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DB01041
DB01118
770
33
[ "DDInter1789", "DDInter76" ]
Thalidomide
Amiodarone
A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of inflammatory disorders and cancers. Thalidomide displays immunosuppressive and anti-angiogenic activity through modulating the release of inflammatory mediators like tumor necrosis factor-alpha (TNF-a) and other cytokine action. Due to severe teratogenicity, pregnancy must be excluded before the start of treatment and patients must enrol in the THALIDOMID Risk Evaluation and Mitigation Strategy (REMS) program to ensure contraception adherence.
Amiodarone is a benzofuran derivative, anti-arrhythmic drug used commonly in a variety of settings. Most known for its approved indication in life-threatening ventricular arrhythmias, it is also used off-label in the outpatient and inpatient setting for atrial fibrillation. Because of its ability to cause serious toxicity and possibly death, amiodarone use should be reserved for its approved indications, according to prescribing information.[L3561,L11265,L11286]
Moderate
1
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[ [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronedarone" ], [ "Dronedarone", "{u} (Compound) resembles {v} (Compound)", "Amiodarone" ] ], [ [ "Thalidomide", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Amiodarone" ] ], [ [ "Thalidomide", "{u} (Compound) upregulates {v} (Gene)", "DDIT4" ], [ "DDIT4", "{u} (Gene) is upregulated by {v} (Compound)", "Amiodarone" ] ], [ [ "Thalidomide", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis exfoliative" ], [ "Dermatitis exfoliative", "{u} (Side Effect) is caused by {v} (Compound)", "Amiodarone" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Axitinib" ], [ "Axitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ] ]
Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Dronedarone and Dronedarone (Compound) resembles Amiodarone (Compound) Thalidomide (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Amiodarone (Compound) Thalidomide (Compound) upregulates DDIT4 (Gene) and DDIT4 (Gene) is upregulated by Amiodarone (Compound) Thalidomide (Compound) causes Dermatitis exfoliative (Side Effect) and Dermatitis exfoliative (Side Effect) is caused by Amiodarone (Compound) Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Thalidomide may lead to a major life threatening interaction when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Thalidomide may lead to a major life threatening interaction when taken with Axitinib and Axitinib may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone
DB09312
DB14711
967
779
[ "DDInter103", "DDInter1680" ]
Antilymphocyte immunoglobulin (horse)
Smallpox (Vaccinia) Vaccine, Live
Equine anti-thymocyte globulin is composed of purified gamma globulin containing primarily IgG against human thymus lymphocytes. It is formed by inoculating a horse with an antigen (human thymoyctes) which then induces the horse immune system's B-lymphocytes to produce IgG immunoglobulins specific for that antigen. The result is polyclonal IgG that is then purified from the horse's serum to produce a usable drug product that can be used for immunosuppression. Although the exact mechanism of action is unknown, equine anti-thymocyte globulin targets a variety of immune system proteins including lymphocyte surface proteins, granulocytes, platelets, bone marrow cells, and other cell types. Equine ATG is currently indicated for the suppression of the immune system to prevent renal transplant rejection and in the treatment of aplastic anemia. Induction of T cell apoptosis and resulting T-cell lymphopenia found in vivo is credited for
The New York City Board of Health strain of _Vaccinia_ is a viral strain used as a component of some smallpox vaccinations. ACAM2000, a percutaneously administered smallpox vaccine that was approved by the FDA in 2007, contains live antigens of this strain.
Major
2
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[ [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Antilymphocyte immunoglobulin (horse)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ] ]
Antilymphocyte immunoglobulin (horse) may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Antilymphocyte immunoglobulin (horse) may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Antilymphocyte immunoglobulin (horse) may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Antilymphocyte immunoglobulin (horse) may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Antilymphocyte immunoglobulin (horse) may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Antilymphocyte immunoglobulin (horse) may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Antilymphocyte immunoglobulin (horse) may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Antilymphocyte immunoglobulin (horse) may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Antilymphocyte immunoglobulin (horse) may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live
DB06016
DB06655
1,508
5
[ "DDInter300", "DDInter1077" ]
Cariprazine
Liraglutide
Cariprazine is an atypical antipsychotic agent and a piperazine derivative that was first developed in Hungary. It works as a partial agonist at central dopamine D2, dopamine D3, and serotonin 5-HT<sub>1A</sub> receptors and as an antagonist at serotonin 5-HT<sub>2A</sub> receptors. Cariprazine has been investigated in a variety of psychiatric disorders, including schizophrenia, bipolar disorders, and major depressive disorder. Cariprazine gained its first global approval in the US in September 2015 and was later approved by Health Canada in April 2022. It is currently used to treat schizophrenia, and manic or mixed episodes and depressive episodes associated with bipolar I disorder.[L41655,L40198]
Victoza contains liraglutide, a synthetic analog of human glucagon-like peptide-1(GLP-1) and acts as a GLP-1 receptor agonist.[Label,A6932] Liraglutide is 97% similar to native human GLP-1, differing primarily by substituting arginine for lysine at position 34. Liraglutide is made by attaching a C-16 fatty acid (palmitic acid) with a glutamic acid spacer on the remaining lysine residue at position 26 of the peptide precursor. Liraglutide was granted FDA approval on January 25, 2010.
Moderate
1
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[ [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atorvastatin" ], [ "Atorvastatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liraglutide" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liraglutide" ] ] ]
Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a minor interaction that can limit clinical effects when taken with Liraglutide Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Liraglutide Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Liraglutide Cariprazine may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Liraglutide Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Liraglutide Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Atorvastatin and Atorvastatin may cause a minor interaction that can limit clinical effects when taken with Liraglutide Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a minor interaction that can limit clinical effects when taken with Amcinonide and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Liraglutide Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Amcinonide and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Liraglutide Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Liraglutide
DB00960
DB06709
887
592
[ "DDInter1471", "DDInter1165" ]
Pindolol
Methacholine
Pindolol is a first generation non-selective beta blocker used in the treatment of hypertension. Early research into the use of pindolol found it had chronotropic effects, and so further investigation focused on the treatment of arrhythmia. Research into pindolol's use in the treatment of hypertension began in the early 1970s. Pindolol was granted FDA approval on 3 September 1982.
Asthma is a complex condition associated with phenomena such as airway hyperresponsiveness (AHR), in which the smooth muscle in the airways (ASM) excessively contracts in response to stimuli, reducing pulmonary function and causing symptoms such as difficulty breathing.[A229598, A229603] Although the underlying pathology of AHR is complex, ASM contraction can be stimulated by cholinergic agonists that activate M<sub>3</sub> muscarinic receptors that stimulate ASM contraction.[A229603, A229618, A229643] Methacholine is a non-specific cholinergic agonist (parasympathomimetic) that acts through muscarinic receptors in the lungs to induce bronchoconstriction. In patients with AHR, a lower dose of methacholine is required to induce bronchoconstriction, which forms the basis for the methacholine challenge test to diagnose AHR.[A229648, L31763] Methacholine was granted FDA approval on October 31, 1986, and is marketed under the trademark PROVOCHOLINE® by Methapharm Inc.
Major
2
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[ [ [ "Pindolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Methacholine" ] ], [ [ "Pindolol", "{u} (Compound) causes {v} (Side Effect)", "Syncope" ], [ "Syncope", "{u} (Side Effect) is caused by {v} (Compound)", "Methacholine" ] ], [ [ "Pindolol", "{u} (Compound) resembles {v} (Compound)", "Levobunolol" ], [ "Levobunolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Methacholine" ] ], [ [ "Pindolol", "{u} (Compound) resembles {v} (Compound)", "Bisoprolol" ], [ "Bisoprolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Methacholine" ] ], [ [ "Pindolol", "{u} (Compound) causes {v} (Side Effect)", "Syncope" ], [ "Syncope", "{u} (Side Effect) is caused by {v} (Compound)", "Levobunolol" ], [ "Levobunolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Methacholine" ] ], [ [ "Pindolol", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Bethanechol" ], [ "Bethanechol", "{u} (Compound) resembles {v} (Compound)", "Methacholine" ] ], [ [ "Pindolol", "{u} (Compound) resembles {v} (Compound)", "Levobunolol" ], [ "Levobunolol", "{u} (Compound) causes {v} (Side Effect)", "Syncope" ], [ "Syncope", "{u} (Side Effect) is caused by {v} (Compound)", "Methacholine" ] ], [ [ "Pindolol", "{u} (Compound) resembles {v} (Compound)", "Bisoprolol" ], [ "Bisoprolol", "{u} (Compound) causes {v} (Side Effect)", "Syncope" ], [ "Syncope", "{u} (Side Effect) is caused by {v} (Compound)", "Methacholine" ] ], [ [ "Pindolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ], [ "Scopolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bethanechol" ], [ "Bethanechol", "{u} (Compound) resembles {v} (Compound)", "Methacholine" ] ], [ [ "Pindolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ], [ "Scopolamine", "{u} (Compound) binds {v} (Gene)", "CHRM2" ], [ "CHRM2", "{u} (Gene) is bound by {v} (Compound)", "Methacholine" ] ] ]
Pindolol (Compound) causes Syncope (Side Effect) and Syncope (Side Effect) is caused by Methacholine (Compound) Pindolol (Compound) resembles Levobunolol (Compound) and Levobunolol may lead to a major life threatening interaction when taken with Methacholine Pindolol (Compound) resembles Bisoprolol (Compound) and Bisoprolol may lead to a major life threatening interaction when taken with Methacholine Pindolol (Compound) causes Syncope (Side Effect) and Syncope (Side Effect) is caused by Levobunolol (Compound) and Levobunolol may lead to a major life threatening interaction when taken with Methacholine Pindolol (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Bethanechol (Compound) and Bethanechol (Compound) resembles Methacholine (Compound) Pindolol (Compound) resembles Levobunolol (Compound) and Levobunolol (Compound) causes Syncope (Side Effect) and Syncope (Side Effect) is caused by Methacholine (Compound) Pindolol (Compound) resembles Bisoprolol (Compound) and Bisoprolol (Compound) causes Syncope (Side Effect) and Syncope (Side Effect) is caused by Methacholine (Compound) Pindolol may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine and Scopolamine may cause a moderate interaction that could exacerbate diseases when taken with Bethanechol and Bethanechol (Compound) resembles Methacholine (Compound) Pindolol may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine and Scopolamine (Compound) binds CHRM2 (Gene) and CHRM2 (Gene) is bound by Methacholine (Compound)
DB01001
DB01222
688
617
[ "DDInter1632", "DDInter246" ]
Salbutamol
Budesonide
Salbutamol is a short-acting, selective beta2-adrenergic receptor agonist used in the treatment of asthma and COPD. It is 29 times more selective for beta2 receptors than beta1 receptors giving it higher specificity for pulmonary beta receptors versus beta1-adrenergic receptors located in the heart. Salbutamol is formulated as a racemic mixture of the R- and S-isomers. The R-isomer has 150 times greater affinity for the beta2-receptor than the S-isomer and the S-isomer has been associated with toxicity. This lead to the development of levalbuterol, the single R-isomer of salbutamol. However, the high cost of levalbuterol compared to salbutamol has deterred wide-spread use of this enantiomerically pure version of the drug. Salbutamol is generally used for acute episodes of bronchospasm caused by bronchial asthma,
Budesonide is a glucocorticoid that is a mix of the 22R and 22S epimer used to treat inflammatory conditions of the lungs and intestines such as asthma, COPD, Crohn's disease, and ulcerative colitis.[A188529,A188532] Budesonide was granted FDA approval on 14 February 1994. It is also available in a combination product with [formoterol].
Minor
0
[ [ [ 688, 23, 617 ] ], [ [ 688, 62, 1351 ], [ 1351, 1, 617 ] ], [ [ 688, 23, 1220 ], [ 1220, 1, 617 ] ], [ [ 688, 5, 11649 ], [ 11649, 44, 617 ] ], [ [ 688, 6, 8374 ], [ 8374, 45, 617 ] ], [ [ 688, 21, 28719 ], [ 28719, 60, 617 ] ], [ [ 688, 24, 1148 ], [ 1148, 23, 617 ] ], [ [ 688, 63, 1674 ], [ 1674, 23, 617 ] ], [ [ 688, 24, 1032 ], [ 1032, 62, 617 ] ], [ [ 688, 24, 540 ], [ 540, 63, 617 ] ] ]
[ [ [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Flunisolide" ], [ "Flunisolide", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Salbutamol", "{u} (Compound) treats {v} (Disease)", "asthma" ], [ "asthma", "{u} (Disease) is treated by {v} (Compound)", "Budesonide" ] ], [ [ "Salbutamol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Budesonide" ] ], [ [ "Salbutamol", "{u} (Compound) causes {v} (Side Effect)", "Pain" ], [ "Pain", "{u} (Side Effect) is caused by {v} (Compound)", "Budesonide" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ], [ "Levosalbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronedarone" ], [ "Dronedarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Budesonide" ] ] ]
Salbutamol may cause a minor interaction that can limit clinical effects when taken with Flunisolide and Flunisolide (Compound) resembles Budesonide (Compound) Salbutamol may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone (Compound) resembles Budesonide (Compound) Salbutamol (Compound) treats asthma (Disease) and asthma (Disease) is treated by Budesonide (Compound) Salbutamol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Budesonide (Compound) Salbutamol (Compound) causes Pain (Side Effect) and Pain (Side Effect) is caused by Budesonide (Compound) Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a minor interaction that can limit clinical effects when taken with Budesonide Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may cause a minor interaction that can limit clinical effects when taken with Budesonide Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol and Levo Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Dronedarone and Dronedarone may cause a moderate interaction that could exacerbate diseases when taken with Budesonide
DB00635
DB05679
1,573
1,683
[ "DDInter1515", "DDInter1907" ]
Prednisone
Ustekinumab
A synthetic anti-inflammatory glucocorticoid derived from [cortisone]. It is biologically inert and converted to [prednisolone] in the liver. Prednisone was granted FDA approval on 21 February 1955.
Ustekinumab is a human immunoglobulin (Ig) G1 kappa monoclonal antibody directed against interleukin(IL)-12 and IL-23, which are cytokines that are involved in immune and inflammatory responses. It was generated via recombinant human IL-12 immunization of human Ig (hu-Ig) transgenic mice. It is a targeted biologic disease-modifying anti-rheumatic drug (bDMARDs) that is used in the management of various inflammatory conditions that involve the activation of IL-12 and IL-23 signalling pathways. The therapeutic use of the drug started in Canada, the US, and Europe since 2009 when it was first approved for the treatment of adult patients with moderate to severe plaque psoriasis and active psoriatic arthritis, alone or in combination with [methotrexate]. In September 2016, ustekinumab was additionally approved for the management of moderate to severe Crohn's disease in selected adult patients. In October 2019, it was also approved by the FDA for use to manage moderately to severely active ulcerative colitis in adults. Ustekinumab is currently the first and only approved biologic therapy for ulcerative colitis that targets the interleukin (IL)-12 and IL-23 cytokines. The dosing regimen for ustekinumab is based on the patient's weight and there are intravenous and subcutaneous formulations of the drug based on the dosing schedule and condition being treated. Ustekinumab is commonly marketed under the trade name STELARA. Ustekinumab biosimilars are available in some markets, including Wezlana (ustekinumab-auub) in the US and Jamteki (AVT04) in Canada.
Moderate
1
[ [ [ 1573, 24, 1683 ] ], [ [ 1573, 62, 1461 ], [ 1461, 23, 1683 ] ], [ [ 1573, 23, 1193 ], [ 1193, 62, 1683 ] ], [ [ 1573, 24, 1129 ], [ 1129, 63, 1683 ] ], [ [ 1573, 63, 305 ], [ 305, 24, 1683 ] ], [ [ 1573, 24, 409 ], [ 409, 24, 1683 ] ], [ [ 1573, 1, 617 ], [ 617, 24, 1683 ] ], [ [ 1573, 25, 652 ], [ 652, 63, 1683 ] ], [ [ 1573, 25, 770 ], [ 770, 24, 1683 ] ], [ [ 1573, 40, 251 ], [ 251, 24, 1683 ] ] ]
[ [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ], [ "Human adenovirus e serotype 4 strain cl-68578 antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Escherichia coli" ], [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexucabtagene autoleucel" ], [ "Brexucabtagene autoleucel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ] ]
Prednisone may cause a minor interaction that can limit clinical effects when taken with Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Ustekinumab Prednisone may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Ustekinumab Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen and Human adenovirus e serotype 4 strain cl-68578 antigen may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Escherichia coli and Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisone (Compound) resembles Budesonide (Compound) and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisone may lead to a major life threatening interaction when taken with Brexucabtagene autoleucel and Brexucabtagene autoleucel may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisone may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Prednisone (Compound) resembles Betamethasone (Compound) and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab
DB01611
DB11057
1,487
720
[ "DDInter893", "DDInter1223" ]
Hydroxychloroquine
Mineral oil
Hydroxychloroquine is a racemic mixture consisting of an R and S enantiomer. Hydroxychloroquine is an aminoquinoline like [chloroquine]. It is a commonly prescribed medication in the treatment of uncomplicated malaria, rheumatoid arthritis, chronic discoid lupus erythematosus, and systemic lupus erythematosus. Hydroxychloroquine is also used for the prophylaxis of malaria in regions where chloroquine resistance is unlikely. It was developed during World War II as a derivative of [quinacrine] with less severe side effects. Chloroquine and hydroxychloroquine are both being investigated for the treatment of SARS-CoV-2. **The FDA emergency use authorization for hydroxychloroquine and [chloroquine] in the treatment of COVID-19 was revoked on 15 June 2020.** Hydroxychloroquine was granted FDA approval on 18 April 1955.
Mineral oil, or paraffin oil, is a mixture of higher alkanes from a mineral source, such as petroleum. Petroleum mineral oil is manufactured from crude oils by vacuum distillation to produce several distillates and a residual oil that are then further refined. During the modern refining process, aromatics are reduced by solvent extraction, catalytic hydrotreating, or hydrocracking. Unrefined or mildly treated mineral oils are classified as Group 3 carcinogens by the World Health Organizations, as chronic exposure to these aromatics including alkylated polycyclic aromatic compounds (PAC) can lead to skin cancer. Mineral oil is a common ingredient in baby lotions, cold creams, ointments and cosmetics to treat and prevent dry, rough, scaly, itchy skin and minor skin irritations. It is also used as a mild laxative for human or veterinary uses.
Moderate
1
[ [ [ 1487, 24, 720 ] ], [ [ 1487, 25, 927 ], [ 927, 63, 720 ] ], [ [ 1487, 64, 1151 ], [ 1151, 24, 720 ] ], [ [ 1487, 25, 1069 ], [ 1069, 24, 720 ] ], [ [ 1487, 63, 898 ], [ 898, 24, 720 ] ], [ [ 1487, 24, 1616 ], [ 1616, 24, 720 ] ], [ [ 1487, 24, 913 ], [ 913, 63, 720 ] ], [ [ 1487, 25, 927 ], [ 927, 63, 1151 ], [ 1151, 24, 720 ] ], [ [ 1487, 64, 1151 ], [ 1151, 24, 927 ], [ 927, 63, 720 ] ], [ [ 1487, 25, 1069 ], [ 1069, 25, 927 ], [ 927, 63, 720 ] ] ]
[ [ [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propofol" ], [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ], [ "Histrelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ], [ [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ], [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ] ] ]
Hydroxychloroquine may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil Hydroxychloroquine may lead to a major life threatening interaction when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil Hydroxychloroquine may lead to a major life threatening interaction when taken with Vandetanib and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Propofol and Propofol may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Histrelin and Histrelin may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil Hydroxychloroquine may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil Hydroxychloroquine may lead to a major life threatening interaction when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil Hydroxychloroquine may lead to a major life threatening interaction when taken with Vandetanib and Vandetanib may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil
DB01033
DB06688
328
1,430
[ "DDInter1156", "DDInter1677" ]
Mercaptopurine
Sipuleucel-T
An antimetabolite antineoplastic agent with immunosuppressant properties. It interferes with nucleic acid synthesis by inhibiting purine metabolism and is used, usually in combination with other drugs, in the treatment of or in remission maintenance programs for leukemia.
Sipuleucel-T is a personalized, autologous, cellular immunotherapy. Sipuleucel-T is a therapeutic cancer vaccine for prostate cancer. Sipuleucel-T selectively targets the prostate-specific antigen (PSA) known as prostatic acid phosphatase (PAP) that is expressed in around 95% of prostate cancers. It must be prepared specifically for each patient. In metastatic prostate cancer, it has extended survival by median 4.1 months (IMPACT Phase III trial data). Sipuleucel-T is marketed under the brand name Provenge by Dendreon Corporation. Sipuleucel-T was approved by the U.S. Food and Drug Administration (FDA) on April 29, 2010, to treat asymptomatic or minimally symptomatic metastatic Hormone-Refractory Prostate Cancer (HRPC). The treatment initially cost $93,000 at the time of FDA approval, but rose to over $100,000 in 2014.
Moderate
1
[ [ [ 328, 24, 1430 ] ], [ [ 328, 63, 51 ], [ 51, 24, 1430 ] ], [ [ 328, 25, 676 ], [ 676, 63, 1430 ] ], [ [ 328, 24, 1531 ], [ 1531, 24, 1430 ] ], [ [ 328, 24, 713 ], [ 713, 63, 1430 ] ], [ [ 328, 25, 770 ], [ 770, 24, 1430 ] ], [ [ 328, 64, 1066 ], [ 1066, 24, 1430 ] ], [ [ 328, 62, 663 ], [ 663, 24, 1430 ] ], [ [ 328, 74, 482 ], [ 482, 24, 1430 ] ], [ [ 328, 64, 1064 ], [ 1064, 25, 1430 ] ] ]
[ [ [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sipuleucel-T" ] ] ]
Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Mercaptopurine may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Mercaptopurine may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Mercaptopurine may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Mercaptopurine may cause a minor interaction that can limit clinical effects when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Mercaptopurine (Compound) resembles Tioguanine (Compound) and Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine and Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Mercaptopurine may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Sipuleucel-T
DB00836
DB06595
543
1,491
[ "DDInter1088", "DDInter1214" ]
Loperamide
Midostaurin
Loperamide is an anti-diarrheal agent that is available as various over-the-counter products for treating diarrhea. The drug was first synthesized in 1969 and used medically in 1976. It is a highly lipophilic synthetic phenylpiperidine opioid that is structurally similar to opiate receptor agonists such as [diphenoxylate] and [haloperidol]. Due to pharmacological properties, loperamide has been misused and abused to self-manage opioid withdrawal symptoms and to induce euphoria.[A251610, A251625] However, loperamide is associated with a risk for experiencing a range of adverse effects, often life-threatening, if taking for non-therapeutic reasons or at doses higher than the recommended dose.
Midostaurin (as Rydapt) is a multitarget kinase inhibitor for the treatment for adult patients with newly diagnosed acute myeloid leukemia (AML) who have a specific genetic mutation called FLT3. It was initially characterized as a potential broad-spectrum antineoplastic agent, with activity toward diverse solid and hematopoietic tumors . It was approved on April 28, 2017 and has shown to increase the overall survival rate in patients with AML as an adjunct therapy along with chemotherapeutic agents.
Moderate
1
[ [ [ 543, 24, 1491 ] ], [ [ 543, 24, 112 ], [ 112, 23, 1491 ] ], [ [ 543, 63, 888 ], [ 888, 24, 1491 ] ], [ [ 543, 24, 1342 ], [ 1342, 24, 1491 ] ], [ [ 543, 24, 927 ], [ 927, 63, 1491 ] ], [ [ 543, 64, 1424 ], [ 1424, 24, 1491 ] ], [ [ 543, 25, 392 ], [ 392, 24, 1491 ] ], [ [ 543, 1, 1413 ], [ 1413, 24, 1491 ] ], [ [ 543, 64, 441 ], [ 441, 25, 1491 ] ], [ [ 543, 63, 839 ], [ 839, 25, 1491 ] ] ]
[ [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} (Compound) resembles {v} (Compound)", "Fexofenadine" ], [ "Fexofenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Delavirdine" ], [ "Delavirdine", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ] ] ]
Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Midostaurin Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Loperamide may lead to a major life threatening interaction when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Loperamide may lead to a major life threatening interaction when taken with Lapatinib and Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Loperamide (Compound) resembles Fexofenadine (Compound) and Fexofenadine may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Loperamide may lead to a major life threatening interaction when taken with Delavirdine and Delavirdine may lead to a major life threatening interaction when taken with Midostaurin Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Grepafloxacin and Grepafloxacin may lead to a major life threatening interaction when taken with Midostaurin
DB00647
DB06589
675
1,250
[ "DDInter528", "DDInter1400" ]
Dextropropoxyphene
Pazopanib
Dextropropoxyphene is an opioid analgesic manufactured by Eli Lilly and Company. It is used in the symptomatic treatment of mild pain. It displays antitussive and local anaesthetic actions. Due to the risk of cardiac arrhythmias and overdose, possibly leading to death, dextropropoxyphene has been withdrawn from the market in Europe and the United States. The drug is often referred to as the general form, "propoxyphene", however only the dextro-isomer (dextropropoxyphene) has any analgesic effect. The levo-isomer appears to exhibit a very limited antitussive effect.
Pazopanib is a small molecule inhibitor of multiple protein tyrosine kinases with potential antineoplastic activity. It is developed by GlaxoSmithKline and was FDA approved on October 19, 2009.
Moderate
1
[ [ [ 675, 24, 1250 ] ], [ [ 675, 6, 3486 ], [ 3486, 45, 1250 ] ], [ [ 675, 7, 5178 ], [ 5178, 46, 1250 ] ], [ [ 675, 21, 28658 ], [ 28658, 60, 1250 ] ], [ [ 675, 40, 307 ], [ 307, 23, 1250 ] ], [ [ 675, 23, 112 ], [ 112, 23, 1250 ] ], [ [ 675, 24, 1151 ], [ 1151, 24, 1250 ] ], [ [ 675, 24, 28 ], [ 28, 63, 1250 ] ], [ [ 675, 63, 1557 ], [ 1557, 24, 1250 ] ], [ [ 675, 25, 267 ], [ 267, 24, 1250 ] ] ]
[ [ [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} (Compound) upregulates {v} (Gene)", "XBP1" ], [ "XBP1", "{u} (Gene) is upregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ], [ "Bisacodyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Astemizole" ], [ "Astemizole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Dextropropoxyphene", "{u} may lead to a major life threatening interaction when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ] ]
Dextropropoxyphene (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Pazopanib (Compound) Dextropropoxyphene (Compound) upregulates XBP1 (Gene) and XBP1 (Gene) is upregulated by Pazopanib (Compound) Dextropropoxyphene (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Pazopanib (Compound) Dextropropoxyphene (Compound) resembles Modafinil (Compound) and Modafinil may cause a minor interaction that can limit clinical effects when taken with Pazopanib Dextropropoxyphene may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Pazopanib Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl and Bisacodyl may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Astemizole and Astemizole may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Dextropropoxyphene may lead to a major life threatening interaction when taken with Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib
DB00488
DB01041
196
770
[ "DDInter57", "DDInter1789" ]
Altretamine
Thalidomide
An alkylating agent proposed as an antineoplastic. It also acts as a chemosterilant for male houseflies and other insects.
A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of inflammatory disorders and cancers. Thalidomide displays immunosuppressive and anti-angiogenic activity through modulating the release of inflammatory mediators like tumor necrosis factor-alpha (TNF-a) and other cytokine action. Due to severe teratogenicity, pregnancy must be excluded before the start of treatment and patients must enrol in the THALIDOMID Risk Evaluation and Mitigation Strategy (REMS) program to ensure contraception adherence.
Major
2
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[ [ [ "Altretamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ], [ [ "Altretamine", "{u} (Compound) causes {v} (Side Effect)", "Thrombocytopenia" ], [ "Thrombocytopenia", "{u} (Side Effect) is caused by {v} (Compound)", "Thalidomide" ] ], [ [ "Altretamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Altretamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Butalbital" ], [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Altretamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Altretamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ganciclovir" ], [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Altretamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Altretamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Altretamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ], [ "Rotavirus vaccine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ], [ [ "Altretamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ] ]
Altretamine (Compound) causes Thrombocytopenia (Side Effect) and Thrombocytopenia (Side Effect) is caused by Thalidomide (Compound) Altretamine may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide Altretamine may cause a moderate interaction that could exacerbate diseases when taken with Butalbital and Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide Altretamine may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin and Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide Altretamine may cause a moderate interaction that could exacerbate diseases when taken with Ganciclovir and Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide Altretamine may cause a minor interaction that can limit clinical effects when taken with Sparfloxacin and Sparfloxacin may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide Altretamine may cause a minor interaction that can limit clinical effects when taken with Grepafloxacin and Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide Altretamine may lead to a major life threatening interaction when taken with Rotavirus vaccine and Rotavirus vaccine may lead to a major life threatening interaction when taken with Thalidomide Altretamine may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may lead to a major life threatening interaction when taken with Thalidomide
DB00647
DB00912
675
473
[ "DDInter528", "DDInter1581" ]
Dextropropoxyphene
Repaglinide
Dextropropoxyphene is an opioid analgesic manufactured by Eli Lilly and Company. It is used in the symptomatic treatment of mild pain. It displays antitussive and local anaesthetic actions. Due to the risk of cardiac arrhythmias and overdose, possibly leading to death, dextropropoxyphene has been withdrawn from the market in Europe and the United States. The drug is often referred to as the general form, "propoxyphene", however only the dextro-isomer (dextropropoxyphene) has any analgesic effect. The levo-isomer appears to exhibit a very limited antitussive effect.
Repaglinide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It belongs to the meglitinide class of short-acting insulin secretagogues, which act by binding to β cells of the pancreas to stimulate insulin release. Repaglinide induces an early insulin response to meals decreasing postprandial blood glucose levels. It should only be taken with meals and meal-time doses should be skipped with any skipped meal. Approximately one month of therapy is required before a decrease in fasting blood glucose is seen. Meglitnides may have a neutral effect on weight or cause a slight increase in weight. The average weight gain caused by meglitinides appears to be lower than that caused by sulfonylureas and insulin and appears to occur only in those naïve to oral antidiabetic agents. Due to their mechanism of action, meglitinides may cause hypoglycemia although the risk is thought to be lower than that of sulfonylureas since their action is dependent on the presence of glucose. In addition to reducing postprandial and fasting blood glucose, meglitnides have been shown to decrease glycosylated hemoglobin (HbA1c) levels, which are reflective of the last 8-10 weeks of glucose control. Meglitinides appear to be more effective at lowering postprandial blood glucose than metformin, sulfonylureas and thiazolidinediones. Repaglinide is extensively metabolized in the liver and excreted in bile. Repaglinide metabolites do not possess appreciable hypoglycemic activity. Approximately 90% of a single orally administered dose is eliminated in feces and 8% in urine.
Moderate
1
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[ [ [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} (Compound) causes {v} (Side Effect)", "Dyspepsia" ], [ "Dyspepsia", "{u} (Side Effect) is caused by {v} (Compound)", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phentermine" ], [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Phenylbutazone" ], [ "Phenylbutazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} may lead to a major life threatening interaction when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Quinapril" ], [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ] ]
Dextropropoxyphene (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Repaglinide (Compound) Dextropropoxyphene (Compound) causes Dyspepsia (Side Effect) and Dyspepsia (Side Effect) is caused by Repaglinide (Compound) Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Phentermine and Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Dextropropoxyphene may lead to a major life threatening interaction when taken with Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Dextropropoxyphene (Compound) resembles Phenylbutazone (Compound) and Phenylbutazone may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Dextropropoxyphene may lead to a major life threatening interaction when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Dextropropoxyphene (Compound) resembles Quinapril (Compound) and Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide
DB00843
DB00945
479
1,479
[ "DDInter583", "DDInter20" ]
Donepezil
Acetylsalicylic acid
In 2016, the global burden of dementia was estimated to be 43.8 million, demonstrating a significant increase from a global prevalence of 20.2 million in 1990. Donepezil, also known as Aricept, is a piperidine derivative acetylcholinesterase inhibitor used in the management of the dementia of Alzheimer's Disease, and in some cases, is used to manage other types of dementia. Donepezil was first approved by the FDA in 1996, and its extended-release form was approved in combination with [Memantine] in 2014 to manage moderate and severe forms of Alzheimer's dementia.[L7916,L7937] A donepezil transdermal delivery system, Adlarity, was approved by the FDA in March 2022 for the treatment of Alzheimer's dementia. Though it does not alter the progression of Alzheimer's disease, donepezil is effective in managing the symptoms of its associated dementia.
Also known as _Aspirin_, acetylsalicylic acid (ASA) is a commonly used drug for the treatment of pain and fever due to various causes. Acetylsalicylic acid has both anti-inflammatory and antipyretic effects. This drug also inhibits platelet aggregation and is used in the prevention of blood clots stroke, and myocardial infarction (MI) [FDA label]. Interestingly, the results of various studies have demonstrated that long-term use of acetylsalicylic acid may decrease the risk of various cancers, including colorectal, esophageal, breast, lung, prostate, liver and skin cancer . Aspirin is classified as a _non-selective cyclooxygenase (COX) inhibitor_ [A32682, A177268] and is available in many doses and forms, including chewable tablets, suppositories, extended release formulations, and others . Acetylsalicylic acid is a very common cause of accidental poisoning in young children. It should be kept out of reach from young children, toddlers, and infants [FDA label].
Minor
0
[ [ [ 479, 23, 1479 ] ], [ [ 479, 7, 2900 ], [ 2900, 45, 1479 ] ], [ [ 479, 6, 6017 ], [ 6017, 45, 1479 ] ], [ [ 479, 21, 28931 ], [ 28931, 60, 1479 ] ], [ [ 479, 63, 353 ], [ 353, 23, 1479 ] ], [ [ 479, 24, 877 ], [ 877, 63, 1479 ] ], [ [ 479, 62, 1512 ], [ 1512, 24, 1479 ] ], [ [ 479, 63, 702 ], [ 702, 24, 1479 ] ], [ [ 479, 23, 1039 ], [ 1039, 63, 1479 ] ], [ [ 479, 40, 1058 ], [ 1058, 24, 1479 ] ] ]
[ [ [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} (Compound) upregulates {v} (Gene)", "NFKBIA" ], [ "NFKBIA", "{u} (Gene) is bound by {v} (Compound)", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} (Compound) causes {v} (Side Effect)", "Haemorrhage" ], [ "Haemorrhage", "{u} (Side Effect) is caused by {v} (Compound)", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Donepezil", "{u} (Compound) resembles {v} (Compound)", "Moexipril" ], [ "Moexipril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ] ]
Donepezil (Compound) upregulates NFKBIA (Gene) and NFKBIA (Gene) is bound by Acetylsalicylic acid (Compound) Donepezil (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Acetylsalicylic acid (Compound) Donepezil (Compound) causes Haemorrhage (Side Effect) and Haemorrhage (Side Effect) is caused by Acetylsalicylic acid (Compound) Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a minor interaction that can limit clinical effects when taken with Acetylsalicylic acid Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin and Macimorelin may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Donepezil may cause a minor interaction that can limit clinical effects when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Anagrelide and Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Donepezil may cause a minor interaction that can limit clinical effects when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Donepezil (Compound) resembles Moexipril (Compound) and Moexipril may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid
DB08904
DB12240
375
110
[ "DDInter342", "DDInter1485" ]
Certolizumab pegol
Polatuzumab vedotin
Certolizumab pegol is a pegylated monoclonal antibody against the tumor necrosis factor-alpha (TNF-alpha). It is formed with a humanized Fab fragment of 50 kDa, from an IgG 1 isotype, fused to a 40 kDa polyethylene glycol moiety replacing the Fc antibody region. The absence of the Fc region was ideated to prevent complement fixation and antibody-mediated cytotoxicity as well as to markedly increase its half-life. Certolizumab does not require glycosylation for active function and hence, its production is significantly more affordable when compared to other existing TNF-alpha therapies as it can be done directly in bacterial hosts such as _E. coli_. It was developed and manufactured by UCB Pharma, first FDA approved in 2008 and updated for a new indication on March 28, 2019.
