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Experience with nonsteroidal anti-inflammatory drugs (NSAIDs) suggests the potential for interactions with furosemide and ACE inhibitors.
NSAIDs
furosemide
INT
Celecoxib_ddi.xml
DDI-DrugBank.d172.s7
DDI-DrugBank.d172.s7.p3
It is suggested that in patients receiving dopamine HCl, alternatives to phenytoin should be used if anticonvulsant therapy is needed.
dopamine HCl
phenytoin
ADVISE
Dopamine_ddi.xml
DDI-DrugBank.d325.s14
DDI-DrugBank.d325.s14.p0
Caution should be observed when anileridine is coadministered with other opioids, sedatives, phenothiazines, or anesthetics, as these agents may increase respiratory and circulatory depression.
anileridine
opioids
ADVISE
Anileridine_ddi.xml
DDI-DrugBank.d215.s0
DDI-DrugBank.d215.s0.p0
Coadministration of Itraconazole and cyclosporine, tacrolimus or digoxin has led to increased plasma concentrations of the latter three drugs.
Itraconazole
tacrolimus
MECHANISM
Itraconazole_ddi.xml
DDI-DrugBank.d165.s15
DDI-DrugBank.d165.s15.p1
Concomitant Administration with Racemic Citalopram Citalopram - Since escitalopram is the active isomer of racemic citalopram (Celexa), the two agents should not be coadministered.
escitalopram
citalopram
ADVISE
Escitalopram_ddi.xml
DDI-DrugBank.d568.s39
DDI-DrugBank.d568.s39.p7
It is recommended that the dose of rifabutin be reduced to one-half the usual dose when administered with VIRACEPT.
rifabutin
VIRACEPT
ADVISE
Nelfinavir_ddi.xml
DDI-DrugBank.d340.s31
DDI-DrugBank.d340.s31.p0
Substances that are potent inhibitors of CYP3A4 activity (eg, ketoconazole and itraconazole) decrease gefitinib metabolism and increase gefitinib plasma concentrations.
itraconazole
gefitinib
MECHANISM
Gefitinib_ddi.xml
DDI-DrugBank.d207.s4
DDI-DrugBank.d207.s4.p4
Labetalol HCl blunts the reflex tachycardia produced by nitroglycerin without preventing its hypotensive effect.
Labetalol HCl
nitroglycerin
EFFECT
Labetalol_ddi.xml
DDI-DrugBank.d412.s9
DDI-DrugBank.d412.s9.p0
Because severe hypoglycemia has been reported in patients concomitantly receiving oral miconazole (an imidazole) and oral hypoglycemic agents, such a potential interaction involving the latter agents when used concomitantly with ketoconazole tablets (an imidazole) can not be ruled out.
miconazole
hypoglycemic agents
EFFECT
Ketoconazole_ddi.xml
DDI-DrugBank.d458.s21
DDI-DrugBank.d458.s21.p1
Cimetidine, caffeine, and erythromycin may increase plasma levels of Clozapine, potentially resulting in adverse effects.
Cimetidine
Clozapine
MECHANISM
Clozapine_ddi.xml
DDI-DrugBank.d480.s17
DDI-DrugBank.d480.s17.p2
Cimetidine at 400 mg BID (the usual prescription dose) co-administered with TIKOSYN (500 mcg BID) for 7 days has been shown to increase dofetilide plasma levels by 58%.
Cimetidine
TIKOSYN
MECHANISM
Dofetilide_ddi.xml
DDI-DrugBank.d558.s2
DDI-DrugBank.d558.s2.p0
When used in therapeutic doses, azithromycin had a modest effect on the pharmacokinetics of atorvastatin, carbamazepine, cetirizine, didanosine, efavirenz, fluconazole, indinavir, midazolam, rifabutin, sildenafil, theophylline (intravenous and oral), triazolam, trimethoprim/sulfamethoxazole or zidovudine.
azithromycin
didanosine
MECHANISM
Azithromycin_ddi.xml
DDI-DrugBank.d53.s7
DDI-DrugBank.d53.s7.p3
Concomitant administration of alosetron and moderate CYP1A2 inhibitors, including quinolone antibiotics and cimetidine, has not been evaluated, but should be avoided unless clinically necessary because of similar potential drug interactions.
alosetron
quinolone antibiotics
ADVISE
Alosetron_ddi.xml
DDI-DrugBank.d364.s5
DDI-DrugBank.d364.s5.p0
While not systematically studied, certain drugs may induce the metabolism of bupropion (e.g., carbamazepine, phenobarbital, phenytoin).
