sentence
stringlengths
27
1.01k
drug1
stringlengths
2
46
drug2
stringlengths
2
63
relation
stringclasses
5 values
source_file
stringclasses
566 values
sentence_id
stringlengths
17
21
pair_id
stringlengths
20
26
When used in therapeutic doses, azithromycin had a modest effect on the pharmacokinetics of atorvastatin, carbamazepine, cetirizine, didanosine, efavirenz, fluconazole, indinavir, midazolam, rifabutin, sildenafil, theophylline (intravenous and oral), triazolam, trimethoprim/sulfamethoxazole or zidovudine.
carbamazepine
trimethoprim
NONE
Azithromycin_ddi.xml
DDI-DrugBank.d53.s7
DDI-DrugBank.d53.s7.p39
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
mirtazapine
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p26
It is recommended that in patients taking anticoagulants, prothrombin time be determined before starting lovastatin and frequently enough during early therapy to insure that no significant alteration of prothrombin time occurs.
anticoagulants
lovastatin
ADVISE
Lovastatin_ddi.xml
DDI-DrugBank.d567.s16
DDI-DrugBank.d567.s16.p0
Following the administration of INAPSINE, the dose of other CNS depressant drugs should be reduced.
INAPSINE
CNS depressant drugs
ADVISE
Droperidol_ddi.xml
DDI-DrugBank.d254.s2
DDI-DrugBank.d254.s2.p0
Drug Interactions: The central anticholinergic syndrome can occur when anticholinergic agents such as AKINETON are administered concomitantly with drugs that have secondary anticholinergic actions, e.g., certain narcotic analgesics such as meperidine, the phenothiazines and other antipsychotics, tricyclic antidepressants, certain antiarrhythmics such as the quinidine salts, and antihistamines.
AKINETON
quinidine
EFFECT
Biperiden_ddi.xml
DDI-DrugBank.d401.s0
DDI-DrugBank.d401.s0.p15
Antacid: When atorvastatin and Maalox TC suspension were coadministered, plasma concentrations of atorvastatin decreased approximately 35%.
atorvastatin
atorvastatin
NONE
Atorvastatin_ddi.xml
DDI-DrugBank.d140.s1
DDI-DrugBank.d140.s1.p4
Specific Effects of Felbatol on Other Antiepileptic Drugs Phenytoin: Felbatol causes an increase in steady-state phenytoin plasma concentrations.
Felbatol
phenytoin
MECHANISM
Felbamate_ddi.xml
DDI-DrugBank.d434.s11
DDI-DrugBank.d434.s11.p9
Theophylline-related adverse effects have occurred in patients when theophylline and enoxacin were coadministered.
theophylline
enoxacin
EFFECT
Enoxacin_ddi.xml
DDI-DrugBank.d395.s22
DDI-DrugBank.d395.s22.p2
Thyroid Physiology: The following agents may alter thyroid hormone or TSH levels, generally by effects on thyroid hormone synthesis, secretion, distribution, metabolism, hormone action, or elimination, or altered TSH secretion: aminoglutethimide, p-aminosalicylic acid, amiodarone, androgens and related anabolic hormones, complex anions (thiocyanate, perchlorate, pertechnetate), antithyroid drugs, b-adrenergic blocking agents, carbamazepine, chloral hydrate, diazepam, dopamine and dopamine agonists, ethionamide, glucocorticoids, heparin, hepatic enzyme inducers, insulin, iodinated cholestographic agents, iodine-containing compounds, levodopa, lovastatin, lithium, 6-mercaptopurine, metoclopramide, mitotane, nitroprusside, phenobarbital, phenytoin, resorcinol, rifampin, somatostatin analogs, sulfonamides, sulfonylureas, thiazide diuretics.
diazepam
thiazide diuretics
NONE
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s4
DDI-DrugBank.d411.s4.p329
- Phenothiazines (acetophenazine [e.g., Tindal], chlorpromazine [e.g., Thorazine], fluphenazine [e.g., Prolixin], mesoridazine [e.g., Serentil], perphenazine [e.g., Trilafon], prochlorperazine [e.g., Compazine], promazine [e.g., Sparine], promethazine [e.g., Phenergan], thioridazine [e.g., Mellaril], trifluoperazine [e.g., Stelazine], triflupromazine [e.g., Vesprin], trimeprazine [e.g., Temaril]) or
Serentil
prochlorperazine
NONE
Sulfapyridine_ddi.xml
DDI-DrugBank.d179.s21
DDI-DrugBank.d179.s21.p166
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.
