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Amiodarone, disopyramide, lidocaine
disopyramide
lidocaine
NONE
Nevirapine_ddi.xml
DDI-DrugBank.d270.s63
DDI-DrugBank.d270.s63.p2
Sympathomimetic amines may reduce the antihypertensive effects of reserpine, veratrum alkaloids, methyldopa and mecamylamine.
Sympathomimetic amines
reserpine
EFFECT
Carbinoxamine_ddi.xml
DDI-DrugBank.d389.s2
DDI-DrugBank.d389.s2.p0
Uricosuric Agents: Aspirin may decrease the effects of probenecid, sulfinpyrazone, and phenylbutazone.
probenecid
phenylbutazone
NONE
Aspirin_ddi.xml
DDI-DrugBank.d443.s0
DDI-DrugBank.d443.s0.p8
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.
Dilantin
Crixivan
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p305
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.
oxcarbazepine
ziprasidone
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p942
Other 5-HT1B/1D Agonists Concomitant use of other 5-HT1B/1D agonists within 24 hours of treatment with AXERT is contraindicated.
5-HT1B/1D agonists
AXERT
ADVISE
Almotriptan_ddi.xml
DDI-DrugBank.d299.s4
DDI-DrugBank.d299.s4.p2
Concomitant treatment with methylxanthines (aminophylline, theophylline), steroids, or diuretics may potentiate any hypokalemic effect of adrenergic agonists.
theophylline
adrenergic agonists
EFFECT
Arformoterol_ddi.xml
DDI-DrugBank.d284.s3
DDI-DrugBank.d284.s3.p11
Acetaminophen and methotrexate - L-methionine may decrease hepatic toxicity in those with acetaminophen overdosage or in those taking methotrexate.
L-methionine
acetaminophen
EFFECT
L-Methionine_ddi.xml
DDI-DrugBank.d528.s0
DDI-DrugBank.d528.s0.p7
Additional reductions in blood pressure may occur when FLOLAN is administered with diuretics, antihypertensive agents, or other vasodilators.
FLOLAN
antihypertensive agents
EFFECT
Epoprostenol_ddi.xml
DDI-DrugBank.d241.s0
DDI-DrugBank.d241.s0.p1
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 .
fluoxetine
carvedilol
EFFECT
Carvedilol_ddi.xml
DDI-DrugBank.d269.s1
DDI-DrugBank.d269.s1.p17
ZEBETA should be used with care when myocardial depressants or inhibitors of AV conduction, such as certain calcium antagonists (particularly of the phenylalkylamine [verapamil] and benzothiazepine [diltiazem] classes), or antiarrhythmic agents, such as disopyramide, are used concurrently.
ZEBETA
verapamil
ADVISE
Bisoprolol_ddi.xml
DDI-DrugBank.d476.s3
DDI-DrugBank.d476.s3.p3
Platelet inhibitors: Drugs such as acetylsalicylic acid, dextran, phenylbutazone, ibuprofen, indomethacin, dipyridamole, hydroxychloroquine and others that interfere with platelet-aggregation reactions (the main hemostatic defense of heparinized patients) may induce bleeding and should be used with caution in patients receiving heparin sodium.
acetylsalicylic acid
heparin sodium
EFFECT
Heparin_ddi.xml
DDI-DrugBank.d488.s2
DDI-DrugBank.d488.s2.p14
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
heparin
EFFECT
Bivalirudin_ddi.xml
DDI-DrugBank.d569.s1
DDI-DrugBank.d569.s1.p0
Therefore, co-administration of clozapine with other drugs that are metabolized by this isozyme, including antidepressants, phenothiazines, carbamazepine, and Type 1C antiarrhythmics (e.g., propafenone, flecainide and encainide), or that inhibit this enzyme (e.g., quinidine), should be approached with caution.
clozapine
encainide
ADVISE
Clozapine_ddi.xml
DDI-DrugBank.d480.s30
DDI-DrugBank.d480.s30.p6
In a study in normal volunteers, concomitant administration of buspirone HCl and haloperidol resulted in increased serum haloperidol concentrations.