Polatuzumab vedotin is a CD79b-directed antibody-drug conjugate that delivers monomethyl auristatin E (MMAE), an anti-mitotic agent, to cancer cells. The drug consists of three components - a humanized immunoglobulin G1 (IgG1) monoclonal antibody specific for human CD79b (polatuzumab), MMAE, and protease-cleavable linker called maleimidocaproyl-valine-citrulline-p-aminobenzyloxycarbonyl (mc-vc-PAB) that covalently attaches MMAE to polatuzumab. Polatuzumab vedotin was granted accelerated FDA approval on June 10, 2019 and was approved by Health Canada on July 9, 2020.
Major
2
[ [ [ 375, 25, 110 ] ], [ [ 375, 63, 467 ], [ 467, 24, 110 ] ], [ [ 375, 64, 1419 ], [ 1419, 24, 110 ] ], [ [ 375, 25, 951 ], [ 951, 24, 110 ] ], [ [ 375, 24, 148 ], [ 148, 63, 110 ] ], [ [ 375, 24, 1434 ], [ 1434, 24, 110 ] ], [ [ 375, 25, 1619 ], [ 1619, 63, 110 ] ], [ [ 375, 64, 1066 ], [ 1066, 25, 110 ] ], [ [ 375, 25, 676 ], [ 676, 64, 110 ] ], [ [ 375, 25, 1259 ], [ 1259, 25, 110 ] ] ]
[ [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ], [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secnidazole" ], [ "Secnidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benznidazole" ], [ "Benznidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Polatuzumab vedotin" ] ], [ [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Polatuzumab vedotin" ] ] ]
Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Certolizumab pegol may lead to a major life threatening interaction when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Certolizumab pegol may lead to a major life threatening interaction when taken with Palbociclib and Palbociclib may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Secnidazole and Secnidazole may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Benznidazole and Benznidazole may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Certolizumab pegol may lead to a major life threatening interaction when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Polatuzumab vedotin Certolizumab pegol may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Polatuzumab vedotin Certolizumab pegol may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Polatuzumab vedotin Certolizumab pegol may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Polatuzumab vedotin
DB00514
DB00909
506
306
[ "DDInter527", "DDInter1971" ]
Dextromethorphan
Zonisamide
Dextromethorphan is a levorphanol derivative and codeine analog commonly used as a cough suppressant and also a drug of abuse. Although similar in structure to other opioids, it has minimal interaction with opioid receptors. Dextromethorphan was granted FDA approval before 3 December 1957.[A215412,L14997]
Zonisamide is a sulfonamide anticonvulsant used as an adjunctive therapy in adults with partial-onset seizures.[L42530,L42535] Zonisamide may act by blocking repetitive firing of voltage-gated sodium channels, leading to a reduction of T-type calcium channel currents or by binding allosterically to GABA receptors. This latter action may inhibit the uptake of the inhibitory neurotransmitter GABA while enhancing the uptake of the excitatory neurotransmitter glutamate.[L42530,L42535] Zonisamide represents an alternative for patients that remain refractory to established antiepileptic drugs. In 1989, it was approved for commercial use in Japan. The US and Europe approved it in 2000 and 2005, respectively.[A1379,A1383]
Moderate
1
[ [ [ 506, 24, 306 ] ], [ [ 506, 6, 8374 ], [ 8374, 45, 306 ] ], [ [ 506, 21, 28691 ], [ 28691, 60, 306 ] ], [ [ 506, 24, 1609 ], [ 1609, 63, 306 ] ], [ [ 506, 24, 717 ], [ 717, 24, 306 ] ], [ [ 506, 63, 530 ], [ 530, 24, 306 ] ], [ [ 506, 25, 222 ], [ 222, 63, 306 ] ], [ [ 506, 24, 537 ], [ 537, 64, 306 ] ], [ [ 506, 63, 1594 ], [ 1594, 25, 306 ] ], [ [ 506, 24, 662 ], [ 662, 25, 306 ] ] ]
[ [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} (Compound) causes {v} (Side Effect)", "Somnolence" ], [ "Somnolence", "{u} (Side Effect) is caused by {v} (Compound)", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ], [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ] ]
Dextromethorphan (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Zonisamide (Compound) Dextromethorphan (Compound) causes Somnolence (Side Effect) and Somnolence (Side Effect) is caused by Zonisamide (Compound) Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Trimethobenzamide and Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Dronabinol and Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Dextromethorphan may lead to a major life threatening interaction when taken with Sibutramine and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine may lead to a major life threatening interaction when taken with Zonisamide Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may lead to a major life threatening interaction when taken with Zonisamide Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may lead to a major life threatening interaction when taken with Zonisamide
DB00867
DB06663
1,052
1,154
[ "DDInter1606", "DDInter1398" ]
Ritodrine
Pasireotide
Adrenergic beta-agonist used to control premature labor.
Pasireotide is a synthetic long-acting cyclic hexapeptide with somatostatin-like activity. It is marketed as a diaspartate salt called Signifor, which is used in the treatment of Cushing's disease.
Major
2
[ [ [ 1052, 25, 1154 ] ], [ [ 1052, 24, 1385 ], [ 1385, 63, 1154 ] ], [ [ 1052, 24, 170 ], [ 170, 24, 1154 ] ], [ [ 1052, 63, 1647 ], [ 1647, 24, 1154 ] ], [ [ 1052, 35, 480 ], [ 480, 24, 1154 ] ], [ [ 1052, 1, 1523 ], [ 1523, 24, 1154 ] ], [ [ 1052, 64, 702 ], [ 702, 25, 1154 ] ], [ [ 1052, 63, 1494 ], [ 1494, 25, 1154 ] ], [ [ 1052, 24, 1011 ], [ 1011, 64, 1154 ] ], [ [ 1052, 24, 1491 ], [ 1491, 25, 1154 ] ] ]
[ [ [ "Ritodrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ], [ "Semaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ], [ "Sitagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acarbose" ], [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} (Compound) resembles {v} (Compound)", "Labetalol" ], [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ] ]
Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide and Semaglutide may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin and Sitagliptin may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Acarbose and Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Ritodrine (Compound) resembles Formoterol (Compound) and Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Ritodrine (Compound) resembles Labetalol (Compound) and Labetalol may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Ritodrine may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Pasireotide Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron and Palonosetron may lead to a major life threatening interaction when taken with Pasireotide Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Pasireotide Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin and Midostaurin may lead to a major life threatening interaction when taken with Pasireotide
DB00317
DB08880
883
1,510
[ "DDInter810", "DDInter1771" ]
Gefitinib
Teriflunomide
Gefitinib (originally coded ZD1839) is a drug used in the treatment of certain types of cancer. Acting in a similar manner to erlotinib (marketed as Tarceva), gefitinib selectively targets the mutant proteins in malignant cells. It is marketed by AstraZeneca under the trade name Iressa.
Teriflunomide is the active metabolite of leflunomide, and it acts as an immunomodulatory agent by inhibiting pyrimidine synthesis. It is marketed under the name Aubagio® and is indicated for the treatment of multiple sclerosis, specifically relapsing forms. The FDA label states an important warning about the risk of hepatoxicity and teratogenicity for patients using teriflunomide.
Major
2
[ [ [ 883, 25, 1510 ] ], [ [ 883, 24, 129 ], [ 129, 63, 1510 ] ], [ [ 883, 24, 697 ], [ 697, 24, 1510 ] ], [ [ 883, 24, 1622 ], [ 1622, 25, 1510 ] ], [ [ 883, 24, 637 ], [ 637, 64, 1510 ] ], [ [ 883, 25, 990 ], [ 990, 25, 1510 ] ], [ [ 883, 63, 600 ], [ 600, 25, 1510 ] ], [ [ 883, 35, 392 ], [ 392, 25, 1510 ] ], [ [ 883, 1, 594 ], [ 594, 25, 1510 ] ], [ [ 883, 40, 1195 ], [ 1195, 25, 1510 ] ] ]
[ [ [ "Gefitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ], [ "Asparaginase Erwinia chrysanthemi", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ], [ "Lomitapide", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} (Compound) resembles {v} (Compound)", "Bosutinib" ], [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Gefitinib", "{u} (Compound) resembles {v} (Compound)", "Erlotinib" ], [ "Erlotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ] ]
Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Voriconazole and Voriconazole may lead to a major life threatening interaction when taken with Teriflunomide Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi and Asparaginase Erwinia chrysanthemi may lead to a major life threatening interaction when taken with Teriflunomide Gefitinib may lead to a major life threatening interaction when taken with Lomitapide and Lomitapide may lead to a major life threatening interaction when taken with Teriflunomide Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Teriflunomide Gefitinib (Compound) resembles Lapatinib (Compound) and Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may lead to a major life threatening interaction when taken with Teriflunomide Gefitinib (Compound) resembles Bosutinib (Compound) and Bosutinib may lead to a major life threatening interaction when taken with Teriflunomide Gefitinib (Compound) resembles Erlotinib (Compound) and Erlotinib may lead to a major life threatening interaction when taken with Teriflunomide
DB00011
DB01030
1,451
869
[ "DDInter944", "DDInter1835" ]
Interferon alfa-n1
Topotecan
Interferon alfa-n1 consists of purified, natural (n is for natural) alpha interferon subtypes, at least two of which are glycosylated. This differs from recombinant alpha interferons, which are individual non-glycosylated proteins produced from individual alpha interferon genes.
An antineoplastic agent used to treat ovarian cancer. It works by inhibiting DNA topoisomerases, type I.
Moderate
1
[ [ [ 1451, 24, 869 ] ], [ [ 1451, 24, 310 ], [ 310, 63, 869 ] ], [ [ 1451, 24, 482 ], [ 482, 24, 869 ] ], [ [ 1451, 25, 1064 ], [ 1064, 24, 869 ] ], [ [ 1451, 25, 72 ], [ 72, 63, 869 ] ], [ [ 1451, 63, 491 ], [ 491, 24, 869 ] ], [ [ 1451, 23, 450 ], [ 450, 24, 869 ] ], [ [ 1451, 63, 1057 ], [ 1057, 25, 869 ] ], [ [ 1451, 25, 676 ], [ 676, 64, 869 ] ], [ [ 1451, 24, 770 ], [ 770, 64, 869 ] ] ]
[ [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may lead to a major life threatening interaction when taken with {v}", "Eltrombopag" ], [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2a" ], [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Topotecan" ] ], [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Topotecan" ] ] ]
Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Topotecan Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine and Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Topotecan Interferon alfa-n1 may lead to a major life threatening interaction when taken with Cladribine and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Topotecan Interferon alfa-n1 may lead to a major life threatening interaction when taken with Eltrombopag and Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Topotecan Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2a and Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Topotecan Interferon alfa-n1 may cause a minor interaction that can limit clinical effects when taken with Cyclophosphamide and Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Topotecan Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Topotecan Interferon alfa-n1 may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Topotecan Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may lead to a major life threatening interaction when taken with Topotecan
DB00022
DB00352
268
482
[ "DDInter1408", "DDInter1814" ]
Peginterferon alfa-2b
Tioguanine
Peginterferon alfa-2b is a form of recombinant interferon used as part of combination therapy to treat chronic Hepatitis C, an infectious liver disease caused by infection with Hepatitis C Virus (HCV). HCV is a single-stranded RNA virus that is categorized into nine distinct genotypes, with genotype 1 being the most common in the United States, and affecting 72% of all chronic HCV patients. Treatment options for chronic Hepatitis C have advanced significantly since 2011, with the development of Direct Acting Antivirals (DAAs) resulting in less use of Peginterferon alfa-2b. Peginterferon alfa-2b is derived from the alfa-2b moeity of recombinant human interferon and acts by binding to human type 1 interferon receptors. Activation and dimerization of this receptor induces the body's innate antiviral response by activating the janus kinase
An antineoplastic compound which also has antimetabolite action. The drug is used in the therapy of acute leukemia.
Moderate
1
[ [ [ 268, 24, 482 ] ], [ [ 268, 24, 1439 ], [ 1439, 63, 482 ] ], [ [ 268, 24, 912 ], [ 912, 24, 482 ] ], [ [ 268, 63, 1257 ], [ 1257, 24, 482 ] ], [ [ 268, 25, 593 ], [ 593, 63, 482 ] ], [ [ 268, 25, 1101 ], [ 1101, 24, 482 ] ], [ [ 268, 25, 1292 ], [ 1292, 64, 482 ] ], [ [ 268, 25, 1064 ], [ 1064, 25, 482 ] ], [ [ 268, 24, 581 ], [ 581, 25, 482 ] ], [ [ 268, 24, 770 ], [ 770, 64, 482 ] ] ]
[ [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ipilimumab" ], [ "Ipilimumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon beta-1a" ], [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegfilgrastim" ], [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ], [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tioguanine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Tioguanine" ] ] ]
Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Ipilimumab and Ipilimumab may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Interferon beta-1a and Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Pegfilgrastim and Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine Peginterferon alfa-2b may lead to a major life threatening interaction when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine Peginterferon alfa-2b may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine Peginterferon alfa-2b may lead to a major life threatening interaction when taken with Deferiprone and Deferiprone may lead to a major life threatening interaction when taken with Tioguanine Peginterferon alfa-2b may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Tioguanine Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Tioguanine Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may lead to a major life threatening interaction when taken with Tioguanine
DB00087
DB00307
599
1,101
[ "DDInter41", "DDInter202" ]
Alemtuzumab
Bexarotene
Alemtuzumab is a humanized monoclonal antibody specific to lymphocyte antigens. It is a recombinant DNA-derived humanized monoclonal antibody (Campath-1H) that is directed against the 21-28 kD cell surface glycoprotein, CD52. The Campath-1H antibody is an IgG1 kappa with the human variable framework and constant regions, and complementarity-determining regions from a murine (rat) monoclonal antibody (Campath-1G). Alemtuzumab is produced in mammalian cell (Chinese hamster ovary) suspension culture in a medium containing neomycin. Alemtuzumab was approved by the FDA in 2001. It is marketed as LEMTRADA for multiple sclerosis (MS) treatment and CAMPTAH for B-cell chronic lymphocytic leukemia (B-CLL). The dose of alemtuzumab used for B-CLL is
Bexarotene (Targretin) is an antineoplastic agent indicated by the FDA for Cutaneous T cell lymphoma. It has been used off-label for lung cancer, breast cancer, and Kaposi's sarcoma.
Moderate
1
[ [ [ 599, 24, 1101 ] ], [ [ 599, 24, 597 ], [ 597, 62, 1101 ] ], [ [ 599, 24, 168 ], [ 168, 23, 1101 ] ], [ [ 599, 63, 1253 ], [ 1253, 24, 1101 ] ], [ [ 599, 24, 66 ], [ 66, 24, 1101 ] ], [ [ 599, 24, 287 ], [ 287, 63, 1101 ] ], [ [ 599, 24, 1224 ], [ 1224, 64, 1101 ] ], [ [ 599, 25, 1137 ], [ 1137, 64, 1101 ] ], [ [ 599, 63, 268 ], [ 268, 25, 1101 ] ], [ [ 599, 25, 1066 ], [ 1066, 25, 1101 ] ] ]
[ [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palifermin" ], [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diroximel fumarate" ], [ "Diroximel fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Measles virus vaccine live attenuated" ], [ "Measles virus vaccine live attenuated", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2b" ], [ "Peginterferon alfa-2b", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ] ], [ [ "Alemtuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ] ] ]
Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a minor interaction that can limit clinical effects when taken with Bexarotene Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Bexarotene Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Palifermin and Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Diroximel fumarate and Diroximel fumarate may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine may lead to a major life threatening interaction when taken with Bexarotene Alemtuzumab may lead to a major life threatening interaction when taken with Measles virus vaccine live attenuated and Measles virus vaccine live attenuated may lead to a major life threatening interaction when taken with Bexarotene Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2b and Peginterferon alfa-2b may lead to a major life threatening interaction when taken with Bexarotene Alemtuzumab may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Bexarotene
DB08871
DB11796
36
1,612
[ "DDInter666", "DDInter786" ]
Eribulin
Fostemsavir
Eribulin is a microtubule inhibitor indicated for the treatment of patients with metastatic breast cancer who have previously received at least two chemotherapeutic regimens for the treatment of metastatic disease. Eribulin was isolated from the marine sponge Halichondria okadai. Eribulin is also being investigated for use in the treatment of advanced solid tumors.
Fostemsavir is the phosphonooxymethyl prodrug of temsavir, a novel HIV-1 attachment inhibitor. It binds to and inhibits the activity of gp120, a subunit within the HIV-1 gp160 envelope glycoprotein that facilitates the attachment of HIV-1 to host cell CD4 receptors - in doing so, temsavir prevents the first step in the HIV-1 viral lifecycle. The discovery of gp120 as a potential target of interest in the treatment of HIV-1 infection is relatively recent, and was born out of a desire to find alternative target proteins (i.e. mechanistically orthogonal therapies) for the treatment of HIV-1 patients with resistant infections. Fostemavir is the first attachment inhibitor to receive FDA approval, granted in July 2020 for use in combination with other antiretrovirals in highly treatment-experienced patients with multidrug-resistant HIV-1 infection whom are failing their current therapy.[L14867,L14917] Targeting gp120 subunits is a new and novel therapeutic approach to HIV-1 infection, and the addition of attachment inhibitors, like temsavir, to the armament of therapies targeted against HIV-1 fills a necessary niche for therapeutic options in patients left with few, if any, viable treatments.
Moderate
1
[ [ [ 36, 24, 1612 ] ], [ [ 36, 63, 112 ], [ 112, 23, 1612 ] ], [ [ 36, 63, 1424 ], [ 1424, 24, 1612 ] ], [ [ 36, 24, 823 ], [ 823, 63, 1612 ] ], [ [ 36, 25, 1510 ], [ 1510, 24, 1612 ] ], [ [ 36, 24, 1383 ], [ 1383, 24, 1612 ] ], [ [ 36, 64, 1064 ], [ 1064, 24, 1612 ] ], [ [ 36, 24, 351 ], [ 351, 25, 1612 ] ], [ [ 36, 25, 877 ], [ 877, 64, 1612 ] ], [ [ 36, 24, 913 ], [ 913, 64, 1612 ] ] ]
[ [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ], [ "Triclabendazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ], [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostemsavir" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostemsavir" ] ] ]
Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Fostemsavir Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole and Triclabendazole may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir Eribulin may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate and Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir Eribulin may lead to a major life threatening interaction when taken with Cladribine and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Fostemsavir Eribulin may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Fostemsavir Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Fostemsavir
DB01044
DB08899
246
129
[ "DDInter809", "DDInter649" ]
Gatifloxacin
Enzalutamide
Gatifloxacin is an antibiotic agent and a member of the fourth-generation fluoroquinolone family. It works by inhibiting the bacterial enzymes DNA gyrase and topoisomerase IV. It was first introduced by Bristol-Myers Squibb in 1999 under the brand name Tequin® for the treatment of respiratory tract infections. Gatifloxacin is available as tablets and in various aqueous solutions for intravenous therapy. It is also available as eye drops under the brand name Zymar® marketed by Allergan. The FDA withdrew its approval for the use of non-ophthalmic drug products containing gatifloxacin due to the high prevalence of gatifloxacin-associated dysglycemia adverse event reports and the high incidence of hyperglycemic and hypoglycemic episodes in patients taking gatifloxacin compared to those on macrolide antibiotics.[L43942,L44037]
Enzalutamide is an androgen receptor (AR) inhibitor for the treatment of castration-resistant prostate cancer (CRPC), both metastatic and non-metastatic. It is a second-generation antiandrogen agent that the FDA approved on August 31, 2012.[L40639, A252667] Although androgen deprivation therapy (ADT) is the first-line treatment of prostate cancer and remission can be achieved, arising resistance is inevitable, becoming castration-resistant prostate cancer. Until recently, docetaxel is the only treatment available for metastatic CRPC; however, AR inhibitors have been developed for more targeted therapy, although first-generation AR inhibitors like bicalutamide did not substantially increase the survival rate. Second-generation such as enzalutamide is more efficacious due to a higher affinity to AR and no partial agonist activity compared to bicalutamide.[A252667,A252642] Due to a favorable pharmacological profile, a phase 1 study of enzalutamide was initiated in July 2007. Compared to the average time of 10 to 15 years for a drug to go from pre-clinical to clinical studies, enzalutamide was developed relatively rapidly.
Major
2
[ [ [ 246, 25, 129 ] ], [ [ 246, 25, 918 ], [ 918, 1, 129 ] ], [ [ 246, 6, 1829 ], [ 1829, 45, 129 ] ], [ [ 246, 21, 28703 ], [ 28703, 60, 129 ] ], [ [ 246, 62, 112 ], [ 112, 23, 129 ] ], [ [ 246, 64, 79 ], [ 79, 24, 129 ] ], [ [ 246, 62, 147 ], [ 147, 24, 129 ] ], [ [ 246, 25, 1148 ], [ 1148, 24, 129 ] ], [ [ 246, 63, 1512 ], [ 1512, 24, 129 ] ], [ [ 246, 24, 659 ], [ 659, 63, 129 ] ] ]
[ [ [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bicalutamide" ], [ "Bicalutamide", "{u} (Compound) resembles {v} (Compound)", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} (Compound) binds {v} (Gene)", "ALB" ], [ "ALB", "{u} (Gene) is bound by {v} (Compound)", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} (Compound) causes {v} (Side Effect)", "Pruritus" ], [ "Pruritus", "{u} (Side Effect) is caused by {v} (Compound)", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Gatifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ] ]
Gatifloxacin may lead to a major life threatening interaction when taken with Bicalutamide and Bicalutamide (Compound) resembles Enzalutamide (Compound) Gatifloxacin (Compound) binds ALB (Gene) and ALB (Gene) is bound by Enzalutamide (Compound) Gatifloxacin (Compound) causes Pruritus (Side Effect) and Pruritus (Side Effect) is caused by Enzalutamide (Compound) Gatifloxacin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Enzalutamide Gatifloxacin may lead to a major life threatening interaction when taken with Sorafenib and Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Gatifloxacin may cause a minor interaction that can limit clinical effects when taken with Vinblastine and Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Gatifloxacin may lead to a major life threatening interaction when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Gatifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Gatifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide
DB00227
DB12941
1,463
466
[ "DDInter1098", "DDInter481" ]
Lovastatin
Darolutamide
Lovastatin, also known as the brand name product Mevacor, is a lipid-lowering drug and fungal metabolite derived synthetically from a fermentation product of _Aspergillus terreus_. Originally named Mevinolin, lovastatin belongs to the statin class of medications, which are used to lower the risk of cardiovascular disease and manage abnormal lipid levels by inhibiting the endogenous production of cholesterol in the liver. More specifically, statin medications competitively inhibit the enzyme hydroxymethylglutaryl-coenzyme A (HMG-CoA) Reductase, which catalyzes the conversion of HMG-CoA to mevalonic acid and is the third step in a sequence of metabolic reactions involved in the production of several compounds involved in lipid metabolism and transport including cholesterol, low-density lipoprotein (LDL) (sometimes referred to as "bad cholesterol"), and very low-density lipoprotein (VLDL). Prescribing of statin medications is considered
Darolutamide is a nonsteroidal androgen receptor antagonist for the treatment of castrate-resistant, non-metastatic prostate cancer (nmCRPC). This condition occurs in the majority of patients with advanced prostate cancer who have been treated with androgen receptor antagonists. Though prior treatment for prostate cancer has been successful for these patients, the cancer eventually progresses to become resistant to existing therapies. This warrants further treatment. The goal of treatment with darolutamide is to delay the progression of prostate cancer to metastatic disease, increasing quality of life and life expectancy for those with advanced prostate cancer.[A189054,A189063] Darolutamide was developed by Bayer HealthCare Pharmaceuticals Inc. and approved by the FDA on July 30th, 2019.
Moderate
1
[ [ [ 1463, 24, 466 ] ], [ [ 1463, 64, 600 ], [ 600, 23, 466 ] ], [ [ 1463, 24, 351 ], [ 351, 23, 466 ] ], [ [ 1463, 24, 159 ], [ 159, 62, 466 ] ], [ [ 1463, 24, 1040 ], [ 1040, 24, 466 ] ], [ [ 1463, 35, 467 ], [ 467, 24, 466 ] ], [ [ 1463, 25, 760 ], [ 760, 24, 466 ] ], [ [ 1463, 40, 681 ], [ 681, 24, 466 ] ], [ [ 1463, 24, 982 ], [ 982, 63, 466 ] ], [ [ 1463, 63, 1324 ], [ 1324, 24, 466 ] ] ]
[ [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} (Compound) resembles {v} (Compound)", "Pravastatin" ], [ "Pravastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ] ]
Lovastatin may lead to a major life threatening interaction when taken with Fluconazole and Fluconazole may cause a minor interaction that can limit clinical effects when taken with Darolutamide Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a minor interaction that can limit clinical effects when taken with Darolutamide Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a minor interaction that can limit clinical effects when taken with Darolutamide Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Lovastatin (Compound) resembles Simvastatin (Compound) and Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Lovastatin may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Lovastatin (Compound) resembles Pravastatin (Compound) and Pravastatin may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Troglitazone and Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide
DB00580
DB00877
311
629
[ "DDInter1910", "DDInter1678" ]
Valdecoxib
Sirolimus
Valdecoxib was removed from the Canadian, U.S., and E.U. markets in 2005 due to concerns about a possible increased risk of heart attack and stroke.
Sirolimus, also known as rapamycin, is a macrocyclic lactone antibiotic produced by bacteria _Streptomyces hygroscopicus_, which was isolated from the soil of the Vai Atari region of Rapa Nui (Easter Island). It was first isolated and identified as an antifungal agent with potent anticandida activity; however, after its potent antitumor and immunosuppressive activities were later discovered, it was extensively investigated as an immunosuppressive and antitumour agent. Its primary mechanism of action is the inhibition of the mammalian target of rapamycin (mTOR), which is a serine/threonine-specific protein kinase that regulates cell growth, proliferation, and survival. mTOR is an important therapeutic target for various diseases, as it was shown to regulate longevity and maintain normal glucose homeostasis. Targeting mTOR received more attention especially in cancer, as mTOR signalling pathways are constitutively activated in many types of human cancer. Sirolimus was first approved by the FDA in 1999 for the prophylaxis of organ rejection in patients aged 13 years and older receiving renal transplants. In November 2000, the drug was recognized by the European Agency as an alternative to calcineurin antagonists for maintenance therapy with corticosteroids. In May 2015, the FDA approved sirolimus for the treatment of patients with lymphangioleiomyomatosis. In November 2021, albumin-bound sirolimus for intravenous injection was approved by the FDA for the treatment of adults with locally advanced unresectable or metastatic malignant perivascular epithelioid cell tumour (PEComa). Sirolimus was also investigated in other cancers such as skin cancer, Kaposi’s Sarcoma, cutaneous T-cell lymphomas, and tuberous sclerosis. The topical formulation of sirolimus, marketed as HYFTOR, was approved by the FDA in April 2022: this marks the first topical treatment approved in the US for facial angiofibroma associated with tuberous sclerosis complex.
Major
2
[ [ [ 311, 25, 629 ] ], [ [ 311, 24, 1476 ], [ 1476, 63, 629 ] ], [ [ 311, 24, 167 ], [ 167, 24, 629 ] ], [ [ 311, 63, 1645 ], [ 1645, 24, 629 ] ], [ [ 311, 24, 609 ], [ 609, 64, 629 ] ], [ [ 311, 25, 1377 ], [ 1377, 64, 629 ] ], [ [ 311, 63, 91 ], [ 91, 25, 629 ] ], [ [ 311, 24, 1132 ], [ 1132, 25, 629 ] ], [ [ 311, 24, 1476 ], [ 1476, 24, 907 ], [ 907, 62, 629 ] ], [ [ 311, 24, 167 ], [ 167, 6, 4973 ], [ 4973, 45, 629 ] ] ]
[ [ [ "Valdecoxib", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vancomycin" ], [ "Vancomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gentamicin" ], [ "Gentamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sirolimus" ] ], [ [ "Valdecoxib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Sirolimus" ] ] ]
Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Sirolimus Valdecoxib may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Sirolimus Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Vancomycin and Vancomycin may lead to a major life threatening interaction when taken with Sirolimus Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Gentamicin and Gentamicin may lead to a major life threatening interaction when taken with Sirolimus Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Sirolimus Valdecoxib may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Sirolimus (Compound)
DB00083
DB00424
677
19
[ "DDInter225", "DDInter896" ]
Botulinum toxin type A
Hyoscyamine
In 2002, botulinum toxin A, also known as onabotulinumtoxinA or Botox, was the first type A botulism toxin to be introduced into the market for cosmetic use. With a wide variety of applications and favourable safety profile, Botulinum toxin A injection is a minimally invasive and promising treatment for cosmetic imperfections, muscle spasms, and other conditions.[A231819,L32569] A popular use for Botox is the treatment of facial wrinkles and lines, however, there are many uses for the botulinum toxin A in the treatment of dystonia, incontinence, migraine, blepharospasm, and hyperhidrosis.[L32494,L32559]
Hyoscyamine is a tropane alkaloid and the levo-isomer of [atropine]. It is commonly extracted from plants in the _Solanaceae_ or nightshade family. Research into the action of hyoscyamine in published literature dates back to 1826. Hyoscyamine is used for a wide variety of treatments and therapeutics due to its antimuscarinic properties.[L31548,L31553] Although hyoscyamine is marketed in the United States, it is not FDA approved.[L31548,L31553]
Moderate
1
[ [ [ 677, 24, 19 ] ], [ [ 677, 24, 85 ], [ 85, 63, 19 ] ], [ [ 677, 24, 701 ], [ 701, 24, 19 ] ], [ [ 677, 24, 85 ], [ 85, 1, 1166 ], [ 1166, 1, 19 ] ], [ [ 677, 24, 1442 ], [ 1442, 74, 85 ], [ 85, 63, 19 ] ], [ [ 677, 24, 262 ], [ 262, 63, 85 ], [ 85, 63, 19 ] ], [ [ 677, 24, 820 ], [ 820, 64, 1166 ], [ 1166, 1, 19 ] ], [ [ 677, 24, 701 ], [ 701, 24, 85 ], [ 85, 63, 19 ] ], [ [ 677, 25, 416 ], [ 416, 18, 4930 ], [ 4930, 57, 19 ] ], [ [ 677, 24, 820 ], [ 820, 63, 1133 ], [ 1133, 1, 19 ] ] ]
[ [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} (Compound) resembles {v} (Compound)", "Dolasetron" ], [ "Dolasetron", "{u} (Compound) resembles {v} (Compound)", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ], [ "Scopolamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clidinium" ], [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dolasetron" ], [ "Dolasetron", "{u} (Compound) resembles {v} (Compound)", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may lead to a major life threatening interaction when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} (Compound) downregulates {v} (Gene)", "DLD" ], [ "DLD", "{u} (Gene) is downregulated by {v} (Compound)", "Hyoscyamine" ] ], [ [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Granisetron" ], [ "Granisetron", "{u} (Compound) resembles {v} (Compound)", "Hyoscyamine" ] ] ]
Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine (Compound) resembles Dolasetron (Compound) and Dolasetron (Compound) resembles Hyoscyamine (Compound) Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine and Scopolamine (Compound) resembles Atropine (Compound) and Scopolamine may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Clidinium and Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may lead to a major life threatening interaction when taken with Dolasetron and Dolasetron (Compound) resembles Hyoscyamine (Compound) Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine Botulinum toxin type A may lead to a major life threatening interaction when taken with Kanamycin and Kanamycin (Compound) downregulates DLD (Gene) and DLD (Gene) is downregulated by Hyoscyamine (Compound) Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Granisetron and Granisetron (Compound) resembles Hyoscyamine (Compound)
DB00687
DB04574
870
177
[ "DDInter747", "DDInter684" ]
Fludrocortisone
Estrone sulfate (topical)
Fludrocortisone is a synthetic mineralocorticoid used in conjunction with [hydrocortisone] to replace missing endogenous corticosteroids in patients with adrenal insufficiency.[A187169,A187187] It is functionally similar to [aldosterone], the body's primary endogenous mineralocorticoid, and is structurally analogous to [cortisol], differing only by a fluorine atom at the 9-position of the steroid structure - this fluorination is thought to be crucial to fludrocortisone's significant mineralocorticoid potency.
Estrone 3-sulfate is a steroid sulfate that is the 3-sulfate of estrone. It has a role as a human metabolite and a mouse metabolite. It is a 17-oxo steroid and a steroid sulfate. It is functionally related to an estrone. It is a conjugate acid of an estrone 3-sulfate(1-). It derives from a hydride of an estrane.
Moderate
1
[ [ [ 870, 24, 177 ] ], [ [ 870, 63, 380 ], [ 380, 1, 177 ] ], [ [ 870, 24, 35 ], [ 35, 1, 177 ] ], [ [ 870, 21, 28748 ], [ 28748, 60, 177 ] ], [ [ 870, 24, 98 ], [ 98, 63, 177 ] ], [ [ 870, 63, 1419 ], [ 1419, 24, 177 ] ], [ [ 870, 24, 1213 ], [ 1213, 24, 177 ] ], [ [ 870, 63, 380 ], [ 380, 1, 11218 ], [ 11218, 1, 177 ] ], [ [ 870, 24, 35 ], [ 35, 40, 380 ], [ 380, 1, 177 ] ], [ [ 870, 24, 890 ], [ 890, 1, 380 ], [ 380, 1, 177 ] ] ]
[ [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Conjugated estrogens" ], [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinestrol" ], [ "Quinestrol", "{u} (Compound) resembles {v} (Compound)", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} (Compound) causes {v} (Side Effect)", "Vertigo" ], [ "Vertigo", "{u} (Side Effect) is caused by {v} (Compound)", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Conjugated estrogens" ], [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Equilin" ], [ "Equilin", "{u} (Compound) resembles {v} (Compound)", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinestrol" ], [ "Quinestrol", "{u} (Compound) resembles {v} (Compound)", "Conjugated estrogens" ], [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Estrone sulfate" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ], [ "Mestranol", "{u} (Compound) resembles {v} (Compound)", "Conjugated estrogens" ], [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Estrone sulfate" ] ] ]
Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Estrone sulfate Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Conjugated estrogens and Conjugated estrogens (Compound) resembles Estrone sulfate (Compound) Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Quinestrol and Quinestrol (Compound) resembles Estrone sulfate (Compound) Fludrocortisone (Compound) causes Vertigo (Side Effect) and Vertigo (Side Effect) is caused by Estrone sulfate (Compound) Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Estrone sulfate Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Estrone sulfate Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Estrone sulfate Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Conjugated estrogens and Conjugated estrogens (Compound) resembles Equilin (Compound) and Equilin (Compound) resembles Estrone sulfate (Compound) Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Quinestrol and Quinestrol (Compound) resembles Conjugated estrogens (Compound) and Conjugated estrogens (Compound) resembles Estrone sulfate (Compound) Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Mestranol and Mestranol (Compound) resembles Conjugated estrogens (Compound) and Conjugated estrogens (Compound) resembles Estrone sulfate (Compound)
DB11827
DB11943
433
255
[ "DDInter669", "DDInter495" ]
Ertugliflozin
Delafloxacin
Ertugliflozin is a sodium-dependent glucose cotransporter-2 (SGLT2) inhibitor used to treat type II diabetes mellitus. It works to block glucose reabsorption from the glomerulus. Ertugliflozin was first approved by the FDA in December 2017.[A261951, L1132] It was also approved by the European Commission in March 2018.
Delafloxacin is a fluoroquinolone antibiotic which has been used in trials studying the treatment and basic science of Gonorrhea, Hepatic Impairment, Bacterial Skin Diseases, Skin Structure Infections, and Community Acquired Pneumonia, among others. It was approved in June 2017 under the trade name Baxdela for use in the treatment of acute bacterial skin and skin structure infections.