tricyclic antidepressants
amitriptyline
NONE
Duloxetine_ddi.xml
DDI-DrugBank.d548.s9
DDI-DrugBank.d548.s9.p21
astemizole, bepridil, sparfloxacin, and terodiline.
astemizole
terodiline
NONE
Cisapride_ddi.xml
DDI-DrugBank.d237.s18
DDI-DrugBank.d237.s18.p2
Effects of Erythromycin on Felbatol The coadministration of erythromycin (1000 mg/day) for 10 days did not alter the pharmacokinetic parameters of Cmax, Cmin, AUC, CI/kg or tmax at felbamate daily doses of 3000 or 3600 mg/day in 10 otherwise healthy subjects with epilepsy.
Erythromycin
felbamate
NONE
Felbamate_ddi.xml
DDI-DrugBank.d434.s36
DDI-DrugBank.d434.s36.p2
- Drugs whose efficacy is impaired by phenytoin include: anticoagulants, corticosteroids, coumarin, digitoxin, doxycycline, estrogens, furosemide, oral contraceptives, rifampin, quinidine, theophylline, vitamin D.
phenytoin
rifampin
EFFECT
Fosphenytoin_ddi.xml
DDI-DrugBank.d40.s19
DDI-DrugBank.d40.s19.p8
While all the selective serotonin reuptake inhibitors (SSRIs), e. g., fluoxetine, sertraline, and paroxetine, inhibit P450 2D6, they may vary in the extent of inhibition.
selective serotonin reuptake inhibitors
paroxetine
NONE
Imipramine_ddi.xml
DDI-DrugBank.d77.s15
DDI-DrugBank.d77.s15.p3
Cardiac effects of dopamine are antagonized by beta-adrenergic blocking agents, such as propranolol and metoprolol.
beta-adrenergic blocking agents
metoprolol
NONE
Dopamine_ddi.xml
DDI-DrugBank.d325.s4
DDI-DrugBank.d325.s4.p4
As with other antipsychotic agents, it should be noted that HALDOL may be capable of potentiating CNS depressants such as anesthetics, opiates, and alcohol.
HALDOL
CNS depressants
EFFECT
Haloperidol_ddi.xml
DDI-DrugBank.d186.s3
DDI-DrugBank.d186.s3.p5
Both efavirenz and nevirapine have been compared to triple therapy with the PI indinavir over 48 weeks as initial therapy, with similar responses being observed with nevirapine regimens and superiority observed with efavirenz.
nevirapine
indinavir
NONE
11217868.xml
DDI-MedLine.d132.s4
DDI-MedLine.d132.s4.p6
H2 Blockers/Proton Pump Inhibitors: Long-term suppression of gastric acid secretion by H2 blockers or proton pump inhibitors (eg, famotidine and omeprazole) is likely to reduce dasatinib exposure.
Proton Pump Inhibitors
H2 blockers
NONE
Dasatinib_ddi.xml
DDI-DrugBank.d48.s11
DDI-DrugBank.d48.s11.p6
Lithium: NSAIDs have produced an elevation of plasma lithium levels and a reduction in renal lithium clearance.
NSAIDs
lithium
MECHANISM
Mefenamic acid_ddi.xml
DDI-DrugBank.d400.s9
DDI-DrugBank.d400.s9.p3
Although it has not been established that there is an interaction between Clozapine and benzodiazepines or other psychotropics, caution is advised when clozapine is initiated in patients taking a benzodiazepine or any other psychotropic drug.
clozapine
psychotropic drug
ADVISE
Clozapine_ddi.xml
DDI-DrugBank.d480.s8
DDI-DrugBank.d480.s8.p13
Epinephrine also should be used cautiously with other drugs (e.g., digitalis, glycosides) that sensitize the myocardium to the actions of sympathomimetic drugs.
Epinephrine
glycosides
ADVISE
Epinephrine_ddi.xml
DDI-DrugBank.d247.s7
DDI-DrugBank.d247.s7.p1
In diabetic patients, the metabolic effects of androgens may decrease blood glucose and therefore, insulin requirements.
androgens
insulin
EFFECT
Fluoxymesterone_ddi.xml
DDI-DrugBank.d355.s3
DDI-DrugBank.d355.s3.p0
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.
