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Prednisone/prednisolone: Rofecoxib did not have any clinically important effect on the pharmacokinetics of prednisolone or prednisone.
Prednisone
prednisolone
NONE
Rofecoxib_ddi.xml
DDI-DrugBank.d210.s24
DDI-DrugBank.d210.s24.p0
Patients receiving other narcotic analgesics, antipsychotics, antianxiety agents, or other CNS depressants (including alcohol) concomitantly with hydrocodone and acetaminophen tablets may exhibit an additive CNS depression.
narcotic analgesics
antipsychotics
NONE
Hydrocodone_ddi.xml
DDI-DrugBank.d396.s0
DDI-DrugBank.d396.s0.p0
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.
dipyridamole
nicardipine HCl
NONE
Nicardipine_ddi.xml
DDI-DrugBank.d468.s10
DDI-DrugBank.d468.s10.p14
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.p1
Drugs that reduce the number of blood platelets by causing bone marrow depression (such as antineoplastic agents) or drugs which inhibit platelet function (eg, aspirin and other non-steroidal anti-inflammatory drugs, dipyridamole, hydrochloroquine, clofibrate, dextran) may increase the bleeding tendency produced by anticoagulants without altering prothrombin time determinations.
dipyridamole
anticoagulants
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s90
DDI-DrugBank.d64.s90.p21
As with other agents with b-blocking properties, if COREG is to be administered orally with calcium channel blockers of the verapamil or diltiazem type, it is recommended that ECG and blood pressure be monitored.
calcium channel blockers
verapamil
NONE
Carvedilol_ddi.xml
DDI-DrugBank.d269.s17
DDI-DrugBank.d269.s17.p7
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 .
indinavir
telithromycin
NONE
Erlotinib_ddi.xml
DDI-DrugBank.d456.s1
DDI-DrugBank.d456.s1.p51
Protease inhibitors: Amprenavir, lopinavir, nelfinavir, and ritonavir have been shown to decrease plasma levels of combination hormonal contraceptives;
nelfinavir
combination hormonal contraceptives
MECHANISM
Ethynodiol Diacetate_ddi.xml
DDI-DrugBank.d485.s32
DDI-DrugBank.d485.s32.p13
- Antidiabetics, oral (diabetes medicine you take by mouth) Use of oral antidiabetics with sulfapyridine may increase the chance of side effects affecting the blood and/or the side effects or oral antidiabetics
antidiabetics
sulfapyridine
EFFECT
Sulfapyridine_ddi.xml
DDI-DrugBank.d179.s37
DDI-DrugBank.d179.s37.p3
Administration of quinolones with antacids containing aluminum, magnesium, or calcium, with sucralfate, with metal cations such as iron, or with multivitamins containing iron or zinc, or with formulations containing divalent and trivalent cations such as VIDEX (didanosine) chewable/buffered tablets or the pediatric powder for oral solution, may substantially interfere with the absorption of quinolones, resulting in systemic concentrations considerably lower than desired.
sucralfate
iron
NONE
Grepafloxacin_ddi.xml
DDI-DrugBank.d78.s1
DDI-DrugBank.d78.s1.p50
Concomitant medications were grouped as ACE inhibitors, oral anticoagulants, calcium channel blockers, beta blockers, cardiac glycosides, inducers of CYP3A4, substrates and inhibitors of CYP3A4, substrates and inhibitors of P-glycoprotein, nitrates, sulphonylureas, loop diuretics, potassium sparing diuretics, thiazide diuretics, substrates and inhibitors of tubular organic cation transport, and QTc-prolonging drugs.
loop diuretics
thiazide diuretics
NONE
Dofetilide_ddi.xml
DDI-DrugBank.d558.s35
DDI-DrugBank.d558.s35.p43
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.p2
If concomitant treatment with sumatriptan and an SSRI (e.g., fluoxetine, fluvoxamine, paroxetine, sertraline, citalopram, escitalopram) is clinically warranted, appropriate observation of the patient is advised.
sumatriptan
SSRI
ADVISE
Escitalopram_ddi.xml
DDI-DrugBank.d568.s17
DDI-DrugBank.d568.s17.p0
In addition, other quinolones have been reported to decrease the CYP3A4-mediated metabolism of cyclosporine.
quinolones
cyclosporine
MECHANISM
Grepafloxacin_ddi.xml
DDI-DrugBank.d78.s14
DDI-DrugBank.d78.s14.p0
Ethoxzolamide may increase the action of tricyclics, amphetamines, procainamide, and quinidine.
