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DB00862
DB08881
1,005
868
[ "DDInter1918", "DDInter1925" ]
Vardenafil
Vemurafenib
Vardenafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5) and an oral therapy for the treatment of erectile dysfunction.[L45563,L45568] During sexual stimulation, nitric oxide (NO) is released from nerve endings and endothelial cells in the corpus cavernosum, activating the enzyme guanylate cyclase and increasing the synthesis of cGMP in the smooth muscle cells of the corpus cavernosum. PDE5 inhibitors, such as vardenafil, inhibit the degradation of cGMP and allow increased blood flow into the penis, resulting in an erection.[A258303,L45563,L45568]. Compared to [sildenafil] and [tadalafil], vardenafil is a more potent inhibitor of PDE5; however, its selectivity for other PDE isoforms is lower than the one detected for tadalafil. The FDA approved the use of v
Vemurafenib is a competitive kinase inhibitor with activity against BRAF kinase with mutations like V600E. It exerts its function by binding to the ATP-binding domain of the mutant BRAF. Vemurafenib was co-developed by Roche and Plexxikon and it obtained its FDA approval on August 17, 2011, under the company Hoffmann La Roche. After approval, Roche in collaboration with Genentech launched a broad development program.
Major
2
[ [ [ 1005, 25, 868 ] ], [ [ 1005, 6, 8374 ], [ 8374, 45, 868 ] ], [ [ 1005, 21, 28847 ], [ 28847, 60, 868 ] ], [ [ 1005, 24, 112 ], [ 112, 23, 868 ] ], [ [ 1005, 24, 480 ], [ 480, 24, 868 ] ], [ [ 1005, 25, 760 ], [ 760, 63, 868 ] ], [ [ 1005, 24, 286 ], [ 286, 63, 868 ] ], [ [ 1005, 63, 355 ], [ 355, 24, 868 ] ], [ [ 1005, 25, 478 ], [ 478, 25, 868 ] ], [ [ 1005, 24, 823 ], [ 823, 64, 868 ] ] ]
[ [ [ "Vardenafil", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ] ], [ [ "Vardenafil", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Vemurafenib" ] ], [ [ "Vardenafil", "{u} (Compound) causes {v} (Side Effect)", "Eye disorder" ], [ "Eye disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Vemurafenib" ] ], [ [ "Vardenafil", "{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}", "Vemurafenib" ] ], [ [ "Vardenafil", "{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}", "Vemurafenib" ] ], [ [ "Vardenafil", "{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}", "Vemurafenib" ] ], [ [ "Vardenafil", "{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}", "Vemurafenib" ] ], [ [ "Vardenafil", "{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}", "Vemurafenib" ] ], [ [ "Vardenafil", "{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}", "Vemurafenib" ] ], [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ], [ "Triclabendazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ] ] ]
Vardenafil (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Vemurafenib (Compound) Vardenafil (Compound) causes Eye disorder (Side Effect) and Eye disorder (Side Effect) is caused by Vemurafenib (Compound) Vardenafil 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 Vemurafenib Vardenafil 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 Vemurafenib Vardenafil 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 Vemurafenib Vardenafil 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 Vemurafenib Vardenafil 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 Vemurafenib Vardenafil 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 Vemurafenib Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole and Triclabendazole may lead to a major life threatening interaction when taken with Vemurafenib
DB01157
DB06372
304
259
[ "DDInter1875", "DDInter1594" ]
Trimetrexate
Rilonacept
A nonclassical folic acid inhibitor through its inhibition of the enzyme dihydrofolate reductase. It is being tested for efficacy as an antineoplastic agent and as an antiparasitic agent against pneumocystis pneumonia in AIDS patients. Myelosuppression is its dose-limiting toxic effect.
Rilonacept is a dimeric fusion protein consisting of portions of IL-1R and the IL-1R accessory protein linked to the Fc portion of immunoglobulin G1. Rilonacept functions as an interleukin 1 inhibitor and is used in the treatment of CAPS, also known as cryopyrin-associated periodic syndromes, including familial cold auto-inflammatory syndrome (FCAS) and Muckle-Wells Syndrome (MWS), in adults and children greater than 12 years old.
Moderate
1
[ [ [ 304, 24, 259 ] ], [ [ 304, 24, 1367 ], [ 1367, 63, 259 ] ], [ [ 304, 63, 482 ], [ 482, 24, 259 ] ], [ [ 304, 24, 4 ], [ 4, 24, 259 ] ], [ [ 304, 25, 1011 ], [ 1011, 64, 259 ] ], [ [ 304, 64, 1377 ], [ 1377, 25, 259 ] ], [ [ 304, 24, 1367 ], [ 1367, 63, 0 ], [ 0, 24, 259 ] ], [ [ 304, 24, 270 ], [ 270, 62, 1114 ], [ 1114, 62, 259 ] ], [ [ 304, 63, 482 ], [ 482, 63, 1461 ], [ 1461, 23, 259 ] ], [ [ 304, 63, 139 ], [ 139, 24, 0 ], [ 0, 24, 259 ] ] ]
[ [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ], [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Trimetrexate", "{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}", "Rilonacept" ] ], [ [ "Trimetrexate", "{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}", "Rilonacept" ] ], [ [ "Trimetrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilonacept" ] ], [ [ "Trimetrexate", "{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}", "Rilonacept" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ], [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dactinomycin" ], [ "Dactinomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc sulfate" ], [ "Zinc sulfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rilonacept" ] ], [ [ "Trimetrexate", "{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}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rilonacept" ] ], [ [ "Trimetrexate", "{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}", "Dactinomycin" ], [ "Dactinomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ] ]
Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) and Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept Trimetrexate 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 Rilonacept Trimetrexate 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 Rilonacept Trimetrexate may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Rilonacept Trimetrexate 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 Rilonacept Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) and Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Dactinomycin and Dactinomycin may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may cause a minor interaction that can limit clinical effects when taken with Zinc sulfate and Zinc sulfate may cause a minor interaction that can limit clinical effects when taken with Rilonacept Trimetrexate 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 Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Rilonacept Trimetrexate 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 Dactinomycin and Dactinomycin may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept
DB01085
DB11363
562
1,276
[ "DDInter1465", "DDInter39" ]
Pilocarpine
Alectinib
A naturally occurring alkaloid derived from the _Pilocarpus_ plants, pilocarpine is a muscarinic acetylcholine agonist.[A262016, A262036] Pilocarpine is associated with parasympathomimetic effects by selectively working on muscarinic receptors. Pilocarpine is used to treat dry mouth and various ophthalmic conditions, including elevated intraocular pressure and glaucoma. The usage of glaucoma by pilocarpine dates back to 1875.
Alectinib is a second generation oral drug that selectively inhibits the activity of anaplastic lymphoma kinase (ALK) tyrosine kinase. It is specifically used in the treatment of non-small cell lung cancer (NSCLC) expressing the ALK-EML4 (echinoderm microtubule-associated protein-like 4) fusion protein that causes proliferation of NSCLC cells. Inhibition of ALK prevents phosphorylation and subsequent downstream activation of STAT3 and AKT resulting in reduced tumour cell viability. Approved under accelerated approval in 2015, alectinib is indicated for use in patients who have progressed on or were not tolerant of crizotinib, which is associated with the development of resistance.
Moderate
1
[ [ [ 562, 24, 1276 ] ], [ [ 562, 24, 1011 ], [ 1011, 24, 1276 ] ], [ [ 562, 24, 1476 ], [ 1476, 63, 1276 ] ], [ [ 562, 63, 770 ], [ 770, 24, 1276 ] ], [ [ 562, 24, 1011 ], [ 1011, 64, 819 ], [ 819, 24, 1276 ] ], [ [ 562, 24, 1476 ], [ 1476, 63, 819 ], [ 819, 24, 1276 ] ], [ [ 562, 6, 8374 ], [ 8374, 45, 92 ], [ 92, 24, 1276 ] ], [ [ 562, 63, 770 ], [ 770, 24, 819 ], [ 819, 24, 1276 ] ], [ [ 562, 24, 1011 ], [ 1011, 24, 722 ], [ 722, 24, 1276 ] ], [ [ 562, 18, 8800 ], [ 8800, 57, 92 ], [ 92, 24, 1276 ] ] ]
[ [ [ "Pilocarpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Pilocarpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Pilocarpine", "{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}", "Alectinib" ] ], [ [ "Pilocarpine", "{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}", "Alectinib" ] ], [ [ "Pilocarpine", "{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}", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Pilocarpine", "{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}", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Pilocarpine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Methoxsalen" ], [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Pilocarpine", "{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}", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Pilocarpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levobetaxolol" ], [ "Levobetaxolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Pilocarpine", "{u} (Compound) downregulates {v} (Gene)", "RBM34" ], [ "RBM34", "{u} (Gene) is downregulated by {v} (Compound)", "Methoxsalen" ], [ "Methoxsalen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ] ]
Pilocarpine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod and Fingolimod may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Pilocarpine 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 Alectinib Pilocarpine 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 Alectinib Pilocarpine 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 Acebutolol and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Pilocarpine 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 Acebutolol and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Pilocarpine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Methoxsalen (Compound) and Methoxsalen may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Pilocarpine 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 Acebutolol and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Pilocarpine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod and Fingolimod may cause a moderate interaction that could exacerbate diseases when taken with Levobetaxolol and Levobetaxolol may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Pilocarpine (Compound) downregulates RBM34 (Gene) and RBM34 (Gene) is downregulated by Methoxsalen (Compound) and Methoxsalen may cause a moderate interaction that could exacerbate diseases when taken with Alectinib
DB00374
DB01191
1,061
1,039
[ "DDInter1852", "DDInter518" ]
Treprostinil
Dexfenfluramine
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
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.
