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Other drugs Drug interactions have been reported with concomitant administration of erythromycin and other medications, including cyclosporine, hexobarbital, carbamazepine, alfentanil, disopyramide, phenytoin, bromocriptine, valproate, astemizole, and lovastatin.
erythromycin
hexobarbital
INT
Dirithromycin_ddi.xml
DDI-DrugBank.d522.s24
DDI-DrugBank.d522.s24.p1
May interact with the following: cholestyramine, colestipol (use with thiazide diuretics may prevent the diuretic from working properly;
cholestyramine
thiazide diuretics
EFFECT
Bendroflumethiazide_ddi.xml
DDI-DrugBank.d304.s0
DDI-DrugBank.d304.s0.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.
nortriptyline
risperidone
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p889
In vitro mixing of an aminoglycoside with beta-lactamtype antibiotics (penicillins or cephalosporins) may result in a significant mutual inactivation.
aminoglycoside
penicillins
EFFECT
Kanamycin_ddi.xml
DDI-DrugBank.d57.s0
DDI-DrugBank.d57.s0.p1
Data from in vitro studies of benzodiazepines other than alprazolam suggest a possible drug interaction for the following: ergotamine, cyclosporine, amiodarone, nicardipine, and nifedipine.
benzodiazepines
ergotamine
INT
Alprazolam_ddi.xml
DDI-DrugBank.d131.s10
DDI-DrugBank.d131.s10.p1
Caution should be used when administering or taking TARCEVA with ketoconazole and other strong CYP3A4 inhibitors such as, but not limited to, atazanavir, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, troleandomycin (TAO), and voriconazole .
TARCEVA
troleandomycin
ADVISE
Erlotinib_ddi.xml
DDI-DrugBank.d456.s1
DDI-DrugBank.d456.s1.p10
Corticosteroids, Methylxanthines and Diuretics: Concomitant treatment with xanthine derivatives, steroids, or diuretics may potentiate a possible hypokalemic effect of beta2-agonists.
Diuretics
beta2-agonists.
NONE
Formoterol_ddi.xml
DDI-DrugBank.d103.s4
DDI-DrugBank.d103.s4.p14
This antagonistic effect of probenecid on bumetanide natriuresis is not due to a direct action on sodium excretion but is probably secondary to its inhibitory effect on renal tubular secretion of bumetanide.
probenecid
bumetanide
MECHANISM
Bumetanide_ddi.xml
DDI-DrugBank.d331.s5
DDI-DrugBank.d331.s5.p0
Lithium Reversible increases in serum lithium concentrations and toxicity have been reported during concomitant administration of lithium with ACE inhibitors, and with some angiotensin II receptor antagonists.
lithium
ACE inhibitors
MECHANISM
Candesartan_ddi.xml
DDI-DrugBank.d547.s2
DDI-DrugBank.d547.s2.p7
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.p4
OTHER CONCOMITANT THERAPY: Although specific interaction studies were not performed, in clinical studies, cerivastatin sodium was used concomitantly with angiotensin- converting enzyme (ACE) inhibitors, betablockers, calcium-channel blockers, diuretics, and nonsteroidal anti-inflammatory drugs (NSAIDs) without evidence of clinically significant adverse interactions.
calcium-channel blockers
NSAIDs
NONE
Cerivastatin_ddi.xml
DDI-DrugBank.d141.s13
DDI-DrugBank.d141.s13.p17
Erythromycin has been reported to decrease the clearance of triazolam and midazolam and thus may increase the pharmacologic effect of these benzodiazepines.
Erythromycin
triazolam
MECHANISM
Erythromycin_ddi.xml
DDI-DrugBank.d397.s6
DDI-DrugBank.d397.s6.p0
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.