Moderate
1
[ [ [ 433, 24, 255 ] ], [ [ 433, 24, 1476 ], [ 1476, 63, 255 ] ], [ [ 433, 63, 417 ], [ 417, 24, 255 ] ], [ [ 433, 63, 1411 ], [ 1411, 25, 255 ] ], [ [ 433, 24, 1019 ], [ 1019, 25, 255 ] ], [ [ 433, 24, 1476 ], [ 1476, 63, 63 ], [ 63, 23, 255 ] ], [ [ 433, 63, 417 ], [ 417, 23, 1512 ], [ 1512, 24, 255 ] ], [ [ 433, 63, 1411 ], [ 1411, 63, 450 ], [ 450, 23, 255 ] ], [ [ 433, 63, 1685 ], [ 1685, 24, 1479 ], [ 1479, 24, 255 ] ], [ [ 433, 63, 1296 ], [ 1296, 63, 1479 ], [ 1479, 24, 255 ] ] ]
[ [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may lead to a major life threatening interaction when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin human" ], [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ] ], [ [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ] ] ]
Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Delafloxacin Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Sucralfate and Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Delafloxacin Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may lead to a major life threatening interaction when taken with Delafloxacin Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort and Deflazacort may lead to a major life threatening interaction when taken with Delafloxacin Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Teniposide and Teniposide may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Sucralfate and Sucralfate may cause a minor interaction that can limit clinical effects when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Delafloxacin Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Cyclophosphamide and Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Delafloxacin Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Insulin human and Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Delafloxacin Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Delafloxacin
DB00468
DB00557
1,424
252
[ "DDInter1557", "DDInter895" ]
Quinine
Hydroxyzine
An alkaloid derived from the bark of the cinchona tree. It is used as an antimalarial drug, and is the active ingredient in extracts of the cinchona that have been used for that purpose since before 1633. Quinine is also a mild antipyretic and analgesic and has been used in common cold preparations for that purpose. It was used commonly and as a bitter and flavoring agent, and is still useful for the treatment of babesiosis. Quinine is also useful in some muscular disorders, especially nocturnal leg cramps and myotonia congenita, because of its direct effects on muscle membrane and sodium channels. The mechanisms of its antimalarial effects are not well understood.
Hydroxyzine is a first-generation histamine H<sub>1</sub>-receptor antagonist of the dephenylmethane and piperazine classes that exhibits sedative, anxiolytic, and antiemetic properties.[A1257,A187589] It was first developed in 1955, and has since remained a relatively common treatment for allergic conditions such as pruritus, urticaria, dermatoses, and histamine-mediated pruritus. The active metabolite of hydroxyzine, [cetirizine], is also available as an active ingredient in allergic medications, and is responsible for much of its hydroxyzine's antihistaminic effect. Hydroxyzine is also used for generalized anxiety disorder, tension caused by psychoneurosis, and other conditions with manifestations of anxiety.
Moderate
1
[ [ [ 1424, 24, 252 ] ], [ [ 1424, 24, 851 ], [ 851, 1, 252 ] ], [ [ 1424, 24, 623 ], [ 623, 40, 252 ] ], [ [ 1424, 6, 12523 ], [ 12523, 45, 252 ] ], [ [ 1424, 21, 29232 ], [ 29232, 60, 252 ] ], [ [ 1424, 23, 752 ], [ 752, 23, 252 ] ], [ [ 1424, 23, 112 ], [ 112, 62, 252 ] ], [ [ 1424, 64, 1181 ], [ 1181, 24, 252 ] ], [ [ 1424, 24, 820 ], [ 820, 63, 252 ] ], [ [ 1424, 63, 322 ], [ 322, 24, 252 ] ] ]
[ [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxyzine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Hydroxyzine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quetiapine" ], [ "Quetiapine", "{u} (Compound) resembles {v} (Compound)", "Hydroxyzine" ] ], [ [ "Quinine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Hydroxyzine" ] ], [ [ "Quinine", "{u} (Compound) causes {v} (Side Effect)", "Urticaria" ], [ "Urticaria", "{u} (Side Effect) is caused by {v} (Compound)", "Hydroxyzine" ] ], [ [ "Quinine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydroxyzine" ] ], [ [ "Quinine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydroxyzine" ] ], [ [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxyzine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxyzine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxyzine" ] ] ]
Quinine may cause a moderate interaction that could exacerbate diseases when taken with Nefazodone and Nefazodone (Compound) resembles Hydroxyzine (Compound) Quinine may cause a moderate interaction that could exacerbate diseases when taken with Quetiapine and Quetiapine (Compound) resembles Hydroxyzine (Compound) Quinine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Hydroxyzine (Compound) Quinine (Compound) causes Urticaria (Side Effect) and Urticaria (Side Effect) is caused by Hydroxyzine (Compound) Quinine may cause a minor interaction that can limit clinical effects when taken with Cimetidine and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Hydroxyzine Quinine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Hydroxyzine Quinine may lead to a major life threatening interaction when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxyzine Quinine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxyzine Quinine may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Hydroxyzine
DB00196
DB09073
600
951
[ "DDInter743", "DDInter1379" ]
Fluconazole
Palbociclib
Fluconazole, commonly known as _Diflucan_, is an antifungal drug used for the treatment of both systemic and superficial fungal infections in a variety of tissues. It was initially approved by the FDA in 1990. This drug is an _azole_ antifungal, in the same drug family as [ketoconazole] and [itraconazole]. Fluconazole has many advantages over the other antifungal drugs including the option of oral administration. The side effect profile of this drug is minimal. It has been demonstrated as an efficacious treatment for vaginal yeast infections in one single dose.
Palbociclib is a piperazine pyridopyrimidine that acts in the cell cycle machinery. It is a second generation cyclin-dependent kinase inhibitor selected from a group of pyridopyrimidine compounds due to its favorable physical and pharmaceutical properties. Palbociclib was developed by Pfizer Inc after the discovery that identified the cyclin-dependent kinases as key regulators of cell growth. It was originally FDA approved on March 2015 for the treatment of HR-positive, HER2-negative advanced or metastatic breast cancer and its indications were updated in April 2019 to include male patients based on findings from postmarketing reports and electronic health records demonstrating safety and clinical efficacy.
Moderate
1
[ [ [ 600, 24, 951 ] ], [ [ 600, 23, 907 ], [ 907, 62, 951 ] ], [ [ 600, 25, 318 ], [ 318, 23, 951 ] ], [ [ 600, 23, 271 ], [ 271, 23, 951 ] ], [ [ 600, 25, 1476 ], [ 1476, 63, 951 ] ], [ [ 600, 24, 1454 ], [ 1454, 24, 951 ] ], [ [ 600, 24, 159 ], [ 159, 63, 951 ] ], [ [ 600, 25, 467 ], [ 467, 24, 951 ] ], [ [ 600, 23, 1101 ], [ 1101, 24, 951 ] ], [ [ 600, 23, 1091 ], [ 1091, 25, 951 ] ] ]
[ [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Escitalopram" ], [ "Escitalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sufentanil" ], [ "Sufentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ] ] ]
Fluconazole may cause a minor interaction that can limit clinical effects when taken with Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Palbociclib Fluconazole may lead to a major life threatening interaction when taken with Escitalopram and Escitalopram may cause a minor interaction that can limit clinical effects when taken with Palbociclib Fluconazole may cause a minor interaction that can limit clinical effects when taken with Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Palbociclib Fluconazole may lead to a major life threatening interaction when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Sufentanil and Sufentanil may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Fluconazole may lead to a major life threatening interaction when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Fluconazole may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Fluconazole may cause a minor interaction that can limit clinical effects when taken with Amprenavir and Amprenavir may lead to a major life threatening interaction when taken with Palbociclib
DB01132
DB01357
1,130
890
[ "DDInter1472", "DDInter1160" ]
Pioglitazone
Mestranol
Pioglitazone is an antihyperglycemic used as an adjunct to diet, exercise, and other antidiabetic medications to manage type 2 diabetes mellitus.[L11416,L11419,L11422,L11425] It is administered as a racemic mixture, though there is no pharmacologic difference between the enantiomers and they appear to interconvert _in vivo_ with little consequence. The thiazolidinedione class of medications, which also includes [rosiglitazone] and [troglitazone], exerts its pharmacological effect primarily by promoting insulin sensitivity and the improved uptake of blood glucose via agonism at the peroxisome proliferator-activated receptor-gamma (PPARγ). PPARs are ligand-activated transcription factors that are involved in the expression of more than 100 genes and affect numerous metabolic processes, most notably lipid and glucose homeostasis. Thiazolidinediones, including pioglit
The 3-methyl ether of ethinyl estradiol. It must be demethylated to be biologically active. It is used as the estrogen component of many combination ORAL contraceptives.
Minor
0
[ [ [ 1130, 23, 890 ] ], [ [ 1130, 62, 1197 ], [ 1197, 40, 890 ] ], [ [ 1130, 24, 35 ], [ 35, 40, 890 ] ], [ [ 1130, 63, 380 ], [ 380, 40, 890 ] ], [ [ 1130, 63, 559 ], [ 559, 1, 890 ] ], [ [ 1130, 6, 6017 ], [ 6017, 45, 890 ] ], [ [ 1130, 63, 1486 ], [ 1486, 24, 890 ] ], [ [ 1130, 24, 1019 ], [ 1019, 63, 890 ] ], [ [ 1130, 24, 1220 ], [ 1220, 24, 890 ] ], [ [ 1130, 63, 1101 ], [ 1101, 25, 890 ] ] ]
[ [ [ "Pioglitazone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mestranol" ] ], [ [ "Pioglitazone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norethisterone" ], [ "Norethisterone", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinestrol" ], [ "Quinestrol", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Conjugated estrogens" ], [ "Conjugated estrogens", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estrone" ], [ "Estrone", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Pioglitazone", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Mestranol" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Mestranol" ] ] ]
Pioglitazone may cause a minor interaction that can limit clinical effects when taken with Norethisterone and Norethisterone (Compound) resembles Mestranol (Compound) Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Quinestrol and Quinestrol (Compound) resembles Mestranol (Compound) Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Conjugated estrogens and Conjugated estrogens (Compound) resembles Mestranol (Compound) Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Estrone and Estrone (Compound) resembles Mestranol (Compound) Pioglitazone (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Mestranol (Compound) Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Mestranol
DB09039
DB14840
1,670
861
[ "DDInter629", "DDInter1601" ]
Eliglustat
Ripretinib
Eliglustat is a glucosylceramide synthase inhibitor used for the long-term treatment of type 1 Gaucher disease.[A3752,L41404] Gaucher disease is a rare genetic disorder characterized by the deficiency of acid β-glucosidase, an enzyme that converts glucosylceramide into glucose and ceramide. In patients with Gaucher disease, the accumulation of glucosylceramide leads to the formation of Gaucher cells that infiltrate the liver, spleen, bone marrow and other organs. This leads to complications such as anemia and thrombocytopenia.[L41404,A246384] By inhibiting glucosylceramide synthase, eliglustat reduces the accumulation of glucosylceramide. Eliglustat is mainly metabolized by CYP2D6. Patients selected for eliglustat treatment undergo an FDA-cleared genotyping test to establish if they are CYP2D6 extensive metabolizers (
Ripretinib is a kinase inhibitor used for the treatment of advanced gastrointestinal stromal tumor (GIST) that has not adequately responded to other kinase inhibitors such as [sunitinib] and [imatinib]. Ripretinib, also known as Qinlock, is manufactured by Deciphera Pharmaceuticals and was initially approved by the FDA on May 15, 2020. It is the first drug approved as a fourth-line therapy in the specific setting of prior treatment with a minimum of 3 other kinase inhibitors.
Moderate
1
[ [ [ 1670, 24, 861 ] ], [ [ 1670, 25, 351 ], [ 351, 24, 861 ] ], [ [ 1670, 24, 214 ], [ 214, 24, 861 ] ], [ [ 1670, 63, 353 ], [ 353, 24, 861 ] ], [ [ 1670, 64, 888 ], [ 888, 24, 861 ] ], [ [ 1670, 25, 384 ], [ 384, 25, 861 ] ], [ [ 1670, 64, 129 ], [ 129, 25, 861 ] ], [ [ 1670, 25, 351 ], [ 351, 24, 214 ], [ 214, 24, 861 ] ], [ [ 1670, 24, 214 ], [ 214, 63, 351 ], [ 351, 24, 861 ] ], [ [ 1670, 63, 353 ], [ 353, 24, 351 ], [ 351, 24, 861 ] ] ]
[ [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ] ]
Eliglustat may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Eliglustat may lead to a major life threatening interaction when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Eliglustat may lead to a major life threatening interaction when taken with Idelalisib and Idelalisib may lead to a major life threatening interaction when taken with Ripretinib Eliglustat may lead to a major life threatening interaction when taken with Enzalutamide and Enzalutamide may lead to a major life threatening interaction when taken with Ripretinib Eliglustat may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib
DB00696
DB14568
826
982
[ "DDInter665", "DDInter1000" ]
Ergotamine
Ivosidenib
A vasoconstrictor found in ergot of Central Europe. It is an alpha-1 selective adrenergic agonist and is commonly used in the treatment of migraine disorders.
Ivosidenib is a first-in-class isocitrate dehydrogenase-1 (IDH1) inhibitor. IDH1 is an enzyme that is often mutated and overexpressed in some cancers, leading to aberrant cell growth and proliferation. Ivosidenib inhibits mutated IDH1, blocking the enzymatic activity and further differentiation of cancer cells. Ivosidenib was granted accelerated approval by the FDA in July 2018 for the treatment of relapsed of refractory acute myeloid leukemia in adults. It is currently approved to also treat newly diagnosed acute myeloid leukemia in older adults in combination [azacitidine] or as monotherapy, as well as locally advanced or metastatic cholangiocarcinoma and relapsed or refractory myelodysplastic syndromes in adults. The drug is only effective in patients with a susceptible IDH1 mutation. In February 2023, the EMA's Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion of ivosidenib and recommended it be granted marketing authorization for the treatment of acute myeloid leukemia and cholangiocarcinoma. It was fully approved by the EMA in May 2023.
Moderate
1
[ [ [ 826, 24, 982 ] ], [ [ 826, 63, 1101 ], [ 1101, 23, 982 ] ], [ [ 826, 40, 628 ], [ 628, 24, 982 ] ], [ [ 826, 24, 1478 ], [ 1478, 24, 982 ] ], [ [ 826, 24, 159 ], [ 159, 63, 982 ] ], [ [ 826, 1, 1131 ], [ 1131, 24, 982 ] ], [ [ 826, 24, 1250 ], [ 1250, 25, 982 ] ], [ [ 826, 63, 600 ], [ 600, 25, 982 ] ], [ [ 826, 25, 760 ], [ 760, 25, 982 ] ], [ [ 826, 63, 1101 ], [ 1101, 23, 271 ], [ 271, 23, 982 ] ] ]
[ [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} (Compound) resembles {v} (Compound)", "Ergometrine" ], [ "Ergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} (Compound) resembles {v} (Compound)", "Methysergide" ], [ "Methysergide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ] ]
Ergotamine may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Ivosidenib Ergotamine (Compound) resembles Ergometrine (Compound) and Ergometrine may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Ergotamine may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Ergotamine may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Ergotamine (Compound) resembles Methysergide (Compound) and Methysergide may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Ergotamine may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib and Pazopanib may lead to a major life threatening interaction when taken with Ivosidenib Ergotamine may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Ivosidenib Ergotamine may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may lead to a major life threatening interaction when taken with Ivosidenib Ergotamine may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Ivosidenib
DB06016
DB14568
1,508
982
[ "DDInter300", "DDInter1000" ]
Cariprazine
Ivosidenib
Cariprazine is an atypical antipsychotic agent and a piperazine derivative that was first developed in Hungary. It works as a partial agonist at central dopamine D2, dopamine D3, and serotonin 5-HT<sub>1A</sub> receptors and as an antagonist at serotonin 5-HT<sub>2A</sub> receptors. Cariprazine has been investigated in a variety of psychiatric disorders, including schizophrenia, bipolar disorders, and major depressive disorder. Cariprazine gained its first global approval in the US in September 2015 and was later approved by Health Canada in April 2022. It is currently used to treat schizophrenia, and manic or mixed episodes and depressive episodes associated with bipolar I disorder.[L41655,L40198]
Ivosidenib is a first-in-class isocitrate dehydrogenase-1 (IDH1) inhibitor. IDH1 is an enzyme that is often mutated and overexpressed in some cancers, leading to aberrant cell growth and proliferation. Ivosidenib inhibits mutated IDH1, blocking the enzymatic activity and further differentiation of cancer cells. Ivosidenib was granted accelerated approval by the FDA in July 2018 for the treatment of relapsed of refractory acute myeloid leukemia in adults. It is currently approved to also treat newly diagnosed acute myeloid leukemia in older adults in combination [azacitidine] or as monotherapy, as well as locally advanced or metastatic cholangiocarcinoma and relapsed or refractory myelodysplastic syndromes in adults. The drug is only effective in patients with a susceptible IDH1 mutation. In February 2023, the EMA's Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion of ivosidenib and recommended it be granted marketing authorization for the treatment of acute myeloid leukemia and cholangiocarcinoma. It was fully approved by the EMA in May 2023.
Moderate
1
[ [ [ 1508, 24, 982 ] ], [ [ 1508, 63, 1101 ], [ 1101, 23, 982 ] ], [ [ 1508, 63, 770 ], [ 770, 24, 982 ] ], [ [ 1508, 24, 1478 ], [ 1478, 24, 982 ] ], [ [ 1508, 24, 159 ], [ 159, 63, 982 ] ], [ [ 1508, 24, 1250 ], [ 1250, 25, 982 ] ], [ [ 1508, 63, 1374 ], [ 1374, 25, 982 ] ], [ [ 1508, 25, 760 ], [ 760, 25, 982 ] ], [ [ 1508, 64, 609 ], [ 609, 25, 982 ] ], [ [ 1508, 63, 1101 ], [ 1101, 23, 271 ], [ 271, 23, 982 ] ] ]
[ [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ] ]
Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Ivosidenib Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib and Pazopanib may lead to a major life threatening interaction when taken with Ivosidenib Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone and Abiraterone may lead to a major life threatening interaction when taken with Ivosidenib Cariprazine may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may lead to a major life threatening interaction when taken with Ivosidenib Cariprazine may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Ivosidenib Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Ivosidenib
DB00108
DB00928
1,066
1,426
[ "DDInter1268", "DDInter148" ]
Natalizumab
Azacitidine
Natalizumab is a recombinant humanized IgG4κ monoclonal antibody that binds to α4-integrin. While natalizumab was originally approved by the FDA to treat multiple sclerosis in 2004, it was withdrawn from the market following multiple reports of fatal progressive multifocal leukoencephalopathy (PML). In 2006, the FDA reintroduced the drug to the market for multiple sclerosis. Natalizumab was further approved by the FDA for the treatment of Crohn's Disease in January 2008. On August 24, 2023, the first biosimilar to natalizumab, natalizumab-sztn, was approved by the FDA. Natalizumab was approved by the European Commission on September 22, 2023.
Azacitidine is a pyrimidine nucleoside analogue with anti-neoplastic activity. It differs from cytosine by the presence of nitrogen in the C5-position, key in its hypomethylating activity.[A1406,A1413,A1415] Two main mechanisms of action have been proposed for azacitidine. One of them is the induction of cytotoxicity. As an analogue of cytidine, it is able to incorporate into RNA and DNA, disrupting RNA metabolism and inhibiting protein and DNA synthesis. The other one is through the inhibition of DNA methyltransferase, impairing DNA methylation. Due to its anti-neoplastic activity and its ability to inhibit methylation in replicating DNA, azacytidine has been used mainly used in the treatment of myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML), two types of cancer characterized by the presence of aberrant DNA methylation.[A1407,A1410,A1411,A1416,A1417] In May 2004, the FDA approved the use of azacitidine administered subcutaneously for the treatment of MDS of all French-American-British (FAB) subtypes. In January 2007, the FDA approved the intravenous administration of azacitidine. The use of oral azacitidine for the treatment of AML in patients in complete remission was approved by the FDA in September 2020.
Major
2
[ [ [ 1066, 25, 1426 ] ], [ [ 1066, 25, 1238 ], [ 1238, 40, 1426 ] ], [ [ 1066, 25, 372 ], [ 372, 1, 1426 ] ], [ [ 1066, 25, 1064 ], [ 1064, 25, 1426 ] ], [ [ 1066, 24, 200 ], [ 200, 63, 1426 ] ], [ [ 1066, 25, 4 ], [ 4, 63, 1426 ] ], [ [ 1066, 64, 66 ], [ 66, 24, 1426 ] ], [ [ 1066, 25, 139 ], [ 139, 24, 1426 ] ], [ [ 1066, 23, 1461 ], [ 1461, 24, 1426 ] ], [ [ 1066, 25, 908 ], [ 908, 64, 1426 ] ] ]
[ [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Pentostatin" ], [ "Pentostatin", "{u} (Compound) resembles {v} (Compound)", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} (Compound) resembles {v} (Compound)", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Zidovudine" ], [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azacitidine" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Azacitidine" ] ] ]
Natalizumab may lead to a major life threatening interaction when taken with Pentostatin and Pentostatin (Compound) resembles Azacitidine (Compound) Natalizumab may lead to a major life threatening interaction when taken with Clofarabine and Clofarabine (Compound) resembles Azacitidine (Compound) Natalizumab may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Azacitidine Natalizumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Azacitidine Natalizumab may lead to a major life threatening interaction when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Azacitidine Natalizumab may lead to a major life threatening interaction when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Azacitidine Natalizumab may lead to a major life threatening interaction when taken with Zidovudine and Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Azacitidine Natalizumab may cause a minor interaction that can limit clinical effects when taken with Vitamin E and Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Azacitidine Natalizumab may lead to a major life threatening interaction when taken with Golimumab and Golimumab may lead to a major life threatening interaction when taken with Azacitidine
DB00983
DB12161
480
730
[ "DDInter776", "DDInter512" ]
Formoterol
Deutetrabenazine
Formoterol is an inhaled beta<sub>2</sub>-agonist used in the management of COPD and asthma that was first approved for use in the United States in 2001. It acts on bronchial smooth muscle to dilate and relax airways, and is administered as a racemic mixture of its active (R;R)- and inactive (S;S)-enantiomers. A major clinical advantage of formoterol over other inhaled beta-agonists is its rapid onset of action (2-3 minutes), which is at least as fast as [salbutamol], combined with a long duration of action (12 hours) - for this reason, treatment guidelines for asthma recommend its use as both a reliever and maintenance medication. It is available as a single-entity product [L10986,L11223] and in several formulations in combination with both inhaled corticosteroids [L10995,L10619] and long-acting
Deutetrabenazine is a novel, highly selective vesicular monoamine transporter 2 (VMAT2) inhibitor indicated for the management of chorea associated with Huntington’s disease. It is a hexahydro-dimethoxybenzoquinolizine derivative and a deuterated . The presence of deuterium in deutetrabenazine increases the half-lives of the active metabolite and prolongs their pharmacological activity by attenuating CYP2D6 metabolism of the compound . This allows less frequent dosing and a lower daily dose with improvement in tolerability . Decreased plasma fluctuations of deutetrabenazine due to attenuated metabolism may explain a lower incidence of adverse reactions associated with deutetrabenazine . Deutetrabenazine is a racemic mixture containing RR-Deutetrabenazine and SS-Deutetrabenazine [FDA Label]. Huntington's disease (HD) is a hereditary, progressive neurodegenerative disorder characterized by motor dysfunction, cognitive decline, and neuropsychiatric disturbances that interfere with daily functioning and significantly reduce the quality of life. The most prominent physical symptom of HD that may increase the risk of injury is chorea, which is an involuntary, sudden movement that can affect any muscle and flow randomly across body regions . Psychomotor symptoms of HD, such as chorea, are related to hyperactive dopaminergic neurotransmission . Deutetrabenazine depletes the levels of presynaptic dopamine by blocking VMAT2, which is responsible for the uptake of dopamine into synaptic vesicles in monoaminergic neurons and exocytotic release . As with other agents for the treatment of neurodegenerative diseases, deutetrabenazine is a drug to alleviate the motor symptoms of HD and is not proposed to halt the progression of the disease . In clinical trials of patients with HD, 12 weeks of treatment of deutetrabenazine resulted in overall improvement in mean total maximal chorea scores and motor signs than placebo . It was approved by FDA in April 2017 and is marketed under the trade name Austedo as oral tablets.
Moderate
1
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[ [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Deutetrabenazine" ] ] ]
Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Toremifene and Toremifene may lead to a major life threatening interaction when taken with Deutetrabenazine Formoterol may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Deutetrabenazine Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine and Hydroxychloroquine may lead to a major life threatening interaction when taken with Deutetrabenazine Formoterol may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Deutetrabenazine Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Deutetrabenazine Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Deutetrabenazine
DB00258
DB00978
666
739
[ "DDInter270", "DDInter1084" ]
Calcium acetate
Lomefloxacin
The chemical compound calcium acetate is the calcium salt of acetic acid. It has been commonly referred to as the acetate of lime. The anhydrous form is very hygroscopic, therefore the monohydrate is the common form.
Lomefloxacin is a fluoroquinolone antibiotic, used to treat bacterial infections including bronchitis and urinary tract infections (UTIs). Additionally, it has been employed for the prophylaxis of UTIs prior to surgery as well.
Moderate
1
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[ [ [ "Calcium acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trovafloxacin" ], [ "Trovafloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ], [ "Gatifloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} (Compound) resembles {v} (Compound)", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ], [ [ "Calcium acetate", "{u} (Compound) causes {v} (Side Effect)", "Coma" ], [ "Coma", "{u} (Side Effect) is caused by {v} (Compound)", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ] ] ]
Calcium acetate may cause a moderate interaction that could exacerbate diseases when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Lomefloxacin (Compound) Calcium acetate may cause a moderate interaction that could exacerbate diseases when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Lomefloxacin (Compound) Calcium acetate may cause a moderate interaction that could exacerbate diseases when taken with Trovafloxacin and Trovafloxacin (Compound) resembles Lomefloxacin (Compound) Calcium acetate (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Lomefloxacin (Compound) Calcium acetate may cause a moderate interaction that could exacerbate diseases when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Gatifloxacin (Compound) and Gatifloxacin (Compound) resembles Lomefloxacin (Compound) Calcium acetate may cause a moderate interaction that could exacerbate diseases when taken with Gatifloxacin and Gatifloxacin (Compound) resembles Sparfloxacin (Compound) and Sparfloxacin (Compound) resembles Lomefloxacin (Compound) Calcium acetate may cause a moderate interaction that could exacerbate diseases when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Sparfloxacin (Compound) and Sparfloxacin (Compound) resembles Lomefloxacin (Compound) Calcium acetate (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Sparfloxacin (Compound) and Sparfloxacin (Compound) resembles Lomefloxacin (Compound) Calcium acetate (Compound) causes Coma (Side Effect) and Coma (Side Effect) is caused by Moxifloxacin (Compound) and Moxifloxacin (Compound) resembles Lomefloxacin (Compound)
DB01177
DB01227
77
1,301
[ "DDInter904", "DDInter1043" ]
Idarubicin
Levacetylmethadol
An orally administered anthracycline antineoplastic. The compound has shown activity against breast cancer, lymphomas and leukemias, together with the potential for reduced cardiac toxicity.
Levacetylmethadol is a narcotic analgesic with a long onset and duration of action. It is used mainly in the treatment of narcotic dependence. Levacetylmethadol was withdrawn from use in the European Union due to its high risk of QT interval prolongation. The production of levacetylmethadol in the US has ceased as well.[L44052,T862]
Major
2
[ [ [ 77, 25, 1301 ] ], [ [ 77, 64, 494 ], [ 494, 1, 1301 ] ], [ [ 77, 63, 675 ], [ 675, 1, 1301 ] ], [ [ 77, 62, 112 ], [ 112, 23, 1301 ] ], [ [ 77, 63, 1648 ], [ 1648, 24, 1301 ] ], [ [ 77, 24, 144 ], [ 144, 63, 1301 ] ], [ [ 77, 24, 1532 ], [ 1532, 24, 1301 ] ], [ [ 77, 25, 976 ], [ 976, 63, 1301 ] ], [ [ 77, 64, 770 ], [ 770, 24, 1301 ] ], [ [ 77, 25, 982 ], [ 982, 64, 1301 ] ] ]
[ [ [ "Idarubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Disopyramide" ], [ "Disopyramide", "{u} (Compound) resembles {v} (Compound)", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ], [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levacetylmethadol" ] ], [ [ "Idarubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Levacetylmethadol" ] ] ]
Idarubicin may lead to a major life threatening interaction when taken with Disopyramide and Disopyramide (Compound) resembles Levacetylmethadol (Compound) Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Dextropropoxyphene and Dextropropoxyphene (Compound) resembles Levacetylmethadol (Compound) Idarubicin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Levacetylmethadol Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Aldesleukin and Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Levacetylmethadol Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol and Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Levacetylmethadol Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a moderate interaction that could exacerbate diseases when taken with Levacetylmethadol Idarubicin may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Levacetylmethadol Idarubicin may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Levacetylmethadol Idarubicin may lead to a major life threatening interaction when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Levacetylmethadol
DB05239
DB05273
866
507
[ "DDInter425", "DDInter1638" ]
Cobimetinib
Samarium (153Sm) lexidronam
Cobimetinib is an orally active, potent and highly selective small molecule inhibiting mitogen-activated protein kinase kinase 1 (MAP2K1 or MEK1), and central components of the RAS/RAF/MEK/ERK signal transduction pathway. It has been approved in Switzerland and the US, in combination with vemurafenib for the treatment of patients with unresectable or metastatic BRAF V600 mutation-positive melanoma.
Samarium Sm 153 lexidronam is a radioactive medication used to treat pain caused by cancer that has spread to the bone. It is a radiopharmaceutical. Radiopharmaceuticals are radioactive agents that may be used to diagnose some diseases by studying the function of the body's organs or to treat certain diseases.Samarium Sm 153 lexidronam is used to help relieve the bone pain that may occur with certain kinds of cancer. The radioactive samarium is taken up in the bone cancer area and gives off radiation that helps provide relief of pain.
Major
2
[ [ [ 866, 25, 507 ] ], [ [ 866, 63, 248 ], [ 248, 24, 507 ] ], [ [ 866, 24, 270 ], [ 270, 63, 507 ] ], [ [ 866, 63, 1101 ], [ 1101, 25, 507 ] ], [ [ 866, 24, 850 ], [ 850, 64, 507 ] ], [ [ 866, 64, 1064 ], [ 1064, 25, 507 ] ], [ [ 866, 25, 384 ], [ 384, 64, 507 ] ], [ [ 866, 63, 248 ], [ 248, 40, 563 ], [ 563, 24, 507 ] ], [ [ 866, 63, 563 ], [ 563, 1, 248 ], [ 248, 24, 507 ] ], [ [ 866, 24, 270 ], [ 270, 63, 196 ], [ 196, 25, 507 ] ] ]
[ [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ], [ "Valganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ], [ "Brentuximab vedotin", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ], [ "Valganciclovir", "{u} (Compound) resembles {v} (Compound)", "Ganciclovir" ], [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ganciclovir" ], [ "Ganciclovir", "{u} (Compound) resembles {v} (Compound)", "Valganciclovir" ], [ "Valganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Samarium (153Sm) lexidronam" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Altretamine" ], [ "Altretamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ] ] ]
Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Valganciclovir and Valganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Samarium (153Sm) lexidronam Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may cause a moderate interaction that could exacerbate diseases when taken with Samarium (153Sm) lexidronam Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin and Brentuximab vedotin may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam Cobimetinib may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam Cobimetinib may lead to a major life threatening interaction when taken with Idelalisib and Idelalisib may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Valganciclovir and Valganciclovir (Compound) resembles Ganciclovir (Compound) and Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Samarium (153Sm) lexidronam Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Ganciclovir and Ganciclovir (Compound) resembles Valganciclovir (Compound) and Valganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Samarium (153Sm) lexidronam Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may cause a moderate interaction that could exacerbate diseases when taken with Altretamine and Altretamine may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam
DB00584
DB01284
610
1,042
[ "DDInter638", "DDInter1782" ]
Enalapril
Tetracosactide
Enalapril is a prodrug belonging to the angiotensin-converting enzyme (ACE) inhibitor drug class that works on the renin-angiotensin-aldosterone system, which is responsible for the regulation of blood pressure and fluid and electrolyte homeostasis. Enalapril is an orally-active and long-acting nonsulphydryl antihypertensive agent that suppresses the renin-angiotensin-aldosterone system to lower blood pressure. It was developed from a targeted research programmed using molecular modelling. Being a prodrug, enalapril is rapidly biotransformed into its active metabolite, [enalaprilat], which is responsible for the pharmacological actions of enalapril. The active metabolite of enalapril competitively inhibits the ACE to hinder the production of angiotensin II, a key component of the renin-angiotensin-aldosterone system that promotes v
Tetracosactide (also known as Cosyntropin) is a synthetic peptide that is identical to the 24-amino acid segment (sequence: SYSMEHFRWGKPVGKKRRPVKVYP) at the N-terminal of adrenocorticotropic hormone. ACTH (1-24), a segment similar in all species, contains the biological activity that stimulates production of corticosteroids in the adrenal cortex. Tetracosactide exhibits the same activity as natural ACTH with regard to all its biological activities. The complex results in a product whose absorption in man is effected over a longer period of time as compared to corticotropin. Therefore, therapy may be maintained with less frequent administration.
Moderate
1
[ [ [ 610, 24, 1042 ] ], [ [ 610, 24, 761 ], [ 761, 63, 1042 ] ], [ [ 610, 24, 1144 ], [ 1144, 24, 1042 ] ], [ [ 610, 40, 1638 ], [ 1638, 24, 1042 ] ], [ [ 610, 63, 590 ], [ 590, 24, 1042 ] ], [ [ 610, 1, 954 ], [ 954, 24, 1042 ] ], [ [ 610, 23, 286 ], [ 286, 63, 1042 ] ], [ [ 610, 24, 593 ], [ 593, 25, 1042 ] ], [ [ 610, 25, 1377 ], [ 1377, 25, 1042 ] ], [ [ 610, 25, 1510 ], [ 1510, 64, 1042 ] ] ]
[ [ [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ], [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ], [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} (Compound) resembles {v} (Compound)", "Trandolapril" ], [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetohexamide" ], [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} (Compound) resembles {v} (Compound)", "Quinapril" ], [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetracosactide" ] ], [ [ "Enalapril", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetracosactide" ] ] ]
Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin and Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide and Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Enalapril (Compound) resembles Trandolapril (Compound) and Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Acetohexamide and Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Enalapril (Compound) resembles Quinapril (Compound) and Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Enalapril may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Tetracosactide Enalapril may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Tetracosactide Enalapril may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Tetracosactide
DB09078
DB11718
1,228
927
[ "DDInter1036", "DDInter640" ]
Lenvatinib
Encorafenib
Lenvatinib is a receptor tyrosine kinase (RTK) inhibitor that inhibits the kinase activities of vascular endothelial growth factor (VEGF) receptors VEGFR1 (FLT1), VEGFR2 (KDR), and VEGFR3 (FLT4). Lenvatinib also inhibits other RTKs that have been implicated in pathogenic angiogenesis, tumor growth, and cancer progression in addition to their normal cellular functions, including fibroblast growth factor (FGF) receptors FGFR1, 2, 3, and 4; the platelet derived growth factor receptor alpha (PDGFRα), KIT, and RET. These receptor tyrosine kinases (RTKs) located in the cell membrane play a central role in the activation of signal transduction pathways involved in the normal regulation of cellular processes, such as cell proliferation, migration, apoptosis and differentiation, and in pathogenic angiogenesis, lymphogenesis, tumour
Encorafenib, also known as _BRAFTOVI_, is a kinase inhibitor. Encorafenib inhibits BRAF gene, which encodes for B-raf protein, which is a proto-oncogene involved in various genetic mutations. This protein plays a role in regulating the MAP kinase/ERK signaling pathway, which impacts cell division, differentiation, and secretion. Mutations in this gene, most frequently the V600E mutation, are the most commonly identified cancer-causing mutations in melanoma, and have been isolated in various other cancers as well, including non-Hodgkin lymphoma, colorectal cancer, thyroid carcinoma, non-small cell lung carcinoma, hairy cell leukemia and adenocarcinoma of the lung. On June 27, 2018, the Food and Drug Administration approved encorafenib and [binimetinib] (BRAFTOVI and MEKTOVI, Array BioPharma Inc.) in combination for patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, as detected by an FDA-approved test.
