organic cation transport, and QTc-prolonging drugs.
beta blockers
cardiac glycosides
NONE
Dofetilide_ddi.xml
DDI-DrugBank.d558.s35
DDI-DrugBank.d558.s35.p24
Concurrent administration of vasopressor drugs (for the treatment of hypotension related to obstetric blocks) and ergot-type oxytocic drugs may cause severe, persistent hypertension or cerebrovascular accidents.
vasopressor drugs
ergot-type oxytocic drugs
EFFECT
Chloroprocaine_ddi.xml
DDI-DrugBank.d110.s3
DDI-DrugBank.d110.s3.p0
Antiepileptic Drugs: Sporadic cases of seizures have been reported during concomitant use of TORADOL and antiepileptic drugs (phenytoin, carbamazepine).
antiepileptic drugs
phenytoin
NONE
Ketorolac_ddi.xml
DDI-DrugBank.d3.s18
DDI-DrugBank.d3.s18.p7
Alcohol: It should be borne in mind that alcohol ingestion may increase the danger inherent in any intentional or unintentional SINEQUAN overdosage.
alcohol
SINEQUAN
MECHANISM
Doxepin_ddi.xml
DDI-DrugBank.d223.s26
DDI-DrugBank.d223.s26.p2
Anticonvulsants (carbamazepine, felbamate, phenobarbital, phenytoin, topiramate): Increase the metabolism of ethinyl estradiol and/or some progestins, leading to possible decrease in contraceptive effectiveness.
phenobarbital
ethinyl estradiol
MECHANISM
Ethynodiol Diacetate_ddi.xml
DDI-DrugBank.d485.s12
DDI-DrugBank.d485.s12.p20
Etonogestrel may interact with the following medications: acetaminophen (Tylenol), antibiotics such as ampicillin and tetracycline, anticonvulsants (Dilantin, Phenobarbital, Tegretol, Trileptal, Topamax, Felbatol), antifungals (Gris-PEG, Nizoral, Sporanox), atorvastatin (Lipitor), clofibrate (Atromid-S), cyclosporine (Neoral, Sandimmune), HIV drugs classified as protease inhibitors (Agenerase, Crixivan, Fortovase, Invirase, Kaletra, Norvir, Viracept), morphine (Astramorph, Kadian, MS Contin), phenylbutazone, prednisolone (Prelone), rifadin (rifampin), St. Johns wort, temazepam, theophylline (Theo-Dur), and vitamin C.
antifungals
temazepam
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p521
Ampicillin/Amoxicillin: An increase in the frequency of skin rash has been reported among patients receiving ampicillin or amoxicillin concurrently with allopurinol compared to patients who are not receiving both drugs.
ampicillin
allopurinol
EFFECT
Allopurinol_ddi.xml
DDI-DrugBank.d413.s16
DDI-DrugBank.d413.s16.p8
Omeprazole: The rate and extent of absorption of ciprofloxacin was bioequivalent when Proquin XR was given alone or when Proquin XR was given 2 hours after omeprazole at the dose that maximally suppresses gastric acid secretion.
ciprofloxacin
Proquin XR
NONE
Ciprofloxacin_ddi.xml
DDI-DrugBank.d123.s12
DDI-DrugBank.d123.s12.p4
Antacids: Concomitant administration of antacids containing magnesium or aluminum with VIDEX Chewable/Dispersible Buffered Tablets or Pediatric Powder for Oral Solution may potentiate adverse events associated with the antacid components.
antacids
VIDEX
EFFECT
Didanosine_ddi.xml
DDI-DrugBank.d43.s4
DDI-DrugBank.d43.s4.p7
astemizole midazolam, triazolam cisapride ergot derivatives voriconazole
astemizole
triazolam
NONE
Efavirenz_ddi.xml
DDI-DrugBank.d531.s11
DDI-DrugBank.d531.s11.p1
Higher concentrations of dexamethasone (10(-8) - 10(-6) M) or retinyl acetate (3 X 10(-8) - 10(-7) M) enhance the mitogenic activity of EGF.
retinyl acetate
EGF
EFFECT
3881461.xml
DDI-MedLine.d12.s4
DDI-MedLine.d12.s4.p2
Digoxin: In patients with hypercholesterolemia, concomitant administration of lovastatin and digoxin resulted in no effect on digoxin plasma concentrations.
