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Although no specific drug interactions with topical glaucoma drugs or systemic medications were identified in clinical studies of IOPIDINE 0.5% Ophthalmic Solution, the possibility of an additive or potentiating effect with CNS depressants (alcohol, barbiturates, opiates, sedatives, anesthetics) should be considered.
IOPIDINE
sedatives
ADVISE
Apraclonidine_ddi.xml
DDI-DrugBank.d224.s1
DDI-DrugBank.d224.s1.p4
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.
Nimodipine
bosentan
NONE
Bosentan_ddi.xml
DDI-DrugBank.d289.s32
DDI-DrugBank.d289.s32.p12
Epinephrine should not be administered concomitantly with other sympathomimetic drugs (such as isoproterenol) because of possible additive effects and increased toxicity.
Epinephrine
isoproterenol
ADVISE
Epinephrine_ddi.xml
DDI-DrugBank.d247.s2
DDI-DrugBank.d247.s2.p1
The concomitant use of nitrofurantoin is not recommended since nitrofurantoin may antagonize the antibacterial effect of Norfloxacin in the urinary tract.
nitrofurantoin
Norfloxacin
EFFECT
Norfloxacin_ddi.xml
DDI-DrugBank.d217.s10
DDI-DrugBank.d217.s10.p2
Absorption of tetracyclines is impaired by antacids containing aluminum, calcium, or magnesium, and iron-containing preparations.
tetracyclines
aluminum
MECHANISM
Doxycycline_ddi.xml
DDI-DrugBank.d500.s2
DDI-DrugBank.d500.s2.p1
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.
fentanyl
central nervous system depressants
EFFECT
Fentanyl_ddi.xml
DDI-DrugBank.d170.s5
DDI-DrugBank.d170.s5.p23
Elevated plasma levels of theophylline have been reported with concomitant use of some quinolones.
theophylline
quinolones
MECHANISM
Cinoxacin_ddi.xml
DDI-DrugBank.d562.s0
DDI-DrugBank.d562.s0.p0
MAO inhibitors prolong and intensify the effects of antihistamines.
MAO inhibitors
antihistamines
EFFECT
Azatadine_ddi.xml
DDI-DrugBank.d448.s0
DDI-DrugBank.d448.s0.p0
Influence of Trileptal on AED Concentration (Mean change, 90% Confidence Interval)
Trileptal
AED
NONE
Oxcarbazepine_ddi.xml
DDI-DrugBank.d307.s16
DDI-DrugBank.d307.s16.p0
Warfarin: Multiple oral doses of Sonata (20 mg q24h for 13 days) did not affect the pharmacokinetics of warfarin (R+)- or (S-)-enantiomers or the pharmacodynamics (prothrombin time) following a single 25-mg oral dose of warfarin.
Sonata
warfarin
NONE
Zaleplon_ddi.xml
DDI-DrugBank.d324.s35
DDI-DrugBank.d324.s35.p4
Fluconazole: Concomitant administration of fluconazole at 200 mg QD resulted in a two-fold increase in celecoxib plasma concentration.
fluconazole
celecoxib
MECHANISM
Celecoxib_ddi.xml
DDI-DrugBank.d172.s16
DDI-DrugBank.d172.s16.p2
Considerable caution should be exercised if PEGANONE is administered concurrently with Phenurone (phenacemide) since paranoid symptoms have been reported during therapy with this combination.
PEGANONE
phenacemide
ADVISE
Ethotoin_ddi.xml
DDI-DrugBank.d359.s1
DDI-DrugBank.d359.s1.p1
Co-medications that induce CYP 3A4 (e.g., rifampicin, phenytoin, carbamazepine, phenobarbital, or St. John s wort) may significantly decrease exposure to exemestane.
phenobarbital
exemestane
MECHANISM
Exemestane_ddi.xml
DDI-DrugBank.d435.s2
DDI-DrugBank.d435.s2.p9
Administration of phenytoin to patients receiving dopamine HCl has been reported to lead to hypotension and bradycardia.
phenytoin
dopamine HCl
EFFECT
Dopamine_ddi.xml
DDI-DrugBank.d325.s13
DDI-DrugBank.d325.s13.p0
Administration of diltiazem hydrochloride concomitantly with propranolol in five normal volunteers resulted in increased propranolol levels in all subjects and bioavailability of propranolol was increased approximately 50%.
diltiazem hydrochloride
propranolol
MECHANISM
Diltiazem_ddi.xml
DDI-DrugBank.d565.s8
DDI-DrugBank.d565.s8.p0
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.
lovastatin
warfarin
NONE
Aliskiren_ddi.xml
DDI-DrugBank.d533.s1
DDI-DrugBank.d533.s1.p1
Folic acid in large amounts may counteract the antiepileptic effect of phenobarbital, phenytoin and primidone, and increase the frequency of seizures in susceptible pediatric patients.