buspirone HCl
haloperidol
MECHANISM
Buspirone_ddi.xml
DDI-DrugBank.d463.s3
DDI-DrugBank.d463.s3.p0
Agents that are CYP inducers that have been found, or are expected, to decrease plasma levels of EQUETROTM are the following: Cisplatin, doxorubicin HCL, felbamate, rifampin, phenobarbital, Phenytoin(2), primidone, methsuximide, and theophylline Thus, if a patient has been titrated to a stable dosage on EQUETROTM, and then begins a course of treatment with one of these CYP3A4 inducers, it is reasonable to expect that a dose increase for EQUETROTM may be necessary.
EQUETROTM
doxorubicin HCL
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s8
DDI-DrugBank.d94.s8.p1
Clearance of hydrodolasetron decreased by about 27% when dolasetron mesylate was administered intravenously concomitantly with atenolol.
dolasetron mesylate
atenolol
MECHANISM
Dolasetron_ddi.xml
DDI-DrugBank.d42.s5
DDI-DrugBank.d42.s5.p2
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.
nondepolarizing agents
magnesium
EFFECT
Cisatracurium Besylate_ddi.xml
DDI-DrugBank.d60.s12
DDI-DrugBank.d60.s12.p10
Theophylline VIOXX 12.5, 25, and 50 mg administered once daily for 7 days increased plasma theophylline concentrations (AUC(0- )) by 38 to 60% in healthy subjects administered a single 300-mg dose of theophylline.
Theophylline
theophylline
NONE
Rofecoxib_ddi.xml
DDI-DrugBank.d210.s27
DDI-DrugBank.d210.s27.p2
Catecholamine-depleting drugs, such as reserpine, may have an additive effect when given with beta-blocking agents.
Catecholamine-depleting drugs
beta-blocking agents
EFFECT
Acebutolol_ddi.xml
DDI-DrugBank.d388.s0
DDI-DrugBank.d388.s0.p1
When CANCIDAS is co-administered with inducers of drug clearance, such as efavirenz, nevirapine, phenytoin, dexamethasone, or carbamazepine, use of a daily dose of 70 mg of CANCIDAS should be considered
CANCIDAS
carbamazepine
ADVISE
Caspofungin_ddi.xml
DDI-DrugBank.d350.s14
DDI-DrugBank.d350.s14.p4
- a beta-blocker such as propranolol (Inderal), atenolol (Tenormin), acebutolol (Sectral), metoprolol (Lopressor), and others;
propranolol
metoprolol
NONE
Glimepiride_ddi.xml
DDI-DrugBank.d521.s5
DDI-DrugBank.d521.s5.p13
Uricosuric Agents: Aspirin may decrease the effects of probenecid, sulfinpyrazone, and phenylbutazone.
Aspirin
sulfinpyrazone
EFFECT
Aspirin_ddi.xml
DDI-DrugBank.d443.s0
DDI-DrugBank.d443.s0.p5
Caution should be exercised when anticoagulants are given in conjunction with Atromid-S.
anticoagulants
Atromid-S
ADVISE
Clofibrate_ddi.xml
DDI-DrugBank.d12.s0
DDI-DrugBank.d12.s0.p0
Anticholinergic agents may affect gastrointestinal absorption of various drugs, such as slowly dissolving dosage forms of digoxin;
Anticholinergic agents
digoxin
MECHANISM
Dicyclomine_ddi.xml
DDI-DrugBank.d543.s4
DDI-DrugBank.d543.s4.p0
Cimetidine: Cimetidine increases nicardipine HCl plasma levels.
Cimetidine
Cimetidine
NONE
Nicardipine_ddi.xml
DDI-DrugBank.d468.s2
DDI-DrugBank.d468.s2.p0
Concomitant use of Isocarboxazid and other psychotropic agents is generally not recommended because of possible potentiating effects.
