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The uptake inhibitors cocaine and desipramine (3 mumol/liter) potentiated the positive inotropic effects of norepinephrine in nonfailing myocardium (p < 0.05) but not in functional class IV myocardium.
cocaine
norepinephrine
EFFECT
7798493.xml
DDI-MedLine.d94.s12
DDI-MedLine.d94.s12.p1
Although there are no study data to evaluate the possibility, nitric oxide donor compounds, including sodium nitroprusside and nitroglycerin, may have an additive effect with INOmax on the risk of developing methemoglobinemia.
sodium nitroprusside
INOmax
EFFECT
Nitric Oxide_ddi.xml
DDI-DrugBank.d183.s2
DDI-DrugBank.d183.s2.p4
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
NONE
Indinavir_ddi.xml
DDI-DrugBank.d97.s84
DDI-DrugBank.d97.s84.p2
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
quetiapine
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p933
Rifampin significantly decreased the AUC(ss) of amprenavir by 82%, but amprenavir had no effect on rifampin pharmacokinetics.
Rifampin
rifampin
NONE
11158747.xml
DDI-MedLine.d3.s8
DDI-MedLine.d3.s8.p2
Catecholamine-depleting drugs, e.g., reserpine, may have an additive effect when given with beta blocking agents.
reserpine
beta blocking agents
EFFECT
Esmolol_ddi.xml
DDI-DrugBank.d422.s0
DDI-DrugBank.d422.s0.p0
Antihistamines may enhance the effects of tricyclic antidepressants, barbiturates, alcohol, and other CNS depressants.
Antihistamines
CNS depressants
EFFECT
Carbinoxamine_ddi.xml
DDI-DrugBank.d389.s0
DDI-DrugBank.d389.s0.p3
Quinolone Antibiotics: VIDEX should be administered at least 2 hours after or 6 hours before dosing with ciprofloxacin because plasma concentrations of ciprofloxacin are decreased when administered with antacids containing magnesium, calcium, or aluminum.
ciprofloxacin
aluminum
MECHANISM
Didanosine_ddi.xml
DDI-DrugBank.d43.s8
DDI-DrugBank.d43.s8.p21
Results of preliminary studies in humans and rats suggest that nonabsorbable antacids given concurrently with lactulose may inhibit the desired lactulose-induced drop in colonic pH.
antacids
lactulose
MECHANISM
Lactulose_ddi.xml
DDI-DrugBank.d206.s0
DDI-DrugBank.d206.s0.p0
Warfarin: Co-administration of bosentan 500 mg b.i.d. for 6 days decreased the plasma concentrations of both S-warfarin (a CYP2C9 substrate) and R-warfarin (a CYP3A4 substrate) by 29 and 38%, respectively.
bosentan
R-warfarin
MECHANISM
Bosentan_ddi.xml
DDI-DrugBank.d289.s30
DDI-DrugBank.d289.s30.p4
Ibogaine attenuates, but 18-MC potentiates, the acute locomotor effects of morphine;
Ibogaine
morphine
EFFECT
11085336.xml
DDI-MedLine.d110.s9
DDI-MedLine.d110.s9.p1
Cyclosporine, tacrolimus and digoxin concentrations should be monitored at the initiation of Itraconazole therapy and frequently thereafter, and the dose of these three drug products adjusted appropriately.
digoxin
Itraconazole
ADVISE
Itraconazole_ddi.xml
DDI-DrugBank.d165.s16
DDI-DrugBank.d165.s16.p5
no change in pravastatin AUC and Cmax was observed during diltiazem coadministration.
pravastatin
diltiazem
NONE
Diltiazem_ddi.xml
DDI-DrugBank.d565.s38
DDI-DrugBank.d565.s38.p0
Effects of other Antiepilepsy Drugs (AEDs) on GABITRIL : Carbamazepine: Population pharmacokinetic analyses indicate that tiagabine clearance is 60% greater in patients taking carbamazepine with or without other enzyme- inducing AEDs.
tiagabine
carbamazepine
MECHANISM
Tiagabine_ddi.xml
DDI-DrugBank.d277.s10
DDI-DrugBank.d277.s10.p12
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
estrogens
NONE
Insulin recombinant_ddi.xml
DDI-DrugBank.d313.s2
DDI-DrugBank.d313.s2.p24
Patients on oral antidiabetic agents receiving VELCADE treatment may require close monitoring of their blood glucose levels and adjustment of the dose of their antidiabetic medication.
antidiabetic agents
VELCADE
ADVISE
Bortezomib_ddi.xml
DDI-DrugBank.d571.s4
DDI-DrugBank.d571.s4.p0
Caution should be exercised when considering the use of BREVIBLOC and verapamil in patients with depressed myocardial function.