Ethoxzolamide
tricyclics
EFFECT
Ethoxzolamide_ddi.xml
DDI-DrugBank.d286.s0
DDI-DrugBank.d286.s0.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.
Nizoral
Norvir
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p569
Midazolam: Aprepitant increased the AUC of midazolam, a sensitive CYP3A4 substrate, by 2.3-fold on Day 1 and 3.3-fold on Day 5, when a single oral dose of midazolam 2 mg was coadministered on Day 1 and Day 5 of a regimen of Aprepitant 125 mg on Day 1 and 80 mg/day on Days 2 through 5.
Aprepitant
midazolam
MECHANISM
Aprepitant_ddi.xml
DDI-DrugBank.d382.s22
DDI-DrugBank.d382.s22.p4
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).
niacin
salbutamol
NONE
Insulin recombinant_ddi.xml
DDI-DrugBank.d313.s2
DDI-DrugBank.d313.s2.p18
Lithium: NSAIDs have produced an elevation of plasma lithium levels and a reduction in renal lithium clearance.
NSAIDs
lithium
MECHANISM
Rofecoxib_ddi.xml
DDI-DrugBank.d210.s16
DDI-DrugBank.d210.s16.p3
The concurrent use of anticholinergics with hydrocodone may produce paralytic ileus.
anticholinergics
hydrocodone
EFFECT
Hydrocodone_ddi.xml
DDI-DrugBank.d396.s3
DDI-DrugBank.d396.s3.p0
Tolbutamide: Aprepitant, when given as 125 mg on Day 1 and 80 mg/day on Days 2 and 3, decreased the AUC of tolbutamide (a CYP2C9 substrate) by 23% on Day 4, 28% on Day 8, and 15% on Day 15, when a single dose of tolbutamide 500 mg was admini,stered orally prior to the administration of the 3-day regimen of Aprepitant and on Days 4,8, and 15.
tolbutamide
tolbutamide
NONE
Aprepitant_ddi.xml
DDI-DrugBank.d382.s18
DDI-DrugBank.d382.s18.p7
Studies have shown that lansoprazole does not have clinically significant interactions with other drugs metabolized by the cytochrome P450 system, such as warfarin, antipyrine, indomethacin, ibuprofen, phenytoin, propranolol, prednisone, diazepam, clarithromycin, or terfenadine in healthy subjects.
lansoprazole
propranolol
NONE
Lansoprazole_ddi.xml
DDI-DrugBank.d431.s1
DDI-DrugBank.d431.s1.p5
Example inhibitors include azole antifungals, ciprofloxacin, clarithromycin, diclofenac, doxycycline, erythromycin, imatinib, isoniazid, nefazodone, nicardipine, propofol, protease inhibitors, quinidine, and verapamil.
doxycycline
nicardipine
NONE
Chlorpheniramine_ddi.xml
DDI-DrugBank.d235.s4
DDI-DrugBank.d235.s4.p50
Geocillin (carbenicillin indanyl sodium) blood levels may be increased and prolonged by concurrent administration of probenecid.
Geocillin
probenecid
MECHANISM
Carbenicillin_ddi.xml
DDI-DrugBank.d545.s0
DDI-DrugBank.d545.s0.p1
Patients who begin taking diclofenac or who increase their diclofenac dose or any other NSAID while taking digoxin, methotrexate, or cyclosporine may develop toxicity characteristics for these drugs.