Moderate
1
[ [ [ 1061, 24, 1039 ] ], [ [ 1061, 6, 6017 ], [ 6017, 45, 1039 ] ], [ [ 1061, 7, 5617 ], [ 5617, 46, 1039 ] ], [ [ 1061, 18, 4360 ], [ 4360, 57, 1039 ] ], [ [ 1061, 24, 1046 ], [ 1046, 63, 1039 ] ], [ [ 1061, 25, 500 ], [ 500, 63, 1039 ] ], [ [ 1061, 24, 935 ], [ 935, 24, 1039 ] ], [ [ 1061, 63, 702 ], [ 702, 24, 1039 ] ], [ [ 1061, 64, 834 ], [ 834, 24, 1039 ] ], [ [ 1061, 25, 553 ], [ 553, 24, 1039 ] ] ]
[ [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{u} (Compound) upregulates {v} (Gene)", "ARL4C" ], [ "ARL4C", "{u} (Gene) is upregulated by {v} (Compound)", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{u} (Compound) downregulates {v} (Gene)", "TIMM9" ], [ "TIMM9", "{u} (Gene) is downregulated by {v} (Compound)", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Caplacizumab" ], [ "Caplacizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Enoxaparin" ], [ "Enoxaparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketoprofen" ], [ "Ketoprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{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}", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Drotrecogin alfa" ], [ "Drotrecogin alfa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Treprostinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ] ]
Treprostinil (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Dexfenfluramine (Compound) Treprostinil (Compound) upregulates ARL4C (Gene) and ARL4C (Gene) is upregulated by Dexfenfluramine (Compound) Treprostinil (Compound) downregulates TIMM9 (Gene) and TIMM9 (Gene) is downregulated by Dexfenfluramine (Compound) Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Caplacizumab and Caplacizumab may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Treprostinil may lead to a major life threatening interaction when taken with Enoxaparin and Enoxaparin may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Ketoprofen and Ketoprofen may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Treprostinil 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 Dexfenfluramine Treprostinil may lead to a major life threatening interaction when taken with Drotrecogin alfa and Drotrecogin alfa may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Treprostinil may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine
DB00794
DB01246
759
820
[ "DDInter1521", "DDInter45" ]
Primidone
Alimemazine
Primidone is an anticonvulsant used to treat essential tremor as well as grand mal, psychomotor, and focal epileptic seizures. Primidone was developed by J Yule Bogue and H C Carrington in 1949. Primidone was granted FDA Approval on 8 March 1954.
A phenothiazine derivative that is used as an antipruritic.
Moderate
1
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[ [ [ "Primidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Primidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Primidone", "{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" ] ], [ [ "Primidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Primidone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Alimemazine" ] ], [ [ "Primidone", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Alimemazine" ] ], [ [ "Primidone", "{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}", "Alimemazine" ] ], [ [ "Primidone", "{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}", "Alimemazine" ] ], [ [ "Primidone", "{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" ] ], [ [ "Primidone", "{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}", "Alimemazine" ] ] ]
Primidone may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine (Compound) resembles Alimemazine (Compound) Primidone 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 Primidone may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Alimemazine (Compound) Primidone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Alimemazine (Compound) Primidone (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Alimemazine (Compound) Primidone 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 Alimemazine Primidone 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 Alimemazine Primidone 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 Primidone 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 Alimemazine
DB00445
DB01087
322
1,520
[ "DDInter655", "DDInter1520" ]
Epirubicin
Primaquine
An anthracycline which is the 4'-epi-isomer of doxorubicin. The compound exerts its antitumor effects by interference with the synthesis and function of DNA.
An aminoquinoline that is given by mouth to produce a radical cure and prevent relapse of vivax and ovale malarias following treatment with a blood schizontocide. It has also been used to prevent transmission of falciparum malaria by those returning to areas where there is a potential for re-introduction of malaria. Adverse effects include anemias and GI disturbances. (From Martindale, The Extra Pharmacopeia, 30th ed, p404)
Moderate
1
[ [ [ 322, 24, 1520 ] ], [ [ 322, 25, 1487 ], [ 1487, 64, 1520 ] ], [ [ 322, 18, 8800 ], [ 8800, 57, 1520 ] ], [ [ 322, 21, 28722 ], [ 28722, 60, 1520 ] ], [ [ 322, 23, 112 ], [ 112, 23, 1520 ] ], [ [ 322, 24, 479 ], [ 479, 23, 1520 ] ], [ [ 322, 63, 508 ], [ 508, 24, 1520 ] ], [ [ 322, 24, 1342 ], [ 1342, 63, 1520 ] ], [ [ 322, 24, 1133 ], [ 1133, 24, 1520 ] ], [ [ 322, 23, 739 ], [ 739, 24, 1520 ] ] ]
[ [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ] ], [ [ "Epirubicin", "{u} (Compound) downregulates {v} (Gene)", "RBM34" ], [ "RBM34", "{u} (Gene) is downregulated by {v} (Compound)", "Primaquine" ] ], [ [ "Epirubicin", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Primaquine" ] ], [ [ "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}", "Primaquine" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Primaquine" ] ], [ [ "Epirubicin", "{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}", "Primaquine" ] ], [ [ "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}", "Primaquine" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Granisetron" ], [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Epirubicin", "{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}", "Primaquine" ] ] ]
Epirubicin may lead to a major life threatening interaction when taken with Hydroxychloroquine and Hydroxychloroquine may lead to a major life threatening interaction when taken with Primaquine Epirubicin (Compound) downregulates RBM34 (Gene) and RBM34 (Gene) is downregulated by Primaquine (Compound) Epirubicin (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Primaquine (Compound) 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 Primaquine Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Donepezil and Donepezil may cause a minor interaction that can limit clinical effects when taken with Primaquine Epirubicin 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 Primaquine 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 Primaquine Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Granisetron and Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Epirubicin 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 Primaquine
DB09075
DB12130
498
1,017
[ "DDInter621", "DDInter1094" ]
Edoxaban
Lorlatinib
Edoxaban is a member of the Novel Oral Anti-Coagulants (NOACs) class of drugs, and is a rapidly acting, oral, selective factor Xa inhibitor. By inhibiting factor Xa, a key protein in the coagulation cascade, edoxaban prevents the stepwise amplification of protein factors needed to form blood clots. It is indicated to reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF) and for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5-10 days of initial therapy with a parenteral anticoagulant. Traditionally, warfarin, a vitamin K antagonist, was used for stroke prevention in these individuals but effective use of this drug is limited by it's delayed onset, narrow therapeutic window, need for regular monitoring and INR testing, and numerous drug-drug and
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
[ [ [ 498, 24, 1017 ] ], [ [ 498, 64, 409 ], [ 409, 24, 1017 ] ], [ [ 498, 25, 1421 ], [ 1421, 63, 1017 ] ], [ [ 498, 63, 1427 ], [ 1427, 24, 1017 ] ], [ [ 498, 24, 738 ], [ 738, 24, 1017 ] ], [ [ 498, 25, 1033 ], [ 1033, 24, 1017 ] ], [ [ 498, 24, 1456 ], [ 1456, 25, 1017 ] ], [ [ 498, 25, 785 ], [ 785, 25, 1017 ] ], [ [ 498, 64, 1080 ], [ 1080, 25, 1017 ] ], [ [ 498, 63, 129 ], [ 129, 25, 1017 ] ] ]
[ [ [ "Edoxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Edoxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vortioxetine" ], [ "Vortioxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Edoxaban", "{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}", "Lorlatinib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Edoxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Capmatinib" ], [ "Capmatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Conivaptan" ], [ "Conivaptan", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ] ], [ [ "Edoxaban", "{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}", "Lorlatinib" ] ] ]
Edoxaban may lead to a major life threatening interaction when taken with Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Edoxaban may lead to a major life threatening interaction when taken with Betrixaban and Betrixaban may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Edoxaban may cause a moderate interaction that could exacerbate diseases when taken with Vortioxetine and Vortioxetine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Edoxaban 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 Lorlatinib Edoxaban may lead to a major life threatening interaction when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Edoxaban may cause a moderate interaction that could exacerbate diseases when taken with Venetoclax and Venetoclax may lead to a major life threatening interaction when taken with Lorlatinib Edoxaban may lead to a major life threatening interaction when taken with Capmatinib and Capmatinib may lead to a major life threatening interaction when taken with Lorlatinib Edoxaban may lead to a major life threatening interaction when taken with Conivaptan and Conivaptan may lead to a major life threatening interaction when taken with Lorlatinib Edoxaban 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 Lorlatinib
DB00095
DB06273
66
980
[ "DDInter623", "DDInter1824" ]
Efalizumab
Tocilizumab
Humanized IgG1 kappa isotype monoclonal antibody that binds to human CD11a. Efalizumab has a molecular weight of approximately 150 kilodaltons and is produced in a Chinese hamster ovary mammalian cell expression system in a nutrient medium containing the antibiotic gentamicin. The FDA approved efalizumab in 2003. It was later withdrawn in 2009 due to a potential risk of progressive multifocal leukoencephalopathy (PML).
Tocilizumab is a recombinant humanized monoclonal antibody IL-6 receptor inhibitor used to treat inflammatory and autoimmune conditions. It was first described in the literature in 2003 when Chugai, a subsidiary of Roche began developing IL-6 inhibiting monoclonal antibodies. Tocilizumab was granted FDA approval on 8 January 2010 to treat a number of inflammatory and autoimmune disorders, such as different types of arthritis and cytokine release syndrome. It was later approved by Health Canada on 30 April 2010. After being investigated to treat severely ill patients with COVID-19,[A193278,L12837,L12843] tocilizumab was approved by the European Commission in December 2021 to treat COVID-19 in adults receiving systemic corticosteroids and supplemental oxygen or mechanical ventilation. Subsequently, it was granted approval by Health Canada and the FDA in October and December 2022, respectively. Tocilizumab-bavi, a biosimilar drug, was approved by the FDA in September 2023.