BREVIBLOC
verapamil
ADVISE
Esmolol_ddi.xml
DDI-DrugBank.d422.s13
DDI-DrugBank.d422.s13.p0
If desipramine hydrochloride is to be combined with other psychotropic agents such as tranquilizers or sedative/hypnotics, careful consideration should be given to the pharmacology of the agents employed since the sedative effects of desipramine and benzodiazepines (e.g., chlordiazepoxide or diazepam) are additive.
desipramine hydrochloride
hypnotics
EFFECT
Desipramine_ddi.xml
DDI-DrugBank.d386.s23
DDI-DrugBank.d386.s23.p3
It is, however, possible that concomitant use of other known photosensitizing agents such as griseofulvin, thiazide diuretics, sulfonylureas, phenothiazines, sulfonamides and tetracyclines might increase the photosensitivity reaction of actinic keratoses treated with the LEVULAN KERASTICK for Topical Solution.
thiazide diuretics
LEVULAN KERASTICK
EFFECT
Aminolevulinic acid_ddi.xml
DDI-DrugBank.d379.s1
DDI-DrugBank.d379.s1.p17
Beta-blockers, clonidine, lithium salts, and alcohol may either potentiate or weaken the blood-glucose-lowering effect of insulin.
lithium
insulin
EFFECT
Insulin recombinant_ddi.xml
DDI-DrugBank.d313.s3
DDI-DrugBank.d313.s3.p8
Rifampin has been reported to increase the warfarin requirements in human subjects ingesting these agents simultaneously.
Rifampin
warfarin
MECHANISM
1115445.xml
DDI-MedLine.d116.s2
DDI-MedLine.d116.s2.p0
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.
Beta Blockers
ergotamine
NONE
Dihydroergotamine_ddi.xml
DDI-DrugBank.d410.s3
DDI-DrugBank.d410.s3.p4
The effectiveness of progestin-only pills is reduced by hepatic enzyme-inducing drugs such as the anticonvulsants phenytoin, carbamazepine, and barbiturates, and the antituberculosis drug rifampin.
progestin
carbamazepine
EFFECT
Norethindrone_ddi.xml
DDI-DrugBank.d306.s0
DDI-DrugBank.d306.s0.p2
Although beta-adrenergic blockers or calcium channel blockers and digoxin may be useful in combination to control atrial fibrillation, their additive effects on AV node conduction can result in advanced or complete heart block.
beta-adrenergic blockers
digoxin
EFFECT
Digoxin_ddi.xml
DDI-DrugBank.d450.s12
DDI-DrugBank.d450.s12.p1
Aminoglycosides: The mixing of piperacillin with an aminoglycoside in vitro can result in substantial inactivation of the aminoglycoside.
piperacillin
aminoglycoside
EFFECT
Piperacillin_ddi.xml
DDI-DrugBank.d462.s0
DDI-DrugBank.d462.s0.p3
Amphotericin, Foscarnet, and Aminoglycosides: Drugs such as amphotericin, foscarnet, and aminoglycosides may increase the risk of developing peripheral neuropathy or other HIVID-associated adverse events by interfering with the renal clearance of zalcitabine (thereby raising systemic exposure).
foscarnet
zalcitabine
MECHANISM
Zalcitabine_ddi.xml
DDI-DrugBank.d263.s18
DDI-DrugBank.d263.s18.p24
Nafazodone, fluvoxamine, cimetidine (consider Xanax dose reduction).
cimetidine
Xanax
ADVISE
Adinazolam_ddi.xml
DDI-DrugBank.d449.s1
DDI-DrugBank.d449.s1.p5
Lamivudine and zalcitabine may inhibit the intracellular phosphorylation of one another.