NSAID
cyclosporine
EFFECT
Diclofenac_ddi.xml
DDI-DrugBank.d249.s5
DDI-DrugBank.d249.s5.p11
Dose reduction of CRIXIVAN to 600 mg every 8 hours should be considered when taking delavirdine 400 mg three times a day.
CRIXIVAN
delavirdine
ADVISE
Indinavir_ddi.xml
DDI-DrugBank.d97.s35
DDI-DrugBank.d97.s35.p0
Pretreatment of megakaryocytes with extracellular RR (50 microM) also inhibited InsP(3)-induced responses.
RR
InsP(3)
EFFECT
11137703.xml
DDI-MedLine.d114.s4
DDI-MedLine.d114.s4.p0
Diphenoxylate HCl and atropine sulfate may interact with MAO inhibitors In studies with male rats, diphenoxylate hydrochloride was found to inhibit the hepatic microsomal enzyme system at a dose of 2 mg/kg/day.
atropine sulfate
MAO inhibitors
INT
Diphenoxylate_ddi.xml
DDI-DrugBank.d538.s1
DDI-DrugBank.d538.s1.p3
If concomitant treatment with frovatriptan and an SSRI is clinically warranted, appropriate observation of the patient is advised.
frovatriptan
SSRI
ADVISE
Frovatriptan_ddi.xml
DDI-DrugBank.d426.s4
DDI-DrugBank.d426.s4.p0
The benzodiazepines, including alprazolam, produce additive CNS depressant effects when co-administered with other psychotropic medications, anticonvulsants, antihistaminics, ethanol, and other drugs which themselves produce CNS depression.
alprazolam
antihistaminics
EFFECT
Alprazolam_ddi.xml
DDI-DrugBank.d131.s0
DDI-DrugBank.d131.s0.p7
Amiodarone inhibits CYP2D6.
Amiodarone
CYP2D6
NONE
Amiodarone_ddi.xml
DDI-DrugBank.d143.s55
DDI-DrugBank.d143.s55.p0
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.
Central Nervous System Depressants
skeletal muscle relaxants
NONE
Fentanyl_ddi.xml
DDI-DrugBank.d170.s5
DDI-DrugBank.d170.s5.p10
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
diuretics
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s29
DDI-DrugBank.d64.s29.p10
Therefore, co-administration of Duloxetine with other drugs that are extensively metabolized by this isozyme and which have a narrow therapeutic index, including certain antidepressants (tricyclic antidepressants [TCAs], such as nortriptyline, amitriptyline, and imipramine), phenothiazines and Type 1C antiarrhythmics (e.g., propafenone, flecainide), should be approached with caution.
Duloxetine
TCAs
ADVISE
Duloxetine_ddi.xml
DDI-DrugBank.d548.s9
DDI-DrugBank.d548.s9.p2
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).
barbiturates
barbiturates
NONE
Butabarbital_ddi.xml
DDI-DrugBank.d184.s0
DDI-DrugBank.d184.s0.p50
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
ethosuximide
MECHANISM
Fosphenytoin_ddi.xml
DDI-DrugBank.d40.s10
DDI-DrugBank.d40.s10.p8
Anticonvulsants (carbamazepine, felbamate, phenobarbital, phenytoin, topiramate): Increase the metabolism of ethinyl estradiol and/or some progestins, leading to possible decrease in contraceptive effectiveness.
Anticonvulsants
ethinyl estradiol
MECHANISM
Ethynodiol Diacetate_ddi.xml
DDI-DrugBank.d485.s12
DDI-DrugBank.d485.s12.p5
The absorption of lymecycline may be affected by the simultaneous administration of indigestion remedies, iron or zinc supplements.
lymecycline
zinc
MECHANISM
Lymecycline_ddi.xml
DDI-DrugBank.d79.s0
DDI-DrugBank.d79.s0.p1
Beta-adrenergic blocking agents may also interact with sympathomimetics.