Moderate
1
[ [ [ 66, 24, 980 ] ], [ [ 66, 23, 1114 ], [ 1114, 62, 980 ] ], [ [ 66, 23, 1461 ], [ 1461, 23, 980 ] ], [ [ 66, 24, 139 ], [ 139, 24, 980 ] ], [ [ 66, 24, 975 ], [ 975, 63, 980 ] ], [ [ 66, 63, 58 ], [ 58, 24, 980 ] ], [ [ 66, 25, 1011 ], [ 1011, 64, 980 ] ], [ [ 66, 24, 1531 ], [ 1531, 25, 980 ] ], [ [ 66, 24, 375 ], [ 375, 64, 980 ] ], [ [ 66, 63, 1184 ], [ 1184, 25, 980 ] ] ]
[ [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tocilizumab" ] ], [ [ "Efalizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc sulfate" ], [ "Zinc sulfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tocilizumab" ] ], [ [ "Efalizumab", "{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}", "Tocilizumab" ] ], [ [ "Efalizumab", "{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}", "Tocilizumab" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ], [ "Lurbinectedin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tocilizumab" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tocilizumab" ] ], [ [ "Efalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Tocilizumab" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tocilizumab" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Tocilizumab" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Tocilizumab" ] ] ]
Efalizumab may cause a minor interaction that can limit clinical effects when taken with Zinc sulfate and Zinc sulfate may cause a minor interaction that can limit clinical effects when taken with Tocilizumab Efalizumab 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 Tocilizumab Efalizumab 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 Tocilizumab Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin and Lurbinectedin may cause a moderate interaction that could exacerbate diseases when taken with Tocilizumab Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Tocilizumab Efalizumab may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Tocilizumab Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab may lead to a major life threatening interaction when taken with Tocilizumab Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol and Certolizumab pegol may lead to a major life threatening interaction when taken with Tocilizumab Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may lead to a major life threatening interaction when taken with Tocilizumab
DB01017
DB09061
1,669
1,627
[ "DDInter1224", "DDInter284" ]
Minocycline
Cannabidiol
Minocycline was first described in the literacture in 1966. It is a second generation tetracycline antibiotic that is active against gram-negative and gram-positive bacteria. Like other semisynthetic tetracyclines, minocycline has modifications to carbons 7-9 on the D ring to generate higher efficacy than previous tetracyclines. Minocycline was granted FDA approval on 30 June 1971.
Cannabidiol, or CBD, is one of at least 85 active cannabinoids identified within the Cannabis plant. It is a major phytocannabinoid, accounting for up to 40% of the Cannabis plant's extract, that binds to a wide variety of physiological targets of the endocannabinoid system within the body. Although the exact medical implications are currently being investigated, CBD has shown promise as a therapeutic and pharmaceutical drug target. In particular, CBD has shown promise as an analgesic, anticonvulsant, muscle relaxant, anxiolytic, antipsychotic and has shown neuroprotective, anti-inflammatory, and antioxidant activity, among other currently investigated uses [A32477, A32469]. CBD's exact place within medical practice is still currently hotly debated, however as the body of evidence grows and legislation changes to reflect its wide-spread use, public and medical opinion have changed significantly with regards to its usefulness in a number of medical conditions ranging from anxiety to epilepsy. From a pharmacological perspective, Cannabis' (and CBD's) 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 . Cannabinoid receptors are utilized endogenously by the body through the endocannabinoid system, which includes a group of lipid proteins, enzymes, and receptors that are involved in many physiological processes. Through its modulation of neurotransmitter release, the endocannabinoid system regulates cognition, pain sensation, appetite, memory, sleep, immune function, and mood among many other bodily systems. These effects are largely mediated through two members of the G-protein coupled receptor family, cannabinoid receptors 1 and 2 (CB1 and CB2)[A32585,A32824]. CB1 receptors are found in both the central and peripheral nervous systems, with the majority of receptors localized to the hippocampus and amygdala of the brain. Physiological effects of using cannabis make sense in the context of its receptor activity as the hippocampus and amygdala are primarily involved with regulation of memory, fear, and emotion. In contrast, CB2 receptors are mainly found peripherally in immune cells, lymphoid tissue, and peripheral nerve terminals . Tetrahydrocannabinol (THC) and cannabidiol (CBD) are two types of cannabinoids found naturally in the resin of the marijuana plant, both of which interact with the cannabinoid receptors that are found throughout the body. Although THC and CBD have been the most studied cannabinoids, there are many others identified to date including cannabinol (CBN), cannabigerol (CBG), (CBDV), and (THCV) that can be found within the medical cannabis . 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 of THC like 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. The primary psychoactive component of Cannabis, delta 9-tetrahydrocannabinol (Δ9-THC), demonstrates its effects through weak partial agonist activity at Cannabinoid-1 (CB1R) and Cannabinoid-2 (CB2R) receptors. This activity results in the well-known effects of smoking cannabis such as increased appetite, reduced pain, and changes in emotional and cognitive processes. In contrast to THC's weak agonist activity, CBD has been shown to act as a negative allosteric modulator of the cannabinoid CB1 receptor, the most abundant G-Protein Coupled Receptor (GPCR) in the body . Allosteric regulation is achieved through the modulation of receptor activity on a functionally distinct site from the agonist or antagonist binding site which is clinically significant as direct agonists (such as THC) are limited by their psychomimetic effects such as changes to mood, memory, and anxiety. In addition to the well-known activity on CB1 and CB2 receptors, there is further evidence that CBD also activates 5-HT1A/2A/3A serotonergic and TRPV1–2 vanilloid receptors, antagonizes alpha-1 adrenergic and µ-opioid receptors, inhibits synaptosomal uptake of noradrenaline, dopamine, serotonin and gamma-aminobutyric acid (GABA), and cellular uptake of anandamide, acts on mitochondria Ca2+ stores, blocks low-voltage-activated (T-type) Ca2+ channels, stimulates activity of the inhibitory glycine-receptor, and inhibits activity of fatty amide hydrolase (FAAH) [A31555, A31574]. CBD is currently available in Canada within a 1:1 formulation with tetrahydrocannbinol (THC) (as the formulation known as "nabiximols") as the brand name product Sativex. It is approved for use as adjunctive treatment for symptomatic relief of spasticity in adult patients with multiple sclerosis (MS). Sativex was also given a conditional Notice of Compliance (NOC/c) for use as adjunctive treatment for the symptomatic relief of neuropathic pain in adult patients with multiple sclerosis and as adjunctive analgesic treatment for moderate to severe pain in adult patients with advanced cancer . In April 2018, a Food and Drug Administration advisory panel unanimously recommended approval of Epidiolex (cannabidiol oral solution) for the treatment of two rare forms of epilepsy - Lennox-Gastaut syndrome and Dravet syndrome, which are among the two most difficult types of epilepsy to treat [L2721, L2719]. Epidiolex was granted Orphan Drug designation as well as Fast Track Approval from the FDA for further study in these hard to treat conditions. Notably, phase 3 clinical trials of Epidiolex have demonstrated clinically significant improvement in Lennox-Gastaut syndrome and Dravet syndrome . On June 25th, 2018, Epidiolex was approved by the FDA to be the first CBD-based product available on the US market.
Moderate
1
[ [ [ 1669, 24, 1627 ] ], [ [ 1669, 24, 384 ], [ 384, 23, 1627 ] ], [ [ 1669, 24, 1613 ], [ 1613, 63, 1627 ] ], [ [ 1669, 63, 267 ], [ 267, 24, 1627 ] ], [ [ 1669, 24, 850 ], [ 850, 24, 1627 ] ], [ [ 1669, 64, 640 ], [ 640, 24, 1627 ] ], [ [ 1669, 25, 1510 ], [ 1510, 25, 1627 ] ], [ [ 1669, 24, 384 ], [ 384, 63, 723 ], [ 723, 23, 1627 ] ], [ [ 1669, 63, 267 ], [ 267, 24, 609 ], [ 609, 23, 1627 ] ], [ [ 1669, 24, 850 ], [ 850, 24, 760 ], [ 760, 62, 1627 ] ] ]
[ [ [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ], [ [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ], [ "Peginterferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Minocycline", "{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}", "Cannabidiol" ] ], [ [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ], [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Minocycline", "{u} may lead to a major life threatening interaction when taken with {v}", "Acitretin" ], [ "Acitretin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Minocycline", "{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}", "Cannabidiol" ] ], [ [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ], [ [ "Minocycline", "{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}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ], [ [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ], [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ] ]
Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may cause a minor interaction that can limit clinical effects when taken with Cannabidiol Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a and Peginterferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Minocycline 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 Cannabidiol Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin and Brentuximab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Minocycline may lead to a major life threatening interaction when taken with Acitretin and Acitretin may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Minocycline 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 Cannabidiol Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant and Aprepitant may cause a minor interaction that can limit clinical effects when taken with Cannabidiol Minocycline 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 Clarithromycin and Clarithromycin may cause a minor interaction that can limit clinical effects when taken with Cannabidiol Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin and Brentuximab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat and Cobicistat may cause a minor interaction that can limit clinical effects when taken with Cannabidiol
DB00060
DB08916
912
26
[ "DDInter947", "DDInter32" ]
Interferon beta-1a
Afatinib
Human interferon beta (166 residues), glycosylated, MW=22.5kD. It is produced by mammalian cells (Chinese Hamster Ovary cells) into which the human interferon beta gene has been introduced. The amino acid sequence is identical to that of natural human interferon beta.
Afatinib is a 4-anilinoquinazoline tyrosine kinase inhibitor in the form of a dimaleate salt available as Boehringer Ingelheim's brand name Gilotrif [FDA Label]. For oral use, afatinib tablets are a first-line (initial) treatment for patients with metastatic non-small cell lung cancer (NSCLC) with common epidermal growth factor receptor (EGFR) mutations as detected by an FDA-approved test . Gilotrif (afatinib) is the first FDA-approved oncology product from Boehringer Ingelheim .