Moderate
1
[ [ [ 1228, 24, 927 ] ], [ [ 1228, 62, 112 ], [ 112, 23, 927 ] ], [ [ 1228, 24, 720 ], [ 720, 24, 927 ] ], [ [ 1228, 63, 216 ], [ 216, 24, 927 ] ], [ [ 1228, 24, 1399 ], [ 1399, 63, 927 ] ], [ [ 1228, 64, 1510 ], [ 1510, 24, 927 ] ], [ [ 1228, 25, 1676 ], [ 1676, 24, 927 ] ], [ [ 1228, 64, 839 ], [ 839, 25, 927 ] ], [ [ 1228, 63, 859 ], [ 859, 25, 927 ] ], [ [ 1228, 24, 913 ], [ 913, 64, 927 ] ] ]
[ [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ], [ "Mineral oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpromazine" ], [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Grazoprevir" ], [ "Grazoprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Posaconazole" ], [ "Posaconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ] ]
Lenvatinib may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Encorafenib Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil and Mineral oil may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Chlorpromazine and Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Lithium carbonate and Lithium carbonate may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Lenvatinib may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Lenvatinib may lead to a major life threatening interaction when taken with Grazoprevir and Grazoprevir may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Lenvatinib may lead to a major life threatening interaction when taken with Grepafloxacin and Grepafloxacin may lead to a major life threatening interaction when taken with Encorafenib Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Posaconazole and Posaconazole may lead to a major life threatening interaction when taken with Encorafenib Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Encorafenib
DB00366
DB00486
1,594
1,614
[ "DDInter600", "DDInter1253" ]
Doxylamine
Nabilone
Histamine H1 antagonist with pronounced sedative properties. It is used in allergies and as an antitussive, antiemetic, and hypnotic. Doxylamine has also been administered in veterinary applications and was formerly used in parkinsonism.
Nabilone (marketed as Cesamet) is a synthetic form of delta-9-tetrahydrocannabinol (Δ⁹-THC), the primary psychoactive component of cannabis (marijuana). Although structurally distinct from THC, nabilone mimics THC's structure and pharmacological activity through weak partial agonist activity at Cannabinoid-1 (CB1R) and Cannabinoid-2 (CB2R) receptors, however it is considered to be twice as active as Δ⁹-THC. Nabilone is approved by the FDA for the treatment of nausea and vomiting associated with cancer chemotherapy in patients who have failed to respond adequately to conventional antiemetic treatments [FDA Label]. Tetrahydrocannabinol (THC) and cannabidiol (CBD) are the two most abundant cannabinoids found naturally in the resin of the marijuana plant, both of which are pharmacologically active due to their interaction with cannabinoid receptors that are found throughout the body . While both CBD and THC are used for medicinal purposes, they have different receptor activity, function, and physiological effects. If not provided in their activated form (such as through synthetic forms like Nabilone or ), THC and CBD are obtained through conversion from their precursors, tetrahydrocannabinolic acid-A (THCA-A) and cannabidiolic acid (CBDA), through decarboxylation reactions. This can be achieved through heating, smoking, vaporization, or baking of dried unfertilized female cannabis flowers. From a pharmacological perspective, Cannabis' diverse receptor profile explains its potential application for such a wide variety of medical conditions. Cannabis contains more than 400 different chemical compounds, of which 61 are considered cannabinoids, a class of compounds that act upon endogenous cannabinoid receptors of the body . The endocannabinoid system is widely distributed throughout the central and peripheral nervous system (via the Cannabinoid Receptors CB1 and CB2) and plays a role in many physiological processes such as inflammation, cardiovascular function, learning, pain, memory, stress and emotional regulation, and the sleep/wake cycle among many others . CB1 receptors are found in both the central and peripheral nervous system, and are most abundant in the hippocampus and amygdala, which are the areas of the brain responsible for short-term memory storage and emotional regulation. CB2 receptors are mainly located in the peripheral nervous system and can be found on lymphoid tissue where they are involved in regulation of immune function . In Canada, the United States, the United Kingdom and Mexico, nabilone is marketed as Cesamet. It was approved in 1985 by the United States FDA for treatment of chemotherapy-induced nausea and vomiting that has not responded to conventional antiemetics. Though it was approved by the FDA in 1985, the drug only began marketing in the United States in 2006. It is also approved for use in treatment of anorexia and weight loss in patients with AIDS. Nabilone is a racemate consisting of the (S,S) and the (R,R) isomers.
Moderate
1
[ [ [ 1594, 24, 1614 ] ], [ [ 1594, 24, 530 ], [ 530, 1, 1614 ] ], [ [ 1594, 21, 28769 ], [ 28769, 60, 1614 ] ], [ [ 1594, 24, 999 ], [ 999, 24, 1614 ] ], [ [ 1594, 24, 94 ], [ 94, 63, 1614 ] ], [ [ 1594, 63, 556 ], [ 556, 24, 1614 ] ], [ [ 1594, 74, 576 ], [ 576, 24, 1614 ] ], [ [ 1594, 35, 1405 ], [ 1405, 63, 1614 ] ], [ [ 1594, 35, 128 ], [ 128, 24, 1614 ] ], [ [ 1594, 25, 551 ], [ 551, 63, 1614 ] ] ]
[ [ [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ], [ "Dronabinol", "{u} (Compound) resembles {v} (Compound)", "Nabilone" ] ], [ [ "Doxylamine", "{u} (Compound) causes {v} (Side Effect)", "Feeling abnormal" ], [ "Feeling abnormal", "{u} (Side Effect) is caused by {v} (Compound)", "Nabilone" ] ], [ [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenacemide" ], [ "Phenacemide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valproic acid" ], [ "Valproic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Doxylamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methadone" ], [ "Methadone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Doxylamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ], [ "Cyclobenzaprine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Doxylamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ], [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Doxylamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenelzine" ], [ "Phenelzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ] ]
Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Dronabinol and Dronabinol (Compound) resembles Nabilone (Compound) Doxylamine (Compound) causes Feeling abnormal (Side Effect) and Feeling abnormal (Side Effect) is caused by Nabilone (Compound) Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Phenacemide and Phenacemide may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Valproic acid and Valproic acid may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Doxylamine (Compound) resembles Methadone (Compound) and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Methadone and Methadone may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Doxylamine (Compound) resembles Cyclobenzaprine (Compound) and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine and Cyclobenzaprine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Doxylamine (Compound) resembles Dexbrompheniramine (Compound) and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Doxylamine may lead to a major life threatening interaction when taken with Phenelzine and Phenelzine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone
DB00570
DB12500
147
283
[ "DDInter1936", "DDInter714" ]
Vinblastine
Fedratinib
Antitumor alkaloid isolated from Vinca rosea. (Merck, 11th ed.)
Fedratinib, also known as SAR302503 and TG101348, is a tyrosine kinase inhibitor used to treat intermediate-2 and high risk primary and secondary myelofibrosis.[A183176,L8090] It is an anilinopyrimidine derivative. Fedratinib was granted FDA approval on August 16, 2019.
Moderate
1
[ [ [ 147, 24, 283 ] ], [ [ 147, 24, 351 ], [ 351, 23, 283 ] ], [ [ 147, 24, 1339 ], [ 1339, 62, 283 ] ], [ [ 147, 24, 327 ], [ 327, 24, 283 ] ], [ [ 147, 63, 600 ], [ 600, 24, 283 ] ], [ [ 147, 62, 63 ], [ 63, 24, 283 ] ], [ [ 147, 25, 676 ], [ 676, 63, 283 ] ], [ [ 147, 24, 1654 ], [ 1654, 63, 283 ] ], [ [ 147, 23, 896 ], [ 896, 24, 283 ] ], [ [ 147, 25, 976 ], [ 976, 24, 283 ] ] ]
[ [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Berotralstat" ], [ "Berotralstat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ], [ "Abametapir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ], [ "Somapacitan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Etoposide" ], [ "Etoposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Vinblastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ] ]
Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a minor interaction that can limit clinical effects when taken with Fedratinib Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Berotralstat and Berotralstat may cause a minor interaction that can limit clinical effects when taken with Fedratinib Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Abametapir and Abametapir may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Vinblastine may cause a minor interaction that can limit clinical effects when taken with Teniposide and Teniposide may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Vinblastine may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan and Somapacitan may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Vinblastine may cause a minor interaction that can limit clinical effects when taken with Etoposide and Etoposide may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Vinblastine may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib
DB00497
DB01246
828
820
[ "DDInter1366", "DDInter45" ]
Oxycodone
Alimemazine
Oxycodone is a semisynthetic opioid analgesic derived from thebaine in Germany in 1917. It is currently indicated as an immediate release product for moderate to severe pain and as an extended release product for chronic moderate to severe pain requiring continuous opioid analgesics for an extended period.[Label] The first oxycodone containing product, Percodan, was approved by the FDA on April 12, 1950.
A phenothiazine derivative that is used as an antipruritic.
Moderate
1
[ [ [ 828, 24, 820 ] ], [ [ 828, 24, 104 ], [ 104, 40, 820 ] ], [ [ 828, 24, 401 ], [ 401, 24, 820 ] ], [ [ 828, 24, 649 ], [ 649, 1, 820 ] ], [ [ 828, 6, 8374 ], [ 8374, 45, 820 ] ], [ [ 828, 21, 29339 ], [ 29339, 60, 820 ] ], [ [ 828, 64, 475 ], [ 475, 24, 820 ] ], [ [ 828, 63, 352 ], [ 352, 24, 820 ] ], [ [ 828, 40, 421 ], [ 421, 24, 820 ] ], [ [ 828, 1, 560 ], [ 560, 24, 820 ] ] ]
[ [ [ "Oxycodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Oxycodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Oxycodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Oxycodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Oxycodone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Alimemazine" ] ], [ [ "Oxycodone", "{u} (Compound) causes {v} (Side Effect)", "Respiratory depression" ], [ "Respiratory depression", "{u} (Side Effect) is caused by {v} (Compound)", "Alimemazine" ] ], [ [ "Oxycodone", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Oxycodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trospium" ], [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Oxycodone", "{u} (Compound) resembles {v} (Compound)", "Hydromorphone" ], [ "Hydromorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Oxycodone", "{u} (Compound) resembles {v} (Compound)", "Oxymorphone" ], [ "Oxymorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ] ]
Oxycodone may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine (Compound) resembles Alimemazine (Compound) Oxycodone may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine Oxycodone may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Alimemazine (Compound) Oxycodone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Alimemazine (Compound) Oxycodone (Compound) causes Respiratory depression (Side Effect) and Respiratory depression (Side Effect) is caused by Alimemazine (Compound) Oxycodone may lead to a major life threatening interaction when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine Oxycodone may cause a moderate interaction that could exacerbate diseases when taken with Trospium and Trospium may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine Oxycodone (Compound) resembles Hydromorphone (Compound) and Hydromorphone may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine Oxycodone (Compound) resembles Oxymorphone (Compound) and Oxymorphone may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine
DB06701
DB08824
1,177
591
[ "DDInter521", "DDInter959" ]
Dexmethylphenidate
Ioflupane I-123
Dexmethylphenidate is the dextrorotary form of methylphenidate introduced in 2002. It is a norepinephrine-dopamine reuptake inhibitor (NDRI) and thus a psychostimulant. It is used for treatment of Attention Deficit Hyperactivity Disorder (ADHD)[Label,A177181]. The d-isomer is thought to have greater effect with fewer side effects than the l-isomer or the racemic mixture.
Ioflupane (I-123) is a radiopharmaceutical used to image dopamine neurons and diagnose Parkinsonian syndromes.
Moderate
1
[ [ [ 1177, 24, 591 ] ], [ [ 1177, 6, 2437 ], [ 2437, 45, 591 ] ], [ [ 1177, 21, 28734 ], [ 28734, 60, 591 ] ], [ [ 1177, 40, 895 ], [ 895, 24, 591 ] ], [ [ 1177, 63, 401 ], [ 401, 24, 591 ] ], [ [ 1177, 64, 593 ], [ 593, 24, 591 ] ], [ [ 1177, 64, 290 ], [ 290, 35, 591 ] ], [ [ 1177, 6, 2437 ], [ 2437, 45, 109 ], [ 109, 24, 591 ] ], [ [ 1177, 21, 28734 ], [ 28734, 60, 109 ], [ 109, 24, 591 ] ], [ [ 1177, 40, 895 ], [ 895, 6, 2437 ], [ 2437, 45, 591 ] ] ]
[ [ [ "Dexmethylphenidate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} (Compound) binds {v} (Gene)", "SLC6A3" ], [ "SLC6A3", "{u} (Gene) is bound by {v} (Compound)", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} (Compound) causes {v} (Side Effect)", "Immune system disorder" ], [ "Immune system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} (Compound) resembles {v} (Compound)", "Methylphenidate" ], [ "Methylphenidate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} may lead to a major life threatening interaction when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} (Compound) binds {v} (Gene)", "SLC6A3" ], [ "SLC6A3", "{u} (Gene) is bound by {v} (Compound)", "Duloxetine" ], [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} (Compound) causes {v} (Side Effect)", "Immune system disorder" ], [ "Immune system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Duloxetine" ], [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Dexmethylphenidate", "{u} (Compound) resembles {v} (Compound)", "Methylphenidate" ], [ "Methylphenidate", "{u} (Compound) binds {v} (Gene)", "SLC6A3" ], [ "SLC6A3", "{u} (Gene) is bound by {v} (Compound)", "Ioflupane I-123" ] ] ]
Dexmethylphenidate (Compound) binds SLC6A3 (Gene) and SLC6A3 (Gene) is bound by Ioflupane I-123 (Compound) Dexmethylphenidate (Compound) causes Immune system disorder (Side Effect) and Immune system disorder (Side Effect) is caused by Ioflupane I-123 (Compound) Dexmethylphenidate (Compound) resembles Methylphenidate (Compound) and Methylphenidate may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Dexmethylphenidate may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Dexmethylphenidate may lead to a major life threatening interaction when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Dexmethylphenidate may lead to a major life threatening interaction when taken with Cocaine and Cocaine (Compound) resembles Ioflupane I-123 (Compound) and Cocaine may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Dexmethylphenidate (Compound) binds SLC6A3 (Gene) and SLC6A3 (Gene) is bound by Duloxetine (Compound) and Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Dexmethylphenidate (Compound) causes Immune system disorder (Side Effect) and Immune system disorder (Side Effect) is caused by Duloxetine (Compound) and Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Dexmethylphenidate (Compound) resembles Methylphenidate (Compound) and Methylphenidate (Compound) binds SLC6A3 (Gene) and SLC6A3 (Gene) is bound by Ioflupane I-123 (Compound)
DB00910
DB00999
1,041
504
[ "DDInter1394", "DDInter883" ]
Paricalcitol
Hydrochlorothiazide
Paricalcitol is a synthetic vitamin D analog. Paricalcitol has been used to reduce parathyroid hormone levels. Paricalcitol is indicated for the prevention and treatment of secondary hyperparathyroidism associated with chronic renal failure.
Hydrochlorothiazide is the most commonly prescribed thiazide diuretic. It is indicated to treat edema and hypertension.[A185138,L8447,L8450] Hydrochlorothiazide use is common but declining in favour of angiotensin converting enzyme inhibitors. Many combination products are available containing hydrochlorothiazide and angiotensin converting enzyme inhibitors[L8390,L8423] or angiotensin II receptor blockers.[L7426,L7459] Hydrochlorothiazide was granted FDA approval on 12 February 1959.
Moderate
1
[ [ [ 1041, 24, 504 ] ], [ [ 1041, 24, 178 ], [ 178, 1, 504 ] ], [ [ 1041, 63, 323 ], [ 323, 40, 504 ] ], [ [ 1041, 24, 674 ], [ 674, 40, 504 ] ], [ [ 1041, 21, 28779 ], [ 28779, 60, 504 ] ], [ [ 1041, 64, 160 ], [ 160, 24, 504 ] ], [ [ 1041, 24, 286 ], [ 286, 63, 504 ] ], [ [ 1041, 75, 1331 ], [ 1331, 24, 504 ] ], [ [ 1041, 25, 1196 ], [ 1196, 63, 504 ] ], [ [ 1041, 24, 178 ], [ 178, 1, 323 ], [ 323, 40, 504 ] ] ]
[ [ [ "Paricalcitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polythiazide" ], [ "Polythiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bendroflumethiazide" ], [ "Bendroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} (Compound) causes {v} (Side Effect)", "Dry mouth" ], [ "Dry mouth", "{u} (Side Effect) is caused by {v} (Compound)", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} may lead to a major life threatening interaction when taken with {v}", "Calcifediol" ], [ "Calcifediol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Ergocalciferol" ], [ "Ergocalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxercalciferol" ], [ "Doxercalciferol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ] ], [ [ "Paricalcitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polythiazide" ], [ "Polythiazide", "{u} (Compound) resembles {v} (Compound)", "Bendroflumethiazide" ], [ "Bendroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ] ] ]
Paricalcitol may cause a moderate interaction that could exacerbate diseases when taken with Polythiazide and Polythiazide (Compound) resembles Hydrochlorothiazide (Compound) Paricalcitol may cause a moderate interaction that could exacerbate diseases when taken with Bendroflumethiazide and Bendroflumethiazide (Compound) resembles Hydrochlorothiazide (Compound) Paricalcitol may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide and Trichlormethiazide (Compound) resembles Hydrochlorothiazide (Compound) Paricalcitol (Compound) causes Dry mouth (Side Effect) and Dry mouth (Side Effect) is caused by Hydrochlorothiazide (Compound) Paricalcitol may lead to a major life threatening interaction when taken with Calcifediol and Calcifediol may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide Paricalcitol may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide Paricalcitol (Compound) resembles Ergocalciferol (Compound) and Paricalcitol may lead to a major life threatening interaction when taken with Ergocalciferol and Ergocalciferol may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide Paricalcitol may lead to a major life threatening interaction when taken with Doxercalciferol and Doxercalciferol may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide Paricalcitol may cause a moderate interaction that could exacerbate diseases when taken with Polythiazide and Polythiazide (Compound) resembles Bendroflumethiazide (Compound) and Bendroflumethiazide (Compound) resembles Hydrochlorothiazide (Compound)
DB01191
DB06779
1,039
365
[ "DDInter518", "DDInter470" ]
Dexfenfluramine
Dalteparin
Dexfenfluramine, also marketed under the name Redux, is a serotoninergic anorectic drug. For a fairly limited time during the middle of the nineties, the US FDA had approved it for use in managing weight loss. However, following multiple concerns about the cardiovascular side-effects of the drug, such approval was withdrawn.
Dalteparin, a low molecular weight heparin (LMWH) prepared by nitrous acid degradation of unfractionated heparin of porcine intestinal mucosa origin, is an anticoagulant. It is composed of strongly acidic sulphated polysaccharide chains with an average molecular weight of 5000 and about 90% of the material within the range of 2000-9000. LMWHs have a more predictable response, a greater bioavailability, and a longer anti-Xa half life than unfractionated heparin. Dalteparin can also be safely used in most pregnant women. Low molecular weight heparins are less effective at inactivating factor IIa due to their shorter length compared to unfractionated heparin.
Moderate
1
[ [ [ 1039, 24, 365 ] ], [ [ 1039, 64, 1100 ], [ 1100, 24, 365 ] ], [ [ 1039, 25, 1427 ], [ 1427, 63, 365 ] ], [ [ 1039, 25, 901 ], [ 901, 24, 365 ] ], [ [ 1039, 24, 972 ], [ 972, 63, 365 ] ], [ [ 1039, 24, 266 ], [ 266, 24, 365 ] ], [ [ 1039, 63, 1018 ], [ 1018, 25, 365 ] ], [ [ 1039, 24, 256 ], [ 256, 25, 365 ] ], [ [ 1039, 24, 1468 ], [ 1468, 64, 365 ] ], [ [ 1039, 25, 39 ], [ 39, 25, 365 ] ] ]
[ [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Venlafaxine" ], [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vortioxetine" ], [ "Vortioxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ], [ "Milnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ], [ "Choline salicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bismuth subsalicylate" ], [ "Bismuth subsalicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ], [ "Prasugrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ] ], [ [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ] ] ]
Dexfenfluramine may lead to a major life threatening interaction when taken with Venlafaxine and Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin Dexfenfluramine may lead to a major life threatening interaction when taken with Vortioxetine and Vortioxetine may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin Dexfenfluramine may lead to a major life threatening interaction when taken with Milnacipran and Milnacipran may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate and Choline salicylate may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Bismuth subsalicylate and Bismuth subsalicylate may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Ticlopidine and Ticlopidine may lead to a major life threatening interaction when taken with Dalteparin Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel and Prasugrel may lead to a major life threatening interaction when taken with Dalteparin Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may lead to a major life threatening interaction when taken with Dalteparin Dexfenfluramine may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may lead to a major life threatening interaction when taken with Dalteparin
DB00687
DB00960
870
887
[ "DDInter747", "DDInter1471" ]
Fludrocortisone
Pindolol
Fludrocortisone is a synthetic mineralocorticoid used in conjunction with [hydrocortisone] to replace missing endogenous corticosteroids in patients with adrenal insufficiency.[A187169,A187187] It is functionally similar to [aldosterone], the body's primary endogenous mineralocorticoid, and is structurally analogous to [cortisol], differing only by a fluorine atom at the 9-position of the steroid structure - this fluorination is thought to be crucial to fludrocortisone's significant mineralocorticoid potency.
Pindolol is a first generation non-selective beta blocker used in the treatment of hypertension. Early research into the use of pindolol found it had chronotropic effects, and so further investigation focused on the treatment of arrhythmia. Research into pindolol's use in the treatment of hypertension began in the early 1970s. Pindolol was granted FDA approval on 3 September 1982.
Moderate
1
[ [ [ 870, 24, 887 ] ], [ [ 870, 24, 819 ], [ 819, 40, 887 ] ], [ [ 870, 23, 1148 ], [ 1148, 63, 887 ] ], [ [ 870, 63, 88 ], [ 88, 40, 887 ] ], [ [ 870, 63, 1121 ], [ 1121, 1, 887 ] ], [ [ 870, 21, 28996 ], [ 28996, 60, 887 ] ], [ [ 870, 23, 1384 ], [ 1384, 62, 887 ] ], [ [ 870, 24, 286 ], [ 286, 62, 887 ] ], [ [ 870, 24, 1479 ], [ 1479, 23, 887 ] ], [ [ 870, 63, 245 ], [ 245, 24, 887 ] ] ]
[ [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acebutolol" ], [ "Acebutolol", "{u} (Compound) resembles {v} (Compound)", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoprolol" ], [ "Metoprolol", "{u} (Compound) resembles {v} (Compound)", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisoprolol" ], [ "Bisoprolol", "{u} (Compound) resembles {v} (Compound)", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} (Compound) causes {v} (Side Effect)", "Musculoskeletal discomfort" ], [ "Musculoskeletal discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magaldrate" ], [ "Magaldrate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pindolol" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ] ] ]
Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Acebutolol and Acebutolol (Compound) resembles Pindolol (Compound) Fludrocortisone may cause a minor interaction that can limit clinical effects when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Pindolol Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Metoprolol and Metoprolol (Compound) resembles Pindolol (Compound) Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Bisoprolol and Bisoprolol (Compound) resembles Pindolol (Compound) Fludrocortisone (Compound) causes Musculoskeletal discomfort (Side Effect) and Musculoskeletal discomfort (Side Effect) is caused by Pindolol (Compound) Fludrocortisone may cause a minor interaction that can limit clinical effects when taken with Magaldrate and Magaldrate may cause a minor interaction that can limit clinical effects when taken with Pindolol Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a minor interaction that can limit clinical effects when taken with Pindolol Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Pindolol Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Pindolol
DB00434
DB00962
13
1,639
[ "DDInter459", "DDInter1957" ]
Cyproheptadine
Zaleplon
Cyproheptadine is a potent competitive antagonist of both serotonin and histamine receptors. It is used primarily to treat allergic symptoms, though it is perhaps more notable for its use in appetite stimulation and its off-label use in the treatment of serotonin syndrome.
Zaleplon is a sedative/hypnotic, mainly used for insomnia. It is known as a nonbenzodiazepine hypnotic. Zaleplon interacts with the GABA receptor complex and shares some of the pharmacological properties of the benzodiazepines. Zaleplon is a schedule IV drug in the United States.
Moderate
1
[ [ [ 13, 24, 1639 ] ], [ [ 13, 21, 29544 ], [ 29544, 60, 1639 ] ], [ [ 13, 24, 1609 ], [ 1609, 63, 1639 ] ], [ [ 13, 63, 1242 ], [ 1242, 24, 1639 ] ], [ [ 13, 24, 1219 ], [ 1219, 24, 1639 ] ], [ [ 13, 63, 475 ], [ 475, 25, 1639 ] ], [ [ 13, 21, 29544 ], [ 29544, 60, 891 ], [ 891, 23, 1639 ] ], [ [ 13, 21, 29164 ], [ 29164, 60, 770 ], [ 770, 63, 1639 ] ], [ [ 13, 21, 28893 ], [ 28893, 60, 1220 ], [ 1220, 62, 1639 ] ], [ [ 13, 21, 28662 ], [ 28662, 60, 1242 ], [ 1242, 24, 1639 ] ] ]
[ [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Weight increased" ], [ "Weight increased", "{u} (Side Effect) is caused by {v} (Compound)", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ], [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azatadine" ], [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Weight increased" ], [ "Weight increased", "{u} (Side Effect) is caused by {v} (Compound)", "Prednisolone" ], [ "Prednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Photosensitivity" ], [ "Photosensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Hallucination" ], [ "Hallucination", "{u} (Side Effect) is caused by {v} (Compound)", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zaleplon" ] ], [ [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Tremor" ], [ "Tremor", "{u} (Side Effect) is caused by {v} (Compound)", "Cetirizine" ], [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ] ]
Cyproheptadine (Compound) causes Weight increased (Side Effect) and Weight increased (Side Effect) is caused by Zaleplon (Compound) Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Zaleplon Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Zaleplon Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Azatadine and Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Zaleplon Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Zaleplon Cyproheptadine (Compound) causes Weight increased (Side Effect) and Weight increased (Side Effect) is caused by Prednisolone (Compound) and Prednisolone may cause a minor interaction that can limit clinical effects when taken with Zaleplon Cyproheptadine (Compound) causes Photosensitivity (Side Effect) and Photosensitivity (Side Effect) is caused by Thalidomide (Compound) and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Zaleplon Cyproheptadine (Compound) causes Hallucination (Side Effect) and Hallucination (Side Effect) is caused by Dexamethasone (Compound) and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Zaleplon Cyproheptadine (Compound) causes Tremor (Side Effect) and Tremor (Side Effect) is caused by Cetirizine (Compound) and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Zaleplon
DB01149
DB12010
851
214
[ "DDInter1274", "DDInter785" ]
Nefazodone
Fostamatinib
Nefazodone hydrochloride (trade name Serzone) is an antidepressant drug marketed by Bristol-Myers Squibb. Its sale was discontinued in 2003 in some countries, due to the small possibility of hepatic (liver) injury. Drug-induced hepatic injuries were associated with an risk of elevated need for a liver transplant, or even death, with the incidence of severe liver damage was shown to be approximately 1 in 250,000 to 300,000 patient-years. On May 20, 2004, Bristol-Myers Squibb discontinued the sale of Serzone in the United States.
Fostamatinib has been investigated for the treatment and basic science of Rheumatoid Arthritis and Immune Thrombocytopenic Purpura (ITP). It was approved on April 17, 2018, under the trade name Tavalisse for use in ITP [L2644, FDA Label]. Fostamatinib has also been granted orphan drug status by the FDA . Recently, fostamatinib has been identified as a potential therapeutic for controlling acute respiratory distress syndrome (ARDS) in patients with severe COVID-19 through its ability to modulate the SYK kinase.[A235008, A235013, A235018]
Major
2
[ [ [ 851, 25, 214 ] ], [ [ 851, 25, 976 ], [ 976, 24, 214 ] ], [ [ 851, 63, 723 ], [ 723, 24, 214 ] ], [ [ 851, 24, 973 ], [ 973, 24, 214 ] ], [ [ 851, 1, 623 ], [ 623, 24, 214 ] ], [ [ 851, 64, 467 ], [ 467, 24, 214 ] ], [ [ 851, 25, 676 ], [ 676, 63, 214 ] ], [ [ 851, 23, 1374 ], [ 1374, 24, 214 ] ], [ [ 851, 62, 1101 ], [ 1101, 24, 214 ] ], [ [ 851, 24, 609 ], [ 609, 25, 214 ] ] ]
[ [ [ "Nefazodone", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ], [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} may lead to a major life threatening interaction when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostamatinib" ] ] ]
Nefazodone may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant and Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel and Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Nefazodone (Compound) resembles Quetiapine (Compound) and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Nefazodone may lead to a major life threatening interaction when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Nefazodone may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Nefazodone may cause a minor interaction that can limit clinical effects when taken with Abiraterone and Abiraterone may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Nefazodone may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Fostamatinib
DB00662
DB00844
717
314
[ "DDInter1873", "DDInter1257" ]
Trimethobenzamide
Nalbuphine
Trimethobenzamide is a novel antiemetic which prevents nausea and vomiting in humans. Its actions are unclear but most likely involves the chemoreceptor trigger zone (CTZ). In dogs pretreated with trimethobenzamide HCl, the emetic response to apomorphine is inhibited, while little or no protection is afforded against emesis induced by intragastric copper sulfate.
A narcotic used as a pain medication. It appears to be an agonist at kappa opioid receptors and an antagonist or partial agonist at mu opioid receptors. Nalbuphine is the only opioid analgesic that is not a controlled substance in the United States.
Moderate
1
[ [ [ 717, 24, 314 ] ], [ [ 717, 63, 828 ], [ 828, 40, 314 ] ], [ [ 717, 63, 421 ], [ 421, 1, 314 ] ], [ [ 717, 63, 475 ], [ 475, 25, 314 ] ], [ [ 717, 24, 560 ], [ 560, 40, 314 ] ], [ [ 717, 21, 28921 ], [ 28921, 60, 314 ] ], [ [ 717, 24, 1609 ], [ 1609, 63, 314 ] ], [ [ 717, 24, 1219 ], [ 1219, 24, 314 ] ], [ [ 717, 63, 1594 ], [ 1594, 24, 314 ] ], [ [ 717, 24, 407 ], [ 407, 64, 314 ] ] ]
[ [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxycodone" ], [ "Oxycodone", "{u} (Compound) resembles {v} (Compound)", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydromorphone" ], [ "Hydromorphone", "{u} (Compound) resembles {v} (Compound)", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxymorphone" ], [ "Oxymorphone", "{u} (Compound) resembles {v} (Compound)", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azatadine" ], [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may lead to a major life threatening interaction when taken with {v}", "Nalbuphine" ] ] ]
Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Oxycodone and Oxycodone (Compound) resembles Nalbuphine (Compound) Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Hydromorphone and Hydromorphone (Compound) resembles Nalbuphine (Compound) Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Nalbuphine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Oxymorphone and Oxymorphone (Compound) resembles Nalbuphine (Compound) Trimethobenzamide (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Nalbuphine (Compound) Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Nalbuphine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Azatadine and Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Nalbuphine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Nalbuphine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may lead to a major life threatening interaction when taken with Nalbuphine
DB00372
DB00934
999
413
[ "DDInter1793", "DDInter1124" ]
Thiethylperazine
Maprotiline
A dopamine antagonist that is particularly useful in treating the nausea and vomiting associated with anesthesia, mildly emetic cancer chemotherapy agents, radiation therapy, and toxins. This piperazine phenothiazine does not prevent vertigo or motion sickness. (From AMA Drug Evaluations Annual, 1994, p457)
Maprotiline is a tetracyclic antidepressant with similar pharmacological properties to tricyclic antidepressants (TCAs). Similar to TCAs, maprotiline inhibits neuronal norepinephrine reuptake, possesses some anticholinergic activity, and does not affect monoamine oxidase activity. It differs from TCAs in that it does not appear to block serotonin reuptake. Maprotiline may be used to treat depressive affective disorders, including dysthymic disorder (depressive neurosis) and major depressive disorder. Maprotiline is effective at reducing symptoms of anxiety associated with depression.
Moderate
1
[ [ [ 999, 24, 413 ] ], [ [ 999, 63, 1302 ], [ 1302, 40, 413 ] ], [ [ 999, 24, 22 ], [ 22, 62, 413 ] ], [ [ 999, 24, 103 ], [ 103, 63, 413 ] ], [ [ 999, 63, 352 ], [ 352, 24, 413 ] ], [ [ 999, 24, 19 ], [ 19, 24, 413 ] ], [ [ 999, 25, 1311 ], [ 1311, 63, 413 ] ], [ [ 999, 25, 1621 ], [ 1621, 25, 413 ] ], [ [ 999, 24, 1053 ], [ 1053, 64, 413 ] ], [ [ 999, 25, 593 ], [ 593, 64, 413 ] ] ]
[ [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Protriptyline" ], [ "Protriptyline", "{u} (Compound) resembles {v} (Compound)", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acrivastine" ], [ "Acrivastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trospium" ], [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium chloride" ], [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Maprotiline" ] ], [ [ "Thiethylperazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Maprotiline" ] ] ]
Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Protriptyline and Protriptyline (Compound) resembles Maprotiline (Compound) Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine may cause a minor interaction that can limit clinical effects when taken with Maprotiline Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Acrivastine and Acrivastine may cause a moderate interaction that could exacerbate diseases when taken with Maprotiline Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Trospium and Trospium may cause a moderate interaction that could exacerbate diseases when taken with Maprotiline Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine and Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Maprotiline Thiethylperazine may lead to a major life threatening interaction when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Maprotiline Thiethylperazine may lead to a major life threatening interaction when taken with Potassium chloride and Potassium chloride may lead to a major life threatening interaction when taken with Maprotiline Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Maprotiline Thiethylperazine may lead to a major life threatening interaction when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Maprotiline
DB00810
DB00836
456
543
[ "DDInter211", "DDInter1088" ]
Biperiden
Loperamide
A muscarinic antagonist that has effects in both the central and peripheral nervous systems. It has been used in the treatment of arteriosclerotic, idiopathic, and postencephalitic parkinsonism. It has also been used to alleviate extrapyramidal symptoms induced by phenothiazine derivatives and reserpine.
Loperamide is an anti-diarrheal agent that is available as various over-the-counter products for treating diarrhea. The drug was first synthesized in 1969 and used medically in 1976. It is a highly lipophilic synthetic phenylpiperidine opioid that is structurally similar to opiate receptor agonists such as [diphenoxylate] and [haloperidol]. Due to pharmacological properties, loperamide has been misused and abused to self-manage opioid withdrawal symptoms and to induce euphoria.[A251610, A251625] However, loperamide is associated with a risk for experiencing a range of adverse effects, often life-threatening, if taking for non-therapeutic reasons or at doses higher than the recommended dose.
