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Comparison of cisplatin pharmacokinetics in patients treated with 202.5 mg/m2 plus thiosulfate to those in patients treated with 100 mg/m2 without thiosulfate indicated that there were no changes in the elimination rate constant, volume of distribution, or total body clearance of cisplatin.
cisplatin
thiosulfate
NONE
4038510.xml
DDI-MedLine.d130.s6
DDI-MedLine.d130.s6.p1
TRACRIUM should not be administered until a patient has recovered from succinylcholine-induced neuromuscular block.
TRACRIUM
succinylcholine
ADVISE
Atracurium_ddi.xml
DDI-DrugBank.d469.s10
DDI-DrugBank.d469.s10.p0
Serious toxicity may result if dextromethorphan is coadministered with monoamine oxidase inhibitors (MAOIs).
dextromethorphan
monoamine oxidase inhibitors
EFFECT
Guaifenesin_ddi.xml
DDI-DrugBank.d398.s1
DDI-DrugBank.d398.s1.p0
Tagamet, apparently through an effect on certain microsomal enzyme systems, has been reported to reduce the hepatic metabolism of warfarin-type anticoagulants, phenytoin, propranolol, nifedipine, chlordiazepoxide, diazepam, certain tricyclic antidepressants, lidocaine, theophylline and metronidazole, thereby delaying elimination and increasing blood levels of these drugs.
Tagamet
chlordiazepoxide
MECHANISM
Cimetidine_ddi.xml
DDI-DrugBank.d171.s0
DDI-DrugBank.d171.s0.p4
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.
antibiotics
prednisolone
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p162
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.
lamotrigine
valproate
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p778
Olanzapine: Coadministration of eszopiclone 3 mg and olanzapine 10 mg produced a decrease in DSST scores.
eszopiclone
olanzapine
EFFECT
Eszopiclone_ddi.xml
DDI-DrugBank.d216.s3
DDI-DrugBank.d216.s3.p2
Nephrotoxic agents : Concomitant administration of VISTIDE and agents with nephrotoxic potential [e.g., intravenous aminoglycosides (e.g., tobramycin, gentamicin, and amikacin), amphotericin B, foscarnet, intravenous pentamidine, vancomycin, and non-steroidal anti-inflammatory agents] is contraindicated.
VISTIDE
non-steroidal anti-inflammatory agents
ADVISE
Cidofovir_ddi.xml
DDI-DrugBank.d260.s3
DDI-DrugBank.d260.s3.p8
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.
alprazolam
digoxin
MECHANISM
Digoxin_ddi.xml
DDI-DrugBank.d450.s2
DDI-DrugBank.d450.s2.p40
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
Agenerase
INT
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p24
Magnesium- and aluminum-containing antacids, administered concomitantly with lomefloxacin, significantly decreased the bioavailability (48%) of lomefloxacin.
aluminum
lomefloxacin
MECHANISM
Lomefloxacin_ddi.xml
DDI-DrugBank.d516.s5
DDI-DrugBank.d516.s5.p5
[The effect of cimetidine on the renal excretion of verografin and iodamide in dogs] The intravenous injection of cimetidine in a dose of 20 mg/kg enhanced verografine and iodamide excretion in chronic canine experiments.
cimetidine
verografine
MECHANISM
7756965.xml
DDI-MedLine.d68.s0
DDI-MedLine.d68.s0.p12
Potassium-sparing diuretics (spironolactone, amiloride, triamterene, and others) or potassium supplements can increase the risk of hyperkalemia.
spironolactone
potassium
NONE
Benazepril_ddi.xml
DDI-DrugBank.d561.s4
DDI-DrugBank.d561.s4.p6
When Itraconazole was coadministered with phenytoin, rifampin, or H2antagonists, reduced plasma concentrations of itraconazole were reported.
Itraconazole
phenytoin
MECHANISM
Itraconazole_ddi.xml
DDI-DrugBank.d165.s18
DDI-DrugBank.d165.s18.p0
Rhabdomyolysis has been observed in patients receiving HMG-CoA reductase inhibitors administered alone (at recommended dosages) or concomitantly with immunosuppressive drugs including cyclosporine.