Moderate
1
[ [ [ 912, 24, 26 ] ], [ [ 912, 24, 883 ], [ 883, 40, 26 ] ], [ [ 912, 24, 651 ], [ 651, 24, 26 ] ], [ [ 912, 24, 1320 ], [ 1320, 63, 26 ] ], [ [ 912, 63, 1560 ], [ 1560, 24, 26 ] ], [ [ 912, 25, 990 ], [ 990, 25, 26 ] ], [ [ 912, 24, 883 ], [ 883, 6, 4973 ], [ 4973, 45, 26 ] ], [ [ 912, 24, 651 ], [ 651, 63, 883 ], [ 883, 40, 26 ] ], [ [ 912, 24, 362 ], [ 362, 24, 883 ], [ 883, 40, 26 ] ], [ [ 912, 24, 785 ], [ 785, 24, 1320 ], [ 1320, 63, 26 ] ] ]
[ [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Afatinib" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gefitinib" ], [ "Gefitinib", "{u} (Compound) resembles {v} (Compound)", "Afatinib" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosphenytoin" ], [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Afatinib" ] ], [ [ "Interferon beta-1a", "{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}", "Afatinib" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Afatinib" ] ], [ [ "Interferon beta-1a", "{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}", "Afatinib" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gefitinib" ], [ "Gefitinib", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Afatinib" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosphenytoin" ], [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gefitinib" ], [ "Gefitinib", "{u} (Compound) resembles {v} (Compound)", "Afatinib" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gefitinib" ], [ "Gefitinib", "{u} (Compound) resembles {v} (Compound)", "Afatinib" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capmatinib" ], [ "Capmatinib", "{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}", "Afatinib" ] ] ]
Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Gefitinib and Gefitinib (Compound) resembles Afatinib (Compound) Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Fosphenytoin and Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Afatinib Interferon beta-1a 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 Afatinib Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Afatinib Interferon beta-1a 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 Afatinib Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Gefitinib and Gefitinib (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Afatinib (Compound) Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Fosphenytoin and Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Gefitinib and Gefitinib (Compound) resembles Afatinib (Compound) Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Gefitinib and Gefitinib (Compound) resembles Afatinib (Compound) Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Capmatinib and Capmatinib 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 Afatinib
DB00543
DB01176
87
537
[ "DDInter82", "DDInter453" ]
Amoxapine
Cyclizine
Amoxapine, the <i>N</i>-demethylated derivative of the antipsychotic agent loxapine, is a dibenzoxazepine-derivative tricyclic antidepressant (TCA). TCAs are structurally similar to phenothiazines. They contain a tricyclic ring system with an alkyl amine substituent on the central ring. In non-depressed individuals, amoxapine does not affect mood or arousal, but may cause sedation. In depressed individuals, amoxapine exerts a positive effect on mood. TCAs are potent inhibitors of serotonin and norepinephrine reuptake. In addition, TCAs down-regulate cerebral cortical &beta;-adrenergic receptors and sensitize post-synaptic serotonergic receptors with chronic use. The antidepressant effects of TCAs are thought to be due to an overall increase in serotonergic neurotransmission. TCAs also block
A histamine H1 antagonist given by mouth or parenterally for the control of postoperative and drug-induced vomiting and in motion sickness. (From Martindale, The Extra Pharmacopoeia, 30th ed, p935)
Moderate
1
[ [ [ 87, 24, 537 ] ], [ [ 87, 24, 1511 ], [ 1511, 63, 537 ] ], [ [ 87, 63, 1242 ], [ 1242, 24, 537 ] ], [ [ 87, 24, 104 ], [ 104, 1, 537 ] ], [ [ 87, 1, 695 ], [ 695, 24, 537 ] ], [ [ 87, 6, 10104 ], [ 10104, 45, 537 ] ], [ [ 87, 21, 29058 ], [ 29058, 60, 537 ] ], [ [ 87, 40, 1418 ], [ 1418, 63, 537 ] ], [ [ 87, 24, 1123 ], [ 1123, 24, 537 ] ], [ [ 87, 25, 1053 ], [ 1053, 24, 537 ] ] ]
[ [ [ "Amoxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Amoxapine", "{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}", "Cyclizine" ] ], [ [ "Amoxapine", "{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}", "Cyclizine" ] ], [ [ "Amoxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Cyclizine" ] ], [ [ "Amoxapine", "{u} (Compound) resembles {v} (Compound)", "Clozapine" ], [ "Clozapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Amoxapine", "{u} (Compound) binds {v} (Gene)", "HRH1" ], [ "HRH1", "{u} (Gene) is bound by {v} (Compound)", "Cyclizine" ] ], [ [ "Amoxapine", "{u} (Compound) causes {v} (Side Effect)", "Hepatitis" ], [ "Hepatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Cyclizine" ] ], [ [ "Amoxapine", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ], [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Amoxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propantheline" ], [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Amoxapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ] ]
Amoxapine 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 Cyclizine Amoxapine 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 Cyclizine Amoxapine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine (Compound) resembles Cyclizine (Compound) Amoxapine (Compound) resembles Clozapine (Compound) and Clozapine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine Amoxapine (Compound) binds HRH1 (Gene) and HRH1 (Gene) is bound by Cyclizine (Compound) Amoxapine (Compound) causes Hepatitis (Side Effect) and Hepatitis (Side Effect) is caused by Cyclizine (Compound) Amoxapine (Compound) resembles Estazolam (Compound) and Estazolam may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine Amoxapine may cause a moderate interaction that could exacerbate diseases when taken with Propantheline and Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine Amoxapine may lead to a major life threatening interaction when taken with Procarbazine and Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine
DB01030
DB05239
869
866
[ "DDInter1835", "DDInter425" ]
Topotecan
Cobimetinib
An antineoplastic agent used to treat ovarian cancer. It works by inhibiting DNA topoisomerases, type I.
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.
Moderate
1
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[ [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobimetinib" ] ], [ [ "Topotecan", "{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}", "Cobimetinib" ] ], [ [ "Topotecan", "{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}", "Cobimetinib" ] ], [ [ "Topotecan", "{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}", "Cobimetinib" ] ], [ [ "Topotecan", "{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}", "Cobimetinib" ] ], [ [ "Topotecan", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ], [ "Mumps virus strain B level jeryl lynn live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ] ], [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ] ], [ [ "Topotecan", "{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}", "Cobimetinib" ] ], [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isavuconazonium" ], [ "Isavuconazonium", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ] ], [ [ "Topotecan", "{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}", "Cobimetinib" ] ] ]
Topotecan 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 Cobimetinib Topotecan 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 Cobimetinib Topotecan 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 Cobimetinib Topotecan 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 Cobimetinib Topotecan may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen and Mumps virus strain B level jeryl lynn live antigen may lead to a major life threatening interaction when taken with Cobimetinib Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Cobimetinib Topotecan 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 Cobimetinib Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Isavuconazonium and Isavuconazonium may lead to a major life threatening interaction when taken with Cobimetinib Topotecan 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 Cobimetinib
DB00002
DB01041
1,284
770
[ "DDInter344", "DDInter1789" ]
Cetuximab
Thalidomide
Cetuximab is a recombinant chimeric human/mouse IgG1 monoclonal antibody that competitively binds to epidermal growth factor receptor (EGFR) and competitively inhibits the binding of epidermal growth factor (EGF). EGFR is a member of the ErbB family of receptor tyrosine kinases found in both normal and tumour cells; it is responsible for regulating epithelial tissue development and homeostasis. EGFR has been implicated in various types of cancer, as it is often overexpressed in malignant cells and EGFR overexpression has been linked to more advanced disease and poor prognosis. EGFR is often mutated in certain types of cancer and serves as a driver of tumorigenesis. _In vitro_, cetuximab was shown to mediate anti-tumour effects in numerous cancer cell lines and human tumour xenografts. Approved by the FDA in February 2004 under the brand name
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
[ [ [ 1284, 25, 770 ] ], [ [ 1284, 24, 4 ], [ 4, 63, 770 ] ], [ [ 1284, 24, 60 ], [ 60, 64, 770 ] ], [ [ 1284, 24, 589 ], [ 589, 25, 770 ] ], [ [ 1284, 24, 4 ], [ 4, 63, 1668 ], [ 1668, 1, 770 ] ], [ [ 1284, 24, 60 ], [ 60, 6, 6017 ], [ 6017, 45, 770 ] ], [ [ 1284, 24, 589 ], [ 589, 5, 11555 ], [ 11555, 44, 770 ] ], [ [ 1284, 24, 4 ], [ 4, 7, 9842 ], [ 9842, 45, 770 ] ], [ [ 1284, 24, 60 ], [ 60, 21, 29425 ], [ 29425, 60, 770 ] ], [ [ 1284, 24, 101 ], [ 101, 23, 801 ], [ 801, 63, 770 ] ] ]
[ [ [ "Cetuximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ], [ [ "Cetuximab", "{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" ] ], [ [ "Cetuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ], [ [ "Cetuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cisplatin" ], [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ], [ [ "Cetuximab", "{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}", "Lenalidomide" ], [ "Lenalidomide", "{u} (Compound) resembles {v} (Compound)", "Thalidomide" ] ], [ [ "Cetuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Thalidomide" ] ], [ [ "Cetuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cisplatin" ], [ "Cisplatin", "{u} (Compound) treats {v} (Disease)", "hematologic cancer" ], [ "hematologic cancer", "{u} (Disease) is treated by {v} (Compound)", "Thalidomide" ] ], [ [ "Cetuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} (Compound) upregulates {v} (Gene)", "CYP1A1" ], [ "CYP1A1", "{u} (Gene) is bound by {v} (Compound)", "Thalidomide" ] ], [ [ "Cetuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} (Compound) causes {v} (Side Effect)", "Myocardial ischaemia" ], [ "Myocardial ischaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Thalidomide" ] ], [ [ "Cetuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexlansoprazole" ], [ "Dexlansoprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Brivaracetam" ], [ "Brivaracetam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ] ]
Cetuximab 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 Cetuximab may cause a moderate interaction that could exacerbate diseases when taken with Capecitabine and Capecitabine may lead to a major life threatening interaction when taken with Thalidomide Cetuximab may cause a moderate interaction that could exacerbate diseases when taken with Cisplatin and Cisplatin may lead to a major life threatening interaction when taken with Thalidomide Cetuximab 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 Lenalidomide and Lenalidomide (Compound) resembles Thalidomide (Compound) Cetuximab may cause a moderate interaction that could exacerbate diseases when taken with Capecitabine and Capecitabine (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Thalidomide (Compound) Cetuximab may cause a moderate interaction that could exacerbate diseases when taken with Cisplatin and Cisplatin (Compound) treats hematologic cancer (Disease) and hematologic cancer (Disease) is treated by Thalidomide (Compound) Cetuximab may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate (Compound) upregulates CYP1A1 (Gene) and CYP1A1 (Gene) is bound by Thalidomide (Compound) Cetuximab may cause a moderate interaction that could exacerbate diseases when taken with Capecitabine and Capecitabine (Compound) causes Myocardial ischaemia (Side Effect) and Myocardial ischaemia (Side Effect) is caused by Thalidomide (Compound) Cetuximab may cause a moderate interaction that could exacerbate diseases when taken with Dexlansoprazole and Dexlansoprazole may cause a minor interaction that can limit clinical effects when taken with Brivaracetam and Brivaracetam may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide
DB00582
DB06626
1,622
263
[ "DDInter1946", "DDInter147" ]
Voriconazole
Axitinib
Voriconazole (Vfend, Pfizer) is a triazole antifungal medication used to treat serious fungal infections. It is used to treat invasive fungal infections that are generally seen in patients who are immunocompromised. These include invasive candidiasis, invasive aspergillosis, and emerging fungal infections. The increased affinity of voriconazole for 14-alpha sterol demethylase makes it useful against some [fluconazole]-resistant organisms. Voriconazole was approved by the FDA under the trade name Vfend on May 24, 2002.