SSRIs
5-HT1 agonists
EFFECT
Almotriptan_ddi.xml
DDI-DrugBank.d299.s6
DDI-DrugBank.d299.s6.p17
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.
meperidine
phenothiazines
NONE
Biperiden_ddi.xml
DDI-DrugBank.d401.s0
DDI-DrugBank.d401.s0.p24
It is, however, possible that concomitant use of other known photosensitizing agents such as griseofulvin, thiazide diuretics, sulfonylureas, phenothiazines, sulfonamides and tetracyclines might increase the photosensitivity reaction of actinic keratoses treated with the LEVULAN KERASTICK for Topical Solution.
phenothiazines
LEVULAN KERASTICK
EFFECT
Aminolevulinic acid_ddi.xml
DDI-DrugBank.d379.s1
DDI-DrugBank.d379.s1.p24
Recovery from 50% twitch to 75% fade recovery took 13.8 +/- 0.8 min for atracurium alone and 13.7 +/- 1.2 min for atracurium plus gentamycin.
atracurium
gentamycin
EFFECT
8542840.xml
DDI-MedLine.d90.s8
DDI-MedLine.d90.s8.p2
Anticoagulant therapy should be monitored, particularly during the first few weeks, after initiating therapy with BEXTRA in patients receiving warfarin or similar agents.
BEXTRA
warfarin
ADVISE
Valdecoxib_ddi.xml
DDI-DrugBank.d328.s26
DDI-DrugBank.d328.s26.p2
Bentiromide may interact with acetaminophen (e.g., Tylenol), chloramphenicol (e.g., Chloromycetin), local anesthetics (e.g., benzocaine and lidocaine), para-aminobenzoic acid (PABA)-containing preparations (e.g., sunscreens and some multivitamins), procainamide (e.g., Pronestyl), sulfonamides (sulfa medicines), thiazide diuretics (use of these medicines during the test period will affect the test results), and pancreatic supplements (use of pancreatic supplements may give false test results).
Bentiromide
chloramphenicol
INT
Bentiromide_ddi.xml
DDI-DrugBank.d537.s0
DDI-DrugBank.d537.s0.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.
ergot alkaloid class
macrolide class
MECHANISM
Dihydroergotamine_ddi.xml
DDI-DrugBank.d410.s5
DDI-DrugBank.d410.s5.p21
The use of dextromethorphan hydrobromide may result in additive CNS depressant effects when coadministered with alcohol, antihistamines, psychotropics or other drugs that produce CNS depression.
dextromethorphan hydrobromide
antihistamines
EFFECT
Guaifenesin_ddi.xml
DDI-DrugBank.d398.s2
DDI-DrugBank.d398.s2.p1
It is concluded that ketamine is not a short-acting drug and that concomitant use with halothane would be expected to prolong further the duration of its action on the central nervous system.
ketamine
halothane
EFFECT
1115367.xml
DDI-MedLine.d16.s6
DDI-MedLine.d16.s6.p0
As with other drugs that block angiotensin II or its effects, concomitant use of potassium-sparing diuretics (e.g., spironolactone, triamterene, amiloride), potassium supplements, or salt substitutes containing potassium may lead to increases in serum potassium.
potassium-sparing diuretics
spironolactone
NONE
Losartan_ddi.xml
DDI-DrugBank.d30.s8
DDI-DrugBank.d30.s8.p0
The most commonly occurring drug interactions are listed below: - Drugs that may increase plasma phenytoin concentrations include: acute alcohol intake, amiodarone, chboramphenicol, chlordiazepoxide, cimetidine, diazepam, dicumarol, disulfiram, estrogens, ethosuximide, fluoxetine, H2-antagonists, halothane, isoniazid, methylphenidate, phenothiazines, phenylbutazone, salicylates, succinimides, sulfonamides, tolbutamide, trazodone
phenytoin
disulfiram
MECHANISM
Fosphenytoin_ddi.xml
DDI-DrugBank.d40.s10
DDI-DrugBank.d40.s10.p6
Anakinra: Concurrent administration of anakinra (an interleukin-1 antagonist) and another TNF-blocking agent has been associated with an increased risk of serious infections, an increased risk of neutropenia and no additional benefit compared to these medicinal products alone.
anakinra
TNF-blocking agent
EFFECT
Adalimumab_ddi.xml
DDI-DrugBank.d493.s2
DDI-DrugBank.d493.s2.p4
Avoid the concomitant use of chlorprothixene and tramadol (Ultram).