Folic acid
primidone
EFFECT
Leucovorin_ddi.xml
DDI-DrugBank.d151.s0
DDI-DrugBank.d151.s0.p2
Corticosteroids and Corticotropin (ACTH): may potentiate amphotericin B- induced hypokalemia which may predispose the patient to cardiac dysfunction.
Corticosteroids
amphotericin B
EFFECT
Amphotericin B_ddi.xml
DDI-DrugBank.d318.s2
DDI-DrugBank.d318.s2.p2
ISUPREL should be used with caution, if at all, when potent inhalational anesthetics such as halothane are employed because of potential to sensitize the myocardium to effects of sympathomimetic amines.
ISUPREL
anesthetics
ADVISE
Isoproterenol_ddi.xml
DDI-DrugBank.d55.s2
DDI-DrugBank.d55.s2.p0
Antihistamines may have additive effects with alcohol and other CNS depressants, e.g., hypnotics, sedatives, tranquilizers, antianxiety agents.
Antihistamines
antianxiety agents
EFFECT
Cyproheptadine_ddi.xml
DDI-DrugBank.d492.s1
DDI-DrugBank.d492.s1.p5
Antibiotics: Macrolide antibiotics have been reported to cause a significant decrease in corticosteroid clearance.
Macrolide antibiotics
corticosteroid
MECHANISM
Dexamethasone_ddi.xml
DDI-DrugBank.d314.s3
DDI-DrugBank.d314.s3.p2
Pregnancy estrogens and estrogen-containing oral contraceptives increase TBg concentrations.
estrogens
estrogen
NONE
Liothyronine_ddi.xml
DDI-DrugBank.d54.s27
DDI-DrugBank.d54.s27.p0
Coadministration of alosetron and strong CYP3A4 inhibitors, such as clarithromycin, telithromycin, protease inhibitors, voriconazole, and itraconazole has not been evaluated but should be undertaken with caution because of similar potential drug interactions.
alosetron
itraconazole
ADVISE
Alosetron_ddi.xml
DDI-DrugBank.d364.s10
DDI-DrugBank.d364.s10.p4
If replacing clonidine by beta-blocker therapy, the introduction of beta blockers should be delayed for several days after clonidine administration has stopped.
beta blockers
clonidine
ADVISE
Atenolol_ddi.xml
DDI-DrugBank.d73.s5
DDI-DrugBank.d73.s5.p5
Other concomitant therapy Although specific interaction studies were not performed, finasteride doses of 1 mg or more were concomitantly used in clinical studies with acetaminophen, acetylsalicylic acid, a-blockers, analgesics, angiotensin-converting enzyme (ACE) inhibitors, anticonvulsants, benzodiazepines, beta blockers, calcium-channel blockers, cardiac nitrates, diuretics, H2 antagonists, HMG-CoA reductase inhibitors, prostaglandin synthetase inhibitors (also referred to as NSAIDs), and quinolone anti-infectives without evidence of clinically significant adverse interactions.
acetylsalicylic acid
benzodiazepines
NONE
Finasteride_ddi.xml
DDI-DrugBank.d209.s3
DDI-DrugBank.d209.s3.p32
Concomitant treatment with methylxanthines (aminophylline, theophylline), steroids, or diuretics may potentiate any hypokalemic effect of adrenergic agonists.
theophylline
diuretics
NONE
Arformoterol_ddi.xml
DDI-DrugBank.d284.s3
DDI-DrugBank.d284.s3.p10
It would be expected that laxative use during therapy with CAMPTOSAR would worsen the incidence or severity of diarrhea, but this has not been studied.
laxative
CAMPTOSAR
EFFECT
Irinotecan_ddi.xml
DDI-DrugBank.d279.s10
DDI-DrugBank.d279.s10.p0
Pharmacologic studies indicate that there may be additive effects in prolonging AV conduction when using beta-blockers or digitalis concomitantly with Tiazac.