Moderate
1
[ [ [ 456, 24, 543 ] ], [ [ 456, 24, 649 ], [ 649, 1, 543 ] ], [ [ 456, 63, 262 ], [ 262, 24, 543 ] ], [ [ 456, 1, 11268 ], [ 11268, 40, 543 ] ], [ [ 456, 6, 4973 ], [ 4973, 45, 543 ] ], [ [ 456, 7, 9242 ], [ 9242, 46, 543 ] ], [ [ 456, 18, 3769 ], [ 3769, 46, 543 ] ], [ [ 456, 18, 6317 ], [ 6317, 57, 543 ] ], [ [ 456, 24, 830 ], [ 830, 63, 543 ] ], [ [ 456, 24, 100 ], [ 100, 24, 543 ] ] ]
[ [ [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ] ], [ [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Loperamide" ] ], [ [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clidinium" ], [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ] ], [ [ "Biperiden", "{u} (Compound) resembles {v} (Compound)", "Cloperastine" ], [ "Cloperastine", "{u} (Compound) resembles {v} (Compound)", "Loperamide" ] ], [ [ "Biperiden", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Loperamide" ] ], [ [ "Biperiden", "{u} (Compound) upregulates {v} (Gene)", "WDR7" ], [ "WDR7", "{u} (Gene) is upregulated by {v} (Compound)", "Loperamide" ] ], [ [ "Biperiden", "{u} (Compound) downregulates {v} (Gene)", "EBP" ], [ "EBP", "{u} (Gene) is upregulated by {v} (Compound)", "Loperamide" ] ], [ [ "Biperiden", "{u} (Compound) downregulates {v} (Gene)", "MRPL12" ], [ "MRPL12", "{u} (Gene) is downregulated by {v} (Compound)", "Loperamide" ] ], [ [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenindamine" ], [ "Phenindamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ] ], [ [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brompheniramine" ], [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ] ] ]
Biperiden may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Loperamide (Compound) Biperiden may cause a moderate interaction that could exacerbate diseases when taken with Clidinium and Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Loperamide Biperiden (Compound) resembles Cloperastine (Compound) and Cloperastine (Compound) resembles Loperamide (Compound) Biperiden (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Loperamide (Compound) Biperiden (Compound) upregulates WDR7 (Gene) and WDR7 (Gene) is upregulated by Loperamide (Compound) Biperiden (Compound) downregulates EBP (Gene) and EBP (Gene) is upregulated by Loperamide (Compound) Biperiden (Compound) downregulates MRPL12 (Gene) and MRPL12 (Gene) is downregulated by Loperamide (Compound) Biperiden may cause a moderate interaction that could exacerbate diseases when taken with Phenindamine and Phenindamine may cause a moderate interaction that could exacerbate diseases when taken with Loperamide Biperiden may cause a moderate interaction that could exacerbate diseases when taken with Brompheniramine and Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Loperamide
DB09049
DB12130
1,135
1,017
[ "DDInter1261", "DDInter1094" ]
Naloxegol
Lorlatinib
Naloxegol, for "PEGylated naloxol" is a peripherally-selective opioid antagonist developed by AstraZeneca. It was approved by the FDA in September 2014 and is indicated for the treatment of opioid-induced constipation (OIC) in adult patients with chronic non‑cancer pain. The advantage of naloxegol over the opioid antagonist naloxone is that its PEGylated structure allows for high selectivity for peripheral opioid receptors and lack of entry into the central nervous system through the blood-brain barrier.
Lorlatinib is a third-generation ALK tyrosine kinase inhibitor (TKI) for patients with ALK-positive metastatic non-small cell lung cancer which was first approved by the US FDA in November of 2018. It was subsequently approved by the EMA in 2019 for the treatment of select patients with previously treated advanced ALK-positive non-small cell lung cancer, followed by an expanded approval in 2022 to include lorlatinib as a first-line treatment option in advanced ALK-positive NSCLC.
Moderate
1
[ [ [ 1135, 24, 1017 ] ], [ [ 1135, 63, 1101 ], [ 1101, 23, 1017 ] ], [ [ 1135, 62, 409 ], [ 409, 24, 1017 ] ], [ [ 1135, 64, 984 ], [ 984, 24, 1017 ] ], [ [ 1135, 24, 214 ], [ 214, 24, 1017 ] ], [ [ 1135, 23, 971 ], [ 971, 63, 1017 ] ], [ [ 1135, 24, 1654 ], [ 1654, 63, 1017 ] ], [ [ 1135, 23, 1033 ], [ 1033, 24, 1017 ] ], [ [ 1135, 25, 800 ], [ 800, 24, 1017 ] ], [ [ 1135, 63, 1324 ], [ 1324, 24, 1017 ] ] ]
[ [ [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Danazol" ], [ "Danazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ], [ "Somapacitan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Duvelisib" ], [ "Duvelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ] ]
Naloxegol may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Lorlatinib Naloxegol may cause a minor interaction that can limit clinical effects when taken with Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Naloxegol may lead to a major life threatening interaction when taken with Danazol and Danazol may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Naloxegol may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Naloxegol may cause a minor interaction that can limit clinical effects when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Naloxegol may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan and Somapacitan may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Naloxegol may cause a minor interaction that can limit clinical effects when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Naloxegol may lead to a major life threatening interaction when taken with Duvelisib and Duvelisib may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Naloxegol may cause a moderate interaction that could exacerbate diseases when taken with Troglitazone and Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib
DB01101
DB08868
60
1,011
[ "DDInter285", "DDInter737" ]
Capecitabine
Fingolimod
Capecitabine is an orally-administered chemotherapeutic agent used in the treatment of metastatic breast and colorectal cancers. Capecitabine is a prodrug, that is enzymatically converted to fluorouracil (antimetabolite) in the tumor, where it inhibits DNA synthesis and slows growth of tumor tissue.
Multiple sclerosis, or MS, is a devastating inflammatory disease that often progresses and causes severe neurological, physical, and cognitive effects. Fingolimod is a sphingosine 1-phosphate receptor modulator for the treatment of relapsing-remitting multiple sclerosis. It was developed by Novartis and initially approved by the FDA in 2010. Fingolimod was also studied for the treatment of COVID-19, the disease caused by infection with the SARS-CoV-2 virus.[L12654,L12657]
Major
2
[ [ [ 60, 25, 1011 ] ], [ [ 60, 21, 28892 ], [ 28892, 60, 1011 ] ], [ [ 60, 63, 112 ], [ 112, 23, 1011 ] ], [ [ 60, 24, 748 ], [ 748, 63, 1011 ] ], [ [ 60, 24, 1136 ], [ 1136, 24, 1011 ] ], [ [ 60, 25, 976 ], [ 976, 64, 1011 ] ], [ [ 60, 64, 1066 ], [ 1066, 25, 1011 ] ], [ [ 60, 63, 611 ], [ 611, 25, 1011 ] ], [ [ 60, 24, 259 ], [ 259, 25, 1011 ] ], [ [ 60, 24, 1362 ], [ 1362, 64, 1011 ] ] ]
[ [ [ "Capecitabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Capecitabine", "{u} (Compound) causes {v} (Side Effect)", "Cardiac arrest" ], [ "Cardiac arrest", "{u} (Side Effect) is caused by {v} (Compound)", "Fingolimod" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fingolimod" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anthrax vaccine" ], [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ], [ "Denosumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Capecitabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Capecitabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dacarbazine" ], [ "Dacarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ] ]
Capecitabine (Compound) causes Cardiac arrest (Side Effect) and Cardiac arrest (Side Effect) is caused by Fingolimod (Compound) Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Fingolimod Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Anthrax vaccine and Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Denosumab and Denosumab may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Capecitabine may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Fingolimod Capecitabine may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Fingolimod Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Dacarbazine and Dacarbazine may lead to a major life threatening interaction when taken with Fingolimod Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may lead to a major life threatening interaction when taken with Fingolimod Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Olaparib and Olaparib may lead to a major life threatening interaction when taken with Fingolimod
DB00445
DB08827
322
990
[ "DDInter655", "DDInter1085" ]
Epirubicin
Lomitapide
An anthracycline which is the 4&#39;-epi-isomer of doxorubicin. The compound exerts its antitumor effects by interference with the synthesis and function of DNA.
Lomitapide is a microsomal triglyceride transfer protein (MTP) inhibitor used in homozygous familial hypercholesterolemia (HoFH) patients. It is marketed under the name Juxtapid (R).
Moderate
1
[ [ [ 322, 24, 990 ] ], [ [ 322, 21, 28701 ], [ 28701, 60, 990 ] ], [ [ 322, 24, 1362 ], [ 1362, 63, 990 ] ], [ [ 322, 35, 77 ], [ 77, 24, 990 ] ], [ [ 322, 24, 1342 ], [ 1342, 24, 990 ] ], [ [ 322, 25, 752 ], [ 752, 24, 990 ] ], [ [ 322, 63, 134 ], [ 134, 24, 990 ] ], [ [ 322, 25, 985 ], [ 985, 63, 990 ] ], [ [ 322, 24, 1387 ], [ 1387, 25, 990 ] ], [ [ 322, 63, 79 ], [ 79, 25, 990 ] ] ]
[ [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Epirubicin", "{u} (Compound) causes {v} (Side Effect)", "Discomfort" ], [ "Discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Lomitapide" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Epirubicin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idarubicin" ], [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terbinafine" ], [ "Terbinafine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ] ] ]
Epirubicin (Compound) causes Discomfort (Side Effect) and Discomfort (Side Effect) is caused by Lomitapide (Compound) Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Olaparib and Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Lomitapide Epirubicin (Compound) resembles Idarubicin (Compound) and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Idarubicin and Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Lomitapide Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Lomitapide Epirubicin may lead to a major life threatening interaction when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Lomitapide Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Lomitapide Epirubicin may lead to a major life threatening interaction when taken with Osimertinib and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Lomitapide Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Terbinafine and Terbinafine may lead to a major life threatening interaction when taken with Lomitapide Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Sorafenib and Sorafenib may lead to a major life threatening interaction when taken with Lomitapide
DB01050
DB11793
848
738
[ "DDInter900", "DDInter1297" ]
Ibuprofen
Niraparib
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) derived from propionic acid and it is considered the first of the propionics. The formula of ibuprofen is 2-(4-isobutylphenyl) propionic acid and its initial development was in 1960 while researching for a safer alternative for aspirin. Ibuprofen was finally patented in 1961 and this drug was first launched against rheumatoid arthritis in the UK in 1969 and USA in 1974. It was the first available over-the-counter NSAID. On the available products, ibuprofen is administered as a racemic mixture. Once administered, the R-enantiomer undergoes extensive interconversion to the S-enantiomer _in vivo_ by the activity of the alpha-methylacyl-CoA racemase. In particular, it is generally proposed that the S-enantiomer is capable of eliciting stronger pharmacological activity than
Niraparib is an orally active poly (ADP-ribose) polymerase (PARP) inhibitor. By blocking the enzymes responsible for DNA repair, niraparib induces cytotoxicity in cancer cells. Niraparib is selective towards PARP-1 and PARP-2. First approved by the FDA on March 27, 2017, niraparib is used to treat epithelial ovarian, fallopian tube, or primary peritoneal cancer. Niraparib was approved by the European Commission on November 16, 2017 and by Health Canada on June 27, 2019.
Moderate
1
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[ [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} (Compound) resembles {v} (Compound)", "Melphalan" ], [ "Melphalan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ], [ "Avapritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Ibuprofen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ] ]
Ibuprofen may lead to a major life threatening interaction when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Ibuprofen may lead to a major life threatening interaction when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Lepirudin and Lepirudin may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Ibuprofen (Compound) resembles Melphalan (Compound) and Melphalan may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Ibuprofen may lead to a major life threatening interaction when taken with Avapritinib and Avapritinib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Ibuprofen (Compound) resembles Flurbiprofen (Compound) and Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Ibuprofen may cause a minor interaction that can limit clinical effects when taken with Phenytoin and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Niraparib
DB00515
DB14115
589
1,312
[ "DDInter387", "DDInter868" ]
Cisplatin
Human botulinum neurotoxin A/B immune globulin
Cisplatin, cisplatinum or cis-diamminedichloroplatinum(II) (CDDP) is a platinum-based chemotherapy drug used to treat various types of cancers, including sarcomas, some carcinomas (e.g. small cell lung cancer, and ovarian cancer), lymphomas and germ cell tumors. It was the first member of its class, which now also includes carboplatin and oxaliplatin.
Infant botulism is a rare infectious disease occurring in infants in which _Clostridium botulinum_ colonize the large intestine and being to produce botulinum neurotoxin directly in the gut. As these neurotoxins interfere with cholinergic nervous transmission, patients initially present with evident of loss of muscle tone (e.g. constipation, ptosis, feeding difficulties) which may progress to more serious symptoms such as respiratory arrest and flaccid paralysis.[L39819,L39824] BabyBIG (human-derived botulism immunoglobulin) was approved for use by the FDA in 2003 and has since been used to treat more than 2100 cases of infant botulism. It is produced and distributed by the Calfornia Department of Public Health's Infant Botulism Treatment and Prevention Program and comprises IgG antibodies derived from pooled adult plasma from persons immunized with recombinant botulinum vaccine who have high titers of neutralizing antibodies against botulinum toxin.
Major
2
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[ [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gentamicin" ], [ "Gentamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vancomycin" ], [ "Vancomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gentamicin" ], [ "Gentamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gentamicin" ], [ "Gentamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vancomycin" ], [ "Vancomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lovastatin" ], [ "Lovastatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human botulinum neurotoxin A/B immune globulin" ] ] ]
Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Human botulinum neurotoxin A/B immune globulin Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Gentamicin and Gentamicin may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Cisplatin may lead to a major life threatening interaction when taken with Sirolimus and Sirolimus may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Vancomycin and Vancomycin may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Gentamicin and Gentamicin may lead to a major life threatening interaction when taken with Human botulinum neurotoxin A/B immune globulin Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Gentamicin and Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Human botulinum neurotoxin A/B immune globulin Cisplatin may lead to a major life threatening interaction when taken with Sirolimus and Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Human botulinum neurotoxin A/B immune globulin Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Vancomycin and Vancomycin may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Human botulinum neurotoxin A/B immune globulin Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Lovastatin and Lovastatin may cause a minor interaction that can limit clinical effects when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Human botulinum neurotoxin A/B immune globulin
DB00762
DB01144
613
1,326
[ "DDInter973", "DDInter540" ]
Irinotecan
Diclofenamide
Irinotecan is an antineoplastic enzyme inhibitor primarily used in the treatment of colorectal cancer. It is a derivative of camptothecin that inhibits the action of topoisomerase I. Irinotecan prevents religation of the DNA strand by binding to topoisomerase I-DNA complex, and causes double-strand DNA breakage and cell death. It is a derivative of camptothecin. Irinotecan was approved for the treatment of advanced pancreatic cancer in October, 2015 (irinotecan liposome injection, trade name Onivyde).
A carbonic anhydrase inhibitor that is used in the treatment of glaucoma.
Moderate
1
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[ [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} (Compound) upregulates {v} (Gene)", "PLCB3" ], [ "PLCB3", "{u} (Gene) is upregulated by {v} (Compound)", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} (Compound) causes {v} (Side Effect)", "Confusional state" ], [ "Confusional state", "{u} (Side Effect) is caused by {v} (Compound)", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lactulose" ], [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Methyclothiazide" ], [ "Methyclothiazide", "{u} (Compound) resembles {v} (Compound)", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} (Compound) upregulates {v} (Gene)", "PLCB3" ], [ "PLCB3", "{u} (Gene) is upregulated by {v} (Compound)", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenamide" ] ], [ [ "Irinotecan", "{u} (Compound) causes {v} (Side Effect)", "Confusional state" ], [ "Confusional state", "{u} (Side Effect) is caused by {v} (Compound)", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Diclofenamide" ] ] ]
Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide and Hydrochlorothiazide (Compound) resembles Diclofenamide (Compound) Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide (Compound) resembles Diclofenamide (Compound) Irinotecan (Compound) upregulates PLCB3 (Gene) and PLCB3 (Gene) is upregulated by Diclofenamide (Compound) Irinotecan (Compound) causes Confusional state (Side Effect) and Confusional state (Side Effect) is caused by Diclofenamide (Compound) Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Diclofenamide Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Lactulose and Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Diclofenamide Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide and Hydrochlorothiazide (Compound) resembles Methyclothiazide (Compound) and Methyclothiazide (Compound) resembles Diclofenamide (Compound) Irinotecan (Compound) upregulates PLCB3 (Gene) and PLCB3 (Gene) is upregulated by Betamethasone (Compound) and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Diclofenamide Irinotecan (Compound) causes Confusional state (Side Effect) and Confusional state (Side Effect) is caused by Hydrochlorothiazide (Compound) and Hydrochlorothiazide (Compound) resembles Diclofenamide (Compound)
DB00342
DB12161
1,181
730
[ "DDInter1770", "DDInter512" ]
Terfenadine
Deutetrabenazine
In the U.S., Terfenadine was superseded by fexofenadine in the 1990s due to the risk of cardiac arrhythmia caused by QT interval prolongation.
Deutetrabenazine is a novel, highly selective vesicular monoamine transporter 2 (VMAT2) inhibitor indicated for the management of chorea associated with Huntington’s disease. It is a hexahydro-dimethoxybenzoquinolizine derivative and a deuterated . The presence of deuterium in deutetrabenazine increases the half-lives of the active metabolite and prolongs their pharmacological activity by attenuating CYP2D6 metabolism of the compound . This allows less frequent dosing and a lower daily dose with improvement in tolerability . Decreased plasma fluctuations of deutetrabenazine due to attenuated metabolism may explain a lower incidence of adverse reactions associated with deutetrabenazine . Deutetrabenazine is a racemic mixture containing RR-Deutetrabenazine and SS-Deutetrabenazine [FDA Label]. Huntington's disease (HD) is a hereditary, progressive neurodegenerative disorder characterized by motor dysfunction, cognitive decline, and neuropsychiatric disturbances that interfere with daily functioning and significantly reduce the quality of life. The most prominent physical symptom of HD that may increase the risk of injury is chorea, which is an involuntary, sudden movement that can affect any muscle and flow randomly across body regions . Psychomotor symptoms of HD, such as chorea, are related to hyperactive dopaminergic neurotransmission . Deutetrabenazine depletes the levels of presynaptic dopamine by blocking VMAT2, which is responsible for the uptake of dopamine into synaptic vesicles in monoaminergic neurons and exocytotic release . As with other agents for the treatment of neurodegenerative diseases, deutetrabenazine is a drug to alleviate the motor symptoms of HD and is not proposed to halt the progression of the disease . In clinical trials of patients with HD, 12 weeks of treatment of deutetrabenazine resulted in overall improvement in mean total maximal chorea scores and motor signs than placebo . It was approved by FDA in April 2017 and is marketed under the trade name Austedo as oral tablets.
Moderate
1
[ [ [ 1181, 24, 730 ] ], [ [ 1181, 23, 112 ], [ 112, 23, 730 ] ], [ [ 1181, 24, 322 ], [ 322, 24, 730 ] ], [ [ 1181, 63, 521 ], [ 521, 24, 730 ] ], [ [ 1181, 24, 283 ], [ 283, 63, 730 ] ], [ [ 1181, 25, 918 ], [ 918, 24, 730 ] ], [ [ 1181, 64, 600 ], [ 600, 24, 730 ] ], [ [ 1181, 25, 11 ], [ 11, 25, 730 ] ], [ [ 1181, 64, 702 ], [ 702, 25, 730 ] ], [ [ 1181, 25, 877 ], [ 877, 64, 730 ] ] ]
[ [ [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bicalutamide" ], [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ], [ [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ] ]
Terfenadine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Deutetrabenazine Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Terfenadine may lead to a major life threatening interaction when taken with Bicalutamide and Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Terfenadine may lead to a major life threatening interaction when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Terfenadine may lead to a major life threatening interaction when taken with Toremifene and Toremifene may lead to a major life threatening interaction when taken with Deutetrabenazine Terfenadine may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Deutetrabenazine Terfenadine may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Deutetrabenazine
DB00341
DB01142
1,242
1,264
[ "DDInter343", "DDInter593" ]
Cetirizine
Doxepin
Cetirizine, also commonly known as _Zyrtec_, is an orally active second-generation histamine H1 antagonist proven effective in the treatment of various allergic symptoms, such as sneezing, coughing, nasal congestion, hives, and other symptoms,. One of the most common uses for this drug is for a condition called _allergic rhinitis_. The prevalence of allergic rhinitis in the United States is about 15% according to physician diagnoses, and up to 30%, according to self-reported nasal symptoms. Allergic rhinitis is associated with multiple missed or unproductive days at work and school, problems with sleep, and other difficulties with day to day activities for many individuals. Furthermore, some antihistamine agents that are used to treat this condition cause undesirable, sedating effects. Cetirizine is one of the first second-generation H1 antihistamines (SGAHs) formulated to selectively inhibit the H1 receptor
Doxepin is a psychotropic agent with antidepressant and anxiolytic properties. It is a tertiary amine that can be presented as (E) and (Z) stereoisomers with the (Z) stereoisomer corresponding to [cidoxepin]. Doxepin commonly produces a 5:1 (E):(Z) racemic mixture. In a strict sense, doxepin is not a tricyclic antidepressant but it is commonly associated with the class since it shares a lot of properties with members of the drug family including [amitriptyline], [clomipramine], [desipramine], [imipramine], [nortriptyline], [protriptyline] and [trimipramine]. Doxepin was developed by Pfizer and FDA approved in 1969 as an antidepressant. However, in 2010 it was approved for the treatment of insomnia. The latter indication was presented by Pernix Therapeutics.
Moderate
1
[ [ [ 1242, 24, 1264 ] ], [ [ 1242, 24, 508 ], [ 508, 24, 1264 ] ], [ [ 1242, 40, 11296 ], [ 11296, 40, 1264 ] ], [ [ 1242, 24, 649 ], [ 649, 63, 1264 ] ], [ [ 1242, 24, 1405 ], [ 1405, 25, 1264 ] ], [ [ 1242, 6, 10104 ], [ 10104, 45, 1264 ] ], [ [ 1242, 21, 29226 ], [ 29226, 60, 1264 ] ], [ [ 1242, 63, 459 ], [ 459, 24, 1264 ] ], [ [ 1242, 74, 701 ], [ 701, 24, 1264 ] ], [ [ 1242, 35, 252 ], [ 252, 24, 1264 ] ] ]
[ [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound)", "Bromodiphenhydramine" ], [ "Bromodiphenhydramine", "{u} (Compound) resembles {v} (Compound)", "Doxepin" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ], [ "Cyclobenzaprine", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ] ], [ [ "Cetirizine", "{u} (Compound) binds {v} (Gene)", "HRH1" ], [ "HRH1", "{u} (Gene) is bound by {v} (Compound)", "Doxepin" ] ], [ [ "Cetirizine", "{u} (Compound) causes {v} (Side Effect)", "Sinusitis" ], [ "Sinusitis", "{u} (Side Effect) is caused by {v} (Compound)", "Doxepin" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethchlorvynol" ], [ "Ethchlorvynol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxyzine" ], [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ] ]
Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Promazine and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Cetirizine (Compound) resembles Bromodiphenhydramine (Compound) and Bromodiphenhydramine (Compound) resembles Doxepin (Compound) Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine and Cyclobenzaprine may lead to a major life threatening interaction when taken with Doxepin Cetirizine (Compound) binds HRH1 (Gene) and HRH1 (Gene) is bound by Doxepin (Compound) Cetirizine (Compound) causes Sinusitis (Side Effect) and Sinusitis (Side Effect) is caused by Doxepin (Compound) Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Ethchlorvynol and Ethchlorvynol may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Cetirizine (Compound) resembles Clemastine (Compound) and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Cetirizine (Compound) resembles Hydroxyzine (Compound) and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxyzine and Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin
DB00377
DB04896
1,494
901
[ "DDInter1382", "DDInter1220" ]
Palonosetron
Milnacipran
Palonosetron (INN, trade name Aloxi) is an antagonist of 5-HT3 receptors that is indicated for the prevention and treatment of chemotherapy-induced nausea and vomiting (CINV). It is the most effective of the 5-HT3 antagonists in controlling delayed CINV nausea and vomiting that appear more than 24 hours after the first dose of a course of chemotherapy and is the only drug of its class approved for this use by the U.S. Food and Drug Administration. As of 2008, it is the most recent 5-HT3 antagonist to enter clinical use.
Milnacipran is a selective serotonin and norepinephrine reuptake inhibitor (SNRI) and like many agents in this category was originally developed for and continues to be approved and indicated for the treatment of depression [F3928, F3934, A175786, A175951]. Furthermore, in 2009 the US FDA approved milnacipran for the additional indication of treating fibromyalgia , although other regional regulatory authorities like the EMA, among others, have not yet approved the agent for such treatment, citing lack of robust evidence of efficacy, insufficient demonstration of maintenance of effect, and other concerns [F3928, F3934]. Nevertheless, milnacipran demonstrates a somewhat unique characteristic among SNRIs to elicit a relatively balanced reuptake inhibition of both serotonin and noradrenaline, with a somewhat increased preference for noradrenaline reuptake inhibition - which is potentially a point of interest given the plausible proposal that noradrenaline plays an important role in the mitigation of pain signals in the descending inhibitory pain pathways in the brain and spinal cord [A175759, A175843, A175846]. Moreover, recent research has shown that the levorotatory enantiomer of milnacipran, levomilnacipran, may have the capacity to inhibit the activity of beta-site amyloid precursor protein cleaving enzyme-1 (BACE-1), which has investigationally been associated with β-amyloid plaque formation - making the agent a possible course of treatment for Alzheimer's disease .
Major
2
[ [ [ 1494, 25, 901 ] ], [ [ 1494, 25, 41 ], [ 41, 1, 901 ] ], [ [ 1494, 25, 1349 ], [ 1349, 40, 901 ] ], [ [ 1494, 21, 29269 ], [ 29269, 60, 901 ] ], [ [ 1494, 24, 1148 ], [ 1148, 24, 901 ] ], [ [ 1494, 24, 144 ], [ 144, 63, 901 ] ], [ [ 1494, 63, 475 ], [ 475, 24, 901 ] ], [ [ 1494, 64, 702 ], [ 702, 24, 901 ] ], [ [ 1494, 25, 1618 ], [ 1618, 63, 901 ] ], [ [ 1494, 25, 121 ], [ 121, 25, 901 ] ] ]
[ [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} (Compound) resembles {v} (Compound)", "Milnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Meperidine" ], [ "Meperidine", "{u} (Compound) resembles {v} (Compound)", "Milnacipran" ] ], [ [ "Palonosetron", "{u} (Compound) causes {v} (Side Effect)", "Menopausal symptoms" ], [ "Menopausal symptoms", "{u} (Side Effect) is caused by {v} (Compound)", "Milnacipran" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ], [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ] ] ]
Palonosetron may lead to a major life threatening interaction when taken with Levomilnacipran and Levomilnacipran (Compound) resembles Milnacipran (Compound) Palonosetron may lead to a major life threatening interaction when taken with Meperidine and Meperidine (Compound) resembles Milnacipran (Compound) Palonosetron (Compound) causes Menopausal symptoms (Side Effect) and Menopausal symptoms (Side Effect) is caused by Milnacipran (Compound) Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol and Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Palonosetron may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Palonosetron may lead to a major life threatening interaction when taken with Cabozantinib and Cabozantinib may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Palonosetron may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may lead to a major life threatening interaction when taken with Milnacipran
DB01149
DB01246
851
820
[ "DDInter1274", "DDInter45" ]
Nefazodone
Alimemazine
Nefazodone hydrochloride (trade name Serzone) is an antidepressant drug marketed by Bristol-Myers Squibb. Its sale was discontinued in 2003 in some countries, due to the small possibility of hepatic (liver) injury. Drug-induced hepatic injuries were associated with an risk of elevated need for a liver transplant, or even death, with the incidence of severe liver damage was shown to be approximately 1 in 250,000 to 300,000 patient-years. On May 20, 2004, Bristol-Myers Squibb discontinued the sale of Serzone in the United States.
A phenothiazine derivative that is used as an antipruritic.
Moderate
1
[ [ [ 851, 24, 820 ] ], [ [ 851, 1, 11237 ], [ 11237, 40, 820 ] ], [ [ 851, 63, 401 ], [ 401, 24, 820 ] ], [ [ 851, 24, 649 ], [ 649, 1, 820 ] ], [ [ 851, 40, 11224 ], [ 11224, 1, 820 ] ], [ [ 851, 6, 8374 ], [ 8374, 45, 820 ] ], [ [ 851, 18, 6797 ], [ 6797, 57, 820 ] ], [ [ 851, 21, 28662 ], [ 28662, 60, 820 ] ], [ [ 851, 1, 252 ], [ 252, 24, 820 ] ], [ [ 851, 25, 477 ], [ 477, 24, 820 ] ] ]
[ [ [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Acetophenazine" ], [ "Acetophenazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Thioproperazine" ], [ "Thioproperazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Nefazodone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Alimemazine" ] ], [ [ "Nefazodone", "{u} (Compound) downregulates {v} (Gene)", "CYCS" ], [ "CYCS", "{u} (Gene) is downregulated by {v} (Compound)", "Alimemazine" ] ], [ [ "Nefazodone", "{u} (Compound) causes {v} (Side Effect)", "Tremor" ], [ "Tremor", "{u} (Side Effect) is caused by {v} (Compound)", "Alimemazine" ] ], [ [ "Nefazodone", "{u} (Compound) resembles {v} (Compound)", "Hydroxyzine" ], [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Nefazodone", "{u} may lead to a major life threatening interaction when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ] ]
Nefazodone (Compound) resembles Acetophenazine (Compound) and Acetophenazine (Compound) resembles Alimemazine (Compound) Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Alimemazine (Compound) Nefazodone (Compound) resembles Thioproperazine (Compound) and Thioproperazine (Compound) resembles Alimemazine (Compound) Nefazodone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Alimemazine (Compound) Nefazodone (Compound) downregulates CYCS (Gene) and CYCS (Gene) is downregulated by Alimemazine (Compound) Nefazodone (Compound) causes Tremor (Side Effect) and Tremor (Side Effect) is caused by Alimemazine (Compound) Nefazodone (Compound) resembles Hydroxyzine (Compound) and Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine Nefazodone may lead to a major life threatening interaction when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine
DB00363
DB00377
695
1,494
[ "DDInter419", "DDInter1382" ]
Clozapine
Palonosetron
Clozapine is a tricyclic dibenzodiazepine, classified as an atypical antipsychotic agent. Clozapine displays affinity to various neuroreceptors with a particularly low affinity to the dopamine receptors, thus breaking the mold of first-generation antipsychotics and deeming it "atypical".. This low affinity to dopamine receptors results in fewer extrapyramidal side effects, especially tardive dyskinesia. However, its promiscuity toward the muscarinic and adrenergic receptors can result in other side effects, notably gastrointestinal hypomotility and orthostatic hypotension. [L905,A215552]. Despite its effectiveness in treating both positive and negative symptoms of schizophrenia, clozapine was briefly removed from the market in various jurisdictions in 1970 due to severe agranulocytosis.[A256713,A256718] However, continued evidence of its effectiveness led to clozapine's eventual reintroduction, although
Palonosetron (INN, trade name Aloxi) is an antagonist of 5-HT3 receptors that is indicated for the prevention and treatment of chemotherapy-induced nausea and vomiting (CINV). It is the most effective of the 5-HT3 antagonists in controlling delayed CINV nausea and vomiting that appear more than 24 hours after the first dose of a course of chemotherapy and is the only drug of its class approved for this use by the U.S. Food and Drug Administration. As of 2008, it is the most recent 5-HT3 antagonist to enter clinical use.
Major
2
[ [ [ 695, 25, 1494 ] ], [ [ 695, 6, 17589 ], [ 17589, 45, 1494 ] ], [ [ 695, 23, 112 ], [ 112, 62, 1494 ] ], [ [ 695, 25, 1148 ], [ 1148, 63, 1494 ] ], [ [ 695, 64, 600 ], [ 600, 24, 1494 ] ], [ [ 695, 24, 543 ], [ 543, 63, 1494 ] ], [ [ 695, 1, 623 ], [ 623, 63, 1494 ] ], [ [ 695, 40, 867 ], [ 867, 24, 1494 ] ], [ [ 695, 40, 1178 ], [ 1178, 63, 1494 ] ], [ [ 695, 25, 1593 ], [ 1593, 64, 1494 ] ] ]
[ [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Palonosetron" ] ], [ [ "Clozapine", "{u} (Compound) binds {v} (Gene)", "HTR3A" ], [ "HTR3A", "{u} (Gene) is bound by {v} (Compound)", "Palonosetron" ] ], [ [ "Clozapine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palonosetron" ] ], [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ] ], [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ] ], [ [ "Clozapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ] ], [ [ "Clozapine", "{u} (Compound) resembles {v} (Compound)", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ] ], [ [ "Clozapine", "{u} (Compound) resembles {v} (Compound)", "Olanzapine" ], [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ] ], [ [ "Clozapine", "{u} (Compound) resembles {v} (Compound)", "Trifluoperazine" ], [ "Trifluoperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ] ], [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Palonosetron" ] ] ]
Clozapine (Compound) binds HTR3A (Gene) and HTR3A (Gene) is bound by Palonosetron (Compound) Clozapine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Palonosetron Clozapine may lead to a major life threatening interaction when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron Clozapine may lead to a major life threatening interaction when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron Clozapine may cause a moderate interaction that could exacerbate diseases when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron Clozapine (Compound) resembles Quetiapine (Compound) and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron Clozapine (Compound) resembles Olanzapine (Compound) and Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron Clozapine (Compound) resembles Trifluoperazine (Compound) and Trifluoperazine may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron Clozapine may lead to a major life threatening interaction when taken with Crizotinib and Crizotinib may lead to a major life threatening interaction when taken with Palonosetron
DB01276
DB06791
123
1,446
[ "DDInter706", "DDInter1021" ]
Exenatide
Lanreotide
Exenatide is a glucagon-like peptide-1 (GLP-1) analog. It activates the GLP-1 receptor and increases insulin secretion, decreases glucagon secretion, and slows gastric emptying to improve glycemic control. Exenatide was given FDA approval on April 28, 2005. It is available as immediate- and extended-release formulations.[L42685,L42690] Bydureon, the brand name product of extended-release exenatide in an injectable suspension, was discontinued in 2021. Bydureon BCise, an auto-injector extended-release formulation, remains available.
Lanreotide is a drug employed in the management of acromegaly (a hormonal condition caused by excess growth hormone) in addition to symptoms caused by neuroendocrine tumors, especially carcinoid syndrome. This drug is a long-acting analog of the drug somatostatin, a growth hormone inhibitor. Lanreotide is manufactured by the company, _Ipsen Pharmaceuticals_ as lanreotide acetate, and marketed as _Somatuline_. It is approved in several countries worldwide, including the United Kingdom, Australia, and Canada. Lanreotide was first approved for use in the United States by the FDA on August 30, 2007.
Moderate
1
[ [ [ 123, 24, 1446 ] ], [ [ 123, 24, 154 ], [ 154, 63, 1446 ] ], [ [ 123, 63, 1685 ], [ 1685, 24, 1446 ] ], [ [ 123, 24, 1254 ], [ 1254, 24, 1446 ] ], [ [ 123, 62, 1252 ], [ 1252, 24, 1446 ] ], [ [ 123, 24, 154 ], [ 154, 24, 466 ], [ 466, 62, 1446 ] ], [ [ 123, 63, 1685 ], [ 1685, 24, 154 ], [ 154, 63, 1446 ] ], [ [ 123, 24, 1254 ], [ 1254, 24, 154 ], [ 154, 63, 1446 ] ], [ [ 123, 24, 1296 ], [ 1296, 63, 154 ], [ 154, 63, 1446 ] ], [ [ 123, 63, 473 ], [ 473, 24, 466 ], [ 466, 62, 1446 ] ] ]
[ [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurasidone" ], [ "Lurasidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin human" ], [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glulisine" ], [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Digoxin" ], [ "Digoxin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurasidone" ], [ "Lurasidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin human" ], [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurasidone" ], [ "Lurasidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glulisine" ], [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurasidone" ], [ "Lurasidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurasidone" ], [ "Lurasidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lanreotide" ] ] ]
Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Lurasidone and Lurasidone may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Insulin human and Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Insulin glulisine and Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Exenatide may cause a minor interaction that can limit clinical effects when taken with Digoxin and Digoxin may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Lurasidone and Lurasidone may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Lanreotide Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Insulin human and Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Lurasidone and Lurasidone may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Insulin glulisine and Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Lurasidone and Lurasidone may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Lurasidone and Lurasidone may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Lanreotide
DB00682
DB00991
126
97
[ "DDInter1951", "DDInter1358" ]
Warfarin
Oxaprozin
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors.