Trileptal
morphine
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p416
Isoflurane or enflurane administered with nitrous oxide/oxygen to achieve 1.25 MAC [Minimum Alveolar Concentration] may prolong the clinically effective duration of action of initial and maintenance doses of NIMBEX and decrease the required infusion rate of NIMBEX.
nitrous oxide
NIMBEX
EFFECT
Cisatracurium Besylate_ddi.xml
DDI-DrugBank.d60.s6
DDI-DrugBank.d60.s6.p10
Caution should be exercised during the administration of adrenaline to patients anaesthetised with FLUOTHANE as arrhythmias may be precipitated.
adrenaline
FLUOTHANE
ADVISE
Halothane_ddi.xml
DDI-DrugBank.d74.s2
DDI-DrugBank.d74.s2.p0
Spontaneous reports of serotonin syndrome associated with co-administration of ZYVOX and serotonergic agents, including antidepressants such as selective serotonin reuptake inhibitors (SSRIs), have been reported.
ZYVOX
SSRIs
EFFECT
Linezolid_ddi.xml
DDI-DrugBank.d441.s6
DDI-DrugBank.d441.s6.p3
Clozapine may potentiate the hypotensive effects of antihypertensive drugs and the anticholinergic effects of atropine-type drugs.
Clozapine
atropine
EFFECT
Clozapine_ddi.xml
DDI-DrugBank.d480.s9
DDI-DrugBank.d480.s9.p1
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.
dicumarol
olanzapine
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p553
The antihypertensive effects of methyldopa, mecamylamine, reserpine, and veratrum alkaloids may be reduced by sympathomimetics.
mecamylamine
sympathomimetics
EFFECT
Azatadine_ddi.xml
DDI-DrugBank.d448.s3
DDI-DrugBank.d448.s3.p6
In addition to bleeding associated with heparin and vitamin K antagonists, drugs that alter platelet function (such as acetylsalicylic acid, dipyridamole and Abciximab) may increase the risk of bleeding if administered prior to, during, or after Activase therapy.
Abciximab
Activase
EFFECT
Alteplase_ddi.xml
DDI-DrugBank.d508.s1
DDI-DrugBank.d508.s1.p14
The patient was also chronically receiving phenytoin, phenobarbital, digoxin, and levothyroxine sodium.
phenobarbital
levothyroxine sodium
NONE
Buspirone_ddi.xml
DDI-DrugBank.d463.s7
DDI-DrugBank.d463.s7.p4
Drugs that have been associated with peripheral neuropathy include antiretroviral nucleoside analogues, chloramphenicol, cisplatin, dapsone, disulfiram, ethionamide, glutethimide, gold, hydralazine, iodoquinol, isoniazid, metronidazole, nitrofurantoin, phenytoin, ribavirin, and vincristine.
antiretroviral nucleoside analogues
nitrofurantoin
NONE
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s13
DDI-DrugBank.d263.s13.p11
Co-administration of lovastatin, atenolol, warfarin, furosemide, digoxin, celecoxib, hydrochlorothiazide, ramipril, valsartan, metformin and amlodipine did not result in clinically significant increases in aliskiren exposure.
celecoxib
ramipril
NONE
Aliskiren_ddi.xml
DDI-DrugBank.d533.s1
DDI-DrugBank.d533.s1.p46
Infusion requirements of NIMBEX in patients administered succinylcholine prior to infusions of NIMBEX were comparable to or slightly greater than when succinylcholine was not administered.
succinylcholine
NIMBEX
EFFECT
Cisatracurium Besylate_ddi.xml
DDI-DrugBank.d60.s3
DDI-DrugBank.d60.s3.p3
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
contraceptives
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p29
Tablets: The benzodiazepines, including lorazepam, produce CNS-depressant effects when administered with such medications as barbiturates or alcohol.
benzodiazepines
alcohol
EFFECT
Lorazepam_ddi.xml
DDI-DrugBank.d18.s0
DDI-DrugBank.d18.s0.p2
Tagamet, apparently through an effect on certain microsomal enzyme systems, has been reported to reduce the hepatic metabolism of warfarin-type anticoagulants, phenytoin, propranolol, nifedipine, chlordiazepoxide, diazepam, certain tricyclic antidepressants, lidocaine, theophylline and metronidazole, thereby delaying elimination and increasing blood levels of these drugs.