digitalis
Tiazac
EFFECT
Diltiazem_ddi.xml
DDI-DrugBank.d565.s1
DDI-DrugBank.d565.s1.p2
Pharmacodynamic Interactions: The CNS-depressant action of the benzodiazepine class of drugs may be potentiated by alcohol, narcotics, barbiturates, nonbarbiturate hypnotics, antianxiety agents, the phenothiazines, thioxanthene and butyrophenone classes of antipsychotic agents, monoamine oxidase inhibitors and the tricyclic antidepressants, and by other anticonvulsant drugs.
narcotics
tricyclic antidepressants
NONE
Clonazepam_ddi.xml
DDI-DrugBank.d333.s7
DDI-DrugBank.d333.s7.p28
Aminoglutethimide: Aminoglutethimide may diminish adrenal suppression by corticosteroids.
Aminoglutethimide
corticosteroids
EFFECT
Dexamethasone_ddi.xml
DDI-DrugBank.d314.s0
DDI-DrugBank.d314.s0.p2
However, the peak plasma level of metformin was reduced by approximately 20% when taking Acarbose due to a slight delay in the absorption of metformin.
metformin
Acarbose
MECHANISM
Acarbose_ddi.xml
DDI-DrugBank.d536.s10
DDI-DrugBank.d536.s10.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.
buspirone
doxycycline
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p224
Hepatic Enzyme Inducers, Inhibitors and Substrates: Drugs which induce cytochrome P450 3A4 (CYP 3A4) enzyme activity (e.g., barbiturates, phenytoin, carbamazepine, rifampin) may enhance the metabolism of corticosteroids and require that the dosage of the corticosteroid be increased.
carbamazepine
corticosteroids
MECHANISM
Dexamethasone_ddi.xml
DDI-DrugBank.d314.s18
DDI-DrugBank.d314.s18.p10
Therefore, esomeprazole may interfere with the absorption of drugs where gastric pH is an important determinant of bioavailability (eg, ketoconazole, iron salts and digoxin).
esomeprazole
iron
MECHANISM
Esomeprazole_ddi.xml
DDI-DrugBank.d29.s12
DDI-DrugBank.d29.s12.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.
chlorpropamide
influenza virus vaccine
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p464
Avoid the concomitant use of chlorprothixene and tramadol (Ultram).
chlorprothixene
Ultram
ADVISE
Chlorprothixene_ddi.xml
DDI-DrugBank.d503.s3
DDI-DrugBank.d503.s3.p1
This may indicate that ibuprofen could enhance the toxicity of methotrexate.
ibuprofen
methotrexate
EFFECT
Ibuprofen_ddi.xml
DDI-DrugBank.d415.s6
DDI-DrugBank.d415.s6.p0
Amiodarone or Verapamil: The risk of myopathy/rhabdomyolysis is increased when either amiodarone or verapamil is used concomitantly with a closely related member of the HMG-CoA reductase inhibitor class (see WARNINGS, Myopathy/Rhabdomyolysis).
verapamil
HMG-CoA reductase inhibitor class
EFFECT
Lovastatin_ddi.xml
DDI-DrugBank.d567.s12
DDI-DrugBank.d567.s12.p9
Additionally, higher than expected tricyclic antidepressant levels have been observed when they are begun in patients already taking cimetidine.
tricyclic antidepressant
cimetidine
MECHANISM
Doxepin_ddi.xml
DDI-DrugBank.d223.s24
DDI-DrugBank.d223.s24.p0
In vitro studies indicate that, at therapeutic concentrations of salicylate (300 m g/mL), the binding of ketorolac was reduced from approximately 99.2% to 97.5%, representing a potential twofold increase in unbound ketorolac plasma levels.
salicylate
ketorolac
MECHANISM
Ketorolac_ddi.xml
DDI-DrugBank.d3.s3
DDI-DrugBank.d3.s3.p0
However, the systemic administration of some quinolones has been shown to elevate plasma concentrations of theophylline, interfere with the metabolism of caffeine, and enhance the effects of the oral anticoagulant warfarin and its derivatives, and has been associated with transient elevations in serum creatinine in patients receiving systemic cyclosporine concomitantly.
quinolones
theophylline
MECHANISM
Levofloxacin_ddi.xml
DDI-DrugBank.d242.s1
DDI-DrugBank.d242.s1.p0
Warfarin: Anticoagulant activity should be monitored, particularly in the first few days after initiating or changing VIOXX therapy in patients receiving warfarin or similar agents, since these patients are at an increased risk of bleeding complications.