Lamivudine
zalcitabine
EFFECT
Lamivudine_ddi.xml
DDI-DrugBank.d71.s5
DDI-DrugBank.d71.s5.p0
Anticholinergics: Concurrent administration of certain anticholinergic compounds, such as belladonna alkaloids and dicyclomine, would be expected to compromise the beneficial effects of cisapride.
dicyclomine
cisapride
EFFECT
Cisapride_ddi.xml
DDI-DrugBank.d237.s3
DDI-DrugBank.d237.s3.p9
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.
non-potassium sparing diuretics
beta-agonists
EFFECT
Arformoterol_ddi.xml
DDI-DrugBank.d284.s4
DDI-DrugBank.d284.s4.p2
Because there is a theoretical basis that these effects may be additive, use of ergotamine-containing or ergot-type medications (like dihydroergotamine or methysergide) and AXERT within 24 hours of each other should be avoided.
ergot-type medications
AXERT
ADVISE
Almotriptan_ddi.xml
DDI-DrugBank.d299.s1
DDI-DrugBank.d299.s1.p6
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.
pertechnetate
mitotane
NONE
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s4
DDI-DrugBank.d411.s4.p200
At higher than recommended doses, VIOXX 75 mg administered once daily for 10 days increased plasma concentrations by 23% as measured by AUC0-24hr in patients receiving methotrexate 7.5 to 15 mg/week for rheumatoid arthritis.
VIOXX
methotrexate
MECHANISM
Rofecoxib_ddi.xml
DDI-DrugBank.d210.s20
DDI-DrugBank.d210.s20.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.
antifungals
phenylbutazone
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p516
Since indomethacin and potassium-sparing diuretics, including MIDAMOR, may each be associated with increased serum potassium levels, the potential effects on potassium kinetics and renal function should be considered when these agents are administered concurrently.
indomethacin
potassium-sparing diuretics
EFFECT
Amiloride_ddi.xml
DDI-DrugBank.d356.s6
DDI-DrugBank.d356.s6.p0
The concomitant use of beta-adrenergic blocking agents with digitalis and calcium antagonists may have additive effects on prolonging atrioventricular conduction time.
beta-adrenergic blocking agents
calcium antagonist
EFFECT
Levobunolol_ddi.xml
DDI-DrugBank.d252.s4
DDI-DrugBank.d252.s4.p1
Potassium Supplements and Potassium-Sparing Diuretics Lotensin can attenuate potassium loss caused by thiazide diuretics.
Potassium-Sparing Diuretics
thiazide diuretics
EFFECT
Benazepril_ddi.xml
DDI-DrugBank.d561.s3
DDI-DrugBank.d561.s3.p2
Synergism between xanthine bronchodilators (e.g., theophylline), ephedrine, and other sympathomimetic bronchodilators has been reported.
theophylline
sympathomimetic bronchodilators
EFFECT
Dyphylline_ddi.xml
DDI-DrugBank.d4.s0
DDI-DrugBank.d4.s0.p4
Theophylline: Enoxacin is a potent inhibitor of the cytochrome P-450 isozymes responsible for the metabolism of methylxanthines.
Enoxacin
methylxanthines
MECHANISM
Enoxacin_ddi.xml
DDI-DrugBank.d395.s20
DDI-DrugBank.d395.s20.p2
Ethanol:Clinical evidence has shown that etretinate can be formed with concurrent ingestion of acitretin and ethanol.
acitretin
ethanol
MECHANISM
Acitretin_ddi.xml
DDI-DrugBank.d353.s0
DDI-DrugBank.d353.s0.p5
Imipramine hydrochloride may potentiate the effects of CNS depressant drugs.
Imipramine hydrochloride
CNS depressant drugs
EFFECT
Imipramine_ddi.xml
DDI-DrugBank.d77.s4
DDI-DrugBank.d77.s4.p0
Coadministration with valdecoxib (40 mg BID for 7 days) resulted in a significant increase in dextromethorphan plasma levels suggesting that, at these doses, valdecoxib is a weak inhibitor of 2D6.
valdecoxib
dextromethorphan
MECHANISM
Valdecoxib_ddi.xml
DDI-DrugBank.d328.s18
DDI-DrugBank.d328.s18.p0
The administration of local anesthetic solutions containing epinephrine or norepinephrine to patients receiving monoamine oxidase inhibitors or tricyclic antidepressants may produce severe, prolonged hypertension.