Axitinib is a second generation tyrosine kinase inhibitor that works by selectively inhibiting vascular endothelial growth factor receptors (VEGFR-1, VEGFR-2, VEGFR-3). Through this mechanism of action, axitinib blocks angiogenesis, tumour growth and metastases. It is reported to exhibit potency that is 50-450 times higher than that of the first generation VEGFR inhibitors. Axitinib is an indazole derivative. It is most commonly marketed under the name Inlyta® and is available in oral formulations.
Major
2
[ [ [ 1622, 25, 263 ] ], [ [ 1622, 63, 1215 ], [ 1215, 23, 263 ] ], [ [ 1622, 24, 660 ], [ 660, 23, 263 ] ], [ [ 1622, 62, 752 ], [ 752, 23, 263 ] ], [ [ 1622, 24, 286 ], [ 286, 62, 263 ] ], [ [ 1622, 63, 322 ], [ 322, 24, 263 ] ], [ [ 1622, 64, 702 ], [ 702, 24, 263 ] ], [ [ 1622, 25, 392 ], [ 392, 24, 263 ] ], [ [ 1622, 25, 1593 ], [ 1593, 63, 263 ] ], [ [ 1622, 24, 1613 ], [ 1613, 63, 263 ] ] ]
[ [ [ "Voriconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Axitinib" ] ], [ [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lansoprazole" ], [ "Lansoprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Axitinib" ] ], [ [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esomeprazole" ], [ "Esomeprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Axitinib" ] ], [ [ "Voriconazole", "{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}", "Axitinib" ] ], [ [ "Voriconazole", "{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}", "Axitinib" ] ], [ [ "Voriconazole", "{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}", "Axitinib" ] ], [ [ "Voriconazole", "{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}", "Axitinib" ] ], [ [ "Voriconazole", "{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}", "Axitinib" ] ], [ [ "Voriconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Axitinib" ] ], [ [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ], [ "Peginterferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Axitinib" ] ] ]
Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Lansoprazole and Lansoprazole may cause a minor interaction that can limit clinical effects when taken with Axitinib Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Esomeprazole and Esomeprazole may cause a minor interaction that can limit clinical effects when taken with Axitinib Voriconazole 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 Axitinib Voriconazole 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 Axitinib Voriconazole 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 Axitinib Voriconazole 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 Axitinib Voriconazole 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 Axitinib Voriconazole may lead to a major life threatening interaction when taken with Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Axitinib Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a and Peginterferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Axitinib
DB01261
DB06791
170
1,446
[ "DDInter1679", "DDInter1021" ]
Sitagliptin
Lanreotide
Sitagliptin is an oral dipeptidyl peptidase-4 (DPP-4) inhibitor used in conjunction with diet and exercise to improve glycemic control in patients with type 2 diabetes mellitus[FDA label,A2260,A2255,A2256]. The effect of this medication leads to glucose dependent increases in insulin and decreases in glucagon to improve control of blood sugar[FDA label,A2255]. Sitagliptin was granted FDA approval on October 16, 2006.
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
[ [ [ 170, 24, 1446 ] ], [ [ 170, 24, 154 ], [ 154, 63, 1446 ] ], [ [ 170, 63, 1685 ], [ 1685, 24, 1446 ] ], [ [ 170, 24, 1254 ], [ 1254, 24, 1446 ] ], [ [ 170, 23, 52 ], [ 52, 63, 1446 ] ], [ [ 170, 62, 1252 ], [ 1252, 24, 1446 ] ], [ [ 170, 24, 154 ], [ 154, 24, 466 ], [ 466, 62, 1446 ] ], [ [ 170, 63, 1685 ], [ 1685, 24, 154 ], [ 154, 63, 1446 ] ], [ [ 170, 24, 1254 ], [ 1254, 24, 154 ], [ 154, 63, 1446 ] ], [ [ 170, 23, 52 ], [ 52, 63, 154 ], [ 154, 63, 1446 ] ] ]
[ [ [ "Sitagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Sitagliptin", "{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" ] ], [ [ "Sitagliptin", "{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" ] ], [ [ "Sitagliptin", "{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" ] ], [ [ "Sitagliptin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dulaglutide" ], [ "Dulaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Sitagliptin", "{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" ] ], [ [ "Sitagliptin", "{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" ] ], [ [ "Sitagliptin", "{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" ] ], [ [ "Sitagliptin", "{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" ] ], [ [ "Sitagliptin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dulaglutide" ], [ "Dulaglutide", "{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" ] ] ]
Sitagliptin 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 Sitagliptin 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 Sitagliptin 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 Sitagliptin may cause a minor interaction that can limit clinical effects when taken with Dulaglutide and Dulaglutide may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Sitagliptin 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 Sitagliptin 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 Sitagliptin 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 Sitagliptin 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 Sitagliptin may cause a minor interaction that can limit clinical effects when taken with Dulaglutide and Dulaglutide 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
DB00414
DB00863
590
1,194
[ "DDInter16", "DDInter1568" ]
Acetohexamide
Ranitidine
A sulfonylurea hypoglycemic agent that is metabolized in the liver to 1-hydrohexamide. Acetohexamide has been discontinued in the US market.
Ranitidine is a commonly used drug, classified as a histamine H2-receptor antagonist, and belongs to the same drug class as [cimetidine] and [famotidine]. This drug helps to prevent and treat gastric-acid associated conditions, including ulcers, because of its ability to decrease gastric acid secretion.[A176759,L10818] Ranitidine is often referred to as Zantac, and is available in various forms, including tablet, injection, and effervescent tablet preparations.[L10818,F4253] The prevalence of GERD is thought to be 10-20% in western countries. Ranitidine has proven to be an effective treatment for relieving uncomfortable symptoms of gastric acid associated conditions and is therefore widely used in GERD and other gastric-acid related conditions.[A176849,L10818]
Moderate
1
[ [ [ 590, 24, 1194 ] ], [ [ 590, 24, 1127 ], [ 1127, 1, 1194 ] ], [ [ 590, 24, 59 ], [ 59, 23, 1194 ] ], [ [ 590, 63, 798 ], [ 798, 23, 1194 ] ], [ [ 590, 24, 1338 ], [ 1338, 62, 1194 ] ], [ [ 590, 24, 1040 ], [ 1040, 63, 1194 ] ], [ [ 590, 63, 362 ], [ 362, 24, 1194 ] ], [ [ 590, 24, 915 ], [ 915, 64, 1194 ] ], [ [ 590, 24, 1127 ], [ 1127, 6, 4973 ], [ 4973, 45, 1194 ] ], [ [ 590, 24, 59 ], [ 59, 62, 1127 ], [ 1127, 1, 1194 ] ] ]
[ [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ranitidine" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nizatidine" ], [ "Nizatidine", "{u} (Compound) resembles {v} (Compound)", "Ranitidine" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etodolac" ], [ "Etodolac", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ranitidine" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nelfinavir" ], [ "Nelfinavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ranitidine" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Meclofenamic acid" ], [ "Meclofenamic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ranitidine" ] ], [ [ "Acetohexamide", "{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}", "Ranitidine" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ranitidine" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atazanavir" ], [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Ranitidine" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nizatidine" ], [ "Nizatidine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Ranitidine" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etodolac" ], [ "Etodolac", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nizatidine" ], [ "Nizatidine", "{u} (Compound) resembles {v} (Compound)", "Ranitidine" ] ] ]
Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Nizatidine and Nizatidine (Compound) resembles Ranitidine (Compound) Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Etodolac and Etodolac may cause a minor interaction that can limit clinical effects when taken with Ranitidine Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Nelfinavir and Nelfinavir may cause a minor interaction that can limit clinical effects when taken with Ranitidine Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Meclofenamic acid and Meclofenamic acid may cause a minor interaction that can limit clinical effects when taken with Ranitidine Acetohexamide 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 Ranitidine Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Ranitidine Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Atazanavir and Atazanavir may lead to a major life threatening interaction when taken with Ranitidine Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Nizatidine and Nizatidine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Ranitidine (Compound) Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Etodolac and Etodolac may cause a minor interaction that can limit clinical effects when taken with Nizatidine and Nizatidine (Compound) resembles Ranitidine (Compound)
DB01235
DB08880
1,191
1,510
[ "DDInter1054", "DDInter1771" ]
Levodopa
Teriflunomide
Levodopa is a prodrug of dopamine that is administered to patients with Parkinson's due to its ability to cross the blood-brain barrier[Label]. Levodopa can be metabolised to dopamine on either side of the blood-brain barrier and so it is generally administered with a dopa decarboxylase inhibitor like carbidopa to prevent metabolism until after it has crossed the blood-brain barrier[Label,A177781]. Once past the blood-brain barrier, levodopa is metabolized to dopamine and supplements the low endogenous levels of dopamine to treat symptoms of Parkinson's[Label]. The first developed drug product that was approved by the FDA was a levodopa and carbidopa combined product called Sinemet that was approved on May 2, 1975[A177781,L6133].
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.