HMG-CoA reductase inhibitors
cyclosporine
EFFECT
Itraconazole_ddi.xml
DDI-DrugBank.d165.s17
DDI-DrugBank.d165.s17.p1
Tricyclic antidepressants may block the antihypertensive action of guanethidine and similarly acting compounds.
Tricyclic antidepressants
guanethidine
EFFECT
Cyclobenzaprine_ddi.xml
DDI-DrugBank.d150.s2
DDI-DrugBank.d150.s2.p0
Cardiac effects of dopamine are antagonized by beta-adrenergic blocking agents, such as propranolol and metoprolol.
dopamine
beta-adrenergic blocking agents
EFFECT
Dopamine_ddi.xml
DDI-DrugBank.d325.s4
DDI-DrugBank.d325.s4.p0
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.
myocardial depressants
diltiazem
NONE
Bisoprolol_ddi.xml
DDI-DrugBank.d476.s3
DDI-DrugBank.d476.s3.p12
Paroxetine: Coadministration of once daily doses of aprepitant, as a tablet formulation comparable to 85 mg or 170 mg of the capsule formulation, with paroxetine 20 mg once daily, resulted in a decrease in AUC by approximately 25% and Cmax, by approximately 20% of both aprepitant and paroxetine.
aprepitant
paroxetine
MECHANISM
Aprepitant_ddi.xml
DDI-DrugBank.d382.s43
DDI-DrugBank.d382.s43.p4
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.
Quinidine
digoxin
MECHANISM
Digoxin_ddi.xml
DDI-DrugBank.d450.s2
DDI-DrugBank.d450.s2.p7
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.
dihydroergotamine
SPRYCEL
ADVISE
Dasatinib_ddi.xml
DDI-DrugBank.d48.s15
DDI-DrugBank.d48.s15.p90
When a diuretic is added to the therapy of a patient receiving PRINIVIL, an additional antihypertensive effect is usually observed.
diuretic
PRINIVIL
EFFECT
Lisinopril_ddi.xml
DDI-DrugBank.d334.s3
DDI-DrugBank.d334.s3.p0
Several tricyclic antidepressants have been reported to block the pharmacologic effects of guanethidine, clonidine, or similar agents, and such an effect may be anticipated with CMI because of its structural similarity to other tricyclic antidepressants.
tricyclic antidepressants
tricyclic antidepressants
EFFECT
Clomipramine_ddi.xml
DDI-DrugBank.d238.s4
DDI-DrugBank.d238.s4.p3
Insulin or Oral Hypoglycemics: Agents with b-blocking properties may enhance the blood-sugar-reducing effect of insulin and oral hypoglycemics.
Agents with b-blocking properties
hypoglycemics
EFFECT
Carvedilol_ddi.xml
DDI-DrugBank.d269.s18
DDI-DrugBank.d269.s18.p8
Phospholine Iodide potentiates other cholinesterase inhibitors such as succinylcholine or organophosphate and carbamate insecticides.
Phospholine Iodide
cholinesterase inhibitors
EFFECT
Echothiophate Iodide_ddi.xml
DDI-DrugBank.d377.s0
DDI-DrugBank.d377.s0.p0
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;
pimozide
saquinavir
MECHANISM
Saquinavir_ddi.xml
DDI-DrugBank.d124.s26
DDI-DrugBank.d124.s26.p120
Effects of Other Antiepileptic Drugs on Felbatol Phenytoin: Phenytoin causes an approximate doubling of the clearance of Felbatol (felbamate) at steady state and, therefore, the addition of phenytoin causes an approximate 45% decrease in the steady-state trough concentrations of Felbatol as compared to the same dose of Felbatol given as monotherapy.
Felbatol
Felbatol
NONE
Felbamate_ddi.xml
DDI-DrugBank.d434.s30
DDI-DrugBank.d434.s30.p10
The response to Factrel may be blunted by phenothiazines and dopamine antagonists which cause a rise in prolactin.
Factrel
dopamine antagonists
EFFECT
Gonadorelin_ddi.xml
DDI-DrugBank.d369.s3
DDI-DrugBank.d369.s3.p1
Naproxen: Coadministration (N=18) of naproxen sodium capsules (250 mg) with Neurontin (125 mg) appears to increase the amount of gabapentin absorbed by 12% to 15%.