Tagamet
tricyclic antidepressants
MECHANISM
Cimetidine_ddi.xml
DDI-DrugBank.d171.s0
DDI-DrugBank.d171.s0.p6
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.
ampicillin
Invirase
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p193
Cytochalasin D inhibited the carbachol-stimulated intracellular Ca(2+) concentration ([Ca(2+)](i)) increase due to release from the Ca(2+) store.
Cytochalasin D
carbachol
EFFECT
11121387.xml
DDI-MedLine.d59.s5
DDI-MedLine.d59.s5.p0
Methotrexate: NSAIDs have been reported to competitively inhibit methotrexate accumulation in rabbit kidney slices.
NSAIDs
methotrexate
MECHANISM
Mefenamic acid_ddi.xml
DDI-DrugBank.d400.s1
DDI-DrugBank.d400.s1.p2
In order to examine some molecular mechanisms of PCP-induced behavioral changes, Northern blot analysis of total RNA from prefrontal cortical tissues of mice treated with PCP, DCG-IV, and L-CCG-1 was carried out.
PCP
PCP
NONE
11085328.xml
DDI-MedLine.d104.s8
DDI-MedLine.d104.s8.p0
Other drugs which may enhance the neuromuscular blocking action of nondepolarizing agents such as NIMBEX include certain antibiotics (e. g., aminoglycosides, tetracyclines, bacitracin, polymyxins, lincomycin, clindamycin, colistin, and sodium colistemethate), magnesium salts, lithium, local anesthetics, procainamide, and quinidine.
sodium colistemethate
anesthetics
NONE
Cisatracurium Besylate_ddi.xml
DDI-DrugBank.d60.s12
DDI-DrugBank.d60.s12.p107
While all the selective serotonin reuptake inhibitors (SSRIs), e.g., citalopram, escitalopram, fluoxetine, sertraline, and paroxetine, inhibit P450 2D6, they may vary in the extent of inhibition.
citalopram
fluoxetine
NONE
Doxepin_ddi.xml
DDI-DrugBank.d223.s8
DDI-DrugBank.d223.s8.p12
In some patients, the administration of INDOCIN can reduce the diuretic, natriuretic, and antihypertensive effects of loop, potassium-sparing, and thiazide diuretics.
INDOCIN
potassium-sparing diuretics
EFFECT
Indomethacin_ddi.xml
DDI-DrugBank.d82.s23
DDI-DrugBank.d82.s23.p1
Close observation of the patient is recommended when a beta-blocker is administered to patients receiving catecholamine-depleting drugs such as reserpine, because of possible additive effects and the production of hypotension and/or marked bradycardia, which may produce vertigo, syncope or postural hypotension.
beta-blocker
reserpine
ADVISE
Levobunolol_ddi.xml
DDI-DrugBank.d252.s1
DDI-DrugBank.d252.s1.p0
Netilmicin should not be administered concomitantly with potent loop diuretics such as furosemide and ethacrynic acid as the potential for ototoxicity is enhanced by the combination.
Netilmicin
loop diuretics
ADVISE
Netilmicin_ddi.xml
DDI-DrugBank.d417.s0
DDI-DrugBank.d417.s0.p0
Substances that are potent inhibitors of CYP3A4 activity (eg, ketoconazole and itraconazole) decrease gefitinib metabolism and increase gefitinib plasma concentrations.
itraconazole
gefitinib
MECHANISM
Gefitinib_ddi.xml
DDI-DrugBank.d207.s4
DDI-DrugBank.d207.s4.p3
poor metabolizers of debrisoquin: Interactions of carvedilol with strong inhibitors of CYP2D6 (such as quinidine, fluoxetine, paroxetine, and propafenone) have not been studied, but these drugs would be expected to increase blood levels of the R(+) enantiomer of carvedilol .
quinidine
carvedilol
EFFECT
Carvedilol_ddi.xml
DDI-DrugBank.d269.s1
DDI-DrugBank.d269.s1.p14
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
levothyroxine
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p22
MAO Inhibitors: DURAGESIC is not recommended for use in patients who have received MAOI within 14 days because severe and unpredictable potentiation by MAO inhibitors has been reported with opioid analgesics
MAOI
opioid analgesics
NONE
Fentanyl_ddi.xml
DDI-DrugBank.d170.s7
DDI-DrugBank.d170.s7.p8
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.