Moderate
1
[ [ [ 1191, 24, 1510 ] ], [ [ 1191, 63, 10 ], [ 10, 24, 1510 ] ], [ [ 1191, 24, 148 ], [ 148, 63, 1510 ] ], [ [ 1191, 24, 36 ], [ 36, 25, 1510 ] ], [ [ 1191, 63, 147 ], [ 147, 25, 1510 ] ], [ [ 1191, 1, 1307 ], [ 1307, 25, 1510 ] ], [ [ 1191, 24, 350 ], [ 350, 64, 1510 ] ], [ [ 1191, 64, 1053 ], [ 1053, 25, 1510 ] ], [ [ 1191, 40, 1551 ], [ 1551, 25, 1510 ] ], [ [ 1191, 63, 10 ], [ 10, 24, 129 ], [ 129, 63, 1510 ] ] ]
[ [ [ "Levodopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Levodopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Levodopa", "{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}", "Teriflunomide" ] ], [ [ "Levodopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ], [ "Eribulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Levodopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Levodopa", "{u} (Compound) resembles {v} (Compound)", "Melphalan" ], [ "Melphalan", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Levodopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carfilzomib" ], [ "Carfilzomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Levodopa", "{u} may lead to a major life threatening interaction when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Levodopa", "{u} (Compound) resembles {v} (Compound)", "Methyldopa" ], [ "Methyldopa", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Levodopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapsone" ], [ "Dapsone", "{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" ] ] ]
Levodopa may cause a moderate interaction that could exacerbate diseases when taken with Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide Levodopa 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 Teriflunomide Levodopa may cause a moderate interaction that could exacerbate diseases when taken with Eribulin and Eribulin may lead to a major life threatening interaction when taken with Teriflunomide Levodopa may cause a moderate interaction that could exacerbate diseases when taken with Vinblastine and Vinblastine may lead to a major life threatening interaction when taken with Teriflunomide Levodopa (Compound) resembles Melphalan (Compound) and Melphalan may lead to a major life threatening interaction when taken with Teriflunomide Levodopa may cause a moderate interaction that could exacerbate diseases when taken with Carfilzomib and Carfilzomib may lead to a major life threatening interaction when taken with Teriflunomide Levodopa may lead to a major life threatening interaction when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Teriflunomide Levodopa (Compound) resembles Methyldopa (Compound) and Methyldopa may lead to a major life threatening interaction when taken with Teriflunomide Levodopa may cause a moderate interaction that could exacerbate diseases when taken with Dapsone and Dapsone 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
DB00026
DB00687
1,184
870
[ "DDInter94", "DDInter747" ]
Anakinra
Fludrocortisone
Anakinra is a recombinant human interleukin-1 (IL-1) receptor antagonist (IL-1Ra) composed of 153 amino acid residues. Unlike native human IL-1Ra, anakinra has an additional methionine residue at the amino terminus. This drug binds to the IL-1 receptor, competing with and inhibiting the activity of IL-1 alpha and beta. Anakinra is indicated for the management of rheumatoid arthritis (RA) in patients 18 years of age or older who have failed one or more disease-modifying antirheumatic drugs (DMARDs), as well as the treatment of neonatal-onset multisystem inflammatory disease (NOMID) and deficiency of interleukin-1 receptor antagonist (DIRA). Since IL-1 has an important role in inflammation and immunological responses, anakinra is also used for the off-label treatment of inflammatory diseases. Anakinra is produced using the _
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.
Moderate
1
[ [ [ 1184, 24, 870 ] ], [ [ 1184, 24, 1220 ], [ 1220, 40, 870 ] ], [ [ 1184, 24, 1586 ], [ 1586, 63, 870 ] ], [ [ 1184, 24, 139 ], [ 139, 24, 870 ] ], [ [ 1184, 25, 375 ], [ 375, 64, 870 ] ], [ [ 1184, 24, 652 ], [ 652, 64, 870 ] ], [ [ 1184, 25, 1064 ], [ 1064, 25, 870 ] ], [ [ 1184, 64, 1057 ], [ 1057, 25, 870 ] ], [ [ 1184, 24, 1220 ], [ 1220, 63, 1561 ], [ 1561, 24, 870 ] ], [ [ 1184, 24, 251 ], [ 251, 1, 1220 ], [ 1220, 40, 870 ] ] ]
[ [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ] ], [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ] ], [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamlodipine" ], [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ] ], [ [ "Anakinra", "{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}", "Fludrocortisone" ] ], [ [ "Anakinra", "{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}", "Fludrocortisone" ] ], [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexucabtagene autoleucel" ], [ "Brexucabtagene autoleucel", "{u} may lead to a major life threatening interaction when taken with {v}", "Fludrocortisone" ] ], [ [ "Anakinra", "{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}", "Fludrocortisone" ] ], [ [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Fludrocortisone" ] ], [ [ "Anakinra", "{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}", "Testosterone" ], [ "Testosterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ] ], [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ] ] ]
Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone (Compound) resembles Fludrocortisone (Compound) Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Levamlodipine and Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone Anakinra 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 Fludrocortisone Anakinra 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 Fludrocortisone Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Brexucabtagene autoleucel and Brexucabtagene autoleucel may lead to a major life threatening interaction when taken with Fludrocortisone Anakinra 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 Fludrocortisone Anakinra may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Fludrocortisone Anakinra 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 Testosterone and Testosterone may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone (Compound) resembles Dexamethasone (Compound) and Dexamethasone (Compound) resembles Fludrocortisone (Compound)
DB00446
DB08827
597
990
[ "DDInter351", "DDInter1085" ]
Chloramphenicol
Lomitapide
An antibiotic first isolated from cultures of _Streptomyces venezuelae_ in 1947 but now produced synthetically. It has a relatively simple structure and was the first broad-spectrum antibiotic to be discovered. It acts by interfering with bacterial protein synthesis and is mainly bacteriostatic. (From Martindale, The Extra Pharmacopoeia, 29th ed, p106) The FDA has withdrawn all oral drug products containing chloramphenicol, due to the high risk of fatal aplastic anemia associated with this specific route of administration.[L43942,L44022]
Lomitapide is a microsomal triglyceride transfer protein (MTP) inhibitor used in homozygous familial hypercholesterolemia (HoFH) patients. It is marketed under the name Juxtapid (R).
Major
2
[ [ [ 597, 25, 990 ] ], [ [ 597, 6, 8374 ], [ 8374, 45, 990 ] ], [ [ 597, 21, 28658 ], [ 28658, 60, 990 ] ], [ [ 597, 25, 1135 ], [ 1135, 62, 990 ] ], [ [ 597, 24, 1409 ], [ 1409, 24, 990 ] ], [ [ 597, 24, 1362 ], [ 1362, 63, 990 ] ], [ [ 597, 25, 1476 ], [ 1476, 63, 990 ] ], [ [ 597, 63, 322 ], [ 322, 24, 990 ] ], [ [ 597, 24, 723 ], [ 723, 25, 990 ] ], [ [ 597, 63, 268 ], [ 268, 25, 990 ] ] ]
[ [ [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ] ], [ [ "Chloramphenicol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Lomitapide" ] ], [ [ "Chloramphenicol", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Lomitapide" ] ], [ [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomitapide" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Chloramphenicol", "{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" ] ], [ [ "Chloramphenicol", "{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}", "Lomitapide" ] ], [ [ "Chloramphenicol", "{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}", "Lomitapide" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ] ], [ [ "Chloramphenicol", "{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}", "Lomitapide" ] ] ]
Chloramphenicol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Lomitapide (Compound) Chloramphenicol (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Lomitapide (Compound) Chloramphenicol may lead to a major life threatening interaction when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Lomitapide Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Apixaban and Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Lomitapide Chloramphenicol 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 Chloramphenicol 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 Lomitapide Chloramphenicol 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 Lomitapide Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant and Aprepitant may lead to a major life threatening interaction when taken with Lomitapide Chloramphenicol 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 Lomitapide
DB00867
DB01124
1,052
1,411
[ "DDInter1606", "DDInter1828" ]
Ritodrine
Tolbutamide
Adrenergic beta-agonist used to control premature labor.
Tolbutamide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It is structurally similar to acetohexamide, chlorpropamide and tolazamide and belongs to the sulfonylurea class of insulin secretagogues, which act by stimulating β cells of the pancreas to release insulin. Sulfonylureas increase both basal insulin secretion and meal-stimulated insulin release. Medications in this class differ in their dose, rate of absorption, duration of action, route of elimination and binding site on their target pancreatic β cell receptor. Sulfonylureas also increase peripheral glucose utilization, decrease hepatic gluconeogenesis and may increase the number and sensitivity of insulin receptors. Sulfonylureas are associated with weight gain, though less so than insulin. Due to their mechanism of action, sulfonylureas may cause hypoglycemia and require consistent food intake to decrease this risk. The risk of hypoglycemia is increased in elderly, debilitated and malnourished individuals. Tolbutamide appears to be metabolized in the liver. Tolbutamide and its metabolites are excreted in urine (75-85%) and feces.
Moderate
1
[ [ [ 1052, 24, 1411 ] ], [ [ 1052, 24, 959 ], [ 959, 40, 1411 ] ], [ [ 1052, 63, 245 ], [ 245, 40, 1411 ] ], [ [ 1052, 7, 3422 ], [ 3422, 46, 1411 ] ], [ [ 1052, 24, 1296 ], [ 1296, 63, 1411 ] ], [ [ 1052, 63, 874 ], [ 874, 24, 1411 ] ], [ [ 1052, 23, 708 ], [ 708, 63, 1411 ] ], [ [ 1052, 35, 480 ], [ 480, 24, 1411 ] ], [ [ 1052, 24, 1559 ], [ 1559, 24, 1411 ] ], [ [ 1052, 62, 251 ], [ 251, 24, 1411 ] ] ]
[ [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ] ], [ [ "Ritodrine", "{u} (Compound) upregulates {v} (Gene)", "SATB1" ], [ "SATB1", "{u} (Gene) is upregulated by {v} (Compound)", "Tolbutamide" ] ], [ [ "Ritodrine", "{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}", "Tolbutamide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epinephrine" ], [ "Epinephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Ritodrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ], [ "Corticotropin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "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}", "Tolbutamide" ] ], [ [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Ritodrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ] ]
Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide (Compound) resembles Tolbutamide (Compound) Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride (Compound) resembles Tolbutamide (Compound) Ritodrine (Compound) upregulates SATB1 (Gene) and SATB1 (Gene) is upregulated by Tolbutamide (Compound) Ritodrine 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 Tolbutamide Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Epinephrine and Epinephrine may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide Ritodrine may cause a minor interaction that can limit clinical effects when taken with Corticotropin and Corticotropin may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide 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 Tolbutamide Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide Ritodrine may cause a minor interaction that can limit clinical effects when taken with Betamethasone and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide
DB01105
DB09075
222
498
[ "DDInter1665", "DDInter621" ]
Sibutramine
Edoxaban
Sibutramine (trade name Meridia in the USA, Reductil in Europe and other countries), usually as sibutramide hydrochloride monohydrate, is an orally administered agent for the treatment of obesity. It is a centrally acting stimulant chemically related to amphetamines thus it is classified as a Schedule IV controlled substance in the United States. In October 2010, Sibutramine was withdrawn from Canadian and U.S. markets due to concerns that the drug increases the risk of heart attack and stroke in patients with a history of heart disease.