Naproxen
gabapentin
NONE
Gabapentin_ddi.xml
DDI-DrugBank.d438.s15
DDI-DrugBank.d438.s15.p2
Drugs that Lower Seizure Threshold: Concurrent administration of WELLBUTRIN and agents (e.g., antipsychotics, other antidepressants, theophylline, systemic steroids, etc.) that lower seizure threshold should be undertaken only with extreme caution.
WELLBUTRIN
theophylline
ADVISE
Bupropion_ddi.xml
DDI-DrugBank.d5.s22
DDI-DrugBank.d5.s22.p2
A rare, but serious, constellation of symptoms, termed serotonin syndrome, has been reported with the concomitant use of selective serotonin reuptake inhibitors (SSRIs) and agents for migraine therapy, such as Imitrex (sumatriptan succinate) and dihydroergotamine.
SSRIs
Imitrex
EFFECT
Dexfenfluramine_ddi.xml
DDI-DrugBank.d423.s4
DDI-DrugBank.d423.s4.p4
Total body clearance of Simulect was reduced by an average 22% and 51% when azathioprine and mycophenolate mofetil, respectively, were added to a regimen consisting of cyclosporine, USP (MODIFIED) and corticosteroids.
Simulect
mycophenolate mofetil
MECHANISM
Basiliximab_ddi.xml
DDI-DrugBank.d544.s3
DDI-DrugBank.d544.s3.p1
Nabilone should be administered with caution to patients who are taking other psychoactive drugs or CNS depressants, including alcohol, barbiturates and narcotic analgesics, or to those with a history of psychiatric disorder (including manic-depressive illness and schizophrenia).
CNS depressants
barbiturates
NONE
Nabilone_ddi.xml
DDI-DrugBank.d552.s0
DDI-DrugBank.d552.s0.p10
Butalbital, acetaminophen and caffeine may enhance the effects of: other narcotic analgesics, alcohol, general anesthetics, tranquilizers such as chlordiazepoxide, sedative-hypnotics, or other CNS depressants, causing increased CNS depression.
Butalbital
sedative-hypnotics
EFFECT
Butalbital_ddi.xml
DDI-DrugBank.d559.s1
DDI-DrugBank.d559.s1.p7
Therapeutic concentrations of digoxin, warfarin, ibuprofen, naproxen, piroxicam, acetaminophen, phenytoin andtolbutamide did not alter ketorolac tromethamine protein binding.
piroxicam
ketorolac tromethamine
NONE
Ketorolac_ddi.xml
DDI-DrugBank.d3.s4
DDI-DrugBank.d3.s4.p24
Synergism between xanthine bronchodilators (e.g., theophylline), ephedrine, and other sympathomimetic bronchodilators has been reported.
xanthine bronchodilators
sympathomimetic bronchodilators
EFFECT
Dyphylline_ddi.xml
DDI-DrugBank.d4.s0
DDI-DrugBank.d4.s0.p2
Administering InsP(3) together with RR (100-500 microM) inhibited InsP(3)-induced responses (both Ca(2+) and current responses) in a dose-dependent fashion.
InsP(3)
RR
EFFECT
11137703.xml
DDI-MedLine.d114.s3
DDI-MedLine.d114.s3.p0
It is recommended that the combination of intravenous dantrolene sodium and calcium channel blockers, such as verapamil, not be used together during the management of malignant hyperthermia crisis until the relevance of these findings to humans is established.
dantrolene sodium
verapamil
ADVISE
Dantrolene_ddi.xml
DDI-DrugBank.d305.s6
DDI-DrugBank.d305.s6.p1
Antihistamines may partially counteract the anticoagulation effects of heparin or warfarin.
Antihistamines
heparin
EFFECT
Doxylamine_ddi.xml
DDI-DrugBank.d387.s1
DDI-DrugBank.d387.s1.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.
antibiotics
cyclosporine
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p146
Cimetidine: Cimetidine has been demonstrated to interfere with the elimination of other quinolones.