epinephrine
tricyclic antidepressants
EFFECT
Lidocaine_ddi.xml
DDI-DrugBank.d564.s0
DDI-DrugBank.d564.s0.p6
However, other published reports describe modest elevations (less than two-fold) of clozapine and metabolite concentrations when clozapine was taken with paroxetine, fluoxetine, and sertraline.
clozapine
fluoxetine
NONE
Clozapine_ddi.xml
DDI-DrugBank.d480.s22
DDI-DrugBank.d480.s22.p2
When combined with ofloxacin, KRM-1648 exhibited strong synergistic activity while only additive effects were observed with the combination of rifampicin (or rifabutin) and ofloxacin.
rifabutin
ofloxacin
EFFECT
11137650.xml
DDI-MedLine.d8.s6
DDI-MedLine.d8.s6.p9
Oral Contraceptives: The effect of oral contraceptives on the pharmacokinetics of D.H.E. 45 (dihydroergotamine mesylate) Injection, USP has not been studied.
Contraceptives
D.H.E. 45
NONE
Dihydroergotamine_ddi.xml
DDI-DrugBank.d410.s10
DDI-DrugBank.d410.s10.p1
Clozapine may potentiate the hypotensive effects of antihypertensive drugs and the anticholinergic effects of atropine-type drugs.
Clozapine
antihypertensive drugs
EFFECT
Clozapine_ddi.xml
DDI-DrugBank.d480.s9
DDI-DrugBank.d480.s9.p0
Selegiline - L-phenylalanine and the selective MAO inhibitor selegiline may have synergistic antidepressant activity if used concomitantly.
L-phenylalanine
selegiline
EFFECT
L-Phenylalanine_ddi.xml
DDI-DrugBank.d530.s2
DDI-DrugBank.d530.s2.p4
If chlorprothixene is given concomitantly with opioids, the opioid dose should be reduced (by approx. 50%), because chlorprothixene amplifies the therapeutic actions and side-effects of opioids massively.
chlorprothixene
opioids
ADVISE
Chlorprothixene_ddi.xml
DDI-DrugBank.d503.s2
DDI-DrugBank.d503.s2.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
tetracyclines
EFFECT
Doxacurium chloride_ddi.xml
DDI-DrugBank.d267.s5
DDI-DrugBank.d267.s5.p2
Coingestion of acetaminophen with theophylline, phenobarbital with acetaminophen, and valproic acid with phenobarbital at high to toxic concentrations decreases the binding of the target drug.
phenobarbital
acetaminophen
EFFECT
11206047.xml
DDI-MedLine.d111.s14
DDI-MedLine.d111.s14.p9
Additive adverse effects resulting from cholinergic blockade may occur when LEVSIN is administered concomitantly with other antimuscarinics, amantadine, haloperidol, phenothiazines, monoamine oxidase (MAO) inhibitors, tricyclic antidepressants or some antihistamines.
LEVSIN
antihistamines
EFFECT
Hyoscyamine_ddi.xml
DDI-DrugBank.d142.s0
DDI-DrugBank.d142.s0.p6
The actions of the benzodiazepines may be potentiated by barbiturates, narcotics, phenothiazines, monoamine oxidase inhibitors or other antidepressants.
benzodiazepines
narcotics
EFFECT
Clorazepate_ddi.xml
DDI-DrugBank.d335.s3
DDI-DrugBank.d335.s3.p1
Antidepressants, tricyclic: Amphetamines may enhance the activity of tricyclic or sympathomimetic agents;
tricyclic
sympathomimetic agents
NONE
Dextroamphetamine_ddi.xml
DDI-DrugBank.d236.s7
DDI-DrugBank.d236.s7.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
5-fluorouracil
MECHANISM
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s3
DDI-DrugBank.d411.s3.p6
Erythromycin has been reported to significantly alter the metabolism of nonsedating antihistamines terfenadine and astemizole when taken concomitantly.
terfenadine
astemizole
NONE
Erythromycin_ddi.xml
DDI-DrugBank.d397.s10
DDI-DrugBank.d397.s10.p5
Aspirin: Concomitant administration of diclofenac and aspirin is not recommended because diclofenac is displaced from its binding sites during the concomitant administration of aspirin, resulting in lower plasma concentrations, peak plasma levels, and AUC values.