Edoxaban is a member of the Novel Oral Anti-Coagulants (NOACs) class of drugs, and is a rapidly acting, oral, selective factor Xa inhibitor. By inhibiting factor Xa, a key protein in the coagulation cascade, edoxaban prevents the stepwise amplification of protein factors needed to form blood clots. It is indicated to reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF) and for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5-10 days of initial therapy with a parenteral anticoagulant. Traditionally, warfarin, a vitamin K antagonist, was used for stroke prevention in these individuals but effective use of this drug is limited by it's delayed onset, narrow therapeutic window, need for regular monitoring and INR testing, and numerous drug-drug and drug-food interactions. This has prompted enthusiasm for newer agents such as dabigatran, apixaban, and rivaroxaban for effective clot prevention. In addition to once daily dosing, the benefits over warfarin also include significant reductions in hemorrhagic stroke and GI bleeding, and improved compliance, which is beneficial as many patients will be on lifelong therapy.
Moderate
1
[ [ [ 222, 24, 498 ] ], [ [ 222, 25, 41 ], [ 41, 24, 498 ] ], [ [ 222, 64, 109 ], [ 109, 24, 498 ] ], [ [ 222, 24, 1017 ], [ 1017, 63, 498 ] ], [ [ 222, 24, 958 ], [ 958, 24, 498 ] ], [ [ 222, 23, 1623 ], [ 1623, 24, 498 ] ], [ [ 222, 63, 759 ], [ 759, 24, 498 ] ], [ [ 222, 63, 582 ], [ 582, 25, 498 ] ], [ [ 222, 24, 1213 ], [ 1213, 25, 498 ] ], [ [ 222, 24, 283 ], [ 283, 64, 498 ] ] ]
[ [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Duloxetine" ], [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ], [ "Ginkgo biloba", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isavuconazonium" ], [ "Isavuconazonium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ], [ "Primidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Reteplase" ], [ "Reteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ] ]
Sibutramine may lead to a major life threatening interaction when taken with Levomilnacipran and Levomilnacipran may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Sibutramine may lead to a major life threatening interaction when taken with Duloxetine and Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba and Ginkgo biloba may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Sibutramine may cause a minor interaction that can limit clinical effects when taken with Isavuconazonium and Isavuconazonium may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Primidone and Primidone may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Reteplase and Reteplase may lead to a major life threatening interaction when taken with Edoxaban Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may lead to a major life threatening interaction when taken with Edoxaban Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may lead to a major life threatening interaction when taken with Edoxaban
DB00477
DB01364
216
22
[ "DDInter363", "DDInter650" ]
Chlorpromazine
Ephedrine
The prototypical phenothiazine antipsychotic drug. Like the other drugs in this class, chlorpromazine's antipsychotic actions are thought to be due to long-term adaptation by the brain to blocking dopamine receptors. Chlorpromazine has several other actions and therapeutic uses, including as an antiemetic and in the treatment of intractable hiccup.
Ephedrine was first described in western literature in 1888, as a naturally occurring component of the ephedra plant, along with [pseudoephedrine]. Ephedrine acts as both a direct and indirect sympathomimetic. It is an alpha- and beta-adrenergic receptor agonist; however, it also causes the indirect release of norepinephrine from sympathetic neurons, inhibiting norepinephrine reuptake and displacing more norepinephrine from storage vesicles.[A193650,L12972] Ephedrine is used for its vasoconstrictive, positive chronotropic, and positive inotropic effects. Ephedrine and [phenylephrine] are still used to treat hypotension, but their use in other indications has decreased due to the development of more selective adrenergic agonists.[A193701,A193704,L12975] Ephedrine was granted a type 7 FDA Approval on 29 April 2016.
Moderate
1
[ [ [ 216, 24, 22 ] ], [ [ 216, 6, 5214 ], [ 5214, 45, 22 ] ], [ [ 216, 21, 28698 ], [ 28698, 60, 22 ] ], [ [ 216, 64, 475 ], [ 475, 23, 22 ] ], [ [ 216, 24, 959 ], [ 959, 24, 22 ] ], [ [ 216, 1, 508 ], [ 508, 24, 22 ] ], [ [ 216, 24, 1002 ], [ 1002, 63, 22 ] ], [ [ 216, 35, 104 ], [ 104, 24, 22 ] ], [ [ 216, 63, 1503 ], [ 1503, 24, 22 ] ], [ [ 216, 40, 9 ], [ 9, 63, 22 ] ] ]
[ [ [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} (Compound) binds {v} (Gene)", "ADRA1A" ], [ "ADRA1A", "{u} (Gene) is bound by {v} (Compound)", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} (Compound) causes {v} (Side Effect)", "Insomnia" ], [ "Insomnia", "{u} (Side Effect) is caused by {v} (Compound)", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} (Compound) resembles {v} (Compound)", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alogliptin" ], [ "Alogliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} (Compound) resembles {v} (Compound) and {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}", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ], [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ], [ [ "Chlorpromazine", "{u} (Compound) resembles {v} (Compound)", "Methotrimeprazine" ], [ "Methotrimeprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ] ]
Chlorpromazine (Compound) binds ADRA1A (Gene) and ADRA1A (Gene) is bound by Ephedrine (Compound) Chlorpromazine (Compound) causes Insomnia (Side Effect) and Insomnia (Side Effect) is caused by Ephedrine (Compound) Chlorpromazine may lead to a major life threatening interaction when taken with Morphine and Morphine may cause a minor interaction that can limit clinical effects when taken with Ephedrine Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine Chlorpromazine (Compound) resembles Promazine (Compound) and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Alogliptin and Alogliptin may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine Chlorpromazine (Compound) resembles Methdilazine (Compound) and Chlorpromazine 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 Ephedrine Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Lindane and Lindane may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine Chlorpromazine (Compound) resembles Methotrimeprazine (Compound) and Methotrimeprazine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine
DB00284
DB00988
1,647
817
[ "DDInter11", "DDInter584" ]
Acarbose
Dopamine
Acarbose is a complex oligosaccharide that acts as an inhibitor of several enzymes responsible for the breakdown of complex carbohydrates in the intestines. It inhibits both pancreatic alpha-amylase and membrane-bound alpha-glucosidases - including intestinal glucoamylase, sucrase, maltase, and isomaltase - which are responsible for the metabolism of complex starches and oligo-, tri-, and disaccharides into absorbable simple sugars.[L31633,A37868] By inhibiting the activity of these enzymes, acarbose limits the absorption of dietary carbohydrates and the subsequent postprandial increase in blood glucose and insulin levels. Acarbose is therefore used in conjunction with diet, exercise, and other pharmacotherapies for the management of blood sugar levels in patients with type 2 diabetes.[L31628,L31633] Acarbose is one of only two approved alpha-glucosidase inhibitors (the other being
One of the catecholamine neurotransmitters in the brain. It is derived from tyrosine and is the precursor to norepinephrine and epinephrine. Dopamine is a major transmitter in the extrapyramidal system of the brain, and important in regulating movement. A family of receptors (receptors, dopamine) mediate its action.
Moderate
1
[ [ [ 1647, 24, 817 ] ], [ [ 1647, 24, 532 ], [ 532, 1, 817 ] ], [ [ 1647, 24, 1148 ], [ 1148, 63, 817 ] ], [ [ 1647, 24, 874 ], [ 874, 40, 817 ] ], [ [ 1647, 21, 28722 ], [ 28722, 60, 817 ] ], [ [ 1647, 24, 1674 ], [ 1674, 24, 817 ] ], [ [ 1647, 63, 73 ], [ 73, 24, 817 ] ], [ [ 1647, 23, 1645 ], [ 1645, 24, 817 ] ], [ [ 1647, 23, 135 ], [ 135, 63, 817 ] ], [ [ 1647, 24, 532 ], [ 532, 40, 11484 ], [ 11484, 1, 817 ] ] ]
[ [ [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dopamine" ] ], [ [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dobutamine" ], [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ], [ [ "Acarbose", "{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}", "Dopamine" ] ], [ [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epinephrine" ], [ "Epinephrine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ], [ [ "Acarbose", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Dopamine" ] ], [ [ "Acarbose", "{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}", "Dopamine" ] ], [ [ "Acarbose", "{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}", "Dopamine" ] ], [ [ "Acarbose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dopamine" ] ], [ [ "Acarbose", "{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}", "Dopamine" ] ], [ [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dobutamine" ], [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Masoprocol" ], [ "Masoprocol", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ] ]
Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Dobutamine and Dobutamine (Compound) resembles Dopamine (Compound) Acarbose 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 Dopamine Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Epinephrine and Epinephrine (Compound) resembles Dopamine (Compound) Acarbose (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Dopamine (Compound) Acarbose 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 Dopamine Acarbose 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 Dopamine Acarbose may cause a minor interaction that can limit clinical effects when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Dopamine Acarbose 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 Dopamine Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Dobutamine and Dobutamine (Compound) resembles Masoprocol (Compound) and Masoprocol (Compound) resembles Dopamine (Compound)
DB00472
DB01114
758
272
[ "DDInter758", "DDInter362" ]
Fluoxetine
Chlorpheniramine
Fluoxetine is a 2nd generation antidepressant categorized as a selective serotonin reuptake inhibitor (SSRI). It gained FDA approval in 1987 and although it was initially intended for the treatment of depression, today it is commonly prescribed to manage depression in addition to various other pathologies.