Anticoagulants
platelet aggregation inhibitors
NONE
Ardeparin_ddi.xml
DDI-DrugBank.d105.s0
DDI-DrugBank.d105.s0.p0
The action of the benzodiazepines may be potentiated by anticonvulsants, antihistamines, alcohol, barbiturates, monoamine oxidase inhibitors, narcotics, phenothiazines, psychotropic medications, or other drugs that produce CNS depression.
benzodiazepines
monoamine oxidase inhibitors
EFFECT
Estazolam_ddi.xml
DDI-DrugBank.d338.s1
DDI-DrugBank.d338.s1.p4
Butyrophenones (such as haloperidol) and phenothiazines can suppress the dopaminergic renal and mesenteric vasodilation induced with low dose dopamine infusion.
phenothiazines
dopamine
EFFECT
Dopamine_ddi.xml
DDI-DrugBank.d325.s7
DDI-DrugBank.d325.s7.p5
Chlorotrianisene may interact with antidepressants, aspirin, barbiturates, bromocriptine, calcium supplements, corticosteroids, corticotropin, cyclosporine, dantrolene, nicotine, somatropin, tamoxifen, and warfarin.
corticosteroids
dantrolene
NONE
Chlorotrianisene_ddi.xml
DDI-DrugBank.d446.s0
DDI-DrugBank.d446.s0.p65
Vaccines: Patients on corticosteroid therapy may exhibit a diminished response to toxoids and live or inactivated vaccines due to inhibition of antibody response.
corticosteroid
inactivated vaccines
EFFECT
Dexamethasone_ddi.xml
DDI-DrugBank.d314.s30
DDI-DrugBank.d314.s30.p4
Methadone: Coadministration of amprenavir and methadone can decrease plasma levels of methadone.
amprenavir
methadone
EFFECT
Amprenavir_ddi.xml
DDI-DrugBank.d437.s9
DDI-DrugBank.d437.s9.p3
The following are examples of substances that may reduce the blood-glucose-lowering effect: corticosteroids, niacin, danazol, diuretics, sympathomimetic agents (e.g., epinephrine, salbutamol, terbutaline), isoniazid, phenothiazine derivatives, somatropin, thyroid hormones, estrogens, progestogens (e.g., in oral contraceptives).
sympathomimetic agents
progestogens
NONE
Insulin recombinant_ddi.xml
DDI-DrugBank.d313.s2
DDI-DrugBank.d313.s2.p58
Interactions with Other CNS Agents: Concurrent use of Levo-Dromoran with all central nervous system depressants (eg, alcohol, sedatives, hypnotics, other opioids, general anesthetics, barbiturates, tricyclic antidepressants, phenothiazines, tranquilizers, skeletal muscle relaxants and antihistamines) may result in additive central nervous system depressant effects.
Levo-Dromoran
antihistamines
EFFECT
Levorphanol_ddi.xml
DDI-DrugBank.d257.s0
DDI-DrugBank.d257.s0.p11
Concomitant Administration with Racemic Citalopram Citalopram - Since escitalopram is the active isomer of racemic citalopram (Celexa), the two agents should not be coadministered.
escitalopram
Celexa
ADVISE
Escitalopram_ddi.xml
DDI-DrugBank.d568.s39
DDI-DrugBank.d568.s39.p8
In clinical trials in patients undergoing PTCA/PCI, co-administration of Angiomax with heparin, warfarin, thrombolytics or glycoprotein IIb/IIIa inhibitors was associated with increased risks of major bleeding events compared to patients not receiving these concomitant medications.
Angiomax
thrombolytics
EFFECT
Bivalirudin_ddi.xml
DDI-DrugBank.d569.s1
DDI-DrugBank.d569.s1.p2
If rifampicin therapy is required, isradipine concentrations and therapeutic effects are likely to be markedly reduced or abolished as a consequence of increased metabolism and higher clearance of isradipine.
rifampicin
isradipine
MECHANISM
Isradipine_ddi.xml
DDI-DrugBank.d81.s10
DDI-DrugBank.d81.s10.p0
Erythromycin: In healthy individuals, plasma concentrations of atorvastatin increased approximately 40% with coadministration of atorvastatin and erythromycin, a known inhibitor of cytochrome P450 3A4.
atorvastatin
erythromycin
NONE
Atorvastatin_ddi.xml
DDI-DrugBank.d140.s9
DDI-DrugBank.d140.s9.p4
In addition, results from regression analyses of patient pharmacokinetic data suggest that co-administration of other inducers of drug clearance (efavirenz, nevirapine, phenytoin, dexamethasone, or carbamazepine) with CANCIDAS may result in clinically meaningful reductions in caspofungin concentrations.
efavirenz
CANCIDAS
MECHANISM
Caspofungin_ddi.xml
DDI-DrugBank.d350.s12
DDI-DrugBank.d350.s12.p4
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.
haloperidol
contraceptives
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p719
Isoflurane potentiates the muscle relaxant effect of all muscle relaxants, most notably nondepolarizing muscle relaxants, and MAC (minimum alveolar concentration) is reduced by concomitant administration of N 2O.