Beta-adrenergic blocking agents
sympathomimetics
INT
Azatadine_ddi.xml
DDI-DrugBank.d448.s4
DDI-DrugBank.d448.s4.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
phenytoin
NONE
Mefloquine_ddi.xml
DDI-DrugBank.d220.s11
DDI-DrugBank.d220.s11.p3
Digoxin: When multiple doses of atorvastatin and digoxin were coadministered, steady-state plasma digoxin concentrations increased by approximately 20%.
atorvastatin
digoxin
MECHANISM
Atorvastatin_ddi.xml
DDI-DrugBank.d140.s7
DDI-DrugBank.d140.s7.p3
These medications have included heparin, warfarin, beta-adrenergic receptor blockers, calcium channel antagonists, angiotensin converting enzyme inhibitors, intravenous and oral nitrates, ticlopidine, and aspirin.
beta-adrenergic receptor blockers
aspirin
NONE
Abciximab_ddi.xml
DDI-DrugBank.d532.s2
DDI-DrugBank.d532.s2.p17
Agents Causing Renin Release Captopril's effect will be augmented by antihypertensive agents that cause renin release.
Captopril
antihypertensive agents
EFFECT
Captopril_ddi.xml
DDI-DrugBank.d175.s8
DDI-DrugBank.d175.s8.p0
Ketoconazole: Ketoconazole may inhibit both synthetic and catabolic enzymes of vitamin D.
Ketoconazole
Ketoconazole
NONE
Calcitriol_ddi.xml
DDI-DrugBank.d384.s8
DDI-DrugBank.d384.s8.p0
In a placebo-controlled trial in normal volunteers, the administration of a single 1 mg dose of doxazosin on day 1 of a four-day regimen of oral cimetidine (400 mg twice daily) resulted in a 10% increase in mean AUC of doxazosin (p=0.006), and a slight but not statistically significant increase in mean Cmax and mean half-life of doxazosin.
cimetidine
doxazosin
NONE
Doxazosin_ddi.xml
DDI-DrugBank.d367.s4
DDI-DrugBank.d367.s4.p3
Monoamine oxidase (MAO) inhibitors prolong and intensify the anticholinergic effects of antihistamines.
Monoamine oxidase (MAO) inhibitors
antihistamines
EFFECT
Clemastine_ddi.xml
DDI-DrugBank.d309.s2
DDI-DrugBank.d309.s2.p0
Also, due to the potential for additive effects such as bradycardia and AV block, caution is warranted in patients receiving clonidine with agents known to affect sinus node function or AV nodal conduction (e.g., digitalis, calcium channel blockers, and beta-blockers.)
clonidine
beta-blockers
ADVISE
Clonidine_ddi.xml
DDI-DrugBank.d495.s7
DDI-DrugBank.d495.s7.p2
As with other agents with b-blocking properties, if COREG is to be administered orally with calcium channel blockers of the verapamil or diltiazem type, it is recommended that ECG and blood pressure be monitored.
COREG
verapamil
ADVISE
Carvedilol_ddi.xml
DDI-DrugBank.d269.s17
DDI-DrugBank.d269.s17.p5
Multivalent Cation-Containing Products: Concurrent administration of a quinolone, including ciprofloxacin, with multivalent cation-containing products such as magnesium or aluminum antacids, sucralfate, VIDEX chewable/buffered tablets or pediatric powder, or products containing calcium, iron, or zinc may substantially decrease the absorption of ciprofloxacin, resulting in serum and urine levels considerably lower than desired.
ciprofloxacin
iron
MECHANISM
Ciprofloxacin_ddi.xml
DDI-DrugBank.d123.s8
DDI-DrugBank.d123.s8.p16
The benzodiazepines, including alprazolam, produce additive CNS depressant effects when co-administered with other psychotropic medications, anticonvulsants, antihistaminics, ethanol, and other drugs which themselves produce CNS depression.
benzodiazepines
antihistaminics
EFFECT
Alprazolam_ddi.xml
DDI-DrugBank.d131.s0
DDI-DrugBank.d131.s0.p3
The ECG changes and/or hypokalemia that may result from the administration of non-potassium sparing diuretics (such as loop or thiazide diuretics) can be acutely worsened by beta-agonists, especially when the recommended dose of the beta-agonist is exceeded.
thiazide diuretics
beta-agonists
EFFECT
Arformoterol_ddi.xml
DDI-DrugBank.d284.s4
DDI-DrugBank.d284.s4.p7
Studies with ACE inhibitors in combination with diuretics indicate that the dose of the ACE inhibitor can be reduced when it is given with a diuretic.