Oxaprozin is a non-narcotic, non-steroidal anti-inflammatory drug (NSAID), used to relieve the inflammation, swelling, stiffness, and joint pain associated with osteoarthritis and rheumatoid arthritis.
Major
2
[ [ [ 126, 36, 97 ] ], [ [ 126, 63, 362 ], [ 362, 1, 97 ] ], [ [ 126, 36, 1274 ], [ 1274, 24, 97 ] ], [ [ 126, 35, 307 ], [ 307, 1, 97 ] ], [ [ 126, 1, 11312 ], [ 11312, 40, 97 ] ], [ [ 126, 24, 371 ], [ 371, 40, 97 ] ], [ [ 126, 25, 998 ], [ 998, 1, 97 ] ], [ [ 126, 63, 1236 ], [ 1236, 40, 97 ] ], [ [ 126, 6, 6017 ], [ 6017, 45, 97 ] ], [ [ 126, 63, 752 ], [ 752, 23, 97 ] ] ]
[ [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Oxaprozin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound)", "Phenprocoumon" ], [ "Phenprocoumon", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propafenone" ], [ "Propafenone", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ], [ "Carbamazepine", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Warfarin", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Oxaprozin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Oxaprozin" ] ] ]
Warfarin (Compound) resembles Oxaprozin (Compound) and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Oxaprozin (Compound) Warfarin (Compound) resembles Flurbiprofen (Compound) and Warfarin may lead to a major life threatening interaction when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin Warfarin (Compound) resembles Modafinil (Compound) and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Modafinil and Modafinil (Compound) resembles Oxaprozin (Compound) Warfarin (Compound) resembles Phenprocoumon (Compound) and Phenprocoumon (Compound) resembles Oxaprozin (Compound) Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Propafenone and Propafenone (Compound) resembles Oxaprozin (Compound) Warfarin may lead to a major life threatening interaction when taken with Phenylbutazone and Phenylbutazone (Compound) resembles Oxaprozin (Compound) Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine and Carbamazepine (Compound) resembles Oxaprozin (Compound) Warfarin (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Oxaprozin (Compound) Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Oxaprozin
DB08903
DB09080
996
144
[ "DDInter170", "DDInter1331" ]
Bedaquiline
Olodaterol
Bedaquiline is a bactericidal antimycobacterial drug belonging to the class of diarylquinoline. The quinolinic central heterocyclic nucleus with alcohol and amine side chains is responsible for bedaquiline-mediated antimycobacterial activity. Although it is closely related to fluoroquinolones, bedaquiline does not affect DNA gyrase; instead, bedaquiline inhibits the c subunit of ATP synthase responsible for synthesizing ATP. Consequently, bedaquiline can be used to treat mycobacterial infection, particularly tuberculosis (TB). Although the current standard of TB treatment of anti-TB drugs for 2 months, including 2 key drugs [isoniazid] and [rifampin], is highly effective, the emergence of multidrug-resistant TB (MDR-TB) to [isoniazid] and [rifampin] has substantially worsened patients outcome. Bedaquiline was approved by the FDA on December 28,
Olodaterol is a novel, long-acting beta2-adrenergic agonist (LABA) that exerts its pharmacological effect by binding and activating beta2-adrenergic receptors located primarily in the lungs. Beta2-adrenergic receptors are membrane-bound receptors that are normally activated by endogenous epinephrine whose signalling, via a downstream L-type calcium channel interaction, mediates smooth muscle relaxation and bronchodilation. Activation of the receptor stimulates an associated G protein which then activates adenylate cyclase, catalyzing the formation of cyclic adenosine monophosphate (cAMP) and protein kinase A (PKA). Elevation of these two molecules induces bronchodilation by relaxation of airway smooth muscles. It is by this mechanism that olodaterol is used for the treatment of chronic obstructive pulmonary disease (COPD) and the progressive airflow obstruction that is characteristic of it. Treatment with bronchodilators helps to mitigate associated symptoms such as shortness of breath, cough, and sputum production. Single doses of olodaterol have been shown to improve forced expiratory volume in 1 sec (FEV1) for 24 h in patients with COPD, allowing once daily dosing. A once-a-day treatment with a LABA has several advantages over short-acting bronchodilators and twice-daily LABAs including improved convenience and compliance and improved airflow over a 24-hour period. Despite similarities in symptoms, olodaterol is not indicated for the treatment of acute exacerbations of COPD or for the treatment of asthma.
Moderate
1
[ [ [ 996, 24, 144 ] ], [ [ 996, 64, 1011 ], [ 1011, 24, 144 ] ], [ [ 996, 75, 11 ], [ 11, 24, 144 ] ], [ [ 996, 63, 543 ], [ 543, 24, 144 ] ], [ [ 996, 25, 823 ], [ 823, 63, 144 ] ], [ [ 996, 24, 659 ], [ 659, 63, 144 ] ], [ [ 996, 25, 1228 ], [ 1228, 24, 144 ] ], [ [ 996, 25, 877 ], [ 877, 64, 144 ] ], [ [ 996, 64, 1011 ], [ 1011, 62, 1247 ], [ 1247, 23, 144 ] ], [ [ 996, 75, 11 ], [ 11, 23, 1247 ], [ 1247, 23, 144 ] ] ]
[ [ [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Triclabendazole" ], [ "Triclabendazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Lenvatinib" ], [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Olodaterol" ] ], [ [ "Bedaquiline", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Olodaterol" ] ] ]
Bedaquiline may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Bedaquiline (Compound) resembles Toremifene (Compound) and Bedaquiline may lead to a major life threatening interaction when taken with Toremifene and Toremifene may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Bedaquiline may lead to a major life threatening interaction when taken with Triclabendazole and Triclabendazole may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Bedaquiline may lead to a major life threatening interaction when taken with Lenvatinib and Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Bedaquiline may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Olodaterol Bedaquiline may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Olodaterol Bedaquiline (Compound) resembles Toremifene (Compound) and Bedaquiline may lead to a major life threatening interaction when taken with Toremifene and Toremifene may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Olodaterol
DB00063
DB00682
366
126
[ "DDInter659", "DDInter1951" ]
Eptifibatide
Warfarin
Synthetic cyclic hexapeptide that binds to platelet receptor glycoprotein and inhibits platelet aggregation. Derived from venom of the Southeastern pygmy rattlesnake (Sistrurus miliarus barbouri), eptifibatide is a cyclic heptapeptide that belongs to the class of arginin-glycin-aspartat-mimetics.
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors.
Major
2
[ [ [ 366, 25, 126 ] ], [ [ 366, 23, 944 ], [ 944, 62, 126 ] ], [ [ 366, 24, 477 ], [ 477, 62, 126 ] ], [ [ 366, 24, 557 ], [ 557, 63, 126 ] ], [ [ 366, 24, 1100 ], [ 1100, 24, 126 ] ], [ [ 366, 25, 1018 ], [ 1018, 24, 126 ] ], [ [ 366, 63, 1595 ], [ 1595, 24, 126 ] ], [ [ 366, 25, 1317 ], [ 1317, 63, 126 ] ], [ [ 366, 24, 1171 ], [ 1171, 64, 126 ] ], [ [ 366, 25, 405 ], [ 405, 64, 126 ] ] ]
[ [ [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chamomile" ], [ "Chamomile", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deoxycholic acid" ], [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venlafaxine" ], [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Collagenase clostridium histolyticum" ], [ "Collagenase clostridium histolyticum", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Dipyridamole" ], [ "Dipyridamole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Meloxicam" ], [ "Meloxicam", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ] ], [ [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ], [ "Acalabrutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ] ] ]
Eptifibatide may cause a minor interaction that can limit clinical effects when taken with Chamomile and Chamomile may cause a minor interaction that can limit clinical effects when taken with Warfarin Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol and Cilostazol may cause a minor interaction that can limit clinical effects when taken with Warfarin Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Deoxycholic acid and Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Venlafaxine and Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Eptifibatide may lead to a major life threatening interaction when taken with Ticlopidine and Ticlopidine may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Collagenase clostridium histolyticum and Collagenase clostridium histolyticum may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Eptifibatide may lead to a major life threatening interaction when taken with Dipyridamole and Dipyridamole may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Meloxicam and Meloxicam may lead to a major life threatening interaction when taken with Warfarin Eptifibatide may lead to a major life threatening interaction when taken with Acalabrutinib and Acalabrutinib may lead to a major life threatening interaction when taken with Warfarin
DB00531
DB00912
450
473
[ "DDInter456", "DDInter1581" ]
Cyclophosphamide
Repaglinide
Precursor of an alkylating nitrogen mustard antineoplastic and immunosuppressive agent that must be activated in the liver to form the active aldophosphamide. It has been used in the treatment of lymphoma and leukemia. Its side effect, alopecia, has been used for defleecing sheep. Cyclophosphamide may also cause sterility, birth defects, mutations, and cancer.
Repaglinide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It belongs to the meglitinide class of short-acting insulin secretagogues, which act by binding to β cells of the pancreas to stimulate insulin release. Repaglinide induces an early insulin response to meals decreasing postprandial blood glucose levels. It should only be taken with meals and meal-time doses should be skipped with any skipped meal. Approximately one month of therapy is required before a decrease in fasting blood glucose is seen. Meglitnides may have a neutral effect on weight or cause a slight increase in weight. The average weight gain caused by meglitinides appears to be lower than that caused by sulfonylureas and insulin and appears to occur only in those naïve to oral antidiabetic agents. Due to their mechanism of action, meglitinides may cause hypoglycemia although the risk is thought to be lower than that of sulfonylureas since their action is dependent on the presence of glucose. In addition to reducing postprandial and fasting blood glucose, meglitnides have been shown to decrease glycosylated hemoglobin (HbA1c) levels, which are reflective of the last 8-10 weeks of glucose control. Meglitinides appear to be more effective at lowering postprandial blood glucose than metformin, sulfonylureas and thiazolidinediones. Repaglinide is extensively metabolized in the liver and excreted in bile. Repaglinide metabolites do not possess appreciable hypoglycemic activity. Approximately 90% of a single orally administered dose is eliminated in feces and 8% in urine.
Moderate
1
[ [ [ 450, 24, 473 ] ], [ [ 450, 6, 3486 ], [ 3486, 45, 473 ] ], [ [ 450, 21, 28763 ], [ 28763, 60, 473 ] ], [ [ 450, 63, 798 ], [ 798, 24, 473 ] ], [ [ 450, 24, 1580 ], [ 1580, 63, 473 ] ], [ [ 450, 24, 1014 ], [ 1014, 24, 473 ] ], [ [ 450, 64, 695 ], [ 695, 24, 473 ] ], [ [ 450, 35, 1532 ], [ 1532, 63, 473 ] ], [ [ 450, 62, 597 ], [ 597, 24, 473 ] ], [ [ 450, 25, 1510 ], [ 1510, 63, 473 ] ] ]
[ [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} (Compound) causes {v} (Side Effect)", "Chest pain" ], [ "Chest pain", "{u} (Side Effect) is caused by {v} (Compound)", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nelfinavir" ], [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ], [ "Stiripentol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ], [ "Benzthiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Clozapine" ], [ "Clozapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ], [ [ "Cyclophosphamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ] ] ]
Cyclophosphamide (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Repaglinide (Compound) Cyclophosphamide (Compound) causes Chest pain (Side Effect) and Chest pain (Side Effect) is caused by Repaglinide (Compound) Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Nelfinavir and Nelfinavir may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol and Stiripentol may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide and Benzthiazide may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Cyclophosphamide may lead to a major life threatening interaction when taken with Clozapine and Clozapine may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Cyclophosphamide (Compound) resembles Ifosfamide (Compound) and Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Chloramphenicol and Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide Cyclophosphamide may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide
DB00407
DB06228
202
792
[ "DDInter115", "DDInter1609" ]
Ardeparin
Rivaroxaban
Ardeparin, marketed under the US trade name Normiflo, is a low molecular weight heparin (LMWH) anticoagulant used for the prevention of postoperative venous thrombosis. Ardeparin is derived via peroxide degradation of heparin extracted from porcine intestinal mucosa. Its molecular weight ranges from 2000 to 15,000 with an average molecular weight of 5500 to 6500. Normiflo was withdrawn from the US market in March 2000.
Rivaroxaban is an anticoagulant and the first orally active direct factor Xa inhibitor. Unlike warfarin, routine lab monitoring of INR is not necessary. However there is no antidote available in the event of a major bleed. Only the 10 mg tablet can be taken without regard to food. The 15 mg and 20 mg tablet should be taken with food. FDA approved on July 1, 2011.
Major
2
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[ [ [ "Ardeparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} (Compound) causes {v} (Side Effect)", "Pruritus" ], [ "Pruritus", "{u} (Side Effect) is caused by {v} (Compound)", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deoxycholic acid" ], [ "Deoxycholic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ], [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Collagenase clostridium histolyticum" ], [ "Collagenase clostridium histolyticum", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Regorafenib" ], [ "Regorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Ardeparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ] ]
Ardeparin (Compound) causes Pruritus (Side Effect) and Pruritus (Side Effect) is caused by Rivaroxaban (Compound) Ardeparin may cause a moderate interaction that could exacerbate diseases when taken with Deoxycholic acid and Deoxycholic acid may cause a moderate interaction that could exacerbate diseases when taken with Rivaroxaban Ardeparin may cause a moderate interaction that could exacerbate diseases when taken with Niraparib and Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Rivaroxaban Ardeparin may cause a moderate interaction that could exacerbate diseases when taken with Collagenase clostridium histolyticum and Collagenase clostridium histolyticum may cause a moderate interaction that could exacerbate diseases when taken with Rivaroxaban Ardeparin may lead to a major life threatening interaction when taken with Regorafenib and Regorafenib may lead to a major life threatening interaction when taken with Rivaroxaban Ardeparin may lead to a major life threatening interaction when taken with Epoprostenol and Epoprostenol may lead to a major life threatening interaction when taken with Rivaroxaban Ardeparin may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Rivaroxaban Ardeparin (Compound) resembles Fondaparinux (Compound) and Ardeparin may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may lead to a major life threatening interaction when taken with Rivaroxaban Ardeparin may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Ardeparin may lead to a major life threatening interaction when taken with Flurbiprofen and Flurbiprofen may lead to a major life threatening interaction when taken with Rivaroxaban
DB00186
DB01233
905
1,311
[ "DDInter1092", "DDInter1197" ]
Lorazepam
Metoclopramide
Lorazepam is a short-acting and rapidly cleared benzodiazepine used commonly as a sedative and anxiolytic. It was developed by DJ Richards, presented and marketed initially by Wyeth Pharmaceuticals in the USA in 1977. The first historic FDA label approval is reported in 1985 by the company Mutual Pharm.
Diabetic gastroparesis is a condition that causes frequent nausea and vomiting, which has a negative impact on quality of life and poses a significant burden on the healthcare system. Metoclopramide is a dopamine antagonist used to treat nausea and vomiting that may be associated with diabetic gastroparesis in addition to gastroesophageal reflux disease (GERD). It can also be used to prevent nausea or vomiting associated with chemotherapy or certain surgical or diagnostic procedures. One unique property of this drug is that it does not increase gastric acid secretion. It is available in the oral tablet form or in solution, and can also be administered through the intravenous route. Metoclopramide was initially approved by the FDA in 1980.
Moderate
1
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[ [ [ "Lorazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} (Compound) causes {v} (Side Effect)", "Somnolence" ], [ "Somnolence", "{u} (Side Effect) is caused by {v} (Compound)", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Clonazepam" ], [ "Clonazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Quazepam" ], [ "Quazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Clozapine" ], [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ] ], [ [ "Lorazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ] ] ]
Lorazepam (Compound) causes Somnolence (Side Effect) and Somnolence (Side Effect) is caused by Metoclopramide (Compound) Lorazepam may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Lorazepam may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Lorazepam (Compound) resembles Clonazepam (Compound) and Clonazepam may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Lorazepam (Compound) resembles Quazepam (Compound) and Quazepam may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Lorazepam may lead to a major life threatening interaction when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Lorazepam (Compound) resembles Clozapine (Compound) and Clozapine may lead to a major life threatening interaction when taken with Metoclopramide Lorazepam may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine may lead to a major life threatening interaction when taken with Metoclopramide Lorazepam may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may lead to a major life threatening interaction when taken with Metoclopramide
DB00450
DB09082
78
659
[ "DDInter603", "DDInter1934" ]
Droperidol
Vilanterol
A butyrophenone with general properties similar to those of haloperidol. It is used in conjunction with an opioid analgesic such as fentanyl to maintain the patient in a calm state of neuroleptanalgesia with indifference to surroundings but still able to cooperate with the surgeon. It is also used as a premedicant, as an antiemetic, and for the control of agitation in acute psychoses. (From Martindale, The Extra Pharmacopoeia, 29th ed, p593)
Vilanterol is a selective long-acting β2-adrenergic agonist (LABA) with inherent 24-hour activity for the once-daily treatment of COPD and asthma. This is in response to the need for longer-acting β2-adrenergic agonists to overcome poor patient compliance (due to the frequency of dosing regimens or complexities of drug administration). Vilanterol was designed based on the salmeterol molecular scaffold, particularly as a antedrug analog of salmeterol modification by modifying the salmeterol molecule to create homochiral compounds with the (R)-configuration. Vilanterol is 1000 and 400 fold more selective for β2 than β1 and β3 adrenoceptors, respectively, with a faster onset of action than salmeterol. Additionally, vilanterol demonstrated a significantly longer duration of action than salmeterol, with the bronchodilator effect still apparent at 22h. Vilanterol's pharmacological effect is attributable to stimulation of intracellular adenylyl cyclase which catalyzes the conversion of adenosine triphosphate (ATP) to cyclic-3',5'-adenosine monophosphate (cAMP). Increases in cyclic AMP are associated with the relaxation of bronchial smooth muscle and inhibition of the release of hypersensitivity mediators from mast cells in the lungs.[A7738,A259961] Vilanterol is approved for use in several combination products such as with [fluticasone furoate] under the tradename BREO ELLIPTA, with [umeclidinium bromide] as ANORO ELLIPTA, and with both [fluticasone furoate] and [umeclidinium bromide] under the trade name TRELEGY ELLIPTA.[L46481,L44461,L44456] BREO ELLIPTA is the first vilanterol-containing product to be approved by the FDA in May 2013, followed by ANORO ELLIPTA in December 2013 and TRELEGY ELLIPTA in September 2020.[L46876,L46881,L46886] Although all 3 products are approved for the maintenance treatment of chronic obstructive pulmonary disease (COPD), only TRELEGY ELLIPTA and BREO ELLIPTA are approved for maintenance treatments of asthma in patients aged 18 years and older and 5 years and older respectively.[L46481,L44461,L44456]
Moderate
1
[ [ [ 78, 24, 659 ] ], [ [ 78, 25, 870 ], [ 870, 23, 659 ] ], [ [ 78, 25, 927 ], [ 927, 63, 659 ] ], [ [ 78, 25, 1069 ], [ 1069, 24, 659 ] ], [ [ 78, 24, 222 ], [ 222, 24, 659 ] ], [ [ 78, 24, 159 ], [ 159, 63, 659 ] ], [ [ 78, 64, 1181 ], [ 1181, 24, 659 ] ], [ [ 78, 40, 1568 ], [ 1568, 24, 659 ] ], [ [ 78, 1, 1300 ], [ 1300, 24, 659 ] ], [ [ 78, 25, 877 ], [ 877, 64, 659 ] ] ]
[ [ [ "Droperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} (Compound) resembles {v} (Compound)", "Pimozide" ], [ "Pimozide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} (Compound) resembles {v} (Compound)", "Haloperidol" ], [ "Haloperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Droperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Vilanterol" ] ] ]
Droperidol may lead to a major life threatening interaction when taken with Fludrocortisone and Fludrocortisone may cause a minor interaction that can limit clinical effects when taken with Vilanterol Droperidol may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Droperidol may lead to a major life threatening interaction when taken with Vandetanib and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Droperidol may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Droperidol may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Droperidol may lead to a major life threatening interaction when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Droperidol (Compound) resembles Pimozide (Compound) and Pimozide may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Droperidol (Compound) resembles Haloperidol (Compound) and Haloperidol may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Droperidol may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Vilanterol
DB00795
DB01033
50
328
[ "DDInter1725", "DDInter1156" ]
Sulfasalazine
Mercaptopurine
Sulfasalazine is an anti-inflammatory drug structurally related to salicylates and other non-steroidal anti-inflammatory drugs. It is indicated for managing inflammatory diseases such as ulcerative colitis and rheumatoid arthritis (RA).[L39065, A255582] Metabolized by intestinal bacteria, sulfasalazine is broken down into [mesalazine] and [sulfapyridine], 2 compounds that carry out the main pharmacological activity of sulfasalazine. Sulfasalazine was first used in 1940 for rheumatic polyarthritis, and has been firmly established itself as one fo the most useful disease-modifying antirheumatic drug (DMARD). Compared to the first line treatment of RA like methotrexate, sulfasalazine is almost as efficacious as methotrexate although with slightly less tolerability. However, sulfasalazine has less teratogenic side effects and faster onset of action compared to conventional DMARD. Sulf
An antimetabolite antineoplastic agent with immunosuppressant properties. It interferes with nucleic acid synthesis by inhibiting purine metabolism and is used, usually in combination with other drugs, in the treatment of or in remission maintenance programs for leukemia.
Moderate
1
[ [ [ 50, 24, 328 ] ], [ [ 50, 5, 11572 ], [ 11572, 44, 328 ] ], [ [ 50, 63, 663 ], [ 663, 23, 328 ] ], [ [ 50, 64, 126 ], [ 126, 24, 328 ] ], [ [ 50, 24, 1627 ], [ 1627, 63, 328 ] ], [ [ 50, 63, 1555 ], [ 1555, 24, 328 ] ], [ [ 50, 25, 279 ], [ 279, 63, 328 ] ], [ [ 50, 40, 712 ], [ 712, 63, 328 ] ], [ [ 50, 25, 1377 ], [ 1377, 64, 328 ] ], [ [ 50, 63, 482 ], [ 482, 35, 328 ] ] ]
[ [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} (Compound) treats {v} (Disease)", "Crohn's disease" ], [ "Crohn's disease", "{u} (Disease) is treated by {v} (Compound)", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ], [ "Cannabidiol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Anisindione" ], [ "Anisindione", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} (Compound) resembles {v} (Compound)", "Olsalazine" ], [ "Olsalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Mercaptopurine" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ] ] ]
Sulfasalazine (Compound) treats Crohn's disease (Disease) and Crohn's disease (Disease) is treated by Mercaptopurine (Compound) Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a minor interaction that can limit clinical effects when taken with Mercaptopurine Sulfasalazine may lead to a major life threatening interaction when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol and Cannabidiol may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine Sulfasalazine may lead to a major life threatening interaction when taken with Anisindione and Anisindione may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine Sulfasalazine (Compound) resembles Olsalazine (Compound) and Olsalazine may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine Sulfasalazine may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Mercaptopurine Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine and Tioguanine (Compound) resembles Mercaptopurine (Compound) and Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine
DB00427
DB09117
1,233
957
[ "DDInter1879", "DDInter1391" ]
Triprolidine
Paraldehyde
First generation histamine H1 antagonist used in allergic rhinitis; asthma; and urticaria. It is a component of cough and cold medicines. It may cause drowsiness.
Paraldehyde was initially introduced into medical practice in the United Kingdom in 1882 by the Italian physician Vincenzo Cervello. It is classified as a central nervous system (CNS) depressant and has also been found to be an effective anticonvulsant, hypnotic and sedative agent due to its CNS depressant properties. Paraldehyde is used as an ingredient in some cough medicines as an expectorant, but its efficacy for this indication has not been confirmed and its use as an expectorant may possibly be due to a placebo effect.
Moderate
1
[ [ [ 1233, 24, 957 ] ], [ [ 1233, 24, 1264 ], [ 1264, 24, 957 ] ], [ [ 1233, 63, 1594 ], [ 1594, 24, 957 ] ], [ [ 1233, 24, 1609 ], [ 1609, 63, 957 ] ], [ [ 1233, 63, 475 ], [ 475, 25, 957 ] ], [ [ 1233, 24, 1264 ], [ 1264, 63, 126 ], [ 126, 23, 957 ] ], [ [ 1233, 24, 770 ], [ 770, 24, 1264 ], [ 1264, 24, 957 ] ], [ [ 1233, 24, 516 ], [ 516, 63, 1264 ], [ 1264, 24, 957 ] ], [ [ 1233, 24, 1376 ], [ 1376, 40, 126 ], [ 126, 23, 957 ] ], [ [ 1233, 63, 1594 ], [ 1594, 24, 1264 ], [ 1264, 24, 957 ] ] ]
[ [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levocetirizine" ], [ "Levocetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound)", "Warfarin" ], [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paraldehyde" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paraldehyde" ] ] ]
Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Paraldehyde Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Paraldehyde Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Paraldehyde Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Paraldehyde Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a minor interaction that can limit clinical effects when taken with Paraldehyde Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Paraldehyde Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Levocetirizine and Levocetirizine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Paraldehyde Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) resembles Warfarin (Compound) and Warfarin may cause a minor interaction that can limit clinical effects when taken with Paraldehyde Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Paraldehyde
DB01004
DB09331
563
745
[ "DDInter806", "DDInter478" ]
Ganciclovir
Daratumumab
An acyclovir analog that is a potent inhibitor of the Herpesvirus family including cytomegalovirus. Ganciclovir is used to treat complications from AIDS-associated cytomegalovirus infections.
Daratumumab is an immunoglobulin G1 kappa monoclonal antibody developed by Janssen and Genmab. It was first described in the literature in 2010 as a monoclonal antibody that targets CD38+ multiple myeloma cells; the first of its kind. Daratumumab was granted FDA approval on 16 November 2015. It is approved for the treatment of multiple myeloma as monotherapy or combination therapy and light chain (AL) amyloidosis in combination with other drugs.[L13290,L13296]
Moderate
1
[ [ [ 563, 24, 745 ] ], [ [ 563, 24, 4 ], [ 4, 24, 745 ] ], [ [ 563, 63, 597 ], [ 597, 24, 745 ] ], [ [ 563, 24, 810 ], [ 810, 63, 745 ] ], [ [ 563, 1, 248 ], [ 248, 24, 745 ] ], [ [ 563, 64, 1064 ], [ 1064, 25, 745 ] ], [ [ 563, 24, 1259 ], [ 1259, 64, 745 ] ], [ [ 563, 25, 375 ], [ 375, 25, 745 ] ], [ [ 563, 24, 1377 ], [ 1377, 25, 745 ] ], [ [ 563, 24, 4 ], [ 4, 63, 139 ], [ 139, 24, 745 ] ] ]
[ [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ], [ "Strontium chloride Sr-89", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} (Compound) resembles {v} (Compound)", "Valganciclovir" ], [ "Valganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Daratumumab" ] ], [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zidovudine" ], [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daratumumab" ] ] ]
Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Daratumumab Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Daratumumab Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 and Strontium chloride Sr-89 may cause a moderate interaction that could exacerbate diseases when taken with Daratumumab Ganciclovir (Compound) resembles Valganciclovir (Compound) and Val Ganciclovir may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Daratumumab Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Daratumumab Ganciclovir may lead to a major life threatening interaction when taken with Certolizumab pegol and Certolizumab pegol may lead to a major life threatening interaction when taken with Daratumumab Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Daratumumab Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Zidovudine and Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Daratumumab
DB00381
DB14568
376
982
[ "DDInter79", "DDInter1000" ]
Amlodipine
Ivosidenib
Amlodipine, initially approved by the FDA in 1987, is a popular antihypertensive drug belonging to the group of drugs called _dihydropyridine calcium channel blockers_. Due to their selectivity for the peripheral blood vessels, dihydropyridine calcium channel blockers are associated with a lower incidence of myocardial depression and cardiac conduction abnormalities than other calcium channel blockers. Amlodipine is commonly used in the treatment of high blood pressure and angina. Amlodipine has antioxidant properties and an ability to enhance the production of nitric oxide (NO), an important vasodilator that decreases blood pressure. The option for single daily dosing of amlodipine is an attractive feature of this drug [FDA label].
Ivosidenib is a first-in-class isocitrate dehydrogenase-1 (IDH1) inhibitor. IDH1 is an enzyme that is often mutated and overexpressed in some cancers, leading to aberrant cell growth and proliferation. Ivosidenib inhibits mutated IDH1, blocking the enzymatic activity and further differentiation of cancer cells. Ivosidenib was granted accelerated approval by the FDA in July 2018 for the treatment of relapsed of refractory acute myeloid leukemia in adults. It is currently approved to also treat newly diagnosed acute myeloid leukemia in older adults in combination [azacitidine] or as monotherapy, as well as locally advanced or metastatic cholangiocarcinoma and relapsed or refractory myelodysplastic syndromes in adults. The drug is only effective in patients with a susceptible IDH1 mutation. In February 2023, the EMA's Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion of ivosidenib and recommended it be granted marketing authorization for the treatment of acute myeloid leukemia and cholangiocarcinoma. It was fully approved by the EMA in May 2023.
Moderate
1
[ [ [ 376, 24, 982 ] ], [ [ 376, 63, 1101 ], [ 1101, 23, 982 ] ], [ [ 376, 1, 1081 ], [ 1081, 24, 982 ] ], [ [ 376, 24, 770 ], [ 770, 24, 982 ] ], [ [ 376, 40, 1428 ], [ 1428, 24, 982 ] ], [ [ 376, 24, 159 ], [ 159, 63, 982 ] ], [ [ 376, 23, 578 ], [ 578, 24, 982 ] ], [ [ 376, 63, 254 ], [ 254, 24, 982 ] ], [ [ 376, 25, 467 ], [ 467, 24, 982 ] ], [ [ 376, 24, 124 ], [ 124, 25, 982 ] ] ]
[ [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nicardipine" ], [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Isradipine" ], [ "Isradipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitisinone" ], [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} may lead to a major life threatening interaction when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ] ]
Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Ivosidenib Amlodipine (Compound) resembles Nicardipine (Compound) and Nicardipine may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Amlodipine (Compound) resembles Isradipine (Compound) and Isradipine may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Amlodipine may cause a minor interaction that can limit clinical effects when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Nitisinone and Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Amlodipine may lead to a major life threatening interaction when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib and Glasdegib may lead to a major life threatening interaction when taken with Ivosidenib
DB00835
DB00909
100
306
[ "DDInter245", "DDInter1971" ]
Brompheniramine
Zonisamide
Histamine H1 antagonist used in treatment of allergies, rhinitis, and urticaria.
Zonisamide is a sulfonamide anticonvulsant used as an adjunctive therapy in adults with partial-onset seizures.[L42530,L42535] Zonisamide may act by blocking repetitive firing of voltage-gated sodium channels, leading to a reduction of T-type calcium channel currents or by binding allosterically to GABA receptors. This latter action may inhibit the uptake of the inhibitory neurotransmitter GABA while enhancing the uptake of the excitatory neurotransmitter glutamate.[L42530,L42535] Zonisamide represents an alternative for patients that remain refractory to established antiepileptic drugs. In 1989, it was approved for commercial use in Japan. The US and Europe approved it in 2000 and 2005, respectively.[A1379,A1383]
Major
2
[ [ [ 100, 25, 306 ] ], [ [ 100, 6, 8374 ], [ 8374, 45, 306 ] ], [ [ 100, 24, 1609 ], [ 1609, 63, 306 ] ], [ [ 100, 63, 717 ], [ 717, 24, 306 ] ], [ [ 100, 24, 537 ], [ 537, 64, 306 ] ], [ [ 100, 63, 1594 ], [ 1594, 25, 306 ] ], [ [ 100, 35, 272 ], [ 272, 64, 306 ] ], [ [ 100, 74, 662 ], [ 662, 25, 306 ] ], [ [ 100, 24, 104 ], [ 104, 25, 306 ] ], [ [ 100, 6, 8374 ], [ 8374, 45, 609 ], [ 609, 63, 306 ] ] ]
[ [ [ "Brompheniramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Brompheniramine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ] ]
Brompheniramine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Zonisamide (Compound) Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Trimethobenzamide and Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine may lead to a major life threatening interaction when taken with Zonisamide Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may lead to a major life threatening interaction when taken with Zonisamide Brompheniramine (Compound) resembles Chlorpheniramine (Compound) and Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may lead to a major life threatening interaction when taken with Zonisamide Brompheniramine (Compound) resembles Carbinoxamine (Compound) and Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may lead to a major life threatening interaction when taken with Zonisamide Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine may lead to a major life threatening interaction when taken with Zonisamide Brompheniramine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Clarithromycin (Compound) and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide
DB00376
DB01069
1,105
401
[ "DDInter1870", "DDInter1533" ]
Trihexyphenidyl
Promethazine
Trihexyphenidyl is a centrally acting muscarinic antagonist used for treatment of parkinsonism and drug-induced extrapyramidal disorders.[L31773,L31778] Its discovery was published in 1949 in a study looking for drugs with antispasmodic activity. Trihexyphenidyl is rarely used in the treatment of parkinsonism, and is not a first line treatment due to significant adverse effects. It has largely been replaced by drugs such as [levodopa]. Trihexyphenidyl was granted FDA approval on 13 May 1949.
Promethazine, originally known as 3,277 R.P., is an N-dimethylaminopropyl derivative of [phenothiazine] that was developed in France in 1946. Promethazine antagonizes a variety of receptors, allowing it to be used for a number of indications including allergic reactions, pain, sedation, nausea, and vomiting.[A189907,A190153,A190159,A190150,A190171] Promethazine was granted FDA approval before 29 March 1951.[A190177,L4000]
Moderate
1
[ [ [ 1105, 24, 401 ] ], [ [ 1105, 24, 1264 ], [ 1264, 63, 401 ] ], [ [ 1105, 24, 104 ], [ 104, 24, 401 ] ], [ [ 1105, 6, 4304 ], [ 4304, 45, 401 ] ], [ [ 1105, 21, 28787 ], [ 28787, 60, 401 ] ], [ [ 1105, 24, 286 ], [ 286, 62, 401 ] ], [ [ 1105, 63, 1089 ], [ 1089, 24, 401 ] ], [ [ 1105, 35, 1192 ], [ 1192, 24, 401 ] ], [ [ 1105, 40, 456 ], [ 456, 24, 401 ] ], [ [ 1105, 1, 1386 ], [ 1386, 24, 401 ] ] ]
[ [ [ "Trihexyphenidyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} (Compound) binds {v} (Gene)", "CHRM2" ], [ "CHRM2", "{u} (Gene) is bound by {v} (Compound)", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ipratropium" ], [ "Ipratropium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glycopyrronium" ], [ "Glycopyrronium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} (Compound) resembles {v} (Compound)", "Biperiden" ], [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Trihexyphenidyl", "{u} (Compound) resembles {v} (Compound)", "Procyclidine" ], [ "Procyclidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ] ]
Trihexyphenidyl may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Trihexyphenidyl may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Trihexyphenidyl (Compound) binds CHRM2 (Gene) and CHRM2 (Gene) is bound by Promethazine (Compound) Trihexyphenidyl (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Promethazine (Compound) Trihexyphenidyl may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a minor interaction that can limit clinical effects when taken with Promethazine Trihexyphenidyl may cause a moderate interaction that could exacerbate diseases when taken with Ipratropium and Ipratropium may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Trihexyphenidyl (Compound) resembles Glycopyrronium (Compound) and Trihexyphenidyl may cause a moderate interaction that could exacerbate diseases when taken with Glycopyrronium and Glycopyrronium may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Trihexyphenidyl (Compound) resembles Biperiden (Compound) and Biperiden may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Trihexyphenidyl (Compound) resembles Procyclidine (Compound) and Procyclidine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine
DB00682
DB00827
126
646
[ "DDInter1951", "DDInter383" ]
Warfarin
Cinoxacin
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors.
Synthetic antimicrobial related to oxolinic acid and nalidixic acid and used in urinary tract infections.