Warfarin
VIOXX
NONE
Rofecoxib_ddi.xml
DDI-DrugBank.d210.s31
DDI-DrugBank.d210.s31.p0
Carbamazepine: Isoniazid is known to slow the metabolism of carbamazepine and increase its serum levels Carbamazepine levels should be determined prior to concurrent administration with isoniazid, signs and symptoms of carbamazepine toxicity should be monitored closely, and appropriate dosage adjustment of the anticonvulsant should be made.
Isoniazid
carbamazepine
NONE
Isoniazid_ddi.xml
DDI-DrugBank.d187.s7
DDI-DrugBank.d187.s7.p9
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
diazoxide
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p15
In post-marketing experience, bleeding has been reported in patients on concomitant treatment with anticoagulants and INDOCIN.
anticoagulants
INDOCIN
EFFECT
Indomethacin_ddi.xml
DDI-DrugBank.d82.s7
DDI-DrugBank.d82.s7.p0
Studies in rats have shown that neomycin administration attenuates certain types of adrenocortical steroid dependent hypertension, including ACTH hypertension.
neomycin
ACTH
EFFECT
6100240.xml
DDI-MedLine.d2.s1
DDI-MedLine.d2.s1.p1
Chloramphenicol has been shown to be antagonistic to beta-lactam antibiotics, including ceftazidime, based on in vitro studies and time kill curves with enteric gram-negative bacilli.
Chloramphenicol
ceftazidime
EFFECT
Ceftazidime_ddi.xml
DDI-DrugBank.d122.s3
DDI-DrugBank.d122.s3.p1
- Perhexiline hydrogen maleate or MAO-inhibitors (with hepatotoxic potential) must not be administered together with Bezalip or Bezalip retard.
Perhexiline hydrogen maleate
Bezalip
ADVISE
Bezafibrate_ddi.xml
DDI-DrugBank.d291.s11
DDI-DrugBank.d291.s11.p1
Colchicine para-aminosalicylic acid and heavy alcohol intake for longer than 2 weeks may produce malabsorption of vitamin B12.
Colchicine
vitamin B12
MECHANISM
Cyanocobalamin_ddi.xml
DDI-DrugBank.d39.s1
DDI-DrugBank.d39.s1.p2
Potential drug interactions for doxylamine include, increased sedation if doxylamine is combined with other CNS depressant drugs.
doxylamine
CNS depressant drugs
EFFECT
Doxylamine_ddi.xml
DDI-DrugBank.d387.s0
DDI-DrugBank.d387.s0.p2
Since PLETAL is extensively metabolized by cytochrome P-450 isoenzymes, caution should be exercised when PLETAL is coadministered with inhibitors of C.P.A. such as ketoconazole and erythromycin or inhibitors of CYP2C19 such as omeprazole.
PLETAL
erythromycin
ADVISE
Cilostazol_ddi.xml
DDI-DrugBank.d358.s0
DDI-DrugBank.d358.s0.p5
When Bezalip or Bezalip retard is used at the same time as other medicines or substances the following interactions must be taken into account: - Bezalip and Bezalip retard may enhance the action of anticoagulants of the coumarin type.
Bezalip retard
anticoagulants of the coumarin type
EFFECT
Bezafibrate_ddi.xml
DDI-DrugBank.d291.s0
DDI-DrugBank.d291.s0.p9
Tolazamide: A case of severe hypoglycemia has been reported in a type II diabetic patient maintained on tolazamide (1 gm/day) 11 days after the addition of doxepin (75 mg/day).
tolazamide
doxepin
EFFECT
Doxepin_ddi.xml
DDI-DrugBank.d223.s28
DDI-DrugBank.d223.s28.p2
Other Potentially Important Drug Interactions: Benzodiazepines: Benzodiazepines metabolized by hepatic oxidation (e.g., alprazolam, midazolam, triazolam elc.) should be used with caution because the clearance of these drugs is likely to be reduced by fluvoxamine.