ACE inhibitor
diuretic
ADVISE
Lisinopril_ddi.xml
DDI-DrugBank.d334.s4
DDI-DrugBank.d334.s4.p5
Data from in vitro studies of benzodiazepines other than alprazolam suggest a possible drug interaction for the following: ergotamine, cyclosporine, amiodarone, nicardipine, and nifedipine.
alprazolam
amiodarone
INT
Alprazolam_ddi.xml
DDI-DrugBank.d131.s10
DDI-DrugBank.d131.s10.p8
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 antidepressants
ADVISE
11134454.xml
DDI-MedLine.d36.s2
DDI-MedLine.d36.s2.p5
After prolonged administration of neuroleptics the displacing effect of cerulein, an analog of cholecystokinin octapeptide, was replaced by the stimulant action on 3H-spiroperidol binding.
cerulein
3H-spiroperidol
NONE
2857100.xml
DDI-MedLine.d15.s1
DDI-MedLine.d15.s1.p2
Pyrantel (e.g., Antiminth) - Taking piperazine and pyrantel together may decrease the effects of piperazine.
piperazine
pyrantel
EFFECT
Piperazine_ddi.xml
DDI-DrugBank.d326.s1
DDI-DrugBank.d326.s1.p7
Furthermore it has been proposed that isoniazid resulted In induction of P-450IIE1 in the patients liver which, in turn, resulted in a greater proportion of the ingested acetaminophen being converted to the toxic metabolites.
isoniazid
acetaminophen
MECHANISM
Isoniazid_ddi.xml
DDI-DrugBank.d187.s5
DDI-DrugBank.d187.s5.p0
Drugs that induce hepatic enzymes such as phenobarbital, phenytoin and rifampin may increase the clearance of corticosteroids and may require increases in corticosteroid dose to achieve the desired response.
phenobarbital
corticosteroid
ADVISE
Cortisone acetate_ddi.xml
DDI-DrugBank.d487.s1
DDI-DrugBank.d487.s1.p3
Although specific studies have not been performed, coadministration with drugs that are mainly metabolized by CYP3A4 (eg, calcium channel blockers, dapsone, disopyramide, quinine, amiodarone, quinidine, warfarin, tacrolimus, cyclosporine, ergot derivatives, pimozide, carbamazepine, fentanyl, alfentanyl, alprazolam, and triazolam) may have elevated plasma concentrations when coadministered with saquinavir;
quinidine
saquinavir
MECHANISM
Saquinavir_ddi.xml
DDI-DrugBank.d124.s26
DDI-DrugBank.d124.s26.p80
Interactions for vitamin D analogues (Vitamin D2, Vitamin D3, Calcitriol, and Calcidiol): Cholestyramine: Cholestyramine has been reported to reduce intestinal absorption of fat soluble vitamins;
vitamin D analogues
Cholestyramine
NONE
Calcidiol_ddi.xml
DDI-DrugBank.d98.s0
DDI-DrugBank.d98.s0.p5
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
triclofos sodium
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p50
Drug-Drug Interactions Given the primary CNS effects of aripiprazole, caution should be used when ABILIFY is taken in combination with other centrally acting drugs and alcohol.
ABILIFY
centrally acting drugs
ADVISE
Aripiprazole_ddi.xml
DDI-DrugBank.d509.s0
DDI-DrugBank.d509.s0.p3
Drugs that induce hepatic enzymes such as phenobarbital, phenytoin and rifampin may increase the clearance of corticosteroids and may require increases in corticosteroid dose to achieve the desired response.
rifampin
corticosteroid
ADVISE
Cortisone acetate_ddi.xml
DDI-DrugBank.d487.s1
DDI-DrugBank.d487.s1.p8
Adequate monitoring of theophylline plasma concentrations should be considered when therapy with VIOXX is initiated or changed in patients receiving theophylline.