Cimetidine
quinolones
MECHANISM
Lomefloxacin_ddi.xml
DDI-DrugBank.d516.s12
DDI-DrugBank.d516.s12.p2
Naproxen, naproxen sodium and other NSAIDs have been reported to reduce the tubular secretion of methotrexate in an animal model, possibly increasing the toxicity of methotrexate.
naproxen sodium
methotrexate
MECHANISM
Naproxen_ddi.xml
DDI-DrugBank.d85.s12
DDI-DrugBank.d85.s12.p5
Apparent oral clearance and volume of distribution of sirolimus decreased with 38% and 45%, respectively, when sirolimus was given with diltiazem.
sirolimus
diltiazem
MECHANISM
11180036.xml
DDI-MedLine.d86.s6
DDI-MedLine.d86.s6.p2
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.
BROVANA
tricyclic antidepressants
ADVISE
Arformoterol_ddi.xml
DDI-DrugBank.d284.s6
DDI-DrugBank.d284.s6.p2
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.
antacids
carbamazepine
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s29
DDI-DrugBank.d64.s29.p68
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
fluoxetine
MECHANISM
Clomipramine_ddi.xml
DDI-DrugBank.d238.s6
DDI-DrugBank.d238.s6.p2
Ingestion of diclofenac may increase serum concentrations of digoxin and methotrexate and increase cyclosporine s nephrotoxicity.
diclofenac
digoxin
MECHANISM
Diclofenac_ddi.xml
DDI-DrugBank.d249.s4
DDI-DrugBank.d249.s4.p0
The concomitant use of transdermal fentanyl with ritonavir or other potent 3A4 inhibitors such as ketoconazole, itraconazole, troleandomycin, clarithromycin, nelfinavir, and nefazadone may result in an increase in fentanyl plasma concentrations.
troleandomycin
nelfinavir
NONE
Fentanyl_ddi.xml
DDI-DrugBank.d170.s2
DDI-DrugBank.d170.s2.p23
Iron Supplements and Foods Fortified With Iron Concomitant administration of cefdinir with a therapeutic iron supplement containing 60 mg of elemental iron (as FeSO4) or vitamins supplemented with 10 mg of elemental iron reduced extent of absorption by 80% and 31%, respectively.
iron supplement
iron
NONE
Cefdinir_ddi.xml
DDI-DrugBank.d420.s5
DDI-DrugBank.d420.s5.p15
INDOCIN has been reported to decrease the tubular secretion of methotrexate and to potentiate its toxicity.
INDOCIN
methotrexate
MECHANISM
Indomethacin_ddi.xml
DDI-DrugBank.d82.s13
DDI-DrugBank.d82.s13.p0
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.
ibuprofen
propranolol
NONE
Lansoprazole_ddi.xml
DDI-DrugBank.d431.s1
DDI-DrugBank.d431.s1.p35
Antidepressants: In vitro data indicate that nefazodone inhibits the metabolism of cisapride, which can result in an increase in plasma cisapride levels and prolongation of the QT interval on the ECG.
nefazodone
cisapride
NONE
Cisapride_ddi.xml
DDI-DrugBank.d237.s6
DDI-DrugBank.d237.s6.p4
Warfarin-Vitamin K can antagonize the effect of warfarin
Vitamin K
warfarin
EFFECT
Menadione_ddi.xml
DDI-DrugBank.d139.s8
DDI-DrugBank.d139.s8.p2
Antacids: Enteric Coated Aspirin should not be given concurrently with antacids, since an increase in the pH of the stomach may effect the enteric coating of the tablets.
Antacids
Aspirin
NONE
Aspirin_ddi.xml
DDI-DrugBank.d443.s9
DDI-DrugBank.d443.s9.p0
This observed increase in the bioavailability of fexofenadine may be due to transport-related effects, such as p-glycoprotein. in vivo animal studies also suggest that in addition to enhancing absorption, ketoconazole decreases fexofenadine gastrointestinal secretion, while erythromycin may also decrease biliary excretion.
ketoconazole
fexofenadine
MECHANISM
Fexofenadine_ddi.xml
DDI-DrugBank.d466.s18
DDI-DrugBank.d466.s18.p3
Gleevec will increase plasmaconcentration of other CYP3A4 metabolized drugs (e.g., triazolo-benzodiazepines, dihydropyridine calcium channel blockers, certain HMG-CoA reductase inhibitors, etc.).