Isocarboxazid
psychotropic agents
ADVISE
Isocarboxazid_ddi.xml
DDI-DrugBank.d108.s2
DDI-DrugBank.d108.s2.p0
Certain drugs including thiazides, corticosteroids, thyroid products, and sympathomimetics may reduce the hypoglycemic action of Starlix and other oral antidiabetic drugs.
sympathomimetics
antidiabetic drugs
EFFECT
Nateglinide_ddi.xml
DDI-DrugBank.d460.s15
DDI-DrugBank.d460.s15.p13
Although this interaction has not been reported with cinoxacin, caution should be exercised when cinoxacin is given concomitantly with caffeine-containing products.
cinoxacin
caffeine
ADVISE
Cinoxacin_ddi.xml
DDI-DrugBank.d562.s5
DDI-DrugBank.d562.s5.p2
Steroids enhance the renal toxicity of edetate calcium disodium in animals. 7 Edetate calcium disodium interferes with the action of zinc insulin preparations by chelating the zinc. 7
Edetate calcium disodium
zinc insulin
MECHANISM
Edetic Acid_ddi.xml
DDI-DrugBank.d191.s1
DDI-DrugBank.d191.s1.p7
Agents that are CYP3A4 inhibitors that have been found, or are expected, to increase plasma levels of EQUETROTM are the following: Acetazolamide, azole antifungals, cimetidine, clarithromycin(1), dalfopristin, danazol, delavirdine, diltiazem, erythromycin(1), fluoxetine, fluvoxamine, grapefruit juice, isoniazid, itraconazole, ketoconazole, loratadine, nefazodone, niacinamide, nicotinamide, protease inhibitors, propoxyphene, quinine, quinupristin, troleandomycin, valproate(1), verapamil, zileuton.
EQUETROTM
Acetazolamide
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.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.
Astramorph
theophylline
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p932
However, because bleeding has been reported when ibuprofen and other nonsteroidal anti-inflammatory agents have been administered to patients on coumarin-type anticoagulants, the physician should be cautious when administering ibuprofen to patients on anticoagulants.
ibuprofen
anticoagulants
ADVISE
Ibuprofen_ddi.xml
DDI-DrugBank.d415.s1
DDI-DrugBank.d415.s1.p9
This interaction should be given consideration in patients taking NSAIDs concomitantly with ACE-inhibitors.
NSAIDs
ACE-inhibitors
ADVISE
Etodolac_ddi.xml
DDI-DrugBank.d219.s1
DDI-DrugBank.d219.s1.p0
Therefore, co-administration of tricyclic antidepressants with other drugs that are metabolized by this isoenzyme, including other antidepressants, phenothiazines, carbamazepine, and Type 1C antiarrhythmics (eg, propafenone, flecainide, and encainide), or that inhibit this enzyme (eg, quinidine), should be approached with caution.
phenothiazines
Type 1C antiarrhythmics
NONE
Nortriptyline_ddi.xml
DDI-DrugBank.d202.s16
DDI-DrugBank.d202.s16.p16
Although specific drug interaction studies have not been conducted with ALPHAGAN P, the possibility of an additive or potentiating effect with CNS depressants (alcohol, barbiturates, opiates, sedatives, or anesthetics) should be considered.
ALPHAGAN P
barbiturates
ADVISE
Brimonidine_ddi.xml
DDI-DrugBank.d138.s0
DDI-DrugBank.d138.s0.p2
Corticosteroids and Corticotropin (ACTH): may potentiate amphotericin B- induced hypokalemia which may predispose the patient to cardiac dysfunction.
Corticotropin
ACTH
NONE
Amphotericin B_ddi.xml
DDI-DrugBank.d318.s2
DDI-DrugBank.d318.s2.p3
Additional reductions in blood pressure may occur when FLOLAN is administered with diuretics, antihypertensive agents, or other vasodilators.