chlorprothixene
tramadol
ADVISE
Chlorprothixene_ddi.xml
DDI-DrugBank.d503.s3
DDI-DrugBank.d503.s3.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
salicylates
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p44
Drug Interactions with Antacids Administration of 120 mg of fexofenadine hydrochloride (2 x 60 mg capsule) within 15 minutes of an aluminum and magnesium containing antacid (Maalox ) decreased fexofenadine AUC by 41% and cmax by 43%.
fexofenadine hydrochloride
aluminum
MECHANISM
Fexofenadine_ddi.xml
DDI-DrugBank.d466.s19
DDI-DrugBank.d466.s19.p6
Of particular importance, sufficient time must elapse before initiating TCAtreatment in a patient being withdrawn from fluoxetine, given the long half-life of the parent and active metabolite (at least 5 weeks may be necessary).
TCA
fluoxetine
ADVISE
Clomipramine_ddi.xml
DDI-DrugBank.d238.s20
DDI-DrugBank.d238.s20.p0
Anticholinergic agents: Although ipratropium bromide is minimally absorbed into the systemic circulation, there is some potential for an additive interaction with concomitantly used anticholinergic medications.
ipratropium bromide
anticholinergic medications
EFFECT
Ipratropium_ddi.xml
DDI-DrugBank.d51.s2
DDI-DrugBank.d51.s2.p2
Rifampin: Co-administration of VIOXX with rifampin 600 mg daily, a potent inducer of hepatic metabolism, produced an approximate 50% decrease in rofecoxib plasma concentrations.
VIOXX
rifampin
MECHANISM
Rofecoxib_ddi.xml
DDI-DrugBank.d210.s25
DDI-DrugBank.d210.s25.p3
Nonetheless, individual patients may require additional titration of their theophylline dosage when lansoprazole is started or stopped to ensure clinically effective blood levels.
theophylline
lansoprazole
ADVISE
Lansoprazole_ddi.xml
DDI-DrugBank.d431.s5
DDI-DrugBank.d431.s5.p0
If concomitant treatment with AXERT and an SSRI is clinically warranted, appropriate observation of the patient is advised.
AXERT
SSRI
ADVISE
Almotriptan_ddi.xml
DDI-DrugBank.d299.s7
DDI-DrugBank.d299.s7.p0
Coadministration with compounds that are potent inducers of CYP3A4 (eg, phenobarbital, phenytoin, dexamethasone, carbamazepine) may result in decreased plasma levels of saquinavir.
phenobarbital
saquinavir
MECHANISM
Saquinavir_ddi.xml
DDI-DrugBank.d124.s30
DDI-DrugBank.d124.s30.p3
Chlorprothixene may increase the plasma-level of concomitantly given lithium.
Chlorprothixene
lithium
MECHANISM
Chlorprothixene_ddi.xml
DDI-DrugBank.d503.s0
DDI-DrugBank.d503.s0.p0
It is, however, possible that concomitant use of other known photosensitizing agents such as griseofulvin, thiazide diuretics, sulfonylureas, phenothiazines, sulfonamides and tetracyclines might increase the photosensitivity reaction of actinic keratoses treated with the LEVULAN KERASTICK for Topical Solution.
photosensitizing agents
LEVULAN KERASTICK
EFFECT
Aminolevulinic acid_ddi.xml
DDI-DrugBank.d379.s1
DDI-DrugBank.d379.s1.p6
Beta-blockers, clonidine, lithium salts, and alcohol may either potentiate or weaken the blood-glucose-lowering effect of insulin.
clonidine
insulin
EFFECT
Insulin recombinant_ddi.xml
DDI-DrugBank.d313.s3
DDI-DrugBank.d313.s3.p6
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.
clonazepam
valproate
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p365
therefore, coadministration of Aprepitant with drugs that strongly induce CYP3A4 activity (e.g., rifampin, carbamazepine, phenytoin) may result in reduced plasma concentrations of aprepitant that may result in decreased efficacy of Aprepitant.