Gleevec
benzodiazepines
MECHANISM
Imatinib_ddi.xml
DDI-DrugBank.d115.s10
DDI-DrugBank.d115.s10.p0
however, it adversely affected response duration suggesting that pyridoxine should not be administered with HEXALEN and/or cisplatin.1
pyridoxine
HEXALEN
ADVISE
Altretamine_ddi.xml
DDI-DrugBank.d188.s2
DDI-DrugBank.d188.s2.p0
Dicumarol: It has been reported that allopurinol prolongs the half-life of the anticoagulant, dicumarol.
allopurinol
dicumarol
MECHANISM
Allopurinol_ddi.xml
DDI-DrugBank.d413.s6
DDI-DrugBank.d413.s6.p4
Additionally, BREVIBLOC should not be used to control supraventricular tachycardia in the presence of agents which are vasoconstrictive and inotropic such as dopamine, epinephrine, and norepinephrine because of the danger of blocking cardiac contractility when systemic vascular resistance is high.
BREVIBLOC
dopamine
ADVISE
Esmolol_ddi.xml
DDI-DrugBank.d422.s15
DDI-DrugBank.d422.s15.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.
atenolol
valsartan
NONE
Aliskiren_ddi.xml
DDI-DrugBank.d533.s1
DDI-DrugBank.d533.s1.p17
Prior administration of 4-methylpyrazole (90 mg kg(-1) body weight) was shown to prevent the conversion of 1,3-difluoro-2-propanol (100 mg kg(-1) body weight) to (-)-erythro-fluorocitrate in vivo and to eliminate the fluoride and citrate elevations seen in 1,3-difluoro-2-propanol-intoxicated animals.
4-methylpyrazole
1,3-difluoro-2-propanol
EFFECT
11170315.xml
DDI-MedLine.d125.s6
DDI-MedLine.d125.s6.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.
ethacrynic acid
phenyramidol
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p873
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.
aluminum
magnesium
NONE
Grepafloxacin_ddi.xml
DDI-DrugBank.d78.s1
DDI-DrugBank.d78.s1.p23
Digitalis: Immediate Release Capsules: Since there have been isolated reports of patients with elevated digoxin levels, and there is a possible interaction between digoxin and nifedipine, it is recommended that digoxin levels be monitored when initiating, adjusting, and discontinuing nifedipine to avoid possible over- or under-digitalization.
digoxin
nifedipine
INT
Nifedipine_ddi.xml
DDI-DrugBank.d373.s2
DDI-DrugBank.d373.s2.p9
Caution should be used when administering or taking TARCEVA with ketoconazole and other strong CYP3A4 inhibitors such as, but not limited to, atazanavir, clarithromycin, indinavir, itraconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, troleandomycin (TAO), and voriconazole .
TARCEVA
nefazodone
ADVISE
Erlotinib_ddi.xml
DDI-DrugBank.d456.s1
DDI-DrugBank.d456.s1.p5
Ampicillin/Amoxicillin: An increase in the frequency of skin rash has been reported among patients receiving ampicillin or amoxicillin concurrently with allopurinol compared to patients who are not receiving both drugs.
amoxicillin
allopurinol
EFFECT
Allopurinol_ddi.xml
DDI-DrugBank.d413.s16
DDI-DrugBank.d413.s16.p9
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
salicylates
MECHANISM
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s3
DDI-DrugBank.d411.s3.p15
The following drug interactions have been identified involving NIZORAL Tablets and other drugs metabolized by the cytochrome P450 3A4 enzyme system: Ketoconazole tablets inhibit the metabolism of terfenadine, resulting in an increased plasma concentration of terfenadine and a delay in the elimination of its acid metabolite.
Ketoconazole
terfenadine
MECHANISM
Ketoconazole_ddi.xml
DDI-DrugBank.d458.s3
DDI-DrugBank.d458.s3.p3
Some quinolones, including ciprofloxacin, have been associated with transient elevations in serum creatinine in patients receiving cyclosporine concomitantly.
quinolones
cyclosporine
EFFECT
Ciprofloxacin_ddi.xml
DDI-DrugBank.d123.s2
DDI-DrugBank.d123.s2.p1
Probenecid given concurrently increases naproxen anion plasma levels and extends its plasma half-life significantly.