FLOLAN
vasodilators
EFFECT
Epoprostenol_ddi.xml
DDI-DrugBank.d241.s0
DDI-DrugBank.d241.s0.p2
Therefore, CYP3A4 substrates known to have a narrow therapeutic index such as alfentanil, astemizole, terfenadine, cisapride, cyclosporine, fentanyl, pimozide, quinidine, sirolimus, tacrolimus, or ergot alkaloids (ergotamine, dihydroergotamine) should be administered with caution in patients receiving SPRYCEL.
terfenadine
SPRYCEL
ADVISE
Dasatinib_ddi.xml
DDI-DrugBank.d48.s15
DDI-DrugBank.d48.s15.p35
Vitamin A and oral retinoids: Concomitant administration of vitamin A and/or other oral retinoids with acitretin must be avoided because of the risk of hypervitaminosis A.
vitamin A
acitretin
ADVISE
Acitretin_ddi.xml
DDI-DrugBank.d353.s12
DDI-DrugBank.d353.s12.p8
An additive hypotensive effect has been reported with the combination of systemic clonidine and neuroleptic therapy.
clonidine
neuroleptic
EFFECT
Apraclonidine_ddi.xml
DDI-DrugBank.d224.s6
DDI-DrugBank.d224.s6.p0
propranolol to healthy volunteers under steady-state conditions had no relevant effect on either drug s bioavailability, AUC and Cmax, differences were 20% between isradipine given singly and in combination with propranolol, and between propranolol given singly and in combination with isradipine.
propranolol
propranolol
NONE
Isradipine_ddi.xml
DDI-DrugBank.d81.s6
DDI-DrugBank.d81.s6.p1
Drugs that may alter imatinib plasma concentrations Drugs that may increase imatinib plasma concentrations: Caution is recommended when administering Gleevec with inhibitors of the CYP3A4 family (e.g., ketoconazole, itraconazole, erythromycin, clarithromycin).
Gleevec
erythromycin
ADVISE
Imatinib_ddi.xml
DDI-DrugBank.d115.s0
DDI-DrugBank.d115.s0.p13
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
ethacrynic acid
ADVISE
Netilmicin_ddi.xml
DDI-DrugBank.d417.s0
DDI-DrugBank.d417.s0.p2
Intrathecal injection of naloxone at doses of 0.4 to 40 micrograms caused a dose-related blockade of the inhibition of the tail-flick response induced by intraventricular injection of beta-endorphin, and a high dose of naloxone (40 micrograms) completely blocked the tail-flick inhibition induced by intraventricular beta-endorphin (16 micrograms).
naloxone
beta-endorphin
EFFECT
3155550.xml
DDI-MedLine.d63.s4
DDI-MedLine.d63.s4.p5
Barbiturates may decrease the effectiveness of oral contraceptives, certain antibiotics, quinidine, theophylline, corticosteroids, anticoagulants, and beta blockers.
Barbiturates
quinidine
EFFECT
Hexobarbital_ddi.xml
DDI-DrugBank.d457.s0
DDI-DrugBank.d457.s0.p2
There have been reports of QTc prolongation, with or without TdP, in patients taking amiodarone when fluoroquinolones, macrolide antibiotics, or azoles were administered concomitantly.
amiodarone
macrolide antibiotics
NONE
Amiodarone_ddi.xml
DDI-DrugBank.d143.s59
DDI-DrugBank.d143.s59.p1
plasma levels of several closely related tricyclic antidepressants have been reported to be increased by the concomitant administration of methylphenidate or hepatic enzyme inhibitors (e.g., cimetidine, fluoxetine) and decreased by the concomitant administration of hepatic enzyme inducers (e.g., barbiturates, phenytoin), and such an effect may be anticipated with CMI as well.
tricyclic antidepressants
methylphenidate
MECHANISM
Clomipramine_ddi.xml
DDI-DrugBank.d238.s6
DDI-DrugBank.d238.s6.p0
In patients taking an anticonvulsant (eg, valproic acid, carbamazepine, phenobarbital or phenytoin), the concomitant use of Mefloquine may reduce seizure control by lowering the plasma levels of the anticonvulsant.
anticonvulsant
Mefloquine
EFFECT
Mefloquine_ddi.xml
DDI-DrugBank.d220.s11
DDI-DrugBank.d220.s11.p4
Furosemide: Clinical studies, as well as post marketing observations, have shown that NSAIDs can reduce the natriuretic effect of furosemide and thiazides in some patients.