bupropion
phenytoin
MECHANISM
Bupropion_ddi.xml
DDI-DrugBank.d5.s8
DDI-DrugBank.d5.s8.p2
Cimetidine, caffeine, and erythromycin may increase plasma levels of Clozapine, potentially resulting in adverse effects.
erythromycin
Clozapine
MECHANISM
Clozapine_ddi.xml
DDI-DrugBank.d480.s17
DDI-DrugBank.d480.s17.p5
Repeated oral administration of coumaphos in sheep: interactions of coumaphos with bishydroxycoumarin, trichlorfon, and phenobarbital sodium.
coumaphos
trichlorfon
NONE
46730.xml
DDI-MedLine.d5.s0
DDI-MedLine.d5.s0.p2
The concurrent use of two or more drugs with anticholinergic activity--such as an antipsychotic drug (eg, chlorpromazine), an antiparkinsonian drug (eg, trihexyphenidyl), and/or a tricyclic antidepressant (eg, amitriptyline)--commonly results in excessive anticholinergic effects, including dry mouth and associated dental complications, blurred vision, and, in patients exposed to high temperature and humidity, hyperpyrexia.
trihexyphenidyl
tricyclic antidepressant
EFFECT
Chlorpromazine_ddi.xml
DDI-DrugBank.d86.s0
DDI-DrugBank.d86.s0.p12
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.
nitric oxide donor compounds
INOmax
EFFECT
Nitric Oxide_ddi.xml
DDI-DrugBank.d183.s2
DDI-DrugBank.d183.s2.p2
The onset of neuromuscular blockade by succinylcholine was unaffected by BREVIBLOC, but the duration of neuromuscular blockade was prolonged from 5 minutes to 8 minutes.
succinylcholine
BREVIBLOC
EFFECT
Esmolol_ddi.xml
DDI-DrugBank.d422.s9
DDI-DrugBank.d422.s9.p0
Antacid: The effect of an aluminum hydroxide- and magnesium hydroxide-containing antacid (Maalox)* on the pharmacokinetics of capecitabine was investigated in 12 cancer patients.
aluminum hydroxide
antacid
NONE
Capecitabine_ddi.xml
DDI-DrugBank.d88.s0
DDI-DrugBank.d88.s0.p6
In patients receiving Nalfon and a steroid concomitantly, any reduction in steroid dosage should be gradual in order to avoid the possible complications of sudden steroid withdrawal.
steroid
steroid
NONE
Fenoprofen_ddi.xml
DDI-DrugBank.d154.s11
DDI-DrugBank.d154.s11.p3
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
halothane
EFFECT
Atracurium_ddi.xml
DDI-DrugBank.d469.s7
DDI-DrugBank.d469.s7.p2
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.
rifampin
vitamin C
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p983
The concurrent use of Robinul Injection with other anticholinergics or medications with anticholinergic activity, such as phenothiazines, antiparkinson drugs, or tricyclic antidepressants, may intensify the antimuscarinic effects and may result in an increase in anticholinergic side effects.
Robinul
tricyclic antidepressants
EFFECT
Glycopyrrolate_ddi.xml
DDI-DrugBank.d510.s0
DDI-DrugBank.d510.s0.p3
A daily dose of 2 mg of coumaphos/kg of body weight for 6 days did not affect the plasma enzymes or the antiprothrombinemic effect of bishydroxy-coumarin in wethers.
coumaphos
bishydroxy-coumarin
NONE
46730.xml
DDI-MedLine.d5.s2
DDI-MedLine.d5.s2.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.
Tylenol
Atromid-S
NONE
Etonogestrel_ddi.xml
DDI-DrugBank.d484.s0
DDI-DrugBank.d484.s0.p104
Beta-adrenergic receptor antagonists (beta-blockers) and BROVANA may interfere with the effect of each other when administered concurrently.
beta-blockers
BROVANA
EFFECT
Arformoterol_ddi.xml
DDI-DrugBank.d284.s12
DDI-DrugBank.d284.s12.p2
For this reason, the dose of the anticoagulant should be reduced by 30 - 50% at the start of treatment with Bezalip or Bezalip retard and then titrated according to the blood clotting parameters
anticoagulant
Bezalip
ADVISE
Bezafibrate_ddi.xml
DDI-DrugBank.d291.s1
DDI-DrugBank.d291.s1.p1
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
anesthetics
EFFECT
Nitroprusside_ddi.xml
DDI-DrugBank.d394.s0
DDI-DrugBank.d394.s0.p2
Lithium: Increased serum lithium levels and symptoms of lithium toxicity have been reported in patients receiving ACE inhibitors during therapy with lithium.