Isoflurane
nondepolarizing muscle relaxants
EFFECT
Isoflurane_ddi.xml
DDI-DrugBank.d227.s0
DDI-DrugBank.d227.s0.p1
Dexbrompheniramine can interact with alcohol or other CNS depressants (may potentiate the CNS depressant effects of either these medications or antihistamines), anticholinergics or other medications with anticholinergic activity (anticholinergic effects may be potentiated when these medications are used concurrently with antihistamines), and monoamine oxidase (MAO) inhibitors (concurrent use with antihistamines may prolong and intensify the anticholinergic and CNS depressant effects of antihistamines).
Dexbrompheniramine
alcohol
INT
Dexbrompheniramine_ddi.xml
DDI-DrugBank.d62.s0
DDI-DrugBank.d62.s0.p0
Sildenafil is contraindicated in patients using long-acting nitrates or who may need to use short-acting nitrates, because the combination may cause a sharp fall of the blood pressure.
Sildenafil
long-acting nitrates
ADVISE
11213561.xml
DDI-MedLine.d1.s5
DDI-MedLine.d1.s5.p0
Netilmicin should not be administered concomitantly with potent loop diuretics such as furosemide and ethacrynic acid as the potential for ototoxicity is enhanced by the combination.
Netilmicin
furosemide
ADVISE
Netilmicin_ddi.xml
DDI-DrugBank.d417.s0
DDI-DrugBank.d417.s0.p1
Two different types of therapy with magnesium are used: physiological oral magnesium supplementation which is totally atoxic since it palliates magnesium deficiencies by simply normalizing the magnesium intake and pharmacological magnesium therapy which may induce toxicity since it creates iatrogenic magnesium overload.
magnesium
magnesium
NONE
7786695.xml
DDI-MedLine.d103.s1
DDI-MedLine.d103.s1.p9
In a placebo-controlled trial in normal volunteers, the administration of a single 1 mg dose of doxazosin on day 1 of a four-day regimen of oral cimetidine (400 mg twice daily) resulted in a 10% increase in mean AUC of doxazosin (p=0.006), and a slight but not statistically significant increase in mean Cmax and mean half-life of doxazosin.
doxazosin
cimetidine
MECHANISM
Doxazosin_ddi.xml
DDI-DrugBank.d367.s4
DDI-DrugBank.d367.s4.p0
Chlorotrianisene may interact with antidepressants, aspirin, barbiturates, bromocriptine, calcium supplements, corticosteroids, corticotropin, cyclosporine, dantrolene, nicotine, somatropin, tamoxifen, and warfarin.
Chlorotrianisene
antidepressants
INT
Chlorotrianisene_ddi.xml
DDI-DrugBank.d446.s0
DDI-DrugBank.d446.s0.p0
Drugs Whose Absorption Can Be Affected by the Level of Acidity in the Stomach: Drugs such as ketoconazole and itraconazole should be administered at least 2 hours prior to dosing with VIDEX.
ketoconazole
VIDEX
ADVISE
Didanosine_ddi.xml
DDI-DrugBank.d43.s5
DDI-DrugBank.d43.s5.p1
Concurrent use of erythromycin and ergotamine or dihydroergotamine has been associated in some patients with acute ergot toxicity characterized by severe peripheral vasospasm and dysesthesia.
erythromycin
ergotamine
EFFECT
Erythromycin_ddi.xml
DDI-DrugBank.d397.s5
DDI-DrugBank.d397.s5.p0
Other drugs which may enhance the neuromuscular blocking action of nondepolarizing agents such as NUROMAX include certain antibiotics (e. g., aminoglycosides, tetracyclines, bacitracin, polymyxins, lincomycin, clindamycin, colistin, and sodium colistimethate), magnesium salts, lithium, local anesthetics, procainamide, and quinidine.