diclofenac
aspirin
NONE
Diclofenac_ddi.xml
DDI-DrugBank.d249.s0
DDI-DrugBank.d249.s0.p6
When phenobarbital is added to or withdrawn from treatment, dosage adjustment of Nalfon may be required.
phenobarbital
Nalfon
ADVISE
Fenoprofen_ddi.xml
DDI-DrugBank.d154.s4
DDI-DrugBank.d154.s4.p0
Bentiromide may interact with acetaminophen (e.g., Tylenol), chloramphenicol (e.g., Chloromycetin), local anesthetics (e.g., benzocaine and lidocaine), para-aminobenzoic acid (PABA)-containing preparations (e.g., sunscreens and some multivitamins), procainamide (e.g., Pronestyl), sulfonamides (sulfa medicines), thiazide diuretics (use of these medicines during the test period will affect the test results), and pancreatic supplements (use of pancreatic supplements may give false test results).
Bentiromide
acetaminophen
INT
Bentiromide_ddi.xml
DDI-DrugBank.d537.s0
DDI-DrugBank.d537.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.
Sucralfate
didanosine
NONE
Lomefloxacin_ddi.xml
DDI-DrugBank.d516.s3
DDI-DrugBank.d516.s3.p19
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.
cimetidine
dextrothyroxine
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p542
Co-administration of TIKOSYN with verapamil resulted in increases in dofetilide peak plasma levels of 42%, although overall exposure to dofetilide was not significantly increased.
verapamil
dofetilide
NONE
Dofetilide_ddi.xml
DDI-DrugBank.d558.s7
DDI-DrugBank.d558.s7.p4
In addition to this pharmacological interaction, this report describes a novel chemical reaction between temazepam (a benzodiazepine) and ethanol under acidic conditions similar to those found in vivo, resulting in a 3-ethoxylated product.
temazepam
ethanol
MECHANISM
9120829.xml
DDI-MedLine.d113.s3
DDI-MedLine.d113.s3.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
felodipine
MECHANISM
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p17
Videx (Didanosine) chewable/buffered tablets or the pediatric powder for oral solution should not be administered concomitantly with, or within 2 hours of, the administration of norfloxacin, because these products may interfere with absorption resulting in lower serum and urine levels of norfloxacin.
Videx
norfloxacin
ADVISE
Norfloxacin_ddi.xml
DDI-DrugBank.d217.s12
DDI-DrugBank.d217.s12.p1
Beta-blockers, clonidine, lithium salts, and alcohol may either potentiate or weaken the blood-glucose-lowering effect of insulin.
alcohol
insulin
EFFECT
Insulin Glargine recombinant_ddi.xml
DDI-DrugBank.d527.s3
DDI-DrugBank.d527.s3.p9
Therefore, concomitant use of TORADOL and probenecid is contraindicated.
TORADOL
probenecid
ADVISE
Ketorolac_ddi.xml
DDI-DrugBank.d3.s10
DDI-DrugBank.d3.s10.p0
We investigated the effects of adenosine receptor antagonists, caffeine, theophylline, 8-phenyltheophylline, and 8-cyclopentyl-1,3-dipropylxanthine (DPCPX), in a light/dark test in mice.
8-phenyltheophylline
8-cyclopentyl-1,3-dipropylxanthine
NONE
7746025.xml
DDI-MedLine.d51.s1
DDI-MedLine.d51.s1.p7
Careful observation is required when amantadine is administered concurrently with central nervous system stimulants.
amantadine
central nervous system stimulants
ADVISE
Amantadine_ddi.xml
DDI-DrugBank.d116.s0
DDI-DrugBank.d116.s0.p0
Acid-catalyzed ethanolysis of temazepam in anhydrous and aqueous ethanol solutions.
temazepam
ethanol
MECHANISM
9120829.xml
DDI-MedLine.d113.s0
DDI-MedLine.d113.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.
mirtazapine
ziprasidone
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p880
Co-administration of naltrexone with Acamprosate produced a 25% increase in AUC and a 33% increase in the Cmax of acamprosate.
naltrexone
Acamprosate
MECHANISM
Acamprosate_ddi.xml
DDI-DrugBank.d0.s2
DDI-DrugBank.d0.s2.p0
- The action of sulphonylureas and insulin may be enhanced by Bezalip or Bezalip retard.
sulphonylureas
Bezalip
EFFECT
Bezafibrate_ddi.xml
DDI-DrugBank.d291.s3
DDI-DrugBank.d291.s3.p1
Probenecid may decrease renal tubular secretion of cephalosporins when used concurrently, resulting in increased and more prolonged cephalosporin blood levels.