Probenecid
naproxen
MECHANISM
Naproxen_ddi.xml
DDI-DrugBank.d85.s10
DDI-DrugBank.d85.s10.p0
Short-term pharmacokinetic studies have demonstrated that concomitant administration of warfarin and Lodine (etodolac capsules and tablets) results in reduced protein binding of warfarin, but there was no change in the clearance of free warfarin.
warfarin
Lodine
MECHANISM
Etodolac_ddi.xml
DDI-DrugBank.d219.s23
DDI-DrugBank.d219.s23.p0
Caffeine Theobromine Grepafloxacin, like other quinolones, may inhibit the metabolism of caffeine and theobromine.
Grepafloxacin
theobromine
MECHANISM
Grepafloxacin_ddi.xml
DDI-DrugBank.d78.s3
DDI-DrugBank.d78.s3.p11
Beta Blockers: Although the results of a clinical study did not indicate a safe problem associated with the administration of D.H.E. 45 (dihydroergotamine mesylate) Injection, USP to subjects already receiving propranolol, there have been reports that propranolol may potentiate the vasoconstrictive action of ergotamine by blocking the vasodilating property of epinephrine.
dihydroergotamine mesylate
ergotamine
NONE
Dihydroergotamine_ddi.xml
DDI-DrugBank.d410.s3
DDI-DrugBank.d410.s3.p11
In EM individuals treated with paroxetine or fluoxetine, the AUC of atomoxetine is approximately 6- to 8-fold and Css,max is about 3- to 4-fold greater than atomoxetine alone.
paroxetine
atomoxetine
MECHANISM
Atomoxetine_ddi.xml
DDI-DrugBank.d11.s4
DDI-DrugBank.d11.s4.p1
- Phenytoin (e.g., Dilantin) Use of phenytoin with sulfapyridine may increase the chance of side effects affecting the liver and/or the side effects of phenytoin
Phenytoin
Dilantin
NONE
Sulfapyridine_ddi.xml
DDI-DrugBank.d179.s40
DDI-DrugBank.d179.s40.p0
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
NONE
Acitretin_ddi.xml
DDI-DrugBank.d353.s12
DDI-DrugBank.d353.s12.p3
Cytotoxic Agents: Enhanced bone marrow suppression by cyclophosphamide and other cytotoxic agents has been reported among patients with neoplastic disease, except leukemia, in the presence of allopurinol.
cytotoxic agents
allopurinol
EFFECT
Allopurinol_ddi.xml
DDI-DrugBank.d413.s18
DDI-DrugBank.d413.s18.p5
Previous studies have demonstrated a significant reduction in the oral bioavailability of trovafloxacin and ciprofloxacin when administered concomitantly with an intravenous opiate such as morphine.
ciprofloxacin
morphine
MECHANISM
11210403.xml
DDI-MedLine.d124.s1
DDI-MedLine.d124.s1.p4
Because prostaglandina play an important role in hemostasis and ketoprofen has an effect on platelet function as well, concurent therapy with ketoprofen and warfarin requires close monitoring of patients on both drugs.
ketoprofen
warfarin
ADVISE
Ketoprofen_ddi.xml
DDI-DrugBank.d499.s17
DDI-DrugBank.d499.s17.p2
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.
polymyxins
clindamycin
NONE
Doxacurium chloride_ddi.xml
DDI-DrugBank.d267.s5
DDI-DrugBank.d267.s5.p61
When Mefloquine is taken concurrently with oral live typhoid vaccines, attenuation of immunization cannot be excluded.
Mefloquine
live typhoid vaccines
EFFECT
Mefloquine_ddi.xml
DDI-DrugBank.d220.s13
DDI-DrugBank.d220.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.
Topamax
Nizoral
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p432
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
pentoxifylline
EFFECT
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p35
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.