Major
2
[ [ [ 126, 25, 646 ] ], [ [ 126, 23, 1053 ], [ 1053, 62, 646 ] ], [ [ 126, 24, 1532 ], [ 1532, 62, 646 ] ], [ [ 126, 64, 970 ], [ 970, 23, 646 ] ], [ [ 126, 25, 60 ], [ 60, 62, 646 ] ], [ [ 126, 63, 450 ], [ 450, 23, 646 ] ], [ [ 126, 24, 896 ], [ 896, 23, 646 ] ], [ [ 126, 23, 135 ], [ 135, 63, 646 ] ], [ [ 126, 25, 1479 ], [ 1479, 63, 646 ] ], [ [ 126, 63, 417 ], [ 417, 24, 646 ] ] ]
[ [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluorouracil" ], [ "Fluorouracil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etoposide" ], [ "Etoposide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Albiglutide" ], [ "Albiglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cinoxacin" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cinoxacin" ] ] ]
Warfarin may cause a minor interaction that can limit clinical effects when taken with Procarbazine and Procarbazine may cause a minor interaction that can limit clinical effects when taken with Cinoxacin Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a minor interaction that can limit clinical effects when taken with Cinoxacin Warfarin may lead to a major life threatening interaction when taken with Fluorouracil and Fluorouracil may cause a minor interaction that can limit clinical effects when taken with Cinoxacin Warfarin may lead to a major life threatening interaction when taken with Capecitabine and Capecitabine may cause a minor interaction that can limit clinical effects when taken with Cinoxacin Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Cyclophosphamide and Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Cinoxacin Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Etoposide and Etoposide may cause a minor interaction that can limit clinical effects when taken with Cinoxacin Warfarin may cause a minor interaction that can limit clinical effects when taken with Albiglutide and Albiglutide may cause a moderate interaction that could exacerbate diseases when taken with Cinoxacin Warfarin may lead to a major life threatening interaction when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Cinoxacin Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Sucralfate and Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Cinoxacin
DB00374
DB06589
1,061
1,250
[ "DDInter1852", "DDInter1400" ]
Treprostinil
Pazopanib
Treprostinil is a stable tricyclic analogue of prostacyclin that promotes the vasodilation of pulmonary and systemic arterial vascular beds and the inhibition of platelet aggregation.[L41855,L41860,L41865] It reduces symptoms in patients with pulmonary arterial hypertension (PAH) and pulmonary hypertension associated with interstitial lung disease.[L41855,L41860] The first agent approved for the treatment of PAH was [epoprostenol], a synthetic prostacyclin that significantly increases patients' quality of life. However, the use of epoprostenol is limited due to its short half-life (3-5 min) and instability at room temperature.[A248770,A248775] The use of more stable alternatives such as treprostinil provides patients with PAH with more treatment options. Treprostinil was approved by the FDA in 2002 for the treatment of pulmonary arterial hypertension. It is available in the following routes of administration: subcut
Pazopanib is a small molecule inhibitor of multiple protein tyrosine kinases with potential antineoplastic activity. It is developed by GlaxoSmithKline and was FDA approved on October 19, 2009.
Moderate
1
[ [ [ 1061, 24, 1250 ] ], [ [ 1061, 7, 3681 ], [ 3681, 45, 1250 ] ], [ [ 1061, 7, 3553 ], [ 3553, 46, 1250 ] ], [ [ 1061, 18, 6983 ], [ 6983, 46, 1250 ] ], [ [ 1061, 7, 12821 ], [ 12821, 57, 1250 ] ], [ [ 1061, 18, 8109 ], [ 8109, 57, 1250 ] ], [ [ 1061, 21, 28658 ], [ 28658, 60, 1250 ] ], [ [ 1061, 24, 336 ], [ 336, 24, 1250 ] ], [ [ 1061, 23, 402 ], [ 402, 24, 1250 ] ], [ [ 1061, 25, 4 ], [ 4, 24, 1250 ] ] ]
[ [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Treprostinil", "{u} (Compound) upregulates {v} (Gene)", "FGFR3" ], [ "FGFR3", "{u} (Gene) is bound by {v} (Compound)", "Pazopanib" ] ], [ [ "Treprostinil", "{u} (Compound) upregulates {v} (Gene)", "CRIP1" ], [ "CRIP1", "{u} (Gene) is upregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Treprostinil", "{u} (Compound) downregulates {v} (Gene)", "GLOD4" ], [ "GLOD4", "{u} (Gene) is upregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Treprostinil", "{u} (Compound) upregulates {v} (Gene)", "TRIB1" ], [ "TRIB1", "{u} (Gene) is downregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Treprostinil", "{u} (Compound) downregulates {v} (Gene)", "NVL" ], [ "NVL", "{u} (Gene) is downregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Treprostinil", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Pazopanib" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Treprostinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tadalafil" ], [ "Tadalafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Treprostinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ] ]
Treprostinil (Compound) upregulates FGFR3 (Gene) and FGFR3 (Gene) is bound by Pazopanib (Compound) Treprostinil (Compound) upregulates CRIP1 (Gene) and CRIP1 (Gene) is upregulated by Pazopanib (Compound) Treprostinil (Compound) downregulates GLOD4 (Gene) and GLOD4 (Gene) is upregulated by Pazopanib (Compound) Treprostinil (Compound) upregulates TRIB1 (Gene) and TRIB1 (Gene) is downregulated by Pazopanib (Compound) Treprostinil (Compound) downregulates NVL (Gene) and NVL (Gene) is downregulated by Pazopanib (Compound) Treprostinil (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Pazopanib (Compound) Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Treprostinil may cause a minor interaction that can limit clinical effects when taken with Tadalafil and Tadalafil may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Treprostinil may lead to a major life threatening interaction when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib
DB11718
DB11986
927
484
[ "DDInter640", "DDInter648" ]
Encorafenib
Entrectinib
Encorafenib, also known as _BRAFTOVI_, is a kinase inhibitor. Encorafenib inhibits BRAF gene, which encodes for B-raf protein, which is a proto-oncogene involved in various genetic mutations. This protein plays a role in regulating the MAP kinase/ERK signaling pathway, which impacts cell division, differentiation, and secretion. Mutations in this gene, most frequently the V600E mutation, are the most commonly identified cancer-causing mutations in melanoma, and have been isolated in various other cancers as well, including non-Hodgkin lymphoma, colorectal cancer, thyroid carcinoma, non-small cell lung carcinoma, hairy cell leukemia and adenocarcinoma of the lung. On June 27, 2018, the Food and Drug Administration approved encorafenib and [binimetinib] (BRAFTOVI and MEKTOVI, Array BioPharma Inc.) in combination for patients with unre
Entrectinib is a tropomyosin receptor tyrosine kinase (TRK) TRKA, TRKB, TRKC, proto-oncogene tyrosine-protein kinase ROS1, and anaplastic lymphoma kinase (ALK) inhibitor. It was approved by the FDA in August 2019 for use in the treatment of ROS1-positive metastatic non-small cell lung cancer and NTRK gene fusion positive solid tumors. Entrectinib's approved use is meant as a last line of therapy due to its accelerated approval based on early trial data. This therapy offers benefit over similar ALK inhibitors such as [alectinib], [ceritinib], and [lorlatinib] due to a wider range of targets.
Moderate
1
[ [ [ 927, 24, 484 ] ], [ [ 927, 62, 1247 ], [ 1247, 23, 484 ] ], [ [ 927, 63, 1135 ], [ 1135, 23, 484 ] ], [ [ 927, 64, 1197 ], [ 1197, 24, 484 ] ], [ [ 927, 63, 1539 ], [ 1539, 24, 484 ] ], [ [ 927, 24, 1320 ], [ 1320, 24, 484 ] ], [ [ 927, 24, 180 ], [ 180, 63, 484 ] ], [ [ 927, 25, 1650 ], [ 1650, 63, 484 ] ], [ [ 927, 64, 494 ], [ 494, 25, 484 ] ], [ [ 927, 25, 877 ], [ 877, 64, 484 ] ] ]
[ [ [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Norethisterone" ], [ "Norethisterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ], [ "Elagolix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oliceridine" ], [ "Oliceridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ], [ "Avapritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Disopyramide" ], [ "Disopyramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ], [ [ "Encorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ] ]
Encorafenib may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Entrectinib Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Entrectinib Encorafenib may lead to a major life threatening interaction when taken with Norethisterone and Norethisterone may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin and Ofloxacin may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Elagolix and Elagolix may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Oliceridine and Oliceridine may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Encorafenib may lead to a major life threatening interaction when taken with Avapritinib and Avapritinib may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Encorafenib may lead to a major life threatening interaction when taken with Disopyramide and Disopyramide may lead to a major life threatening interaction when taken with Entrectinib Encorafenib may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Entrectinib
DB00396
DB08870
989
850
[ "DDInter1529", "DDInter228" ]
Progesterone
Brentuximab vedotin
Progesterone is a hormone that occurs naturally in females, and is essential for endometrial receptivity, embryo implantation, and the successful establishment of pregnancy. A low progesterone concentration or an insufficient response to progesterone can cause infertility and pregnancy loss. Progesterone is used in various contraceptive preparations to prevent ovulation and fertilization, as well as in other formulations to promote and support pregnancy. Please see [Medroxyprogesterone acetate], [Megestrol acetate], [Dydrogesterone] and [Hydroxyprogesterone] entries for information on various other forms of progesterone. Pharmaceutical progesterone is made from a plant source as a starting material and is chemically identical to progesterone of human ovarian origin [FDA label]. Progesterone is available in gelatinized capsule form, vaginal gel form, tablet form, vaginal insert form, and injection form, all used for various purposes [Label,F389
Brentuximab vedotin, also known as Adcetris®, is an antibody-drug conjugate that combines an anti-CD30 antibody with the drug monomethyl auristatin E (MMAE). It is an anti-neoplastic agent used in the treatment of Hodgkin's lymphoma and systemic anaplastic large-cell lymphoma. Brentuximab vedotin was initially approved in 2011. In January 2012, the drug label was revised with a boxed warning of a condition known as progressive multifocal leukoencephalopathy and death due to opportunistic JC virus infection post-treatment. The U.S. Food and Drug Administration approved Adcetris in March 2018 to treat adult patients with previously untreated stage III or IV classical Hodgkin lymphoma (cHL) in combination with chemotherapy. Adcetris has also been previously approved by the FDA to treat Hodgkin's lymphoma after relapse, Hodgkin's lymphoma after stem cell transplantation when a patient has a high risk of relapse or progression, systemic anaplastic large cell lymphoma (ALCL) after the failure of other treatment regimens, and primary cutaneous ALCL after failure of other treatment regimens. Lymphoma is a malignancy that begins in the lymphatic system, which helps to combat infection and disease. Lymphoma may begin anywhere in the body and can spread to nearby lymph nodes. The two main types of lymphoma are Hodgkin lymphoma (also called Hodgkin disease) and non-Hodgkin lymphoma. Most individuals with Hodgkin's lymphoma have the classical type. In this type of lymphoma, large, abnormal lymphocytes (a type of white blood cell) are found in the lymph nodes called Reed-Sternberg cells. With early diagnosis and intervention, patients with Hodgkin lymphoma normally experience long-term remission. The ECHELON-1 study results demonstrated superior efficacy of the drug combined with a chemotherapy regimen compared to the previous standard of care. Importantly, bleomycin - a highly toxic agent - was completely removed from the regimen. This demonstrates meaningful progress in treatment for patients affected by this disease.
Moderate
1
[ [ [ 989, 24, 850 ] ], [ [ 989, 1, 443 ], [ 443, 24, 850 ] ], [ [ 989, 63, 245 ], [ 245, 24, 850 ] ], [ [ 989, 24, 159 ], [ 159, 63, 850 ] ], [ [ 989, 24, 609 ], [ 609, 24, 850 ] ], [ [ 989, 1, 443 ], [ 443, 24, 1512 ], [ 1512, 24, 850 ] ], [ [ 989, 63, 245 ], [ 245, 24, 1338 ], [ 1338, 24, 850 ] ], [ [ 989, 24, 159 ], [ 159, 63, 671 ], [ 671, 24, 850 ] ], [ [ 989, 1, 984 ], [ 984, 63, 267 ], [ 267, 24, 850 ] ], [ [ 989, 24, 1476 ], [ 1476, 63, 496 ], [ 496, 63, 850 ] ] ]
[ [ [ "Progesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} (Compound) resembles {v} (Compound)", "Spironolactone" ], [ "Spironolactone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} (Compound) resembles {v} (Compound)", "Spironolactone" ], [ "Spironolactone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Meclofenamic acid" ], [ "Meclofenamic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvastatin" ], [ "Fluvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} (Compound) resembles {v} (Compound)", "Danazol" ], [ "Danazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Progesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ], [ "Hepatitis A Vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ] ]
Progesterone (Compound) resembles Spironolactone (Compound) and Spironolactone may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Progesterone may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Progesterone may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Progesterone may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Progesterone (Compound) resembles Spironolactone (Compound) and Spironolactone may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Progesterone may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Meclofenamic acid and Meclofenamic acid may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Progesterone may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Fluvastatin and Fluvastatin may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Progesterone (Compound) resembles Danazol (Compound) and Danazol may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Progesterone may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine and Hepatitis A Vaccine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin
DB01069
DB09291
401
741
[ "DDInter1533", "DDInter1615" ]
Promethazine
Rolapitant
Promethazine, originally known as 3,277 R.P., is an N-dimethylaminopropyl derivative of [phenothiazine] that was developed in France in 1946. Promethazine antagonizes a variety of receptors, allowing it to be used for a number of indications including allergic reactions, pain, sedation, nausea, and vomiting.[A189907,A190153,A190159,A190150,A190171] Promethazine was granted FDA approval before 29 March 1951.[A190177,L4000]
Rolapitant is a potent, highly selective, long-acting Neurokinin-1 (NK-1) receptor antagonist approved for the prevention of delayed chemotherapy-induced nausea and vomiting (CINV) in adults. Delayed-phase CINV typically occurs >24 hours after chemotherapy treatment and is principally mediated by Neurokinin-1 and its ligand Substance P, which is released in the gut following chemotherapy administration. Neurokinin-1 is also known as Tachykinin Receptor 1 (TACR1), Neurokinin 1 Receptor (NK1R), and Substance P Receptor (SPR). By blocking Substance P from interacting with NK-1 receptors in the gut and the central nervous system, rolapitant prevents late-phase CINV. Unlike other available NK-1 receptor antagonists, rolapitant is not an inhibitor of Cytochrome P450 enzyme CYP3A4 and has a long elimination half-life, allowing a single dose to prevent both acute and late-phase CINV during the first 120 hours post-chemotherapy.
Moderate
1
[ [ [ 401, 24, 741 ] ], [ [ 401, 63, 211 ], [ 211, 23, 741 ] ], [ [ 401, 63, 506 ], [ 506, 24, 741 ] ], [ [ 401, 25, 924 ], [ 924, 24, 741 ] ], [ [ 401, 24, 1671 ], [ 1671, 24, 741 ] ], [ [ 401, 74, 1164 ], [ 1164, 24, 741 ] ], [ [ 401, 24, 938 ], [ 938, 63, 741 ] ], [ [ 401, 25, 982 ], [ 982, 63, 741 ] ], [ [ 401, 64, 1300 ], [ 1300, 24, 741 ] ], [ [ 401, 24, 129 ], [ 129, 25, 741 ] ] ]
[ [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolterodine" ], [ "Tolterodine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flibanserin" ], [ "Flibanserin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitolisant" ], [ "Pitolisant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Haloperidol" ], [ "Haloperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Rolapitant" ] ] ]
Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Tolterodine and Tolterodine may cause a minor interaction that can limit clinical effects when taken with Rolapitant Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Promethazine may lead to a major life threatening interaction when taken with Iloperidone and Iloperidone may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Flibanserin and Flibanserin may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Promethazine (Compound) resembles Trimipramine (Compound) and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Pitolisant and Pitolisant may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Promethazine may lead to a major life threatening interaction when taken with Ivosidenib and Ivosidenib may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Promethazine may lead to a major life threatening interaction when taken with Haloperidol and Haloperidol may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide may lead to a major life threatening interaction when taken with Rolapitant
DB01156
DB01381
593
958
[ "DDInter252", "DDInter819" ]
Bupropion
Ginkgo biloba
Bupropion (also known as the brand name product Wellbutrin®) is a norepinephrine/dopamine-reuptake inhibitor (NDRI) used most commonly for the management of Major Depressive Disorder (MDD), Seasonal Affective Disorder (SAD), and as an aid for smoking cessation. Bupropion exerts its pharmacological effects by weakly inhibiting the enzymes involved in the uptake of the neurotransmitters norepinephrine and dopamine from the synaptic cleft, therefore prolonging their duration of action within the neuronal synapse and the downstream effects of these neurotransmitters. More specifically, bupropion binds to the norepinephrine transporter (NET) and the dopamine transporter (DAT).[A6399,A178810] Bupropion was originally classified as an "atypical" antidepressant because it does not exert the same effects as the classical antidepressants such as Monoamine Oxidase Inhibitors (MA
_Ginkgo biloba_ extract contains a group of terpene lactones (notably, ginkgolides and diterpenes) and ginkgo flavone glycosides (notably, ginkgetin, bilobetin, and sciadopitysin) that have antioxidant and vasoactive properties. Most of the studies that investigate the effect of _ginkgo biloba_ use the standardized extract of _Ginkgo biloba_ (EGb) 761 (EGb761), which was developed by a German pharmaceutical company in 1964. EGb761 contains 6% terpene lactones and 24% flavonoid glycosides. Flavonoids include quercetin, rutin, kaempferol, and isorhamnetin. Lactones include ginkgolide A, ginkgolide B, ginkgolide C, bilobalide, and ginkgotoxin, a lactone that is structurally related to [pyridoxine]. _Ginkgo biloba_ is an herbal plant that is now cultivated worldwide. It is originally native to China, and _ginkgo biloba_ extract has been used in traditional Chinese medicine for centuries. After its nootropic properties were discovered, _ginkgo biloba_ has gained attention as a therapeutic ingredient for memory and concentration enhancement in cognitive impairment and neurogenerative diseases, such as dementia. _Ginkgo biloba_ was investigated in preliminary studies for a variety of therapeutic purposes such as improving cardiovascular health, sexual dysfunction, psychiatric disorders, skin disorders, and glaucoma. _Ginkgo biloba_ is found in a number of homeopathic and over-the-counter herbal products and dietary supplements, but it has no approved therapeutic indications by regulatory bodies, such as the FDA, EMA, and Health Canada. _Ginkgo folium_, the leaf extract of _Ginkgo biloba_, is considered an anti-dementia drug by the World Health Organization.
Moderate
1
[ [ [ 593, 24, 958 ] ], [ [ 593, 63, 1347 ], [ 1347, 24, 958 ] ], [ [ 593, 64, 1010 ], [ 1010, 24, 958 ] ], [ [ 593, 25, 129 ], [ 129, 63, 958 ] ], [ [ 593, 25, 1039 ], [ 1039, 24, 958 ] ], [ [ 593, 23, 256 ], [ 256, 63, 958 ] ], [ [ 593, 63, 1347 ], [ 1347, 64, 126 ], [ 126, 24, 958 ] ], [ [ 593, 63, 126 ], [ 126, 25, 1347 ], [ 1347, 24, 958 ] ], [ [ 593, 64, 1010 ], [ 1010, 24, 129 ], [ 129, 63, 958 ] ], [ [ 593, 64, 73 ], [ 73, 25, 121 ], [ 121, 24, 958 ] ] ]
[ [ [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prasugrel" ], [ "Prasugrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ], [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Phentermine" ], [ "Phentermine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ] ] ]
Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Clopidogrel and Clopidogrel may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba Bupropion may lead to a major life threatening interaction when taken with Mefloquine and Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba Bupropion may lead to a major life threatening interaction when taken with Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba Bupropion may lead to a major life threatening interaction when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba Bupropion may cause a minor interaction that can limit clinical effects when taken with Prasugrel and Prasugrel may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Clopidogrel and Clopidogrel may lead to a major life threatening interaction when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may lead to a major life threatening interaction when taken with Clopidogrel and Clopidogrel may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba Bupropion may lead to a major life threatening interaction when taken with Mefloquine and Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba Bupropion may lead to a major life threatening interaction when taken with Phentermine and Phentermine may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba
DB00005
DB08870
1,057
850
[ "DDInter687", "DDInter228" ]
Etanercept
Brentuximab vedotin
Dimeric fusion protein consisting of the extracellular ligand-binding portion of the human 75 kilodalton (p75) tumor necrosis factor receptor (TNFR) linked to the Fc portion of human IgG1.[L14862,A216522] The Fc component of etanercept contains the CH2 domain, the CH3 domain and hinge region, but not the CH1 domain of IgG1. Etanercept is produced by recombinant DNA technology in a Chinese hamster ovary (CHO) mammalian cell expression system. It consists of 934 amino acids. It is used to treat or manage a variety of inflammatory conditions including rheumatoid arthritis (RA), ankylosing spondylitis (AS), and juvenile idiopathic poly-articular arthritis (JIA).
Brentuximab vedotin, also known as Adcetris®, is an antibody-drug conjugate that combines an anti-CD30 antibody with the drug monomethyl auristatin E (MMAE). It is an anti-neoplastic agent used in the treatment of Hodgkin's lymphoma and systemic anaplastic large-cell lymphoma. Brentuximab vedotin was initially approved in 2011. In January 2012, the drug label was revised with a boxed warning of a condition known as progressive multifocal leukoencephalopathy and death due to opportunistic JC virus infection post-treatment. The U.S. Food and Drug Administration approved Adcetris in March 2018 to treat adult patients with previously untreated stage III or IV classical Hodgkin lymphoma (cHL) in combination with chemotherapy. Adcetris has also been previously approved by the FDA to treat Hodgkin's lymphoma after relapse, Hodgkin's lymphoma after stem cell transplantation when a patient has a high risk of relapse or progression, systemic anaplastic large cell lymphoma (ALCL) after the failure of other treatment regimens, and primary cutaneous ALCL after failure of other treatment regimens. Lymphoma is a malignancy that begins in the lymphatic system, which helps to combat infection and disease. Lymphoma may begin anywhere in the body and can spread to nearby lymph nodes. The two main types of lymphoma are Hodgkin lymphoma (also called Hodgkin disease) and non-Hodgkin lymphoma. Most individuals with Hodgkin's lymphoma have the classical type. In this type of lymphoma, large, abnormal lymphocytes (a type of white blood cell) are found in the lymph nodes called Reed-Sternberg cells. With early diagnosis and intervention, patients with Hodgkin lymphoma normally experience long-term remission. The ECHELON-1 study results demonstrated superior efficacy of the drug combined with a chemotherapy regimen compared to the previous standard of care. Importantly, bleomycin - a highly toxic agent - was completely removed from the regimen. This demonstrates meaningful progress in treatment for patients affected by this disease.
Major
2
[ [ [ 1057, 25, 850 ] ], [ [ 1057, 24, 788 ], [ 788, 24, 850 ] ], [ [ 1057, 24, 496 ], [ 496, 63, 850 ] ], [ [ 1057, 25, 611 ], [ 611, 24, 850 ] ], [ [ 1057, 25, 1583 ], [ 1583, 63, 850 ] ], [ [ 1057, 25, 1510 ], [ 1510, 64, 850 ] ], [ [ 1057, 25, 1377 ], [ 1377, 25, 850 ] ], [ [ 1057, 24, 788 ], [ 788, 40, 671 ], [ 671, 24, 850 ] ], [ [ 1057, 24, 671 ], [ 671, 1, 788 ], [ 788, 24, 850 ] ], [ [ 1057, 24, 496 ], [ 496, 63, 611 ], [ 611, 24, 850 ] ] ]
[ [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitavastatin" ], [ "Pitavastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ], [ "Hepatitis A Vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Dacarbazine" ], [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Sarilumab" ], [ "Sarilumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitavastatin" ], [ "Pitavastatin", "{u} (Compound) resembles {v} (Compound)", "Fluvastatin" ], [ "Fluvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvastatin" ], [ "Fluvastatin", "{u} (Compound) resembles {v} (Compound)", "Pitavastatin" ], [ "Pitavastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ], [ "Hepatitis A Vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dacarbazine" ], [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ] ]
Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Pitavastatin and Pitavastatin may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine and Hepatitis A Vaccine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Etanercept may lead to a major life threatening interaction when taken with Dacarbazine and Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Etanercept may lead to a major life threatening interaction when taken with Sarilumab and Sarilumab may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Etanercept may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Brentuximab vedotin Etanercept may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Brentuximab vedotin Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Pitavastatin and Pitavastatin (Compound) resembles Fluvastatin (Compound) and Fluvastatin may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Fluvastatin and Fluvastatin (Compound) resembles Pitavastatin (Compound) and Pitavastatin may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine and Hepatitis A Vaccine may cause a moderate interaction that could exacerbate diseases when taken with Dacarbazine and Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin
DB00023
DB01211
305
609
[ "DDInter127", "DDInter393" ]
Asparaginase Escherichia coli
Clarithromycin
Asparaginase derived from _Escherichia coli_ (L-asparagine amidohydrolase, EC 3.5.1.1) is an enzyme responsible for the metabolism of L-asparagine, by catalyzing L-asparagine into L-aspartic acid and ammonia. It also facilitates the production of oxaloacetate which is needed for general cellular metabolism. Asparaginase from _E. coli_ has clinically shown to exhibit antitumor actions in models of leukaemias [A31996, A31997]. L-asparaginase of _E. coli_ is marketed under several different trade names, including Elspar, for the treatment of acute lymphoblastic leukemia (ALL) as part of a multi-agent chemotherapeutic regimen. It is available as intramuscular or intravenous injections. Therapeutic L-asparaginase from _E. coli_ works by depleting the levels
Clarithromycin, a semisynthetic macrolide antibiotic derived from erythromycin, inhibits bacterial protein synthesis by binding to the bacterial 50S ribosomal subunit. Binding inhibits peptidyl transferase activity and interferes with amino acid translocation during the translation and protein assembly process. Clarithromycin may be bacteriostatic or bactericidal depending on the organism and drug concentration.
Moderate
1
[ [ [ 305, 24, 609 ] ], [ [ 305, 24, 1570 ], [ 1570, 24, 609 ] ], [ [ 305, 24, 600 ], [ 600, 23, 609 ] ], [ [ 305, 25, 1101 ], [ 1101, 23, 609 ] ], [ [ 305, 24, 1627 ], [ 1627, 62, 609 ] ], [ [ 305, 25, 770 ], [ 770, 24, 609 ] ], [ [ 305, 24, 52 ], [ 52, 63, 609 ] ], [ [ 305, 24, 996 ], [ 996, 64, 609 ] ], [ [ 305, 25, 976 ], [ 976, 64, 609 ] ], [ [ 305, 24, 126 ], [ 126, 25, 609 ] ] ]
[ [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azithromycin" ], [ "Azithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ], [ "Cannabidiol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ], [ "Dulaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ], [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ] ] ]
Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Azithromycin and Azithromycin may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may cause a minor interaction that can limit clinical effects when taken with Clarithromycin Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Clarithromycin Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol and Cannabidiol may cause a minor interaction that can limit clinical effects when taken with Clarithromycin Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide and Dulaglutide may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline and Bedaquiline may lead to a major life threatening interaction when taken with Clarithromycin Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Clarithromycin Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may lead to a major life threatening interaction when taken with Clarithromycin
DB00754
DB11988
157
270
[ "DDInter696", "DDInter1321" ]
Ethotoin
Ocrelizumab
Ethotoin is a hydantoin derivative and anticonvulsant. Ethotoin exerts an antiepileptic effect without causing general central nervous system depression. The mechanism of action is probably very similar to that of phenytoin. The latter drug appears to stabilize rather than to raise the normal seizure threshold, and to prevent the spread of seizure activity rather than to abolish the primary focus of seizure discharges. Ethotoin is no longer commonly used.
Ocrelizumab is a CD20-directed cytolytic antibody indicated for the treatment of patients with primary progressive or relapsing forms of multiple sclerosis (MS). It is a second-generation recombinant humanized monoclonal IgG1 antibody that selectively targets B-cells that express the CD20 antigen. Compared to non-humanized CD20 antibodies such as [rituximab], ocrelizumab is expected to be less immunogenic with repeated infusions, improving the benefit-to-risk profile for patients with MS.[A18875,A251745] MS is a chronic, inflammatory, autoimmune disease of the central nervous system that leads to neurological disabilities and a significantly reduced quality of life. Most patients with MS experience episodes of relapses with worsening function, followed by recovery periods or remissions. Primary progressive multiple sclerosis (PPMS) accounts for 10-15% of the overall population of patients with MS, and leads to the gradual worsening of neurologic disability from symptom onset, often without early relapses or remissions . Developed by Genentech/Roche, ocrelizumab was approved by the FDA in March 2017 under the market name Ocrevus for intravenous injection. It was later approved by Health Canada in August 2017, making the drug the first available treatment for PPMS in both the US and Canada. In clinical trials of patients with relapsing forms of MS, treatment with ocrelizumab resulted in reduced relapse rates and reduced worsening of disability compared to [interferon beta-1a]. In phase 3 clinical trials of patients with PPMS, treatment with ocrelizumab led to lower clinical and MRI progression rates compared to placebo.
Moderate
1
[ [ [ 157, 24, 270 ] ], [ [ 157, 63, 134 ], [ 134, 24, 270 ] ], [ [ 157, 23, 1096 ], [ 1096, 24, 270 ] ], [ [ 157, 24, 281 ], [ 281, 24, 270 ] ], [ [ 157, 64, 1064 ], [ 1064, 25, 270 ] ], [ [ 157, 25, 1377 ], [ 1377, 25, 270 ] ], [ [ 157, 63, 134 ], [ 134, 63, 1461 ], [ 1461, 23, 270 ] ], [ [ 157, 23, 1096 ], [ 1096, 23, 1193 ], [ 1193, 23, 270 ] ], [ [ 157, 63, 175 ], [ 175, 23, 1193 ], [ 1193, 23, 270 ] ], [ [ 157, 24, 281 ], [ 281, 24, 713 ], [ 713, 24, 270 ] ] ]
[ [ [ "Ethotoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamisole" ], [ "Levamisole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ocrelizumab" ] ], [ [ "Ethotoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamisole" ], [ "Levamisole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ] ]
Ethotoin may cause a moderate interaction that could exacerbate diseases when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Ethotoin may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Ethotoin may cause a moderate interaction that could exacerbate diseases when taken with Levamisole and Levamisole may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Ethotoin may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Ocrelizumab Ethotoin may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Ocrelizumab Ethotoin may cause a moderate interaction that could exacerbate diseases when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Ocrelizumab Ethotoin may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid and Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Ocrelizumab Ethotoin may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Ocrelizumab Ethotoin may cause a moderate interaction that could exacerbate diseases when taken with Levamisole and Levamisole may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab
DB01377
DB06210
1,283
72
[ "DDInter1119", "DDInter631" ]
Magnesium oxide
Eltrombopag
Magnesium oxide is an inorganic compound that occurs in nature as the mineral periclase. In aqueous media combines quickly with water to form magnesium hydroxide. It is used as an antacid and mild laxative and has many nonmedicinal uses.
Eltrombopag is used to treat low blood platelet counts in adults with chronic immune (idiopathic) thrombocytopenia (ITP), when certain other medicines, or surgery to remove the spleen, have not worked well enough. ITP is a condition that may cause unusual bruising or bleeding due to an abnormally low number of platelets in the blood. Eltrombopag has also been recently approved (late 2012) for the treatment of thrombocytopenia (low blood platelet counts) in patients with chronic hepatitis C to allow them to initiate and maintain interferon-based therapy.
Moderate
1
[ [ [ 1283, 24, 72 ] ], [ [ 1283, 24, 286 ], [ 286, 63, 72 ] ], [ [ 1283, 24, 1596 ], [ 1596, 24, 72 ] ], [ [ 1283, 63, 14 ], [ 14, 24, 72 ] ], [ [ 1283, 25, 627 ], [ 627, 63, 72 ] ], [ [ 1283, 24, 286 ], [ 286, 24, 971 ], [ 971, 63, 72 ] ], [ [ 1283, 24, 428 ], [ 428, 63, 1384 ], [ 1384, 63, 72 ] ], [ [ 1283, 24, 1292 ], [ 1292, 25, 384 ], [ 384, 63, 72 ] ], [ [ 1283, 24, 1406 ], [ 1406, 64, 74 ], [ 74, 62, 72 ] ], [ [ 1283, 63, 14 ], [ 14, 6, 15333 ], [ 15333, 45, 72 ] ] ]
[ [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iron" ], [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rosuvastatin" ], [ "Rosuvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Bictegravir" ], [ "Bictegravir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ], [ "Ferrous fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magaldrate" ], [ "Magaldrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deferiprone" ], [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ], [ "Neratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Boceprevir" ], [ "Boceprevir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Eltrombopag" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rosuvastatin" ], [ "Rosuvastatin", "{u} (Compound) binds {v} (Gene)", "SLCO1B1" ], [ "SLCO1B1", "{u} (Gene) is bound by {v} (Compound)", "Eltrombopag" ] ] ]
Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Iron and Iron may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Rosuvastatin and Rosuvastatin may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Magnesium oxide may lead to a major life threatening interaction when taken with Bictegravir and Bictegravir may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate and Ferrous fumarate may cause a moderate interaction that could exacerbate diseases when taken with Magaldrate and Magaldrate may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Deferiprone and Deferiprone may lead to a major life threatening interaction when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Neratinib and Neratinib may lead to a major life threatening interaction when taken with Boceprevir and Boceprevir may cause a minor interaction that can limit clinical effects when taken with Eltrombopag Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Rosuvastatin and Rosuvastatin (Compound) binds SLCO1B1 (Gene) and SLCO1B1 (Gene) is bound by Eltrombopag (Compound)
DB00209
DB00211
352
1,290
[ "DDInter1886", "DDInter1213" ]
Trospium
Midodrine
Trospium is an antispasmodic agent used to treat the symptoms of overactive bladder, a condition that causes the bladder muscles to contract uncontrollably. An overactive bladder leads to an increased urge to urinate, frequent urination, and sometimes, loss of control over urination. Trospium is manufactured by _Indevus Pharmaceutical Inc._ and was granted FDA approval in 2007.
An ethanolamine derivative that is an adrenergic alpha agonist. It is used as a vasoconstrictor agent in the treatment of hypotension.