Aprepitant
aprepitant
MECHANISM
Aprepitant_ddi.xml
DDI-DrugBank.d382.s34
DDI-DrugBank.d382.s34.p3
In addition to the interactions noted above, chronic ( 2 weeks) oral Cordarone administration impairs metabolism of phenytoin, dextromethorphan, and methotrexate.
Cordarone
dextromethorphan
NONE
Amiodarone_ddi.xml
DDI-DrugBank.d143.s62
DDI-DrugBank.d143.s62.p1
CNS-Active Drugs Ethanol An additive effect on psychomotor performance was seen with coadministration of eszopiclone and ethanol 0.70 g/kg for up to 4 hours after ethanol administration.
ethanol
ethanol
NONE
Eszopiclone_ddi.xml
DDI-DrugBank.d216.s0
DDI-DrugBank.d216.s0.p5
The majority of patients in RA clinical studies received one or more of the following concomitant medications with ORENCIA: MTX, NSAIDs, corticosteroids, TNF blocking agents, azathioprine, chloroquine, gold, hydroxychloroquine, leflunomide, sulfasalazine, and anakinra.
chloroquine
leflunomide
NONE
Abatacept_ddi.xml
DDI-DrugBank.d297.s2
DDI-DrugBank.d297.s2.p53
Amphotericin, Foscarnet, and Aminoglycosides: Drugs such as amphotericin, foscarnet, and aminoglycosides may increase the risk of developing peripheral neuropathy or other HIVID-associated adverse events by interfering with the renal clearance of zalcitabine (thereby raising systemic exposure).
aminoglycosides
zalcitabine
MECHANISM
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s18
DDI-DrugBank.d263.s18.p26
A study in 14 normal male and female volunteers suggests that coadministration of cisapride and ketoconazole can result in prolongation of the QT interval on the ECG.
cisapride
ketoconazole
EFFECT
Cisapride_ddi.xml
DDI-DrugBank.d237.s9
DDI-DrugBank.d237.s9.p0
Pimozide and Celexa - In a controlled study, a single dose of pimozide 2 mg co-administered with racemic citalopram 40 mg given once daily for 11 days was associated with a mean increase in QTc values of approximately 10 msec compared to pimozide given alone.
pimozide
citalopram
EFFECT
Escitalopram_ddi.xml
DDI-DrugBank.d568.s13
DDI-DrugBank.d568.s13.p7
Interactions with Mixed Agonist/Antagonist Opioid Analgesics: Agonist/antagonist analgesics (eg, pentazocine, nalbuphine, butorphanol, dezocine and buprenorphine) should NOT be administered to a patient who has received or is receiving a course of therapy with a pure agonist opioid analgesic such as Levo-Dromoran.
pure agonist opioid analgesic
Levo-Dromoran
ADVISE
Levorphanol_ddi.xml
DDI-DrugBank.d257.s6
DDI-DrugBank.d257.s6.p35
Since indomethacin and potassium-sparing diuretics, including MIDAMOR, may each be associated with increased serum potassium levels, the potential effects on potassium kinetics and renal function should be considered when these agents are administered concurrently.
indomethacin
MIDAMOR
EFFECT
Amiloride_ddi.xml
DDI-DrugBank.d356.s6
DDI-DrugBank.d356.s6.p1
Concomitant single dose administration of valdecoxib 20 mg with multiple doses of ketoconazole and fluconazole produced a significant increase in exposure of valdecoxib.
valdecoxib
fluconazole
MECHANISM
Valdecoxib_ddi.xml
DDI-DrugBank.d328.s28
DDI-DrugBank.d328.s28.p1
MAO inhibitors prolong and intensify the anticholinergic effects of antihistamines.