Digoxin
digoxin
NONE
Lovastatin_ddi.xml
DDI-DrugBank.d567.s21
DDI-DrugBank.d567.s21.p2
Agents that have been found, or are expected to have decreased plasma levels in the presence of EQUETROTM due to induction of CYP enzymes are the following: Acetaminophen, alprazolam, amitriptyline, bupropion, buspirone, citalopram, clobazam, clonazepam, clozapine, cyclosporin, delavirdine, desipramine, diazepam, dicumarol, doxycycline, ethosuximide, felbamate, felodipine, glucocorticoids, haloperidol, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, midazolam, mirtazapine, nortriptyline, olanzapine, oral contraceptives(3), oxcarbazepine, Phenytoin(4), praziquantel, protease inhibitors, quetiapine, risperidone, theophylline, topiramate, tiagabine, tramadol, triazolam, valproate, warfarin(5) , ziprasidone, and zonisamide.
EQUETROTM
amitriptyline
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p2
Isoflurane, enflurane, and halothane decrease the ED50 of NUROMAX by 30% to 45%.
Isoflurane
NUROMAX
MECHANISM
Doxacurium chloride_ddi.xml
DDI-DrugBank.d267.s3
DDI-DrugBank.d267.s3.p2
Macrolide Antibiotics (e. g. erythromycin and troleandomycin): Agents of the ergot alkaloid class, of which D.H.E. 45 (dihydroergotamine mesylate) Injection, USP is a member, have been shown to interact with antibiotics of the macrolide class, resulting in increased plasma levels of unchanged alkaloids and peripheral vasoconstriction.
erythromycin
ergot alkaloid class
NONE
Dihydroergotamine_ddi.xml
DDI-DrugBank.d410.s5
DDI-DrugBank.d410.s5.p8
Agents that have been found, or are expected to have decreased plasma levels in the presence of EQUETROTM due to induction of CYP enzymes are the following: Acetaminophen, alprazolam, amitriptyline, bupropion, buspirone, citalopram, clobazam, clonazepam, clozapine, cyclosporin, delavirdine, desipramine, diazepam, dicumarol, doxycycline, ethosuximide, felbamate, felodipine, glucocorticoids, haloperidol, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, midazolam, mirtazapine, nortriptyline, olanzapine, oral contraceptives(3), oxcarbazepine, Phenytoin(4), praziquantel, protease inhibitors, quetiapine, risperidone, theophylline, topiramate, tiagabine, tramadol, triazolam, valproate, warfarin(5) , ziprasidone, and zonisamide.
EQUETROTM
tramadol
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p39
Induction of apoptosis in breast cancer cells in response to vitamin D and antiestrogens.
vitamin D
antiestrogens
NONE
7654327.xml
DDI-MedLine.d53.s0
DDI-MedLine.d53.s0.p0
Lithium: Diclofenac decreases lithium renal clearance and increases lithium plasma levels.
Diclofenac
lithium
MECHANISM
Diclofenac_ddi.xml
DDI-DrugBank.d249.s8
DDI-DrugBank.d249.s8.p4
Etonogestrel may interact with the following medications: acetaminophen (Tylenol), antibiotics such as ampicillin and tetracycline, anticonvulsants (Dilantin, Phenobarbital, Tegretol, Trileptal, Topamax, Felbatol), antifungals (Gris-PEG, Nizoral, Sporanox), atorvastatin (Lipitor), clofibrate (Atromid-S), cyclosporine (Neoral, Sandimmune), HIV drugs classified as protease inhibitors (Agenerase, Crixivan, Fortovase, Invirase, Kaletra, Norvir, Viracept), morphine (Astramorph, Kadian, MS Contin), phenylbutazone, prednisolone (Prelone), rifadin (rifampin), St. Johns wort, temazepam, theophylline (Theo-Dur), and vitamin C.
antibiotics
rifadin
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p164
Inhibitors of CYP1A2: Concomitant use of duloxetine with fluvoxamine, an inhibitor of CYP1A2, results in approximately a 6-fold increase in AUC and about a 2.5-fold increase in Cmax of duloxetine.
duloxetine
fluvoxamine
MECHANISM
Duloxetine_ddi.xml
DDI-DrugBank.d548.s1
DDI-DrugBank.d548.s1.p0
Data from in vitro studies of alprazolam suggest a possible drug interaction with alprazolam for the following: sertraline and paroxetine.
alprazolam
sertraline
INT
Alprazolam_ddi.xml
DDI-DrugBank.d131.s9
DDI-DrugBank.d131.s9.p3
Data from in vitro studies of benzodiazepines other than alprazolam suggest a possible drug interaction for the following: ergotamine, cyclosporine, amiodarone, nicardipine, and nifedipine.