NSAIDs
thiazides
EFFECT
Celecoxib_ddi.xml
DDI-DrugBank.d172.s11
DDI-DrugBank.d172.s11.p4
Furosemide: Clinical studies, as well as post-marketing observations, have shown that NSAIDs can reduce the natriuretic effect of furosemide and thiazides in some patients.
NSAIDs
thiazides
EFFECT
Mefenamic acid_ddi.xml
DDI-DrugBank.d400.s6
DDI-DrugBank.d400.s6.p4
Patients receiving other narcotic analgesics, general anesthetics, phenothiazines, tranquilizers, sedative-hypnotics, tricyclic antidepressants or other CNS depressants (including alcohol) concomitantly with DILAUDID may exhibit an additive CNS depression.
alcohol
DILAUDID
EFFECT
Hydromorphone_ddi.xml
DDI-DrugBank.d26.s0
DDI-DrugBank.d26.s0.p35
Concomitant administration of fenofibrate (equivalent to 145mg TRICOR) with pravastatin (40 mg) once daily for 10 days has been shown to increase the mean Cmax and AUC values for pravastatin by 36% (range from 69% decrease to 321% increase) and 28% (range from 54% decrease to 128% increase), respectively, and for 3 -hydroxy-iso-pravastatin by 55% (range from 32% decrease to 314% increase) and 39% (range from 24% decrease to 261% increase), respectively in 23 healthy adults.
fenofibrate
pravastatin
MECHANISM
Fenofibrate_ddi.xml
DDI-DrugBank.d283.s13
DDI-DrugBank.d283.s13.p1
Example inhibitors include azole antifungals, ciprofloxacin, clarithromycin, diclofenac, doxycycline, erythromycin, imatinib, isoniazid, nefazodone, nicardipine, propofol, protease inhibitors, quinidine, and verapamil.
ciprofloxacin
isoniazid
NONE
Chlorpheniramine_ddi.xml
DDI-DrugBank.d235.s4
DDI-DrugBank.d235.s4.p18
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.
amiodarone
ethacrynic acid
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p224
Coadministration of Itraconazole with oral midazolam or triazolam has resulted in elevated plasma concentrations of the latter two drugs.
Itraconazole
triazolam
MECHANISM
Itraconazole_ddi.xml
DDI-DrugBank.d165.s11
DDI-DrugBank.d165.s11.p1
Clinical studies with celecoxib have identified potentially significant interactions with fluconazole and lithium.
celecoxib
lithium
INT
Celecoxib_ddi.xml
DDI-DrugBank.d172.s6
DDI-DrugBank.d172.s6.p1
Combinations of these drugs have not been studied and coadministration of CRIXIVAN and atazanavir is not recommended.
CRIXIVAN
atazanavir
ADVISE
Indinavir_ddi.xml
DDI-DrugBank.d97.s26
DDI-DrugBank.d97.s26.p0
Agents that are CYP3A4 inhibitors that have been found, or are expected, to increase plasma levels of EQUETROTM are the following: Acetazolamide, azole antifungals, cimetidine, clarithromycin(1), dalfopristin, danazol, delavirdine, diltiazem, erythromycin(1), fluoxetine, fluvoxamine, grapefruit juice, isoniazid, itraconazole, ketoconazole, loratadine, nefazodone, niacinamide, nicotinamide, protease inhibitors, propoxyphene, quinine, quinupristin, troleandomycin, valproate(1), verapamil, zileuton.
azole antifungals
erythromycin
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.p57
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
lincomycin
EFFECT
Doxacurium chloride_ddi.xml
DDI-DrugBank.d267.s5
DDI-DrugBank.d267.s5.p5
- 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
thioridazine
triflupromazine
NONE
Sulfapyridine_ddi.xml
DDI-DrugBank.d179.s21
DDI-DrugBank.d179.s21.p275
Agents that are CYP3A4 inhibitors that have been found, or are expected, to increase plasma levels of EQUETROTM are the following: Acetazolamide, azole antifungals, cimetidine, clarithromycin(1), dalfopristin, danazol, delavirdine, diltiazem, erythromycin(1), fluoxetine, fluvoxamine, grapefruit juice, isoniazid, itraconazole, ketoconazole, loratadine, nefazodone, niacinamide, nicotinamide, protease inhibitors, propoxyphene, quinine, quinupristin, troleandomycin, valproate(1), verapamil, zileuton.