MAO inhibitors
antihistamines
EFFECT
Carbinoxamine_ddi.xml
DDI-DrugBank.d389.s1
DDI-DrugBank.d389.s1.p0
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.
cyclosporin
ethosuximide
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p410
Selective serotonin reuptake inhibitors (SSRIs) (e.g., fluoxetine, fluvoxamine, paroxetine, sertraline) have been reported, rarely, to cause weakness, hyperreflexia, and incoordination when coadministered with 5-HT1 agonists.
sertraline
5-HT1 agonists
EFFECT
Frovatriptan_ddi.xml
DDI-DrugBank.d426.s3
DDI-DrugBank.d426.s3.p20
Amphotericin, Foscarnet, and Aminoglycosides: Drugs such as amphotericin, foscarnet, and aminoglycosides may increase the risk of developing peripheral neuropathy or other HIVID-associated adverse events by interfering with the renal clearance of zalcitabine (thereby raising systemic exposure).
foscarnet
HIVID
EFFECT
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s18
DDI-DrugBank.d263.s18.p23
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
phenytoin
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p38
Blood levels of hydrodolasetron increased 24% when dolasetron was coadministered with cimetidine (nonselective inhibitor of cytochrome P-450) for 7 days, and decreased 28% with coadministration of rifampin (potent inducer of cytochrome P-450) for 7 days.
dolasetron
cimetidine
MECHANISM
Dolasetron_ddi.xml
DDI-DrugBank.d42.s1
DDI-DrugBank.d42.s1.p3
Because their vasospastic effects may be additive, coadministration of naratriptan and other 5-HT1 agonists within 24 hours of each other is not recommended.
naratriptan
5-HT1 agonists
ADVISE
Naratriptan_ddi.xml
DDI-DrugBank.d478.s3
DDI-DrugBank.d478.s3.p0
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.
nortriptyline
quetiapine
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p888
Antacids increase the rate of absorption of pseudoephedrine, while kaolin decreases it.
Antacids
pseudoephedrine
MECHANISM
Azatadine_ddi.xml
DDI-DrugBank.d448.s6
DDI-DrugBank.d448.s6.p0
It was observed that MPTP induced long lasting depletions of striatal dopamine concentrations and this neurotoxic effect could be prevented by pargyline pretreatment.
MPTP
pargyline
EFFECT
3871245.xml
DDI-MedLine.d73.s2
DDI-MedLine.d73.s2.p0
The hypoglycemic action of sulfonylureas may be potentiated by certain drugs including nonsteroidal anti-inflammatory agents and other drugs that are highly protein bound, salicylates, sulfonamides, chloramphenicol, probenecid, coumarins, monoamine oxidase inhibitors, and beta adrenergic blocking agents.
sulfonylureas
salicylates
EFFECT
Glibenclamide_ddi.xml
DDI-DrugBank.d178.s0
DDI-DrugBank.d178.s0.p1
Additive adverse effects resulting from cholinergic blockade may occur when LEVSIN is administered concomitantly with other antimuscarinics, amantadine, haloperidol, phenothiazines, monoamine oxidase (MAO) inhibitors, tricyclic antidepressants or some antihistamines.
LEVSIN
amantadine
EFFECT
Hyoscyamine_ddi.xml
DDI-DrugBank.d142.s0
DDI-DrugBank.d142.s0.p1
It is, however, possible that concomitant use of other known photosensitizing agents such as griseofulvin, thiazide diuretics, sulfonylureas, phenothiazines, sulfonamides and tetracyclines might increase the photosensitivity reaction of actinic keratoses treated with the LEVULAN KERASTICK for Topical Solution.
sulfonamides
LEVULAN KERASTICK
EFFECT
Aminolevulinic acid_ddi.xml
DDI-DrugBank.d379.s1
DDI-DrugBank.d379.s1.p26
Butalbital, acetaminophen and caffeine may enhance the effects of: other narcotic analgesics, alcohol, general anesthetics, tranquilizers such as chlordiazepoxide, sedative-hypnotics, or other CNS depressants, causing increased CNS depression.
caffeine
CNS depressants
EFFECT
Butalbital_ddi.xml
DDI-DrugBank.d559.s1
DDI-DrugBank.d559.s1.p23
Fexofenadine had no effect on the pharmacokinetics of either erythromycin or ketoconazole.