alprazolam
nicardipine
INT
Alprazolam_ddi.xml
DDI-DrugBank.d131.s10
DDI-DrugBank.d131.s10.p9
Other Drugs: In small groups of patients (7-10/interaction study), the concomitant administration of azathioprine, gold, chloroquine, D-penicillamine, prednisolone, doxycycline, or digitoxin did not significantly affect the peak levels and AUC values of diclofenac.
chloroquine
digitoxin
NONE
Diclofenac_ddi.xml
DDI-DrugBank.d249.s16
DDI-DrugBank.d249.s16.p16
Agents that have been found, or are expected to have decreased plasma levels in the presence of EQUETROTM due to induction of CYP enzymes are the following: Acetaminophen, alprazolam, amitriptyline, bupropion, buspirone, citalopram, clobazam, clonazepam, clozapine, cyclosporin, delavirdine, desipramine, diazepam, dicumarol, doxycycline, ethosuximide, felbamate, felodipine, glucocorticoids, haloperidol, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, midazolam, mirtazapine, nortriptyline, olanzapine, oral contraceptives(3), oxcarbazepine, Phenytoin(4), praziquantel, protease inhibitors, quetiapine, risperidone, theophylline, topiramate, tiagabine, tramadol, triazolam, valproate, warfarin(5) , ziprasidone, and zonisamide.
lamotrigine
ziprasidone
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p780
Agents that are CYP3A4 inhibitors that have been found, or are expected, to increase plasma levels of EQUETROTM are the following: Acetazolamide, azole antifungals, cimetidine, clarithromycin(1), dalfopristin, danazol, delavirdine, diltiazem, erythromycin(1), fluoxetine, fluvoxamine, grapefruit juice, isoniazid, itraconazole, ketoconazole, loratadine, nefazodone, niacinamide, nicotinamide, protease inhibitors, propoxyphene, quinine, quinupristin, troleandomycin, valproate(1), verapamil, zileuton.
EQUETROTM
quinupristin
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.p21
Patients should be warned of the potential danger of the intravenous self-administration of benzodiazepines while under treatment with SUBOXONE or SUBUTEX.
benzodiazepines
SUBUTEX
ADVISE
Buprenorphine_ddi.xml
DDI-DrugBank.d380.s7
DDI-DrugBank.d380.s7.p1
Effects of Other Antiepileptic Drugs on Felbatol Phenytoin: Phenytoin causes an approximate doubling of the clearance of Felbatol (felbamate) at steady state and, therefore, the addition of phenytoin causes an approximate 45% decrease in the steady-state trough concentrations of Felbatol as compared to the same dose of Felbatol given as monotherapy.
Phenytoin
Felbatol
MECHANISM
Felbamate_ddi.xml
DDI-DrugBank.d434.s30
DDI-DrugBank.d434.s30.p21
Drugs that reportedly may increase oral anticoagulant response, ie, increased prothrombin response, in man include:alcohol*;allopurinol;aminosalicylic acid;amiodarone;anabolic steroids;antibiotics;bromelains;chloral hydrate*;chlorpropamide;chymotrypsin;cimetidine;cinchophen;clofibrate;dextran;dextrothyroxine;diazoxide;dietary deficiencies;diflunisal;disulfiram;drugs affecting blood elements;ethacrynic acid;fenoprofen;glucagon;hepatotoxic drugs;ibuprofen;indomethacin;influenza virus vaccine;inhalation anesthetics;mefenamic acid;methyldopa;methylphenidate;metronidazole;miconazole;monoamine oxidase inhibitors;nalidixic acid;naproxen;oxolinic acid;oxyphenbutazone;pentoxifylline;phenylbutazone;phenyramidol;phenytoin;prolonged hot weather;prolonged narcotics;pyrazolones;quinidine;quinine;ranitidine*;salicylates;sulfinpyrazone;sulfonamides, long acting;sulindac;thyroid drugs;tolbutamide;triclofos sodium;trimethoprim/sulfamethoxazole;unreliable prothrombin time determinations;warfarin sodium overdosage.
anticoagulant
sulindac
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p47
In addition, oxcarbazepine and MHD induce a subgroup of the cytochrome P450 3A family (CYP3A4 and CYP3A5) responsible for the metabolism of dihydropyridine calcium antagonists and oral contraceptives, resulting in a lower plasma concentration of these drugs.