VIOXX
theophylline
ADVISE
Rofecoxib_ddi.xml
DDI-DrugBank.d210.s28
DDI-DrugBank.d210.s28.p2
Co-administration of irbesartan reduced aliskiren Cmax up to 50% after multiple dosing.
irbesartan
aliskiren
MECHANISM
Aliskiren_ddi.xml
DDI-DrugBank.d533.s2
DDI-DrugBank.d533.s2.p0
After the coadministration of 200 mg oral ketoconazole twice daily and one 20 mg dose of loratadine to 11 subjects, the AUC and Cmax of loratadine averaged 302% ( 142 S.D.) and 251% ( 68 S.D.), respectively, of those obtained after co-treatment with placebo.
loratadine
loratadine
NONE
Ketoconazole_ddi.xml
DDI-DrugBank.d458.s27
DDI-DrugBank.d458.s27.p2
however, 150 mg of ranitidine q12h for 3 days increased the ceftibuten C max by 23% and ceftibuten AUC by 16%.
ranitidine
ceftibuten
MECHANISM
Ceftibuten_ddi.xml
DDI-DrugBank.d32.s7
DDI-DrugBank.d32.s7.p0
With oral dapsone treatment, folic acid antagonists such as pyrimethamine have been noted to possibly increase the likelihood of hematologic reactions
dapsone
pyrimethamine
EFFECT
Dapsone_ddi.xml
DDI-DrugBank.d185.s6
DDI-DrugBank.d185.s6.p1
Therefore, co-administration of Duloxetine with other drugs that are extensively metabolized by this isozyme and which have a narrow therapeutic index, including certain antidepressants (tricyclic antidepressants [TCAs], such as nortriptyline, amitriptyline, and imipramine), phenothiazines and Type 1C antiarrhythmics (e.g., propafenone, flecainide), should be approached with caution.
Duloxetine
Type 1C antiarrhythmics
ADVISE
Duloxetine_ddi.xml
DDI-DrugBank.d548.s9
DDI-DrugBank.d548.s9.p7
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.
diuretics
prostaglandin synthetase inhibitors
NONE
Finasteride_ddi.xml
DDI-DrugBank.d209.s3
DDI-DrugBank.d209.s3.p107
Dose reduction of rifabutin to half the standard dose and a dose increase of CRIXIVAN to 1000 mg (three 333-mg capsules) every 8 hours are recommended when rifabutin and CRIXIVAN are coadministered.
rifabutin
CRIXIVAN
ADVISE
Indinavir_ddi.xml
DDI-DrugBank.d97.s84
DDI-DrugBank.d97.s84.p5
Sucralfate administered 2 hours before lomefloxacin resulted in a slower absorption (mean C max decreased by 30% and mean T max increased by 1 hour) and a lesser extent of absorption (mean AUC decreased by approximately 25%).
Sucralfate
lomefloxacin
MECHANISM
Lomefloxacin_ddi.xml
DDI-DrugBank.d516.s4
DDI-DrugBank.d516.s4.p0
HMG-CoA Reductase Inhibitor: atorvastatin
HMG-CoA Reductase Inhibitor
atorvastatin
NONE
Indinavir_ddi.xml
DDI-DrugBank.d97.s70
DDI-DrugBank.d97.s70.p0
Allopurinol: The AUC of didanosine was increased about 4-fold when allopurinol at 300 mg/day was coadministered with a single 200-mg dose of VIDEX to two patients with renal impairment (CLcr=15 and 18 mL/min).
allopurinol
VIDEX
MECHANISM
Didanosine_ddi.xml
DDI-DrugBank.d43.s2
DDI-DrugBank.d43.s2.p5
In patients receiving coumarin-type anticoagulants, the addition of Nalfon to therapy could prolong the prothrombin time.
coumarin-type anticoagulants
Nalfon
EFFECT
Fenoprofen_ddi.xml
DDI-DrugBank.d154.s8
DDI-DrugBank.d154.s8.p0
Other drugs which may enhance the neuromuscular blocking action of nondepolarizing agents such as NUROMAX include certain antibiotics (e. g., aminoglycosides, tetracyclines, bacitracin, polymyxins, lincomycin, clindamycin, colistin, and sodium colistimethate), magnesium salts, lithium, local anesthetics, procainamide, and quinidine.