Moderate
1
[ [ [ 352, 24, 1290 ] ], [ [ 352, 6, 12523 ], [ 12523, 45, 1290 ] ], [ [ 352, 21, 28929 ], [ 28929, 60, 1290 ] ], [ [ 352, 24, 752 ], [ 752, 62, 1290 ] ], [ [ 352, 24, 401 ], [ 401, 63, 1290 ] ], [ [ 352, 6, 12523 ], [ 12523, 45, 752 ], [ 752, 62, 1290 ] ], [ [ 352, 21, 28929 ], [ 28929, 60, 752 ], [ 752, 62, 1290 ] ], [ [ 352, 21, 28691 ], [ 28691, 60, 11490 ], [ 11490, 40, 1290 ] ], [ [ 352, 21, 28747 ], [ 28747, 60, 1264 ], [ 1264, 63, 1290 ] ], [ [ 352, 24, 752 ], [ 752, 23, 43 ], [ 43, 40, 1290 ] ] ]
[ [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midodrine" ] ], [ [ "Trospium", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Midodrine" ] ], [ [ "Trospium", "{u} (Compound) causes {v} (Side Effect)", "Confusional state" ], [ "Confusional state", "{u} (Side Effect) is caused by {v} (Compound)", "Midodrine" ] ], [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Midodrine" ] ], [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midodrine" ] ], [ [ "Trospium", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Midodrine" ] ], [ [ "Trospium", "{u} (Compound) causes {v} (Side Effect)", "Confusional state" ], [ "Confusional state", "{u} (Side Effect) is caused by {v} (Compound)", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Midodrine" ] ], [ [ "Trospium", "{u} (Compound) causes {v} (Side Effect)", "Somnolence" ], [ "Somnolence", "{u} (Side Effect) is caused by {v} (Compound)", "Agomelatine" ], [ "Agomelatine", "{u} (Compound) resembles {v} (Compound)", "Midodrine" ] ], [ [ "Trospium", "{u} (Compound) causes {v} (Side Effect)", "Pollakiuria" ], [ "Pollakiuria", "{u} (Side Effect) is caused by {v} (Compound)", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midodrine" ] ], [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Melatonin" ], [ "Melatonin", "{u} (Compound) resembles {v} (Compound)", "Midodrine" ] ] ]
Trospium (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Midodrine (Compound) Trospium (Compound) causes Confusional state (Side Effect) and Confusional state (Side Effect) is caused by Midodrine (Compound) Trospium may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Midodrine Trospium may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Midodrine Trospium (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Cimetidine (Compound) and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Midodrine Trospium (Compound) causes Confusional state (Side Effect) and Confusional state (Side Effect) is caused by Cimetidine (Compound) and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Midodrine Trospium (Compound) causes Somnolence (Side Effect) and Somnolence (Side Effect) is caused by Agomelatine (Compound) and Agomelatine (Compound) resembles Midodrine (Compound) Trospium (Compound) causes Pollakiuria (Side Effect) and Pollakiuria (Side Effect) is caused by Doxepin (Compound) and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Midodrine Trospium may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Melatonin and Melatonin (Compound) resembles Midodrine (Compound)
DB09049
DB12015
1,135
1,033
[ "DDInter1261", "DDInter53" ]
Naloxegol
Alpelisib
Naloxegol, for "PEGylated naloxol" is a peripherally-selective opioid antagonist developed by AstraZeneca. It was approved by the FDA in September 2014 and is indicated for the treatment of opioid-induced constipation (OIC) in adult patients with chronic non‑cancer pain. The advantage of naloxegol over the opioid antagonist naloxone is that its PEGylated structure allows for high selectivity for peripheral opioid receptors and lack of entry into the central nervous system through the blood-brain barrier.
Alpelisib is a phosphatidylinositol 3-kinase (PI3K) inhibitor with potent antitumor activity. It works by selectively inhibiting class I PI3K p110α , which is the catalytic subunit of PI3K, a lipid kinase that plays a role in various biological processes, including proliferation, survival, differentiation, and metabolism. Alpelisib was designed to target this enzyme that appears to be mutated at a rate of nearly 30% in human cancers, leading to hyperactivation. There are several isoform-specific PI3K inhibitors that are under clinical development or currently approved, such as [idelalisib] used for chronic lymphocytic leukemia (CLL). Approved by the FDA in May 2019, alpelisib is the first approved PI3K inhibitor indicated for the treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, PIK3CA-mutated, advanced or metastatic breast cancer in combination with [fulvestrant] for postmenopausal women and male patients. To initiate alpelisib therapy, it is required that the presence of a PIK3CA mutation in the tissue and/or liquid biopsy sample collection should be confirmed via FDA-approved diagnostic tests. Alpelisib is marketed under the trade name Piqray and is available as oral tablets. Studies evaluating the therapeutic effectiveness of alpelisib in other cancers, such as ovarian cancer and colorectal cancer , are under ongoing investigations. Alpelisib was granted FDA approval on 24 May 2019. In April 2022, the FDA granted the use of alpelisib in the treatment of PIK3CA-Related Overgrowth Spectrum (PROS) in adults and children who require systemic therapy.
Minor
0
[ [ [ 1135, 23, 1033 ] ], [ [ 1135, 63, 1335 ], [ 1335, 24, 1033 ] ], [ [ 1135, 64, 859 ], [ 859, 24, 1033 ] ], [ [ 1135, 25, 760 ], [ 760, 24, 1033 ] ], [ [ 1135, 24, 1499 ], [ 1499, 24, 1033 ] ], [ [ 1135, 62, 888 ], [ 888, 24, 1033 ] ], [ [ 1135, 24, 982 ], [ 982, 63, 1033 ] ], [ [ 1135, 23, 1619 ], [ 1619, 63, 1033 ] ], [ [ 1135, 23, 124 ], [ 124, 24, 1033 ] ], [ [ 1135, 64, 697 ], [ 697, 25, 1033 ] ] ]
[ [ [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxcarbazepine" ], [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Posaconazole" ], [ "Posaconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naldemedine" ], [ "Naldemedine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Naloxegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may lead to a major life threatening interaction when taken with {v}", "Alpelisib" ] ] ]
Naloxegol may cause a moderate interaction that could exacerbate diseases when taken with Oxcarbazepine and Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Naloxegol may lead to a major life threatening interaction when taken with Posaconazole and Posaconazole may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Naloxegol may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Naloxegol may cause a moderate interaction that could exacerbate diseases when taken with Naldemedine and Naldemedine may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Naloxegol may cause a minor interaction that can limit clinical effects when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Naloxegol may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Naloxegol may cause a minor interaction that can limit clinical effects when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Naloxegol may cause a minor interaction that can limit clinical effects when taken with Glasdegib and Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Naloxegol may lead to a major life threatening interaction when taken with Phenobarbital and Phenobarbital may lead to a major life threatening interaction when taken with Alpelisib
DB00990
DB09381
1,547
192
[ "DDInter705", "DDInter678" ]
Exemestane
Esterified estrogens
Exemestane is an oral steroidal aromatase inhibitor used in the adjuvant treatment of hormonally-responsive (also called hormone-receptor-positive, estrogen-responsive) breast cancer in postmenopausal women. It irreversibly binds to the active site of the enzyme resulting in permanent inhibition.
Esterified estrogens contain a mixture of estrogenic substances; the principle component is estrone. Preparations contain 75% to 85% sodium estrone sulfate and 6% to 15% sodium equilin sulfate such that the total is not <90%. Esterified estrogens are a man-made mixture of estrogens that are used to treat symptoms of menopause such as hot flashes, vaginal dryness, vaginal burning or irritation, or other hormonal changes in the vagina. It is being also for the prevention and treatment of osteoporosis.
Moderate
1
[ [ [ 1547, 24, 192 ] ], [ [ 1547, 63, 1051 ], [ 1051, 24, 192 ] ], [ [ 1547, 24, 913 ], [ 913, 63, 192 ] ], [ [ 1547, 24, 1040 ], [ 1040, 24, 192 ] ], [ [ 1547, 1, 1573 ], [ 1573, 24, 192 ] ], [ [ 1547, 25, 770 ], [ 770, 25, 192 ] ], [ [ 1547, 63, 1051 ], [ 1051, 24, 723 ], [ 723, 24, 192 ] ], [ [ 1547, 24, 913 ], [ 913, 63, 1264 ], [ 1264, 23, 192 ] ], [ [ 1547, 24, 868 ], [ 868, 64, 1264 ], [ 1264, 23, 192 ] ], [ [ 1547, 63, 353 ], [ 353, 23, 5 ], [ 5, 24, 192 ] ] ]
[ [ [ "Exemestane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aminoglutethimide" ], [ "Aminoglutethimide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ], [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aminoglutethimide" ], [ "Aminoglutethimide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Esterified estrogens" ] ], [ [ "Exemestane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liraglutide" ], [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ] ] ]
Exemestane may cause a moderate interaction that could exacerbate diseases when taken with Aminoglutethimide and Aminoglutethimide may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens Exemestane may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens Exemestane may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens Exemestane (Compound) resembles Prednisone (Compound) and Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens Exemestane may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may lead to a major life threatening interaction when taken with Esterified estrogens Exemestane may cause a moderate interaction that could exacerbate diseases when taken with Aminoglutethimide and Aminoglutethimide may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant and Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens Exemestane may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a minor interaction that can limit clinical effects when taken with Esterified estrogens Exemestane may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may lead to a major life threatening interaction when taken with Doxepin and Doxepin may cause a minor interaction that can limit clinical effects when taken with Esterified estrogens Exemestane may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a minor interaction that can limit clinical effects when taken with Liraglutide and Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens
DB00176
DB06810
529
397
[ "DDInter770", "DDInter1484" ]
Fluvoxamine
Plicamycin
Fluvoxamine is an antidepressant which functions pharmacologically as a selective serotonin reuptake inhibitor. Though it is in the same class as other SSRI drugs, it is most often used to treat obsessive-compulsive disorder. Fluvoxamine has been in use in clinical practice since 1983 and has a clinical trial database comprised of approximately 35,000 patients. It was launched in the US in December 1994 and in Japan in June 1999. As of the end of 1995, more than 10 million patients worldwide have been treated with fluvoxamine.
Plicamycin is an antineoplastic antibiotic produced by Streptomyces plicatus. It has been used in the treatment of testicular cancer, Paget's disease of bone, and, rarely, the management of hypercalcemia. The manufacturer discontinued plicamycin in 2000.
Moderate
1
[ [ [ 529, 24, 397 ] ], [ [ 529, 24, 885 ], [ 885, 24, 397 ] ], [ [ 529, 24, 578 ], [ 578, 63, 397 ] ], [ [ 529, 25, 222 ], [ 222, 24, 397 ] ], [ [ 529, 63, 1172 ], [ 1172, 25, 397 ] ], [ [ 529, 24, 330 ], [ 330, 25, 397 ] ], [ [ 529, 24, 292 ], [ 292, 64, 397 ] ], [ [ 529, 25, 39 ], [ 39, 25, 397 ] ], [ [ 529, 24, 885 ], [ 885, 23, 539 ], [ 539, 62, 397 ] ], [ [ 529, 25, 222 ], [ 222, 24, 885 ], [ 885, 24, 397 ] ] ]
[ [ [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibritumomab tiuxetan" ], [ "Ibritumomab tiuxetan", "{u} may lead to a major life threatening interaction when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ramucirumab" ], [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Regorafenib" ], [ "Regorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ], [ "Capsicum", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Plicamycin" ] ], [ [ "Fluvoxamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Plicamycin" ] ] ]
Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Plicamycin Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Plicamycin Fluvoxamine may lead to a major life threatening interaction when taken with Sibutramine and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Plicamycin Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Ibritumomab tiuxetan and Ibritumomab tiuxetan may lead to a major life threatening interaction when taken with Plicamycin Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Ramucirumab and Ramucirumab may lead to a major life threatening interaction when taken with Plicamycin Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Regorafenib and Regorafenib may lead to a major life threatening interaction when taken with Plicamycin Fluvoxamine may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may lead to a major life threatening interaction when taken with Plicamycin Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may cause a minor interaction that can limit clinical effects when taken with Capsicum and Capsicum may cause a minor interaction that can limit clinical effects when taken with Plicamycin Fluvoxamine may lead to a major life threatening interaction when taken with Sibutramine and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Plicamycin
DB00163
DB14491
1,461
428
[ "DDInter1943", "DDInter725" ]
Vitamin E
Ferrous fumarate
In 1922, vitamin E was demonstrated to be an essential nutrient. Vitamin E is a term used to describe 8 different fat soluble tocopherols and tocotrienols, alpha-tocopherol being the most biologically active. Vitamin E acts as an antioxidant, protecting cell membranes from oxidative damage. The antioxidant effects are currently being researched for use in the treatment of diseases causing bone loss, cardiovascular diseases, diabetes mellitus and associated comorbidities, eye diseases, inflammatory diseases (including skin conditions), lipid disorders, neurological diseases, and radiation damage. Though this research is so far inconclusive, vitamin E remains a popular supplement and is generally considered safe by the FDA[FDA Label].
Used in treatment of iron deficiency anemia.
Moderate
1
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[ [ [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iron sucrose" ], [ "Iron sucrose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} (Compound) downregulates {v} (Gene)", "CCDC86" ], [ "CCDC86", "{u} (Gene) is downregulated by {v} (Compound)", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iron sucrose" ], [ "Iron sucrose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risedronic acid" ], [ "Risedronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} (Compound) resembles {v} (Compound)", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iron" ], [ "Iron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sevelamer" ], [ "Sevelamer", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous fumarate" ] ], [ [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ] ] ]
Vitamin E may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid and Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Ferrous fumarate Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Iron sucrose and Iron sucrose may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate Vitamin E may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid and Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Ferrous fumarate Vitamin E (Compound) downregulates CCDC86 (Gene) and CCDC86 (Gene) is downregulated by Mycophenolic acid (Compound) and Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Ferrous fumarate Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Iron sucrose and Iron sucrose may cause a moderate interaction that could exacerbate diseases when taken with Risedronic acid and Risedronic acid may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate Vitamin E may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid and Mycophenolic acid (Compound) resembles Mycophenolate mofetil (Compound) and Mycophenolate mofetil may cause a minor interaction that can limit clinical effects when taken with Ferrous fumarate Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Iron and Iron may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid and Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Ferrous fumarate Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Sevelamer and Sevelamer may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Ferrous fumarate Vitamin E may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Gatifloxacin and Gatifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate
DB00771
DB01142
262
1,264
[ "DDInter397", "DDInter593" ]
Clidinium
Doxepin
Clidinium is a synthetic anticholinergic agent which has been shown in experimental and clinical studies to have a pronounced antispasmodic and antisecretory effect on the gastrointestinal tract. It inhibits muscarinic actions of acetylcholine at postganglionic parasympathetic neuroeffector sites. It is used for the treatment of peptic ulcer disease and also to help relieve abdominal or stomach spasms or cramps due to colicky abdominal pain, diverticulitis, and irritable bowel syndrome.
Doxepin is a psychotropic agent with antidepressant and anxiolytic properties. It is a tertiary amine that can be presented as (E) and (Z) stereoisomers with the (Z) stereoisomer corresponding to [cidoxepin]. Doxepin commonly produces a 5:1 (E):(Z) racemic mixture. In a strict sense, doxepin is not a tricyclic antidepressant but it is commonly associated with the class since it shares a lot of properties with members of the drug family including [amitriptyline], [clomipramine], [desipramine], [imipramine], [nortriptyline], [protriptyline] and [trimipramine]. Doxepin was developed by Pfizer and FDA approved in 1969 as an antidepressant. However, in 2010 it was approved for the treatment of insomnia. The latter indication was presented by Pernix Therapeutics.
Moderate
1
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[ [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ], [ "Cyclobenzaprine", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ] ], [ [ "Clidinium", "{u} (Compound) binds {v} (Gene)", "CHRM1" ], [ "CHRM1", "{u} (Gene) is bound by {v} (Compound)", "Doxepin" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levodopa" ], [ "Levodopa", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxepin" ] ], [ [ "Clidinium", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Clidinium", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trospium" ], [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiotropium" ], [ "Tiotropium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Clidinium", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Polythiazide" ], [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ] ]
Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Promazine and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine and Cyclobenzaprine may lead to a major life threatening interaction when taken with Doxepin Clidinium (Compound) binds CHRM1 (Gene) and CHRM1 (Gene) is bound by Doxepin (Compound) Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Levodopa and Levodopa may cause a minor interaction that can limit clinical effects when taken with Doxepin Clidinium may cause a minor interaction that can limit clinical effects when taken with Hydrochlorothiazide and Hydrochlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Clidinium (Compound) resembles Trospium (Compound) and Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Trospium and Trospium may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Tiotropium and Tiotropium may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Clidinium may cause a minor interaction that can limit clinical effects when taken with Polythiazide and Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Doxepin
DB00408
DB09076
1,408
1,116
[ "DDInter1099", "DDInter1899" ]
Loxapine
Umeclidinium
An antipsychotic agent used in schizophrenia. [PubChem]
Umeclidinium is a long-acting muscarinic antagonist (LAMA) used as a maintenance treatment for symptoms of chronic obstructive pulmonary disease (COPD). COPD is a progressive obstructive lung disease characterized by shortness of breath, cough, sputum production, and chronically poor airflow with a forced expiratory volume in 1 second (FEV1) of less than 80%. Maintenance of the airway is controlled by the parasympathetic nervous system, particularly by the abundance of the muscarinic subtype 3 (M3) in the airway smooth muscle. Parasympathetic ganglia are associated with the larger airways while postganglionic fibers innervate the smaller diameter bronchioles contributing to airway resistance. By blocking the M3 muscarinic receptor, umeclidinium inhibits the binding of acetylcholine and thereby opens up the airways by preventing bronchoconstriction. However, even though umeclidinium monotherapy is well-tolerated for up to 14 days, it is more likely to be used in combination therapy, as the international Gold Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommended the use of two long-acting bronchodilators with differing mechanisms of action to maximize efficacy and minimize adverse effects.[A7718,A7714] Umeclidinium was approved by the FDA in April 2014 under the brand name Incruse Ellipta as a standalone product. Later, it was further approved as a combination product with [vilanterol] and [vilanterol]/[fluticasone furoate] under the brand name ANORO ELLIPTA and TRELEGY ELLIPTA respectively.[L44461,L44456]. ANORO ELLIPTA was approved in December 2013 while TRELEGY ELLIPTA was approved in September 2017.[L46881,L46886]
Moderate
1
[ [ [ 1408, 24, 1116 ] ], [ [ 1408, 24, 849 ], [ 849, 24, 1116 ] ], [ [ 1408, 1, 695 ], [ 695, 24, 1116 ] ], [ [ 1408, 63, 128 ], [ 128, 24, 1116 ] ], [ [ 1408, 35, 537 ], [ 537, 24, 1116 ] ], [ [ 1408, 40, 1178 ], [ 1178, 24, 1116 ] ], [ [ 1408, 24, 103 ], [ 103, 63, 1116 ] ], [ [ 1408, 24, 849 ], [ 849, 63, 1300 ], [ 1300, 24, 1116 ] ], [ [ 1408, 1, 695 ], [ 695, 24, 849 ], [ 849, 24, 1116 ] ], [ [ 1408, 24, 1511 ], [ 1511, 24, 849 ], [ 849, 24, 1116 ] ] ]
[ [ [ "Loxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} (Compound) resembles {v} (Compound)", "Clozapine" ], [ "Clozapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ], [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} (Compound) resembles {v} (Compound)", "Trifluoperazine" ], [ "Trifluoperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acrivastine" ], [ "Acrivastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Haloperidol" ], [ "Haloperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} (Compound) resembles {v} (Compound)", "Clozapine" ], [ "Clozapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ], [ [ "Loxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ], [ "Mepenzolate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Umeclidinium" ] ] ]
Loxapine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Loxapine (Compound) resembles Clozapine (Compound) and Clozapine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Loxapine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Loxapine (Compound) resembles Cyclizine (Compound) and Loxapine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Loxapine (Compound) resembles Trifluoperazine (Compound) and Trifluoperazine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Loxapine may cause a moderate interaction that could exacerbate diseases when taken with Acrivastine and Acrivastine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Loxapine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Haloperidol and Haloperidol may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Loxapine (Compound) resembles Clozapine (Compound) and Clozapine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium Loxapine may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate and Mepenzolate may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Umeclidinium
DB00191
DB08882
73
1,281
[ "DDInter1447", "DDInter1070" ]
Phentermine
Linagliptin
Phentermine is a sympathomimetic amine anorectic agent and it was introduced in 1959 as part of an anti-obesity combination drug.[A174361, A174364] It is chemically related to amphetamine and it is commonly referred to as an atypical amphetamine. Phentermine has not been reported an addictive potential which allows this agent to be classified under the Schedule IV drugs (low abuse potential). Phentermine was FDA approved for short-term weight management in 1959 and it became widely used in 1960. This initial product, formed by the combination of phentermine with [fenfluramine] and [dexfenfluramine] was discontinued after finding several reports of abnormal valves in nearly 30% of the consumers.[A174376, T403] Later on, phentermine was approved alone and in combination with topiramate in 2012 as a new alternative that required lower doses of phentermine to
Linagliptin is a DPP-4 inhibitor developed by Boehringer Ingelheim for the treatment of type II diabetes . Linagliptin differs from other DPP-4 inhibitors in that it has a non-linear pharmacokinetic profile, is not primarily eliminated by the renal system, and obeys concentration dependant protein binding. Linagliptin was approved by the FDA on May 2, 2011.
Moderate
1
[ [ [ 73, 24, 1281 ] ], [ [ 73, 24, 1002 ], [ 1002, 1, 1281 ] ], [ [ 73, 21, 28762 ], [ 28762, 60, 1281 ] ], [ [ 73, 36, 1529 ], [ 1529, 24, 1281 ] ], [ [ 73, 25, 341 ], [ 341, 24, 1281 ] ], [ [ 73, 24, 1052 ], [ 1052, 24, 1281 ] ], [ [ 73, 63, 1685 ], [ 1685, 24, 1281 ] ], [ [ 73, 24, 1296 ], [ 1296, 63, 1281 ] ], [ [ 73, 35, 280 ], [ 280, 24, 1281 ] ], [ [ 73, 24, 1002 ], [ 1002, 6, 8374 ], [ 8374, 45, 1281 ] ] ]
[ [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alogliptin" ], [ "Alogliptin", "{u} (Compound) resembles {v} (Compound)", "Linagliptin" ] ], [ [ "Phentermine", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Linagliptin" ] ], [ [ "Phentermine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Metamfetamine" ], [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Phentermine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phendimetrazine" ], [ "Phendimetrazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ritodrine" ], [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin human" ], [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Phentermine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mephentermine" ], [ "Mephentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ] ], [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alogliptin" ], [ "Alogliptin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Linagliptin" ] ] ]
Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Alogliptin and Alogliptin (Compound) resembles Linagliptin (Compound) Phentermine (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Linagliptin (Compound) Phentermine (Compound) resembles Metamfetamine (Compound) and Phentermine may lead to a major life threatening interaction when taken with Metamfetamine and Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin Phentermine may lead to a major life threatening interaction when taken with Phendimetrazine and Phendimetrazine may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Ritodrine and Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Insulin human and Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin Phentermine (Compound) resembles Mephentermine (Compound) and Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Mephentermine and Me Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Alogliptin and Alogliptin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Linagliptin (Compound)
DB00748
DB11601
662
1,270
[ "DDInter297", "DDInter1889" ]
Carbinoxamine
Tuberculin purified protein derivative
Carbinoxamine is a first generation antihistamine that competes with free histamine for binding at HA-receptor sites. This antagonizes the effects of histamine on HA-receptors, leading to a reduction of the negative symptoms brought on by histamine HA-receptor binding. The product label for carbinoxamine as an over the counter cough and cold medicine is being modified to state "do not use" in children under 4 years of age in order to prevent and reduce misuse, as many unapproved carbinoxamine-containing preparations contained inappropriate labeling, which promoted unapproved uses (including management of congestion, cough, the common cold, and the use in children under 2 years of age), which can potentially cause serious health risks.
Tuberculin Purified Protein Derivative (PPD) is a sterile aqueous solution of a purified protein fraction for intradermal administration as an aid in the diagnosis of tuberculosis. The diagnostic test is commonly referred to as the Mantoux test which serves to minimize the risk of transmission of infection with *Mycobacterium tuberculosis* through early diagnosis and appropriate therapeutic intervention. The purified protein fraction is isolated from culture media filtrates of a human strain of Mycobacterium tuberculosis. It is included in the World Health Organization's List of Essential Medicines.
Moderate
1
[ [ [ 662, 24, 1270 ] ], [ [ 662, 63, 13 ], [ 13, 24, 1270 ] ], [ [ 662, 24, 1053 ], [ 1053, 24, 1270 ] ], [ [ 662, 35, 1376 ], [ 1376, 24, 1270 ] ], [ [ 662, 63, 13 ], [ 13, 63, 1242 ], [ 1242, 24, 1270 ] ], [ [ 662, 63, 1242 ], [ 1242, 24, 13 ], [ 13, 24, 1270 ] ], [ [ 662, 24, 1053 ], [ 1053, 24, 1531 ], [ 1531, 24, 1270 ] ], [ [ 662, 24, 401 ], [ 401, 63, 1555 ], [ 1555, 24, 1270 ] ], [ [ 662, 35, 1376 ], [ 1376, 63, 13 ], [ 13, 24, 1270 ] ], [ [ 662, 21, 28762 ], [ 28762, 60, 350 ], [ 350, 24, 1270 ] ] ]
[ [ [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ], [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ], [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ], [ [ "Carbinoxamine", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Carfilzomib" ], [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ] ] ]
Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Carbinoxamine (Compound) resembles Diphenhydramine (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Carbinoxamine (Compound) resembles Diphenhydramine (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative Carbinoxamine (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Carfilzomib (Compound) and Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative
DB00196
DB00647
600
675
[ "DDInter743", "DDInter528" ]
Fluconazole
Dextropropoxyphene
Fluconazole, commonly known as _Diflucan_, is an antifungal drug used for the treatment of both systemic and superficial fungal infections in a variety of tissues. It was initially approved by the FDA in 1990. This drug is an _azole_ antifungal, in the same drug family as [ketoconazole] and [itraconazole]. Fluconazole has many advantages over the other antifungal drugs including the option of oral administration. The side effect profile of this drug is minimal. It has been demonstrated as an efficacious treatment for vaginal yeast infections in one single dose.
Dextropropoxyphene is an opioid analgesic manufactured by Eli Lilly and Company. It is used in the symptomatic treatment of mild pain. It displays antitussive and local anaesthetic actions. Due to the risk of cardiac arrhythmias and overdose, possibly leading to death, dextropropoxyphene has been withdrawn from the market in Europe and the United States. The drug is often referred to as the general form, "propoxyphene", however only the dextro-isomer (dextropropoxyphene) has any analgesic effect. The levo-isomer appears to exhibit a very limited antitussive effect.
Moderate
1
[ [ [ 600, 24, 675 ] ], [ [ 600, 24, 888 ], [ 888, 64, 675 ] ], [ [ 600, 25, 494 ], [ 494, 1, 675 ] ], [ [ 600, 23, 307 ], [ 307, 1, 675 ] ], [ [ 600, 25, 1301 ], [ 1301, 40, 675 ] ], [ [ 600, 24, 543 ], [ 543, 63, 675 ] ], [ [ 600, 24, 1164 ], [ 1164, 1, 675 ] ], [ [ 600, 6, 21998 ], [ 21998, 45, 675 ] ], [ [ 600, 21, 28714 ], [ 28714, 60, 675 ] ], [ [ 600, 23, 112 ], [ 112, 62, 675 ] ] ]
[ [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Disopyramide" ], [ "Disopyramide", "{u} (Compound) resembles {v} (Compound)", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} (Compound) resembles {v} (Compound)", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Levacetylmethadol" ], [ "Levacetylmethadol", "{u} (Compound) resembles {v} (Compound)", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} (Compound) binds {v} (Gene)", "CYP3A7-CYP3A51P" ], [ "CYP3A7-CYP3A51P", "{u} (Gene) is bound by {v} (Compound)", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} (Compound) causes {v} (Side Effect)", "Asthenia" ], [ "Asthenia", "{u} (Side Effect) is caused by {v} (Compound)", "Dextropropoxyphene" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dextropropoxyphene" ] ] ]
Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen may lead to a major life threatening interaction when taken with Dextropropoxyphene Fluconazole may lead to a major life threatening interaction when taken with Disopyramide and Disopyramide (Compound) resembles Dextropropoxyphene (Compound) Fluconazole may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil (Compound) resembles Dextropropoxyphene (Compound) Fluconazole may lead to a major life threatening interaction when taken with Levacetylmethadol and Levacetylmethadol (Compound) resembles Dextropropoxyphene (Compound) Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Dextropropoxyphene Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine (Compound) resembles Dextropropoxyphene (Compound) Fluconazole (Compound) binds CYP3A7-CYP3A51P (Gene) and CYP3A7-CYP3A51P (Gene) is bound by Dextropropoxyphene (Compound) Fluconazole (Compound) causes Asthenia (Side Effect) and Asthenia (Side Effect) is caused by Dextropropoxyphene (Compound) Fluconazole may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Dextropropoxyphene
DB00531
DB06209
450
256
[ "DDInter456", "DDInter1508" ]
Cyclophosphamide
Prasugrel
Precursor of an alkylating nitrogen mustard antineoplastic and immunosuppressive agent that must be activated in the liver to form the active aldophosphamide. It has been used in the treatment of lymphoma and leukemia. Its side effect, alopecia, has been used for defleecing sheep. Cyclophosphamide may also cause sterility, birth defects, mutations, and cancer.
Prasugrel, a thienopyridine derivative, is a platelet activation and aggregation inhibitor structurally and pharmacologically related to clopidogrel and ticlopidine. Similar to clopidogrel, prasugrel is a prodrug that requires enzymatic transformation in the liver to its active metabolite, R-138727. R-138727 irreversibly binds to P2Y12 type ADP receptors on platelets thus preventing activation of the GPIIb/IIIa receptor complex. As a result, inhibition of ADP-mediated platelet activation and aggregation occurs. Prasugrel was developed by Daiichi Sankyo Co. and is currently marketed in the United States and Canada in cooperation with Eli Lilly and Company for acute coronary syndromes planned for percutaneous coronary intervention (PCI). FDA approved in 2009.
Minor
0
[ [ [ 450, 23, 256 ] ], [ [ 450, 6, 10215 ], [ 10215, 45, 256 ] ], [ [ 450, 21, 28681 ], [ 28681, 60, 256 ] ], [ [ 450, 24, 593 ], [ 593, 23, 256 ] ], [ [ 450, 63, 188 ], [ 188, 23, 256 ] ], [ [ 450, 63, 1461 ], [ 1461, 24, 256 ] ], [ [ 450, 24, 738 ], [ 738, 63, 256 ] ], [ [ 450, 62, 831 ], [ 831, 25, 256 ] ], [ [ 450, 24, 4 ], [ 4, 25, 256 ] ], [ [ 450, 6, 10215 ], [ 10215, 45, 752 ], [ 752, 23, 256 ] ] ]
[ [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} (Compound) causes {v} (Side Effect)", "Hypersensitivity" ], [ "Hypersensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nevirapine" ], [ "Nevirapine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ], [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Indomethacin" ], [ "Indomethacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Prasugrel" ] ], [ [ "Cyclophosphamide", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prasugrel" ] ] ]
Cyclophosphamide (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Prasugrel (Compound) Cyclophosphamide (Compound) causes Hypersensitivity (Side Effect) and Hypersensitivity (Side Effect) is caused by Prasugrel (Compound) Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may cause a minor interaction that can limit clinical effects when taken with Prasugrel Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Nevirapine and Nevirapine may cause a minor interaction that can limit clinical effects when taken with Prasugrel Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Niraparib and Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Indomethacin and Indomethacin may lead to a major life threatening interaction when taken with Prasugrel Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Prasugrel Cyclophosphamide (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Cimetidine (Compound) and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Prasugrel
DB00802
DB11718
1,322
927
[ "DDInter43", "DDInter640" ]
Alfentanil
Encorafenib
A short-acting opioid anesthetic and analgesic derivative of fentanyl. It produces an early peak analgesic effect and fast recovery of consciousness. Alfentanil is effective as an anesthetic during surgery, for supplementation of analgesia during surgical procedures, and as an analgesic for critically ill patients.
Encorafenib, also known as _BRAFTOVI_, is a kinase inhibitor. Encorafenib inhibits BRAF gene, which encodes for B-raf protein, which is a proto-oncogene involved in various genetic mutations. This protein plays a role in regulating the MAP kinase/ERK signaling pathway, which impacts cell division, differentiation, and secretion. Mutations in this gene, most frequently the V600E mutation, are the most commonly identified cancer-causing mutations in melanoma, and have been isolated in various other cancers as well, including non-Hodgkin lymphoma, colorectal cancer, thyroid carcinoma, non-small cell lung carcinoma, hairy cell leukemia and adenocarcinoma of the lung. On June 27, 2018, the Food and Drug Administration approved encorafenib and [binimetinib] (BRAFTOVI and MEKTOVI, Array BioPharma Inc.) in combination for patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, as detected by an FDA-approved test.
Moderate
1
[ [ [ 1322, 24, 927 ] ], [ [ 1322, 63, 1324 ], [ 1324, 24, 927 ] ], [ [ 1322, 24, 1264 ], [ 1264, 24, 927 ] ], [ [ 1322, 24, 484 ], [ 484, 63, 927 ] ], [ [ 1322, 40, 1454 ], [ 1454, 24, 927 ] ], [ [ 1322, 64, 1494 ], [ 1494, 24, 927 ] ], [ [ 1322, 25, 1133 ], [ 1133, 24, 927 ] ], [ [ 1322, 63, 597 ], [ 597, 25, 927 ] ], [ [ 1322, 24, 1017 ], [ 1017, 64, 927 ] ], [ [ 1322, 64, 723 ], [ 723, 25, 927 ] ] ]
[ [ [ "Alfentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} (Compound) resembles {v} (Compound)", "Sufentanil" ], [ "Sufentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} may lead to a major life threatening interaction when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} may lead to a major life threatening interaction when taken with {v}", "Granisetron" ], [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Alfentanil", "{u} may lead to a major life threatening interaction when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ] ]
Alfentanil may cause a moderate interaction that could exacerbate diseases when taken with Troglitazone and Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Alfentanil may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Alfentanil may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Alfentanil (Compound) resembles Sufentanil (Compound) and Sufentanil may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Alfentanil may lead to a major life threatening interaction when taken with Palonosetron and Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Alfentanil may lead to a major life threatening interaction when taken with Granisetron and Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Alfentanil may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may lead to a major life threatening interaction when taken with Encorafenib Alfentanil may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may lead to a major life threatening interaction when taken with Encorafenib Alfentanil may lead to a major life threatening interaction when taken with Aprepitant and Aprepitant may lead to a major life threatening interaction when taken with Encorafenib
DB11003
DB12267
748
1,476
[ "DDInter100", "DDInter233" ]
Anthrax vaccine
Brigatinib
Anthrax vaccine is a vaccine used for the pre- or post-exposure prophylaxis of disease in those at high risk of, suspected or confirmed exposure to *Bacillus anthracis*. It is subcutaneously or intramuscularly administered. It is derived from cell-free filtrates of microaerophilic cultures of an avirulent, nonencapsulated strain of Bacillus anthracis which are grown in a chemically defined protein-free medium. It is considered one of the most likely agents to be used in a biological attack. There are currently 2 anthrax vaccines approved by the FDA: BioThrax in August 15, 2016 and CYFENDUS in July 20, 2023.[L47566, L47561] These vaccines are currently stored in the Strategic National Stockpile in preparation for an Anthrax terrorist attack or for pre-exposure prophylaxis of personnel going to specific arenas around the world.
Brigatinib, originally named AP26113, is a reversible dual inhibitor of anaplastic lymphoma kinase (ALK) and epidermal growth factor receptor (EGFR). It presents selectivity against the mutant forms of EGFR compared to the wild-type. It also exhibits selectivity against 9 different Crizotinib-resistant mutants of the EML4-ALK fusion gene, which is a pivotal player in the transformation of susceptible lung parenchyma. Brigatinib was developed by Ariad Pharmaceuticals, a subsidiary of Takeda Pharmaceutical Company Limited, and FDA-approved on April 28, 2017.
Moderate
1
[ [ [ 748, 24, 1476 ] ], [ [ 748, 63, 168 ], [ 168, 23, 1476 ] ], [ [ 748, 63, 629 ], [ 629, 24, 1476 ] ], [ [ 748, 24, 1456 ], [ 1456, 24, 1476 ] ], [ [ 748, 24, 1619 ], [ 1619, 63, 1476 ] ], [ [ 748, 63, 1057 ], [ 1057, 25, 1476 ] ], [ [ 748, 24, 676 ], [ 676, 64, 1476 ] ], [ [ 748, 24, 1259 ], [ 1259, 25, 1476 ] ], [ [ 748, 63, 168 ], [ 168, 63, 1184 ], [ 1184, 24, 1476 ] ], [ [ 748, 63, 629 ], [ 629, 24, 1206 ], [ 1206, 23, 1476 ] ] ]
[ [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemfibrozil" ], [ "Gemfibrozil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Brigatinib" ] ] ]
Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Brigatinib Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus and Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Brigatinib Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Brigatinib Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Brigatinib Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus and Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Gemfibrozil and Gemfibrozil may cause a minor interaction that can limit clinical effects when taken with Brigatinib