Felbatol
vitamin C
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p493
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
cyclosporine
INT
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p20
A dose increase of lopinavir/ritonavir to 533/133 mg (4 capsules or 6.5 mL) twice daily taken with food is recommended when used in combination with SUSTIVA.
ritonavir
SUSTIVA
ADVISE
Efavirenz_ddi.xml
DDI-DrugBank.d531.s42
DDI-DrugBank.d531.s42.p2
Dose-response curves (derived from the results of using the tablets as well as pure powders) showed that tripelennamine was responsible for the inhibitory activity, which was partially antagonized by pentazocine.
tripelennamine
pentazocine
EFFECT
3918122.xml
DDI-MedLine.d45.s6
DDI-MedLine.d45.s6.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.
triazolam
ziprasidone
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p1027
Absorption of tetracyclines is impaired by antacids containing aluminum, calcium, or magnesium, and iron-containing preparations.
tetracyclines
magnesium
MECHANISM
Doxycycline_ddi.xml
DDI-DrugBank.d500.s2
DDI-DrugBank.d500.s2.p3
Ethopropazine may interact with alcohol or other CNS depressants, causing increased sedative effects.
Ethopropazine
CNS depressants
EFFECT
Ethopropazine_ddi.xml
DDI-DrugBank.d240.s0
DDI-DrugBank.d240.s0.p1
Agents that have been found, or are expected to have decreased plasma levels in the presence of EQUETROTM due to induction of CYP enzymes are the following: Acetaminophen, alprazolam, amitriptyline, bupropion, buspirone, citalopram, clobazam, clonazepam, clozapine, cyclosporin, delavirdine, desipramine, diazepam, dicumarol, doxycycline, ethosuximide, felbamate, felodipine, glucocorticoids, haloperidol, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, midazolam, mirtazapine, nortriptyline, olanzapine, oral contraceptives(3), oxcarbazepine, Phenytoin(4), praziquantel, protease inhibitors, quetiapine, risperidone, theophylline, topiramate, tiagabine, tramadol, triazolam, valproate, warfarin(5) , ziprasidone, and zonisamide.
EQUETROTM
felbamate
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p16
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.
benzodiazepine class
antianxiety agents
EFFECT
Clonazepam_ddi.xml
DDI-DrugBank.d333.s7
DDI-DrugBank.d333.s7.p4
The concomitant intake of alcohol and Acamprosate does not affect the pharmacokinetics of either alcohol or acamprosate.
alcohol
Acamprosate
NONE
Acamprosate_ddi.xml
DDI-DrugBank.d0.s0
DDI-DrugBank.d0.s0.p0
ZEBETA should not be combined with other beta-blocking agents.
ZEBETA
beta-blocking agents
ADVISE
Bisoprolol_ddi.xml
DDI-DrugBank.d476.s0
DDI-DrugBank.d476.s0.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.
alprazolam
felodipine
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p104
A pharmacokinetic study evaluating the administration of a single dose of INSPRA 100 mg with ketoconazole 200 mg BID, a potent inhibitor of the CYP3A4 pathway, showed a 1.7-fold increase in Cmax of eplerenone and a 5.4-fold increase in AUC of eplerenone.
INSPRA
ketoconazole
MECHANISM
Eplerenone_ddi.xml
DDI-DrugBank.d20.s1
DDI-DrugBank.d20.s1.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.
disulfiram
trimethoprim
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p852
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.
ranitidine
trimethoprim
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p1437
This appears to be the only clinically relevant interaction of this kind with Mefloquine, although theoretically, coadministration of other drugs known to alter cardiac conduction (eg, anti-arrhythmic or beta-adrenergic blocking agents, calcium channel blockers, antihistamines or H1-blocking agents, tricyclic antidepressants and phenothiazines) might also contribute to a prolongation of the QTc interval.
Mefloquine
phenothiazines
EFFECT
Mefloquine_ddi.xml
DDI-DrugBank.d220.s9
DDI-DrugBank.d220.s9.p6
Administration of thiazide diuretics to hypoparathyroid patients who are concurrently being treated with ergocalciferol may cause hypercalcemia.
thiazide diuretics
ergocalciferol
EFFECT
Ergocalciferol_ddi.xml
DDI-DrugBank.d471.s1
DDI-DrugBank.d471.s1.p0