EQUETROTM
troleandomycin
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.p22
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.
NIMBEX
magnesium
EFFECT
Cisatracurium Besylate_ddi.xml
DDI-DrugBank.d60.s12
DDI-DrugBank.d60.s12.p24
and Videx , (Didanosine), chewable/buffered tablets or the pediatric powder for oral solution may substantially interfere with the absorption of quinolones, resulting in systemic levels considerably lower than desired.
Videx
quinolones
MECHANISM
Nalidixic Acid_ddi.xml
DDI-DrugBank.d427.s11
DDI-DrugBank.d427.s11.p1
Therefore, it is recommended that Fluvoxamine Tablets not be used in combination with MAOIs, or within 14 days of discontinuing treatment with a MAOI.
Fluvoxamine
MAOI
ADVISE
Fluvoxamine_ddi.xml
DDI-DrugBank.d76.s4
DDI-DrugBank.d76.s4.p1
Patients treated with Nalfon may be resistant to the effects of loop diuretics.
Nalfon
loop diuretics
EFFECT
Fenoprofen_ddi.xml
DDI-DrugBank.d154.s10
DDI-DrugBank.d154.s10.p0
Adenosine effects are potentiated by dipyridamole.
Adenosine
dipyridamole
EFFECT
Adenosine_ddi.xml
DDI-DrugBank.d226.s6
DDI-DrugBank.d226.s6.p0
Interactions may occur with the following: adrenocorticoids (cortisone-like medicine), anticoagulants (blood thinners), carbamazepine, corticotropin (barbiturates may decrease the effects of these medicines), central nervous system (CNS) depressants (using these medicines with barbiturates may result in increased CNS depressant effects), divalproex sodium, valproic acid (using these medicines with barbiturates may change the amount of either medicine that you need to take), and oral contraceptives containing estrogens (barbiturates may decrease the effectiveness of these oral contraceptives, and you may need to change to a different type of birth control).
anticoagulants
estrogens
NONE
Butabarbital_ddi.xml
DDI-DrugBank.d184.s0
DDI-DrugBank.d184.s0.p10
We report the case of an adolescent with altered consciousness caused by carbamazepine overdose with a positive tricyclic antidepressant level to alert clinicians to the cross-reactivity of carbamazepine with a toxicology screen for tricyclic antidepressants.
carbamazepine
tricyclic antidepressant
EFFECT
11134454.xml
DDI-MedLine.d36.s2
DDI-MedLine.d36.s2.p0
Indinavir and didanosine formulations containing buffer should be administered at least one hour apart on an empty stomach.
Indinavir
didanosine
ADVISE
Indinavir_ddi.xml
DDI-DrugBank.d97.s37
DDI-DrugBank.d97.s37.p0
Drugs Decreasing Heparin Effect: Digitalis, tetracyclines, nicotine, or antihistamines may partially counteract the anticoagulant action of heparin sodium.
tetracyclines
heparin sodium
EFFECT
Heparin_ddi.xml
DDI-DrugBank.d488.s6
DDI-DrugBank.d488.s6.p11
Binding to Serum Proteins: The following agents may either inhibit levothyroxine sodium binding to serum proteins or alter the concentrations of serum binding proteins: androgens and related anabolic hormones, asparaginase, clofibrate, estrogens and estrogen-containing compounds, 5-fluorouracil, furosemide, glucocorticoids, meclofenamic acid, mefenamic acid, methadone, perphenazine, phenylbutazone, phenytoin, salicylates, tamoxifen.
levothyroxine sodium
methadone
MECHANISM
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s3
DDI-DrugBank.d411.s3.p11
(In some patients, the steroidal anti-inflammatory agent can reduce the diuretic, natriuretic, and antihypertensive effects of loop, potassium sparing, and thiazide diuretics.