Fexofenadine
ketoconazole
NONE
Fexofenadine_ddi.xml
DDI-DrugBank.d466.s2
DDI-DrugBank.d466.s2.p1
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.
protease inhibitors
Kadian
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p789
Should it be decided to discontinue therapy in patients receiving beta-blockers and clonidine concurrently, the beta-blocker should be discontinued slowly over several days before the gradual withdrawal of clonidine.
beta-blockers
clonidine
ADVISE
Betaxolol_ddi.xml
DDI-DrugBank.d489.s4
DDI-DrugBank.d489.s4.p0
Cisapride should not be used concomitantly with other drugs known to prolong the QT interval: certain antiarrhythmics, including those of Class IA (such as quinidine and procainamide) and Class III (such as sotalol);
Cisapride
antiarrhythmics
ADVISE
Cisapride_ddi.xml
DDI-DrugBank.d237.s14
DDI-DrugBank.d237.s14.p0
The potential for increased sedation when guanfacine is given with other CNS-depressant drug should be appreciated.
guanfacine
CNS-depressant drug
EFFECT
Guanfacine_ddi.xml
DDI-DrugBank.d507.s0
DDI-DrugBank.d507.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
ketoconazole
MECHANISM
Levobupivacaine_ddi.xml
DDI-DrugBank.d320.s3
DDI-DrugBank.d320.s3.p3
When therapeutic concentrations of furosemide, propranolol, dipyridamole, warfarin, quinidine, or naproxen were added to human plasma (in vitro), the plasma protein binding of nicardipine HCl was not altered.
warfarin
naproxen
NONE
Nicardipine_ddi.xml
DDI-DrugBank.d468.s10
DDI-DrugBank.d468.s10.p16
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.
anticholinergic
meperidine
EFFECT
Biperiden_ddi.xml
DDI-DrugBank.d401.s0
DDI-DrugBank.d401.s0.p2
Interactions may also occur with the following: anti-depressants/anti-anxiety drugs, drugs used to treat an overactive thyroid, beta-blockers (e.g., propranolol), sparfloxacin, grepafloxacin, guanethidine, guanadrel, metrizamide, cabergoline, lithium, narcotic pain medication (e.g., codeine), drugs used to aid sleep, drowsiness-causing antihistamines (e.g., diphenhydramine), any other drugs that may make you drowsy.
cabergoline
lithium
NONE
Chlorpromazine_ddi.xml
DDI-DrugBank.d86.s1
DDI-DrugBank.d86.s1.p90
Physostigmine pretreatment augmented the depressant effect of alcohol on the early components P1 and N1, while attenuating alcohol's influence on components P2 and P3.
Physostigmine
alcohol
EFFECT
6536292.xml
DDI-MedLine.d54.s8
DDI-MedLine.d54.s8.p0
Cyclosporine: Because cyclosporine can produce nephrotoxicity with decreases in creatinine clearance and rises in serum creatinine, and because renal excretion is the primary elimination route of fibrate drugs including TRICOR, there is a risk that an interaction will lead to deterioration.
Cyclosporine
TRICOR
NONE
Fenofibrate_ddi.xml
DDI-DrugBank.d283.s5
DDI-DrugBank.d283.s5.p2
Reports suggest that NSAIDs may diminish the antihypertensive effect of ACE inhibitors, including lisinopril.
NSAIDs
ACE inhibitors
EFFECT
Lisinopril_ddi.xml
DDI-DrugBank.d334.s7
DDI-DrugBank.d334.s7.p0
Routine administration of vaccines or toxoids should be deferred until corticosteroid therapy is discontinued if possible.
vaccines
corticosteroid
ADVISE
Dexamethasone_ddi.xml
DDI-DrugBank.d314.s32
DDI-DrugBank.d314.s32.p0
Concomitant treatment with thrombolytics (eg, rt-PA or streptokinase) may: - increase the risk of bleeding complications - considerably enhance the effect of REFLUDAN on aPTT prolongation
streptokinase
REFLUDAN
NONE
Lepirudin_ddi.xml
DDI-DrugBank.d52.s0
DDI-DrugBank.d52.s0.p2
Synergism was observed when GL was combined with cefazolin against Bacillus subtilis and Klebsiella oxytoca.