ACE inhibitors
lithium
EFFECT
Fosinopril_ddi.xml
DDI-DrugBank.d176.s6
DDI-DrugBank.d176.s6.p9
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.
sodium citrate
Coly-Mycin M
EFFECT
Colistimethate_ddi.xml
DDI-DrugBank.d250.s2
DDI-DrugBank.d250.s2.p20
Although a dose adjustment of azithromycin is not recommended when administered in combination with nelfinavir, close monitoring for known side effects of azithromycin, such as liver enzyme abnormalities and hearing impairment, is warranted.
azithromycin
nelfinavir
ADVISE
Azithromycin_ddi.xml
DDI-DrugBank.d53.s2
DDI-DrugBank.d53.s2.p0
Probenecid: Probenecid interferes with renal tubular secretion of ciprofloxacin and produces an increase in the level of ciprofloxacin in serum.
Probenecid
ciprofloxacin
NONE
Ciprofloxacin_ddi.xml
DDI-DrugBank.d123.s15
DDI-DrugBank.d123.s15.p1
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
foscarnet
ADVISE
Cidofovir_ddi.xml
DDI-DrugBank.d260.s3
DDI-DrugBank.d260.s3.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.
diflunisal
disulfiram
NONE
Anisindione_ddi.xml
DDI-DrugBank.d64.s87
DDI-DrugBank.d64.s87.p782
When paroxetine, a potent inhibitor of CYP2D6, was co-administered with BROVANA at steady-state, exposure to either drug was not altered.
paroxetine
BROVANA
NONE
Arformoterol_ddi.xml
DDI-DrugBank.d284.s1
DDI-DrugBank.d284.s1.p0
VIRACEPT and rifampin should not be coadministered.
VIRACEPT
rifampin
ADVISE
Nelfinavir_ddi.xml
DDI-DrugBank.d340.s33
DDI-DrugBank.d340.s33.p0
Other Potentially Important Drug Interactions: Benzodiazepines: Benzodiazepines metabolized by hepatic oxidation (e.g., alprazolam, midazolam, triazolam elc.) should be used with caution because the clearance of these drugs is likely to be reduced by fluvoxamine.
midazolam
fluvoxamine
MECHANISM
Fluvoxamine_ddi.xml
DDI-DrugBank.d76.s12
DDI-DrugBank.d76.s12.p13
Concomitant use of ELLENCE with other cardioactive compounds that could cause heart failure (e.g., calcium channel blockers), requires close monitoring of cardiac function throughout treatment.
ELLENCE
calcium channel blockers
ADVISE
Epirubicin_ddi.xml
DDI-DrugBank.d428.s1
DDI-DrugBank.d428.s1.p0
SINCE THE CONCOMITANT ADMINISTRATION OF THESE TWO DRUGS CAN LEAD TO PHENYTOIN INTOXICATION, PRIOR TO ADMINISTERING DISULFIRAM TO A PATIENT ON PHENYTOIN THERAPY, A BASELINE PHENYTOIN SERUM LEVEL SHOULD BE OBTAINED.
DISULFIRAM
PHENYTOIN
EFFECT
Disulfiram_ddi.xml
DDI-DrugBank.d19.s2
DDI-DrugBank.d19.s2.p3
Valdecoxib caused a statistically significant increase in plasma exposures of R-warfarin and S-warfarin (12% and 15%, respectively), and in the pharmacodynamic effects (prothrombin time, measured as INR) of warfarin.
Valdecoxib
R-warfarin
MECHANISM
Valdecoxib_ddi.xml
DDI-DrugBank.d328.s24
DDI-DrugBank.d328.s24.p0
Caffeine Theobromine Grepafloxacin, like other quinolones, may inhibit the metabolism of caffeine and theobromine.
quinolones
theobromine
MECHANISM
Grepafloxacin_ddi.xml
DDI-DrugBank.d78.s3
DDI-DrugBank.d78.s3.p13
Paclitaxel - In one report, L-glutamine at a dose of 10 grams three times daily, given 24 hours after receiving paclitaxel, appeared to prevent the development of myalgia and arthralgia, adverse reactions of paclitaxel.
L-glutamine
paclitaxel
EFFECT
L-Glutamine_ddi.xml
DDI-DrugBank.d66.s7
DDI-DrugBank.d66.s7.p3
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.
antithyroid drugs
insulin
NONE
Levothyroxine_ddi.xml
DDI-DrugBank.d411.s4
DDI-DrugBank.d411.s4.p219