NUROMAX
clindamycin
EFFECT
Doxacurium chloride_ddi.xml
DDI-DrugBank.d267.s5
DDI-DrugBank.d267.s5.p6
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.
succinylcholine
sodium citrate
NONE
Colistimethate_ddi.xml
DDI-DrugBank.d250.s2
DDI-DrugBank.d250.s2.p13
HMG-CoA Reductase Inhibitors: lovastatin, simvastatin WARNING potential for serious reactions such as risk of myopathy including rhabdomyolysis.
HMG-CoA Reductase Inhibitors
lovastatin
NONE
Saquinavir_ddi.xml
DDI-DrugBank.d124.s22
DDI-DrugBank.d124.s22.p0
Dexbrompheniramine can interact with alcohol or other CNS depressants (may potentiate the CNS depressant effects of either these medications or antihistamines), anticholinergics or other medications with anticholinergic activity (anticholinergic effects may be potentiated when these medications are used concurrently with antihistamines), and monoamine oxidase (MAO) inhibitors (concurrent use with antihistamines may prolong and intensify the anticholinergic and CNS depressant effects of antihistamines).
Dexbrompheniramine
monoamine oxidase (MAO) inhibitors
INT
Dexbrompheniramine_ddi.xml
DDI-DrugBank.d62.s0
DDI-DrugBank.d62.s0.p5
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
antihistamines
EFFECT
Estazolam_ddi.xml
DDI-DrugBank.d338.s1
DDI-DrugBank.d338.s1.p1
Nabilone has been shown to have an additive CNS depressant effect when given with either diazepam, secobarbitone sodium, alcohol or codeine.
alcohol
codeine
NONE
Nabilone_ddi.xml
DDI-DrugBank.d552.s1
DDI-DrugBank.d552.s1.p9
Tablets Simultaneous administration of sucralfate and furosemide tablets may reduce the natriuretic and antihypertensive effects of furosemide.
sucralfate
furosemide
EFFECT
Furosemide_ddi.xml
DDI-DrugBank.d231.s10
DDI-DrugBank.d231.s10.p0
Nabilone has been shown to have an additive CNS depressant effect when given with either diazepam, secobarbitone sodium, alcohol or codeine.
Nabilone
secobarbitone sodium
EFFECT
Nabilone_ddi.xml
DDI-DrugBank.d552.s1
DDI-DrugBank.d552.s1.p1
Probenecid : Probenecid is known to interact with the metabolism or renal tubular excretion of many drugs (e.g., acetaminophen, acyclovir, angiotensin-converting enzyme inhibitors, aminosalicylic acid, barbiturates, benzodiazepines, bumetanide, clofibrate, methotrexate, famotidine, furosemide, nonsteroidal anti-inflammatory agents, theophylline, and zidovudine).
Probenecid
benzodiazepines
MECHANISM
Cidofovir_ddi.xml
DDI-DrugBank.d260.s0
DDI-DrugBank.d260.s0.p20
Tolbutamide: Aprepitant, when given as 125 mg on Day 1 and 80 mg/day on Days 2 and 3, decreased the AUC of tolbutamide (a CYP2C9 substrate) by 23% on Day 4, 28% on Day 8, and 15% on Day 15, when a single dose of tolbutamide 500 mg was admini,stered orally prior to the administration of the 3-day regimen of Aprepitant and on Days 4,8, and 15.