NUROMAX
quinidine
EFFECT
Doxacurium chloride_ddi.xml
DDI-DrugBank.d267.s5
DDI-DrugBank.d267.s5.p13
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
indomethacin
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p22
Concomitant administration of Sonata (10 mg) and cimetidine (800 mg) produced an 85% increase in the mean Cmax and AUC of zaleplon.
Sonata
cimetidine
MECHANISM
Zaleplon_ddi.xml
DDI-DrugBank.d324.s29
DDI-DrugBank.d324.s29.p0
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
salicylate
ADVISE
Glimepiride_ddi.xml
DDI-DrugBank.d521.s1
DDI-DrugBank.d521.s1.p1
For this reason, the dose of the anticoagulant should be reduced by 30 - 50% at the start of treatment with Bezalip or Bezalip retard and then titrated according to the blood clotting parameters
anticoagulant
Bezalip
ADVISE
Bezafibrate_ddi.xml
DDI-DrugBank.d291.s1
DDI-DrugBank.d291.s1.p0
Cyclosporine: Administration of nonsteroial anti-inflammatory drugs concomitantly with cyclosporine has been associated with an increase in cyclosporine-induced toxicity, possibly due to decreased synthesis of renal prostacyclin.
nonsteroial anti-inflammatory drugs
cyclosporine
MECHANISM
Diflunisal_ddi.xml
DDI-DrugBank.d132.s18
DDI-DrugBank.d132.s18.p3
Oral doses of Antizol (10-20 mg/kg), via alcohol dehydrogenase inhibition, significantly reduced the rate of elimination of ethanol (by approximately 40%) given to healthy volunteers in moderate doses.
Antizol
ethanol
MECHANISM
Fomepizole_ddi.xml
DDI-DrugBank.d228.s0
DDI-DrugBank.d228.s0.p0
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
ranitidine
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p43
These drugs include the thiazides and other diuretics, corticosteroids, phenothiazines, thyroid products, estrogens, oral contraceptives, phenytoin, nicotinic acid, sympathomimetics, calcium channel-blocking drugs, and isoniazid.
thiazides
phenothiazines
NONE
Acarbose_ddi.xml
DDI-DrugBank.d536.s1
DDI-DrugBank.d536.s1.p2
The administration of other potassium-sparing antihypertensives with NSAIDs has been shown to reduce the antihypertensive effect in some patients and result in severe hyperkalemia in patients with impaired renal function.
potassium-sparing antihypertensives
NSAIDs
EFFECT
Eplerenone_ddi.xml
DDI-DrugBank.d20.s11
DDI-DrugBank.d20.s11.p0
Digitalis toxicity may be aggravated by the initial release of norepinephrine caused by Bretylium Tosylate Injection.
Digitalis
Bretylium Tosylate
EFFECT
Bretylium_ddi.xml
DDI-DrugBank.d180.s0
DDI-DrugBank.d180.s0.p0
The risk of a potential interaction between NovoSeven and coagulation factor concentrates has not been adequately evaluated in preclinical or clinical studies.
NovoSeven
coagulation factor
NONE
Coagulation factor VIIa_ddi.xml
DDI-DrugBank.d221.s0
DDI-DrugBank.d221.s0.p0
Drugs that have been reported to diminish oral anticoagulant response, ie, decreased prothrom-bin time response, in man significantly include: adrenocortical steroids;alcohol*;antacids;antihistamines;barbiturates;carbamazepine;chloral hydrate*;chlordiazepoxide;cholestyramine;diet high in vitamin K;diuretics*;ethchlorvynol;glutethimide;griseofulvin;haloperidol;meprobamate;oral contraceptives;paraldehyde;primidone;ranitidine*;rifampin;unreliable prothrombin time determinations;vitamin C;warfarin sodium under-dosage.
anticoagulant
vitamin K
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s29
DDI-DrugBank.d64.s29.p9
Selegiline: Combination hormonal contraceptives may increase the serum concentration of selegiline.
Combination hormonal contraceptives
selegiline
MECHANISM
Ethynodiol Diacetate_ddi.xml
DDI-DrugBank.d485.s39
DDI-DrugBank.d485.s39.p2
METHOD: This study was a multicenter randomized double-blind study of 101 patients who were randomly assigned 1:1:1 to receive everolimus tablets at doses of 0.5 mg, 1 mg, or 2 mg twice daily with cyclosporine and prednisone.
everolimus
prednisone
NONE
11180038.xml
DDI-MedLine.d140.s2
DDI-MedLine.d140.s2.p1
Therefore, when INDOCIN and digoxin are used concomitantly, serum digoxin levels should be closely monitored.