GL
cefazolin
EFFECT
10319155.xml
DDI-MedLine.d84.s5
DDI-MedLine.d84.s5.p0
The clinical significance of this reduction is not known, hence zalcitabine is not recommended to be ingested simultaneously with magnesium/aluminum-containing antacids.
zalcitabine
magnesium
ADVISE
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s23
DDI-DrugBank.d263.s23.p0
Plasma exposure (AUC) to valdecoxib was increased 62% when coadministered with fluconazole and 38% when coadministered with ketoconazole.
valdecoxib
fluconazole
MECHANISM
Valdecoxib_ddi.xml
DDI-DrugBank.d328.s29
DDI-DrugBank.d328.s29.p0
Ingestion of diclofenac may increase serum concentrations of digoxin and methotrexate and increase cyclosporine s nephrotoxicity.
diclofenac
cyclosporine
EFFECT
Diclofenac_ddi.xml
DDI-DrugBank.d249.s4
DDI-DrugBank.d249.s4.p2
Administration of doxapram to patients who are receiving sympathomimetic or monoamine oxidase inhibiting drugs may result in an additive pressor effect .
doxapram
monoamine oxidase inhibiting drugs
EFFECT
Doxapram_ddi.xml
DDI-DrugBank.d332.s0
DDI-DrugBank.d332.s0.p1
Isocarboxazid should be administered with caution to patients receiving Antabuse (disulfiram, Wyeth-Ayerst Laboratories).
Isocarboxazid
disulfiram
ADVISE
Isocarboxazid_ddi.xml
DDI-DrugBank.d108.s0
DDI-DrugBank.d108.s0.p1
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.
cisplatin
phenytoin
NONE
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s13
DDI-DrugBank.d263.s13.p39
- 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
fluphenazine
Trilafon
NONE
Sulfapyridine_ddi.xml
DDI-DrugBank.d179.s21
DDI-DrugBank.d179.s21.p114
Injection: Lorazepam injection, like other injectable benzodiazepines, produces depression of the central nervous system when administered with ethyl alcohol, phenothiazines, barbiturates, MAO inhibitors, and other antidepressants.When scopolamine is used concomitantly with injectable lorazepam, an increased incidence of sedation, hallucinations, and irrational behavior has been observed.
Lorazepam
phenothiazines
EFFECT
Lorazepam_ddi.xml
DDI-DrugBank.d18.s1
DDI-DrugBank.d18.s1.p2
Drugs Decreasing Heparin Effect: Digitalis, tetracyclines, nicotine, or antihistamines may partially counteract the anticoagulant action of heparin sodium.
antihistamines
heparin sodium
EFFECT
Heparin_ddi.xml
DDI-DrugBank.d488.s6
DDI-DrugBank.d488.s6.p14
In vitro, buspirone may displace less firmly bound drugs like digoxin.
buspirone
digoxin
MECHANISM
Buspirone_ddi.xml
DDI-DrugBank.d463.s8
DDI-DrugBank.d463.s8.p0
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.
diuretics
contraceptives
NONE
Chlorpropamide_ddi.xml
DDI-DrugBank.d245.s4
DDI-DrugBank.d245.s4.p13
Furosemide may decrease arterial responsiveness to norepinephrine.
Furosemide
norepinephrine
EFFECT
Furosemide_ddi.xml
DDI-DrugBank.d231.s8
DDI-DrugBank.d231.s8.p0
Warfarin: Quinolones have been reported to enhance the effects of the oral anticoagulant warfarin or its derivatives.
Warfarin
warfarin
NONE
Ciprofloxacin_ddi.xml
DDI-DrugBank.d123.s19
DDI-DrugBank.d123.s19.p2
Nevirapine and ketoconazole should not beadministered concomitantly becausedecreases in ketoconazole plasmaconcentrations may reduce the efficacy of the drug.