Benzodiazepines
midazolam
NONE
Fluvoxamine_ddi.xml
DDI-DrugBank.d76.s12
DDI-DrugBank.d76.s12.p6
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.
griseofulvin
LEVULAN KERASTICK
EFFECT
Aminolevulinic acid_ddi.xml
DDI-DrugBank.d379.s1
DDI-DrugBank.d379.s1.p12
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
zonisamide
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p44
Oral contraceptives: Aprepitant, when given once daily for 14 days as a 100-mg capsule with an oral contraceptive containing 35 mcg of ethinyl estradiol and 1 mg of norethindrone, decreased the AUC of ethinyl estradiol by 43%, and decreased the AUC of norethindrone by 8%;
norethindrone
norethindrone
NONE
Aprepitant_ddi.xml
DDI-DrugBank.d382.s19
DDI-DrugBank.d382.s19.p19
In the case that you are taking digoxin while taking aminosalicylic acid, higher doses of digoxin may be needed.
digoxin
aminosalicylic acid
ADVISE
Aminosalicylic Acid_ddi.xml
DDI-DrugBank.d22.s1
DDI-DrugBank.d22.s1.p0
Consequently, concomitant administration of Aprepitant with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, nefazodone, troleandomycin, clarithromycin, ritonavir, nelfinavir) should be approached with caution.
Aprepitant
ketoconazole
ADVISE
Aprepitant_ddi.xml
DDI-DrugBank.d382.s31
DDI-DrugBank.d382.s31.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.
anabolic steroids
naproxen
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p287
CANCIDAS has no effect on the pharmacokinetics of itraconazole, amphotericin B, or the active metabolite of mycophenolate.
itraconazole
amphotericin B
NONE
Caspofungin_ddi.xml
DDI-DrugBank.d350.s4
DDI-DrugBank.d350.s4.p2
A study of interaction between BREVIBLOC and warfarin showed that concomitant administration of BREVIBLOC and warfarin does not alter warfarin plasma levels.
BREVIBLOC
warfarin
NONE
Esmolol_ddi.xml
DDI-DrugBank.d422.s2
DDI-DrugBank.d422.s2.p8
Effect of diazepam and midazolam on the antinociceptive effect of morphine, metamizol and indomethacin in mice.
midazolam
indomethacin
NONE
11210678.xml
DDI-MedLine.d67.s0
DDI-MedLine.d67.s0.p6
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
phenothiazines
MECHANISM
Fosphenytoin_ddi.xml
DDI-DrugBank.d40.s10
DDI-DrugBank.d40.s10.p14
The effects of concomitant administration of TAMBOCOR and propranolol on the PR interval were less than additive.
TAMBOCOR
propranolol
EFFECT
Flecainide_ddi.xml
DDI-DrugBank.d87.s6
DDI-DrugBank.d87.s6.p0
In patients receiving concurrent therapy with clonidine, if therapy is to be discontinued, it is suggested that ZEBETA be discontinued for several days before the withdrawal of clonidine.
ZEBETA
clonidine
ADVISE
Bisoprolol_ddi.xml
DDI-DrugBank.d476.s2
DDI-DrugBank.d476.s2.p2
Theophylline: The effect of steady-state fluvoxamine l50 mg bid on the pharmacokinetics of a single dose of Theophylline (375 mg) as 442 mg aminophylline was evaluated in 12 healthy non-smoking, male volunteers.
Theophylline
aminophylline
NONE
Fluvoxamine_ddi.xml
DDI-DrugBank.d76.s26
DDI-DrugBank.d76.s26.p2
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.
anabolic steroids
ranitidine
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p298
Cholestyramine resin may delay or reduce the absorption of concomitant oral medication such as phenylbutazone, warfarin, thiazide diuretics (acidic) or propranolol (basic), as well as tetracycline penicillin G, phenobarbital, thyroid and thyroxine preparations, estrogens and progestins, and digitalis.
Cholestyramine
progestins
MECHANISM
Cholestyramine_ddi.xml
DDI-DrugBank.d566.s0
DDI-DrugBank.d566.s0.p10
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.
antibiotics
sulfamethoxazole
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p355
The possibility of hypotensive effects with Lotensin can be minimized by either discontinuing the diuretic or increasing the salt intake prior to initiation of treatment with Lotensin.
diuretic
Lotensin
ADVISE
Benazepril_ddi.xml
DDI-DrugBank.d561.s1
DDI-DrugBank.d561.s1.p2
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).
terbutaline
isoniazid
NONE
Insulin recombinant_ddi.xml
DDI-DrugBank.d313.s2
DDI-DrugBank.d313.s2.p77
Antacids: In a clinical pharmacology study, coadministration of an antacid (aluminum hydroxide, magnesium hydroxide, and simethicone) with fosinopril reduced serum levels and urinary excretion of fosinoprilat as compared with fosinopril administered alone, suggesting that antacids may impair absorption of fosinopril.