INDOCIN
digoxin
ADVISE
Indomethacin_ddi.xml
DDI-DrugBank.d82.s22
DDI-DrugBank.d82.s22.p0
Diuretics: Patients on diuretics, especially those with intravascular volume depletion, may occasionally experience an excessive reduction of blood pressure after initiation of therapy with fosinopril sodium.
Diuretics
diuretics
NONE
Fosinopril_ddi.xml
DDI-DrugBank.d176.s0
DDI-DrugBank.d176.s0.p0
Bacteriostatic Antibiotics: Chloramphenicol, erythromycins, sulfonamides, or tetracyclines may interfere with the bactericidal effect of penicillins.
tetracyclines
penicillins
EFFECT
Ampicillin_ddi.xml
DDI-DrugBank.d211.s2
DDI-DrugBank.d211.s2.p14
Etofibrate elicited 62% enhancement of post-heparin lipolytic activity and 100% increase of 3H-triglyceride fractional clearance rate compared with placebo treatment.
Etofibrate
heparin
EFFECT
11166779.xml
DDI-MedLine.d44.s6
DDI-MedLine.d44.s6.p0
It is recommended to avoid concurrent administration of ethambutol with aluminum hydroxide containing antacids for at least 4 hours following ethambutol administration.
ethambutol
antacids
NONE
Ethambutol_ddi.xml
DDI-DrugBank.d160.s1
DDI-DrugBank.d160.s1.p1
The purpose of this study was to evaluate the effect of sodium carboxymethylcellulose (NaCMC) and carboxymethylcellulose-cysteine (CMC-Cys) conjugates on the intestinal permeation of sodium fluorescein (NaFlu) and model peptide drugs, bacitracin and insulin.
NaFlu
insulin
NONE
11154900.xml
DDI-MedLine.d76.s1
DDI-MedLine.d76.s1.p26
Administration of eplerenone with other CYP3A4 inhibitors (e.g., erythromycin 500 mg BID, verapamil 240 mg QD, saquinavir 1200 mg TID, fluconazole 200 mg QD) resulted in increases in Cmax of eplerenone ranging from 1.4- to 1.6- fold and AUC from 2.0- to 2.9- fold.
eplerenone
saquinavir
MECHANISM
Eplerenone_ddi.xml
DDI-DrugBank.d20.s3
DDI-DrugBank.d20.s3.p2
Aortic rings with intact endothelium from the high-dose (4 mg/kg/day) estradiol group were supersensitive to noradrenaline compared to the vehicle or low-dose (10 microg/kg/day) estradiol groups (pD2 values = 7.86+/-0.09, 7.30+/-0.11 and 7.35+/-0.04, respectively).
estradiol
noradrenaline
EFFECT
11213358.xml
DDI-MedLine.d102.s5
DDI-MedLine.d102.s5.p0
The potential effects of increased plasma concentrations of midazolam or other benzodiazepines metabolized via CYP3A4 (alprazolam, triazolam) should be considered when coadministering these agents with Aprepitant.
midazolam
Aprepitant
ADVISE
Aprepitant_ddi.xml
DDI-DrugBank.d382.s23
DDI-DrugBank.d382.s23.p3
Drugs that have been reported to diminish oral anticoagulant response, ie, decreased prothrom-bin time response, in man significantly include: adrenocortical steroids;alcohol*;antacids;antihistamines;barbiturates;carbamazepine;chloral hydrate*;chlordiazepoxide;cholestyramine;diet high in vitamin K;diuretics*;ethchlorvynol;glutethimide;griseofulvin;haloperidol;meprobamate;oral contraceptives;paraldehyde;primidone;ranitidine*;rifampin;unreliable prothrombin time determinations;vitamin C;warfarin sodium under-dosage.
adrenocortical steroids
ethchlorvynol
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s29
DDI-DrugBank.d64.s29.p33
Antineoplastic agents (e. g., nitrogen mustard, etc.) should be given concomitantly only with great caution.
Antineoplastic agents
nitrogen mustard
NONE
Amphotericin B_ddi.xml
DDI-DrugBank.d318.s1
DDI-DrugBank.d318.s1.p0