oxcarbazepine
contraceptives
NONE
Oxcarbazepine_ddi.xml
DDI-DrugBank.d307.s9
DDI-DrugBank.d307.s9.p2
Lotensin has been used concomitantly with beta-adrenergic-blocking agents, calcium-channel-blocking agents, diuretics, digoxin, and hydralazine, without evidence of clinically important adverse interactions.
diuretics
hydralazine
NONE
Benazepril_ddi.xml
DDI-DrugBank.d561.s11
DDI-DrugBank.d561.s11.p13
Interaction of gentamycin and atracurium in anaesthetised horses.
gentamycin
atracurium
INT
8542840.xml
DDI-MedLine.d90.s0
DDI-MedLine.d90.s0.p0
Nucleoside Analogues Didanosine Co-administration of COPEGUS and didanosine is not recommended.
COPEGUS
didanosine
ADVISE
Peginterferon alfa-2a_ddi.xml
DDI-DrugBank.d196.s4
DDI-DrugBank.d196.s4.p2
While not systematically studied, certain drugs may induce the metabolism of bupropion (e.g., carbamazepine, phenobarbital, phenytoin).
bupropion
carbamazepine
MECHANISM
Bupropion_ddi.xml
DDI-DrugBank.d5.s8
DDI-DrugBank.d5.s8.p0
Therefore, co-administration of Duloxetine with other drugs that are extensively metabolized by this isozyme and which have a narrow therapeutic index, including certain antidepressants (tricyclic antidepressants [TCAs], such as nortriptyline, amitriptyline, and imipramine), phenothiazines and Type 1C antiarrhythmics (e.g., propafenone, flecainide), should be approached with caution.
Duloxetine
nortriptyline
ADVISE
Duloxetine_ddi.xml
DDI-DrugBank.d548.s9
DDI-DrugBank.d548.s9.p3
Anticoagulants including coumarin derivatives, indandione derivatives, and platelet aggregation inhibitors such as nonsteroidal anti-inflammatory drugs (NSAIDs), and aspirin may increase the risk of bleeding when administered concomitantly with ardeparin.
platelet aggregation inhibitors
ardeparin
EFFECT
Ardeparin_ddi.xml
DDI-DrugBank.d105.s0
DDI-DrugBank.d105.s0.p8
A rare, but serious, constellation of symptoms, termed serotonin syndrome, has been reported with the concomitant use of selective serotonin reuptake inhibitors (SSRIs) and agents for migraine therapy, such as Imitrex (sumatriptan succinate) and dihydroergotamine.
selective serotonin reuptake inhibitors
dihydroergotamine
EFFECT
Dexfenfluramine_ddi.xml
DDI-DrugBank.d423.s4
DDI-DrugBank.d423.s4.p3
When administered concurrently, the following drugs may interact with beta-adrenergic receptor blocking agents: Anesthetics, general: exaggeration of the hypotension induced by general anesthetics.
beta-adrenergic receptor blocking agents
Anesthetics
INT
Nadolol_ddi.xml
DDI-DrugBank.d204.s0
DDI-DrugBank.d204.s0.p0
Chlorotrianisene may interact with antidepressants, aspirin, barbiturates, bromocriptine, calcium supplements, corticosteroids, corticotropin, cyclosporine, dantrolene, nicotine, somatropin, tamoxifen, and warfarin.
Chlorotrianisene
tamoxifen
INT
Chlorotrianisene_ddi.xml
DDI-DrugBank.d446.s0
DDI-DrugBank.d446.s0.p11
Single doses of either cholestyramine or colestipol resins bind the hydrochlorothiazide and reduce its absorption from the gastrointestinal tract by up to 85 and 43 percent, respectively.
cholestyramine
hydrochlorothiazide
MECHANISM
Hydrochlorothiazide_ddi.xml
DDI-DrugBank.d162.s5
DDI-DrugBank.d162.s5.p2
In a 12-month controlled trial that included a 50 mcg once daily BROVANA dose, 30 of the 528 BROVANA -treated subjects received concomitant theophylline at study entry.
BROVANA
BROVANA
NONE
Arformoterol_ddi.xml
DDI-DrugBank.d284.s10
DDI-DrugBank.d284.s10.p0
A rare, but serious, constellation of symptoms, termed serotonin syndrome, has been reported with the concomitant use of selective serotonin reuptake inhibitors (SSRIs) and agents for migraine therapy, such as Imitrex (sumatriptan succinate) and dihydroergotamine.
SSRIs
sumatriptan succinate
EFFECT
Dexfenfluramine_ddi.xml
DDI-DrugBank.d423.s4
DDI-DrugBank.d423.s4.p5