Antacids
antacid
NONE
Fosinopril_ddi.xml
DDI-DrugBank.d176.s9
DDI-DrugBank.d176.s9.p0
Serum concentration of digoxin and digitoxin may increase when patients take antithyroid agents.
digitoxin
antithyroid agents
MECHANISM
Carbimazole_ddi.xml
DDI-DrugBank.d213.s1
DDI-DrugBank.d213.s1.p2
When taken orally , imidazole compounds like ketoconazole may enhance the anticoagulant effect of coumarin-like drugs.
imidazole compounds
coumarin
EFFECT
Ketoconazole_ddi.xml
DDI-DrugBank.d458.s19
DDI-DrugBank.d458.s19.p1
Fluvoxamine inhibits the CYP2C9 catalyzed biotransformation of tolbutamide.
Fluvoxamine
tolbutamide
MECHANISM
11180037.xml
DDI-MedLine.d99.s0
DDI-MedLine.d99.s0.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
phenylbutazone
tolbutamide
NONE
Fosphenytoin_ddi.xml
DDI-DrugBank.d40.s10
DDI-DrugBank.d40.s10.p219
- Methyldopa (e.g., Aldomet) Use of methyldopa with sulfapyridine may increase the chance of side effects affecting the liver and/or the blood
methyldopa
sulfapyridine
EFFECT
Sulfapyridine_ddi.xml
DDI-DrugBank.d179.s39
DDI-DrugBank.d179.s39.p5
In patients receiving Nalfon and a steroid concomitantly, any reduction in steroid dosage should be gradual in order to avoid the possible complications of sudden steroid withdrawal.
Nalfon
steroid
ADVISE
Fenoprofen_ddi.xml
DDI-DrugBank.d154.s11
DDI-DrugBank.d154.s11.p0
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
astemizole
ADVISE
Nelfinavir_ddi.xml
DDI-DrugBank.d340.s6
DDI-DrugBank.d340.s6.p4
The in vitro interaction between nevirapine and the antithrombotic agent warfarin is complex.
nevirapine
warfarin
INT
Nevirapine_ddi.xml
DDI-DrugBank.d270.s9
DDI-DrugBank.d270.s9.p1
Antidepressants (tricyclic), atropine or other anticholinergic agents, or digitalis glycosides: concurrent use with arbutamine may produce additive inotropic and/or chronotropic effects.
Antidepressants
tricyclic
NONE
Arbutamine_ddi.xml
DDI-DrugBank.d253.s3
DDI-DrugBank.d253.s3.p0
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
cisapride
ADVISE
Nelfinavir_ddi.xml
DDI-DrugBank.d340.s6
DDI-DrugBank.d340.s6.p12
Beta blockers may exacerbate the rebound hypertension which can follow the withdrawal of clonidine.
Beta blockers
clonidine
EFFECT
Atenolol_ddi.xml
DDI-DrugBank.d73.s3
DDI-DrugBank.d73.s3.p0
Caution should be taken when ENABLEX is used concomitantly with medications that are predominantly metabolized by CYP2D6 and which have a narrow therapeutic window, such as flecainide, thioridazine and tricyclic antidepressants (see CLINICAL PHARMACOLOGY).
ENABLEX
tricyclic antidepressants
ADVISE
Darifenacin_ddi.xml
DDI-DrugBank.d459.s1
DDI-DrugBank.d459.s1.p2
Cyclosporine, Digoxin, Methotrexate Lodine, like other NSAIDs, through effects on renal prostaglandins, may cause changes in the elimination of these drugs leading to elevated serum levels of cyclosporine, digoxin, methotrexate, and increased toxicity.
NSAIDs
cyclosporine
MECHANISM
Etodolac_ddi.xml
DDI-DrugBank.d219.s7
DDI-DrugBank.d219.s7.p4
ADL 8-2698, a trans-3,4-dimethyl-4-(3-hydroxyphenyl) piperidine, prevents gastrointestinal effects of intravenous morphine without affecting analgesia.