steroidal anti-inflammatory agent
thiazide diuretics
EFFECT
Hydroflumethiazide_ddi.xml
DDI-DrugBank.d17.s25
DDI-DrugBank.d17.s25.p2
Therefore, CYP3A4 substrates known to have a narrow therapeutic index such as alfentanil, astemizole, terfenadine, cisapride, cyclosporine, fentanyl, pimozide, quinidine, sirolimus, tacrolimus, or ergot alkaloids (ergotamine, dihydroergotamine) should be administered with caution in patients receiving SPRYCEL.
sirolimus
SPRYCEL
ADVISE
Dasatinib_ddi.xml
DDI-DrugBank.d48.s15
DDI-DrugBank.d48.s15.p80
Physicians are provided this information to increase awareness of the potential for serious interactions when cinoxacin and certain nonsteroidal anti-inflammatory agents are administered concomitantly.
cinoxacin
nonsteroidal anti-inflammatory agents
ADVISE
Cinoxacin_ddi.xml
DDI-DrugBank.d562.s13
DDI-DrugBank.d562.s13.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.
Etonogestrel
morphine
INT
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p31
The vasodilating effects of nitroglycerin may be additive with those of other vasodilators.
nitroglycerin
vasodilators
EFFECT
Nitroglycerin_ddi.xml
DDI-DrugBank.d14.s0
DDI-DrugBank.d14.s0.p0
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.
Videx
lomefloxacin
MECHANISM
Lomefloxacin_ddi.xml
DDI-DrugBank.d516.s3
DDI-DrugBank.d516.s3.p34
Coadministration of oral contraceptives, diazepam, phenytoin, or quinidine did not seem to change the pharmacokinetic profile of esomeprazole.
phenytoin
esomeprazole
NONE
Esomeprazole_ddi.xml
DDI-DrugBank.d29.s13
DDI-DrugBank.d29.s13.p8
Colchicine is inhibited by acidifying agents.
Colchicine
acidifying agents
MECHANISM
Colchicine_ddi.xml
DDI-DrugBank.d146.s0
DDI-DrugBank.d146.s0.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.
thiazides
estrogens
NONE
Chlorpropamide_ddi.xml
DDI-DrugBank.d245.s4
DDI-DrugBank.d245.s4.p3
It is believed that the toxicity may have resulted from a previously unrecognized interaction between isoniazid and acetaminophen and a molecular basis for this interaction has been proposed.
isoniazid
acetaminophen
EFFECT
Isoniazid_ddi.xml
DDI-DrugBank.d187.s3
DDI-DrugBank.d187.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.
allopurinol
oxolinic acid
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p138
ZEBETA should be used with care when myocardial depressants or inhibitors of AV conduction, such as certain calcium antagonists (particularly of the phenylalkylamine [verapamil] and benzothiazepine [diltiazem] classes), or antiarrhythmic agents, such as disopyramide, are used concurrently.
ZEBETA
benzothiazepine
ADVISE
Bisoprolol_ddi.xml
DDI-DrugBank.d476.s3
DDI-DrugBank.d476.s3.p4
If a diuretic is also used, the risk of lithium toxicity may be increased.
diuretic
lithium
EFFECT
Benazepril_ddi.xml
DDI-DrugBank.d561.s9
DDI-DrugBank.d561.s9.p0
These in vitro studies suggest that concomitant administration of zalcitabine and lamivudine in humans may result in sub-therapeutic concentrations of active phosphorylated zalcitabine, which may lead to a decreased antiretroviral effect of zalcitabine.
zalcitabine
lamivudine
EFFECT
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s7
DDI-DrugBank.d263.s7.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
narcotics
EFFECT
Estazolam_ddi.xml
DDI-DrugBank.d338.s1
DDI-DrugBank.d338.s1.p5
Binding to Serum Proteins: The following agents may either inhibit levothyroxine sodium binding to serum proteins or alter the concentrations of serum binding proteins: androgens and related anabolic hormones, asparaginase, clofibrate, estrogens and estrogen-containing compounds, 5-fluorouracil, furosemide, glucocorticoids, meclofenamic acid, mefenamic acid, methadone, perphenazine, phenylbutazone, phenytoin, salicylates, tamoxifen.