Aprepitant
tolbutamide
NONE
Aprepitant_ddi.xml
DDI-DrugBank.d382.s18
DDI-DrugBank.d382.s18.p5
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.
alprazolam
Phenytoin
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p118
Additional reductions in blood pressure may occur when FLOLAN is administered with diuretics, antihypertensive agents, or other vasodilators.
FLOLAN
diuretics
EFFECT
Epoprostenol_ddi.xml
DDI-DrugBank.d241.s0
DDI-DrugBank.d241.s0.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.
fluvoxamine
5-HT1 agonists
EFFECT
Almotriptan_ddi.xml
DDI-DrugBank.d299.s6
DDI-DrugBank.d299.s6.p24
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
anesthetics
EFFECT
Cisatracurium Besylate_ddi.xml
DDI-DrugBank.d60.s12
DDI-DrugBank.d60.s12.p12
The intensity, uniformity and time course of anticoagulant interference by phenobarbital, secobarbital, glutethimide, chloral hydrate and methaqualone were systematically investigated in 16 patients receiving coumarin therapy.
phenobarbital
methaqualone
NONE
1109248.xml
DDI-MedLine.d106.s1
DDI-MedLine.d106.s1.p9
Since barbiturates are potentiated by the anticholinesterases, they should be used cautiously in the treatment of convulsions.
barbiturates
anticholinesterases
ADVISE
Atropine_ddi.xml
DDI-DrugBank.d222.s2
DDI-DrugBank.d222.s2.p0
Other: There appears to be no pharmacokinetic interaction between acitretin and cimetidine, digoxin, or glyburide.
cimetidine
glyburide
NONE
Acitretin_ddi.xml
DDI-DrugBank.d353.s13
DDI-DrugBank.d353.s13.p4
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
digoxin
MECHANISM
Esomeprazole_ddi.xml
DDI-DrugBank.d29.s12
DDI-DrugBank.d29.s12.p2
Doxorubicin: Doxorubicin caused a decrease in zalcitabine phosphorylation ( 50% inhibition of total phosphate formation) in U937/Molt 4 cells.
Doxorubicin
zalcitabine
EFFECT
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s25
DDI-DrugBank.d263.s25.p2
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.
tricyclic antidepressants
DILAUDID
EFFECT
Hydromorphone_ddi.xml
DDI-DrugBank.d26.s0
DDI-DrugBank.d26.s0.p32
PGF2alpha produced significantly increased vasoconstriction after a single administration of oxytocin.
PGF2alpha
oxytocin
EFFECT
1113260.xml
DDI-MedLine.d17.s4
DDI-MedLine.d17.s4.p0
The absorption of tetracycline, furosemide, penicillin G, hydrochlorothiazide, and gemfibrozil was significantly decreased when given simultaneously with colestipol hydrochloride;
gemfibrozil
colestipol hydrochloride
MECHANISM
Colestipol_ddi.xml
DDI-DrugBank.d345.s11
DDI-DrugBank.d345.s11.p14
Isoflurane or enflurane administered with nitrous oxide/oxygen to achieve 1.25 MAC [Minimum Alveolar Concentration] may prolong the clinically effective duration of action of initial and maintenance doses of NIMBEX and decrease the required infusion rate of NIMBEX.
Isoflurane
NIMBEX
EFFECT
Cisatracurium Besylate_ddi.xml
DDI-DrugBank.d60.s6
DDI-DrugBank.d60.s6.p4
Isocarboxazid should be administered with caution to patients receiving Antabuse (disulfiram, Wyeth-Ayerst Laboratories).
Isocarboxazid
Antabuse
ADVISE
Isocarboxazid_ddi.xml
DDI-DrugBank.d108.s0
DDI-DrugBank.d108.s0.p0
In an analysis of the supraventricular arrhythmia and DIAMOND patient populations, the concomitant administration of verapamil with dofetilide was associated with a higher occurrence of torsade de pointes.
verapamil
dofetilide
EFFECT
Dofetilide_ddi.xml
DDI-DrugBank.d558.s8
DDI-DrugBank.d558.s8.p0