Probenecid
cephalosporins
MECHANISM
Cefazolin_ddi.xml
DDI-DrugBank.d281.s0
DDI-DrugBank.d281.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.
Etonogestrel
Invirase
INT
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p27
Bosentan is also expected to reduce plasma concentrations of other statins that have significant metabolism by CYP3A4, such as lovastatin and atorvastatin.
Bosentan
atorvastatin
MECHANISM
Bosentan_ddi.xml
DDI-DrugBank.d289.s27
DDI-DrugBank.d289.s27.p2
Interactions may occur between EPA supplements and aspirin and other non-steroidal anti-inflammatory drugs and herbs such as garlic (Allium sativum) and ginkgo (Ginkgo biloba).
EPA
Ginkgo biloba
INT
Icosapent_ddi.xml
DDI-DrugBank.d35.s0
DDI-DrugBank.d35.s0.p3
Diuretics: Studies in normal volunteers have shown that flurbiprofen like other nonsteroidal anti-inflammatory drugs, can interfere with the effects of furosemide.
flurbiprofen
furosemide
EFFECT
Flurbiprofen_ddi.xml
DDI-DrugBank.d529.s14
DDI-DrugBank.d529.s14.p4
Warfarin and Anticoagulants: Increased prothrombin time, with or without clinical bleeding, has been reported when cefixime is administered concomitantly.
Anticoagulants
cefixime
EFFECT
Cefixime_ddi.xml
DDI-DrugBank.d339.s2
DDI-DrugBank.d339.s2.p2
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.
troleandomycin
valproate
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.p345
H2 Receptor Antagonists: Cimetidine coadministration leads to an increased peak plasma concentration and AUC of cisapride, there is no effect on cisapride absorption when it is coadministered with ranitidine.
Cimetidine
cisapride
MECHANISM
Cisapride_ddi.xml
DDI-DrugBank.d237.s10
DDI-DrugBank.d237.s10.p4
INDOCIN given concomitantly with digoxin has been reported to increase the serum concentration and prolong the half-life of digoxin.
INDOCIN
digoxin
MECHANISM
Indomethacin_ddi.xml
DDI-DrugBank.d82.s21
DDI-DrugBank.d82.s21.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.
valproate
verapamil
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s4
DDI-DrugBank.d94.s4.p348
May interact with thyroid medication (e.g., levothyroxine), iodine-containing products, antacids, H2-antagonists (e.g., famotidine, ranitidine), and proton pump inhibitors (e.g., lansoprazole, omeprazole).
famotidine
lansoprazole
NONE
Diatrizoate_ddi.xml
DDI-DrugBank.d293.s0
DDI-DrugBank.d293.s0.p28
Blunting of the antihypertensive effect of beta-adrenoceptor blocking agents by nonsteroidal anti-inflammatory drugs has been reported.
beta-adrenoceptor blocking agents
nonsteroidal anti-inflammatory drugs
EFFECT
Acebutolol_ddi.xml
DDI-DrugBank.d388.s4
DDI-DrugBank.d388.s4.p0
The concomitant administration of quinolones including norfloxacin with glyburide (a sulfonylurea agent) has, on rare occasions, resulted in severe hypoglycemia.
quinolones
glyburide
EFFECT
Norfloxacin_ddi.xml
DDI-DrugBank.d217.s7
DDI-DrugBank.d217.s7.p1
- Lofexidine may enhance the CNS depressive effects of alcohol, barbiturates and other sedatives
Lofexidine
sedatives
EFFECT
Lofexidine_ddi.xml
DDI-DrugBank.d454.s0
DDI-DrugBank.d454.s0.p2
Agents that have been found, or are expected to have decreased plasma levels in the presence of EQUETROTM due to induction of CYP enzymes are the following: Acetaminophen, alprazolam, amitriptyline, bupropion, buspirone, citalopram, clobazam, clonazepam, clozapine, cyclosporin, delavirdine, desipramine, diazepam, dicumarol, doxycycline, ethosuximide, felbamate, felodipine, glucocorticoids, haloperidol, itraconazole, lamotrigine, levothyroxine, lorazepam, methadone, midazolam, mirtazapine, nortriptyline, olanzapine, oral contraceptives(3), oxcarbazepine, Phenytoin(4), praziquantel, protease inhibitors, quetiapine, risperidone, theophylline, topiramate, tiagabine, tramadol, triazolam, valproate, warfarin(5) , ziprasidone, and zonisamide.