levothyroxine sodium
tamoxifen
MECHANISM
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s3
DDI-DrugBank.d411.s3.p16
Administration of epinephrine to patients receiving cyclopropane or halogenated hydrocarbon general anesthetics such as halothane which sensitize the myocardium, may induce cardiac arrhythmia..
epinephrine
halothane
EFFECT
Epinephrine_ddi.xml
DDI-DrugBank.d247.s5
DDI-DrugBank.d247.s5.p2
Therefore, diflunisal and INDOCIN should not be used concomitantly.
diflunisal
INDOCIN
ADVISE
Indomethacin_ddi.xml
DDI-DrugBank.d82.s2
DDI-DrugBank.d82.s2.p0
Antihistamines may have additive effects with alcohol and other CNS depressants, e.g., hypnotics, sedatives, tranquilizers, antianxiety agents.
Antihistamines
CNS depressants
EFFECT
Cyproheptadine_ddi.xml
DDI-DrugBank.d492.s1
DDI-DrugBank.d492.s1.p1
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 C
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s29
DDI-DrugBank.d64.s29.p21
The pressor effects of catecholamines such as dopamine or norepinephrine are enhanced by Bretylium Tosylate.
catecholamines
Bretylium Tosylate
EFFECT
Bretylium_ddi.xml
DDI-DrugBank.d180.s1
DDI-DrugBank.d180.s1.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.
thiocyanate
diazepam
NONE
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s4
DDI-DrugBank.d411.s4.p132
The consumption of alcohol during treatment with WELLBUTRIN should be minimized or avoided (also see a href= bupropz_od.htm#CI CONTRAINDICATIONS)
alcohol
WELLBUTRIN
ADVISE
Bupropion_ddi.xml
DDI-DrugBank.d5.s26
DDI-DrugBank.d5.s26.p0
Agents that are CYP3A4 inhibitors that have been found, or are expected, to increase plasma levels of EQUETROTM are the following: Acetazolamide, azole antifungals, cimetidine, clarithromycin(1), dalfopristin, danazol, delavirdine, diltiazem, erythromycin(1), fluoxetine, fluvoxamine, grapefruit juice, isoniazid, itraconazole, ketoconazole, loratadine, nefazodone, niacinamide, nicotinamide, protease inhibitors, propoxyphene, quinine, quinupristin, troleandomycin, valproate(1), verapamil, zileuton.
EQUETROTM
azole antifungals
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.p1
In another report, nine patients with breast cancer were reported to have decreased symptoms of methotrexate-related toxicity when given supplemental L-glutamine at a dose of 0.5 gram/kilogram/day.
methotrexate
L-glutamine
EFFECT
L-Glutamine_ddi.xml
DDI-DrugBank.d66.s6
DDI-DrugBank.d66.s6.p0
Quinidine: Coadministration of a 10-mg single dose of aripiprazole with quinidine (166 mg/day for 13 days), a potent inhibitor of CYP2D6, increased the AUC of aripiprazole by 112% but decreased the AUC of its active metabolite, dehydroaripiprazole, by 35%.
aripiprazole
quinidine
MECHANISM
Aripiprazole_ddi.xml
DDI-DrugBank.d509.s15
DDI-DrugBank.d509.s15.p4
Oral Anticoagulants: In some normal volunteers, the concomitant administration of diflunisal and warfarin, acenocoumarol, or phenprocoumon resulted in prolongation of prothrombin time.
diflunisal
acenocoumarol
EFFECT
Diflunisal_ddi.xml
DDI-DrugBank.d132.s0
DDI-DrugBank.d132.s0.p5
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.
aspirin
ardeparin
EFFECT
Ardeparin_ddi.xml
DDI-DrugBank.d105.s0
DDI-DrugBank.d105.s0.p14