ADL 8-2698
morphine
EFFECT
11180040.xml
DDI-MedLine.d87.s0
DDI-MedLine.d87.s0.p0
Benzthiazide may interact with alcohol, blood thinners, decongestant drugs (allergy, cold, and sinus medicines), diabetic drugs, lithium, norepinephrine, NSAIDs like Aleve or Ibuprofen, and high blood pressure medications.
NSAIDs
Aleve
NONE
Benzthiazide_ddi.xml
DDI-DrugBank.d208.s0
DDI-DrugBank.d208.s0.p33
Cyclopropane or halogenated hydrocarbon anesthetics increase cardiac autonomic irritability and may sensitize the myocardium to the action of certain intravenously administered catecholamines, such as dopamine.
halogenated hydrocarbon anesthetics
catecholamines
EFFECT
Dopamine_ddi.xml
DDI-DrugBank.d325.s8
DDI-DrugBank.d325.s8.p3
Curariform muscle relaxants (eg, tubocurarine) and other drugs, including ether, succinylcholine, gallamine, decamethonium and sodium citrate, potentiate the neuromuscular blocking effect and should be used with extreme caution in patients being treated with Coly-Mycin M Parenteral.
gallamine
Coly-Mycin M
EFFECT
Colistimethate_ddi.xml
DDI-DrugBank.d250.s2
DDI-DrugBank.d250.s2.p17
Naproxen had no effect on plasma levels of diflunisal.
Naproxen
diflunisal
NONE
Diflunisal_ddi.xml
DDI-DrugBank.d132.s28
DDI-DrugBank.d132.s28.p0
Quinidine, verapamil, amiodarone, propafenone, indomethacin, itraconazole, alprazolam, and spironolactone raise the serum digoxin concentration due to a reduction in clearance and/or in volume of distribution of the drug, with the implication that digitalis intoxication may result.
spironolactone
digoxin
MECHANISM
Digoxin_ddi.xml
DDI-DrugBank.d450.s2
DDI-DrugBank.d450.s2.p42
Sumatriptan - There have been rare postmarketing reports describing patients with weakness, hyperreflexia, and incoordination following the use of a selective serotonin reuptake inhibitor (SSRI) and sumatriptan.
selective serotonin reuptake inhibitor
sumatriptan
EFFECT
Escitalopram_ddi.xml
DDI-DrugBank.d568.s16
DDI-DrugBank.d568.s16.p4
However, iloprost has the potential to increase the hypotensive effect of vasodilators and antihypertensive agents.
iloprost
antihypertensive agents
EFFECT
Iloprost_ddi.xml
DDI-DrugBank.d549.s1
DDI-DrugBank.d549.s1.p1
Therapeutic concentrations of digoxin, warfarin, ibuprofen, naproxen, piroxicam, acetaminophen, phenytoin andtolbutamide did not alter ketorolac tromethamine protein binding.
warfarin
ketorolac tromethamine
NONE
Ketorolac_ddi.xml
DDI-DrugBank.d3.s4
DDI-DrugBank.d3.s4.p12
Consequently, it is recommended not to exceed a single 2.5 mg Vardenafil dose in a 72-hour period when used in combination with ritonavir.
Vardenafil
ritonavir
ADVISE
Vardenafil_ddi.xml
DDI-DrugBank.d198.s15
DDI-DrugBank.d198.s15.p0
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.
tricyclic antidepressants
adrenergic agonists
EFFECT
Arformoterol_ddi.xml
DDI-DrugBank.d284.s6
DDI-DrugBank.d284.s6.p9
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.
nefazadone
TIKOSYN
ADVISE
Dofetilide_ddi.xml
DDI-DrugBank.d558.s25
DDI-DrugBank.d558.s25.p66
Antihistamines may enhance the effects of tricyclic antidepressants, barbiturates, alcohol, and other CNS depressants.
Antihistamines
tricyclic antidepressants
EFFECT
Carbinoxamine_ddi.xml
DDI-DrugBank.d389.s0
DDI-DrugBank.d389.s0.p0
Due to their similar mechanism of action, it is expected that the neuromuscular blockade produced by any of the non-depolarizing muscle relaxants could be prolonged in the presence of piperacillin.
non-depolarizing muscle relaxants
piperacillin
EFFECT
Piperacillin_ddi.xml
DDI-DrugBank.d462.s4
DDI-DrugBank.d462.s4.p0