Nevirapine
ketoconazole
ADVISE
Nevirapine_ddi.xml
DDI-DrugBank.d270.s36
DDI-DrugBank.d270.s36.p0
No depressant effect on blood levels in humans was noted when colestipol hydrochloride was administered with any of the following drugs: aspirin, clindamycin, clofibrate, methyldopa, nicotinic acid (niacin), tolbutamide, phenytoin or warfarin.
aspirin
warfarin
NONE
Colestipol_ddi.xml
DDI-DrugBank.d345.s13
DDI-DrugBank.d345.s13.p16
Because of the risk of serious ventricular arrhythmias and sudden death potentially associated with elevated plasma levels of thioridazine, Duloxetine and thioridazine should not be co-administered.
Duloxetine
thioridazine
ADVISE
Duloxetine_ddi.xml
DDI-DrugBank.d548.s11
DDI-DrugBank.d548.s11.p2
However, co administration of fexofenadine hydrochloride with either ketoconazole or erythromycin led to increased plasma concentrations of fexofenadine.
fexofenadine hydrochloride
ketoconazole
MECHANISM
Fexofenadine_ddi.xml
DDI-DrugBank.d466.s1
DDI-DrugBank.d466.s1.p0
Bromocriptine mesylate may interact with dopamine antagonists, butyrophenones, and certain other agents.
Bromocriptine mesylate
dopamine antagonists
INT
Bromocriptine_ddi.xml
DDI-DrugBank.d272.s1
DDI-DrugBank.d272.s1.p0
Injection: Lorazepam injection, like other injectable benzodiazepines, produces depression of the central nervous system when administered with ethyl alcohol, phenothiazines, barbiturates, MAO inhibitors, and other antidepressants.When scopolamine is used concomitantly with injectable lorazepam, an increased incidence of sedation, hallucinations, and irrational behavior has been observed.
Lorazepam
MAO inhibitors
EFFECT
Lorazepam_ddi.xml
DDI-DrugBank.d18.s1
DDI-DrugBank.d18.s1.p4
Ketoconazole: In healthy subjects receiving ketoconazole, a CYP3A4 inhibitor, at 200 mg twice daily for 7 days, systemic exposure (AUC) to lapatinib was increased to approximately 3.6-fold of control and half-life increased to 1.7-fold of control.
ketoconazole
lapatinib
MECHANISM
Lapatinib_ddi.xml
DDI-DrugBank.d135.s7
DDI-DrugBank.d135.s7.p2
Nephrotoxic agents : Concomitant administration of VISTIDE and agents with nephrotoxic potential [e.g., intravenous aminoglycosides (e.g., tobramycin, gentamicin, and amikacin), amphotericin B, foscarnet, intravenous pentamidine, vancomycin, and non-steroidal anti-inflammatory agents] is contraindicated.
VISTIDE
pentamidine
ADVISE
Cidofovir_ddi.xml
DDI-DrugBank.d260.s3
DDI-DrugBank.d260.s3.p6
Bentiromide may interact with acetaminophen (e.g., Tylenol), chloramphenicol (e.g., Chloromycetin), local anesthetics (e.g., benzocaine and lidocaine), para-aminobenzoic acid (PABA)-containing preparations (e.g., sunscreens and some multivitamins), procainamide (e.g., Pronestyl), sulfonamides (sulfa medicines), thiazide diuretics (use of these medicines during the test period will affect the test results), and pancreatic supplements (use of pancreatic supplements may give false test results).
Bentiromide
thiazide diuretics
INT
Bentiromide_ddi.xml
DDI-DrugBank.d537.s0
DDI-DrugBank.d537.s0.p13
Antacids and sucralfate: Sucralfate and antacids containing magnesium or aluminum, as well as formulations containing divalent and trivalent cations such as Videx (didanosine), chewable/buffered tablets or the pediatric powder for oral solution can form chelation complexes with lomefloxacin and interfere with its bioavailability.
Antacids
didanosine
NONE
Lomefloxacin_ddi.xml
DDI-DrugBank.d516.s3
DDI-DrugBank.d516.s3.p6
Interactions of cobalt and iron in absorption and retention.
cobalt
iron
MECHANISM
7599505.xml
DDI-MedLine.d34.s0
DDI-MedLine.d34.s0.p0