clonazepam
glucocorticoids
NONE
Carbamazepine_ddi.xml
DDI-DrugBank.d94.s11
DDI-DrugBank.d94.s11.p342
Rifampin significantly decreased the AUC(ss) of amprenavir by 82%, but amprenavir had no effect on rifampin pharmacokinetics.
Rifampin
amprenavir
MECHANISM
11158747.xml
DDI-MedLine.d3.s8
DDI-MedLine.d3.s8.p0
Acetaminophen and methotrexate - L-methionine may decrease hepatic toxicity in those with acetaminophen overdosage or in those taking methotrexate.
methotrexate
methotrexate
NONE
L-Methionine_ddi.xml
DDI-DrugBank.d528.s0
DDI-DrugBank.d528.s0.p6
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
furosemide
EFFECT
Mefenamic acid_ddi.xml
DDI-DrugBank.d400.s6
DDI-DrugBank.d400.s6.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.
quinolones
didanosine
MECHANISM
Grepafloxacin_ddi.xml
DDI-DrugBank.d78.s1
DDI-DrugBank.d78.s1.p10
Interactions may occur between EPA supplements and aspirin and other non-steroidal anti-inflammatory drugs and herbs such as garlic (Allium sativum) and ginkgo (Ginkgo biloba).
EPA
ginkgo
INT
Icosapent_ddi.xml
DDI-DrugBank.d35.s0
DDI-DrugBank.d35.s0.p2
Drugs which may enhance the neuromuscular blocking action of TRACRIUM include: enflurane;isoflurane;halothane;certain antibiotics, especially the aminoglycosides and polymyxins;lithium;magnesium salts;procainamide;and quinidine.
TRACRIUM
polymyxins
EFFECT
Atracurium_ddi.xml
DDI-DrugBank.d469.s7
DDI-DrugBank.d469.s7.p5
The following are examples of substances that may increase the blood-glucose-lowering effect and susceptibility to hypoglycemia: oral antidiabetic products, ACE inhibitors, disopyramide, fibrates, fluoxetine, monoamine oxidase (MAO) inhibitors, propoxyphene, salicylates, somatostatin analog (e.g., octreotide), sulfonamide antibiotics.
disopyramide
fibrates
NONE
Insulin recombinant_ddi.xml
DDI-DrugBank.d313.s1
DDI-DrugBank.d313.s1.p19
Therefore, close monitoring of prothrombin time is recommended and adjustment of the anticoagulant dose may be necessary when EULEXIN Capsules are administered concomitantly with warfarin.
EULEXIN
warfarin
ADVISE
Flutamide_ddi.xml
DDI-DrugBank.d442.s1
DDI-DrugBank.d442.s1.p2
Effect of AEDs in Pediatric Patients There was about a 22% increase of apparent total body clearance of levetiracetam when it was co-administered with enzyme-inducing AEDs.
levetiracetam
AEDs
MECHANISM
Levetiracetam_ddi.xml
DDI-DrugBank.d212.s13
DDI-DrugBank.d212.s13.p2
The hypotensive effect of sodium nitroprusside is augmented by that of most other hypotensive drugs, including ganglionic blocking agents, negative inotropic agents, and inhaled anesthetics.
sodium nitroprusside
hypotensive drugs
EFFECT
Nitroprusside_ddi.xml
DDI-DrugBank.d394.s0
DDI-DrugBank.d394.s0.p0
Acetaminophen and methotrexate - L-methionine may decrease hepatic toxicity in those with acetaminophen overdosage or in those taking methotrexate.
L-methionine
methotrexate
EFFECT
L-Methionine_ddi.xml
DDI-DrugBank.d528.s0
DDI-DrugBank.d528.s0.p8
Phenobarbital: Amphetamines may delay intestinal absorption of phenobarbital;
Phenobarbital
Amphetamines
NONE
Dextroamphetamine_ddi.xml
DDI-DrugBank.d236.s23
DDI-DrugBank.d236.s23.p0