A histamine H1 antagonist used in allergic reactions, hay fever, rhinitis, urticaria, and asthma. It has also been used in veterinary applications. One of the most widely used of the classical antihistaminics, it generally causes less drowsiness and sedation than promethazine.
Moderate
1
[ [ [ 758, 24, 272 ] ], [ [ 758, 40, 358 ], [ 358, 63, 272 ] ], [ [ 758, 40, 11296 ], [ 11296, 1, 272 ] ], [ [ 758, 24, 849 ], [ 849, 63, 272 ] ], [ [ 758, 63, 128 ], [ 128, 24, 272 ] ], [ [ 758, 24, 28 ], [ 28, 1, 272 ] ], [ [ 758, 6, 12523 ], [ 12523, 45, 272 ] ], [ [ 758, 18, 6317 ], [ 6317, 57, 272 ] ], [ [ 758, 21, 28705 ], [ 28705, 60, 272 ] ], [ [ 758, 25, 1264 ], [ 1264, 63, 272 ] ] ]
[ [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ], [ "Orphenadrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{u} (Compound) resembles {v} (Compound)", "Bromodiphenhydramine" ], [ "Bromodiphenhydramine", "{u} (Compound) resembles {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{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}", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{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}", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ], [ "Bisacodyl", "{u} (Compound) resembles {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{u} (Compound) downregulates {v} (Gene)", "MRPL12" ], [ "MRPL12", "{u} (Gene) is downregulated by {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{u} (Compound) causes {v} (Side Effect)", "Drowsiness" ], [ "Drowsiness", "{u} (Side Effect) is caused by {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Fluoxetine", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ] ]
Fluoxetine (Compound) resembles Orphenadrine (Compound) and Orphenadrine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Fluoxetine (Compound) resembles Bromodiphenhydramine (Compound) and Bromodiphenhydramine (Compound) resembles Chlorpheniramine (Compound) Fluoxetine 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 Chlorpheniramine Fluoxetine 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 Chlorpheniramine Fluoxetine may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl and Bisacodyl (Compound) resembles Chlorpheniramine (Compound) Fluoxetine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Chlorpheniramine (Compound) Fluoxetine (Compound) downregulates MRPL12 (Gene) and MRPL12 (Gene) is downregulated by Chlorpheniramine (Compound) Fluoxetine (Compound) causes Drowsiness (Side Effect) and Drowsiness (Side Effect) is caused by Chlorpheniramine (Compound) Fluoxetine may lead to a major life threatening interaction when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine
DB00049
DB09054
737
384
[ "DDInter1573", "DDInter905" ]
Rasburicase
Idelalisib
Rasburicase is a recombinant urate-oxidase enzyme produced by a genetically modified <i>Saccharomyces cerevisiae</i> strain. The cDNA coding for rasburicase was cloned from a strain of _Aspergillus flavus_.
Idelalisib is a phosphoinositide 3-kinase inhibitor indicated in the treatment of chronic lymphocytic leukemia (CLL), relapsed follicular B-cell non-Hodgkin lymphoma (FL), and relapsed small lymphocytic lymphoma (SLL). For the treatment of relapsed CLL, it is currently indicated as a second-line agent in combination with rituximab in patients for whom rituximab alone would be considered appropriate therapy due to other co-morbidities, while in the treatment of FL and SLL it is intended to be used in patients who have received at least two prior systemic therapies. More specifically, idelalisib targets P110δ, the delta isoform of the enzyme phosphatidylinositol-4,5-bisphosphate 3-kinase, also known as PI-3K. The PI-3Ks are a family of enzymes involved in cellular functions such as cell growth, proliferation, differentiation, motility, survival and intracellular trafficking, which in turn are involved in cancer. In contrast to the other class IA PI3Ks p110α and p110β, p110δ is principally expressed in leukocytes (white blood cells) and is important for the function of T cells, B cell, mast cells and neutrophils. By inhibiting this enzyme, idelalisib induces apoptosis of malignant cells and inhibits several cell signaling pathways, including B-cell receptor (BCR) signaling and C-X-C chemokine receptors type 5 and type 4 signalling, which are involved in trafficking and homing of B-cells to the lymph nodes and bone marrow. Treatment of lymphoma cells with idelalisib has been shown to result in inhibition of chemotaxis and adhesion, and reduced cell viability.
Moderate
1
[ [ [ 737, 24, 384 ] ], [ [ 737, 24, 1120 ], [ 1120, 1, 33 ], [ 33, 24, 384 ] ], [ [ 737, 24, 290 ], [ 290, 63, 1622 ], [ 1622, 24, 384 ] ], [ [ 737, 25, 1455 ], [ 1455, 63, 312 ], [ 312, 25, 384 ] ], [ [ 737, 24, 290 ], [ 290, 64, 307 ], [ 307, 23, 384 ] ], [ [ 737, 25, 490 ], [ 490, 64, 608 ], [ 608, 24, 384 ] ], [ [ 737, 24, 290 ], [ 290, 24, 585 ], [ 585, 24, 384 ] ], [ [ 737, 25, 490 ], [ 490, 25, 50 ], [ 50, 24, 384 ] ], [ [ 737, 25, 1455 ], [ 1455, 63, 743 ], [ 743, 24, 384 ] ], [ [ 737, 24, 290 ], [ 290, 25, 795 ], [ 795, 24, 384 ] ] ]
[ [ [ "Rasburicase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Proparacaine" ], [ "Proparacaine", "{u} (Compound) resembles {v} (Compound)", "Amiodarone" ], [ "Amiodarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may lead to a major life threatening interaction when taken with {v}", "Nitrous acid" ], [ "Nitrous acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eplerenone" ], [ "Eplerenone", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} may lead to a major life threatening interaction when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may lead to a major life threatening interaction when taken with {v}", "Prilocaine" ], [ "Prilocaine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenazopyridine" ], [ "Phenazopyridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may lead to a major life threatening interaction when taken with {v}", "Prilocaine" ], [ "Prilocaine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sulfasalazine" ], [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may lead to a major life threatening interaction when taken with {v}", "Nitrous acid" ], [ "Nitrous acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lisinopril" ], [ "Lisinopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Rasburicase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pemoline" ], [ "Pemoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ] ]
Rasburicase may cause a moderate interaction that could exacerbate diseases when taken with Proparacaine and Proparacaine (Compound) resembles Amiodarone (Compound) and Amiodarone may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Rasburicase may cause a moderate interaction that could exacerbate diseases when taken with Cocaine and Cocaine may cause a moderate interaction that could exacerbate diseases when taken with Voriconazole and Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Rasburicase may lead to a major life threatening interaction when taken with Nitrous acid and Nitrous acid may cause a moderate interaction that could exacerbate diseases when taken with Eplerenone and Eplerenone may lead to a major life threatening interaction when taken with Idelalisib Rasburicase may cause a moderate interaction that could exacerbate diseases when taken with Cocaine and Cocaine may lead to a major life threatening interaction when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Idelalisib Rasburicase may lead to a major life threatening interaction when taken with Prilocaine and Prilocaine may lead to a major life threatening interaction when taken with Lidocaine and Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Rasburicase may cause a moderate interaction that could exacerbate diseases when taken with Cocaine and Cocaine may cause a moderate interaction that could exacerbate diseases when taken with Phenazopyridine and Phenazopyridine may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Rasburicase may lead to a major life threatening interaction when taken with Prilocaine and Prilocaine may lead to a major life threatening interaction when taken with Sulfasalazine and Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Rasburicase may lead to a major life threatening interaction when taken with Nitrous acid and Nitrous acid may cause a moderate interaction that could exacerbate diseases when taken with Lisinopril and Lisinopril may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Rasburicase may cause a moderate interaction that could exacerbate diseases when taken with Cocaine and Cocaine may lead to a major life threatening interaction when taken with Pemoline and Pemoline may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib
DB00881
DB00945
954
1,479
[ "DDInter1554", "DDInter20" ]
Quinapril
Acetylsalicylic acid
Quinapril is the ethyl ester prodrug of the non-sulfhydryl angiotensin converting enzyme inhibitor quinaprilat.[L8420,L8423] It is used to treat hypertension and heart failure.[L8420,L8423] ACE inhibitors are commonly used as a first line therapy in the treatment of hypertension, along with thiazide diuretics or beta blockers. Quinapril was granted FDA approval on 19 November 1991. A combination tablet with [hydrochlorothiazide] was also approved on 28 December 1999.
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].
Moderate
1
[ [ [ 954, 24, 1479 ] ], [ [ 954, 21, 28691 ], [ 28691, 60, 1479 ] ], [ [ 954, 1, 1523 ], [ 1523, 23, 1479 ] ], [ [ 954, 23, 1283 ], [ 1283, 63, 1479 ] ], [ [ 954, 24, 714 ], [ 714, 63, 1479 ] ], [ [ 954, 63, 1271 ], [ 1271, 24, 1479 ] ], [ [ 954, 40, 1638 ], [ 1638, 24, 1479 ] ], [ [ 954, 24, 473 ], [ 473, 24, 1479 ] ], [ [ 954, 24, 365 ], [ 365, 64, 1479 ] ], [ [ 954, 25, 1510 ], [ 1510, 64, 1479 ] ] ]
[ [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{u} (Compound) causes {v} (Side Effect)", "Somnolence" ], [ "Somnolence", "{u} (Side Effect) is caused by {v} (Compound)", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{u} (Compound) resembles {v} (Compound)", "Labetalol" ], [ "Labetalol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ], [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alteplase" ], [ "Alteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{u} (Compound) resembles {v} (Compound)", "Trandolapril" ], [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{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}", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ], [ "Dalteparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Quinapril", "{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}", "Acetylsalicylic acid" ] ] ]
Quinapril (Compound) causes Somnolence (Side Effect) and Somnolence (Side Effect) is caused by Acetylsalicylic acid (Compound) Quinapril (Compound) resembles Labetalol (Compound) and Labetalol may cause a minor interaction that can limit clinical effects when taken with Acetylsalicylic acid Quinapril may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide and Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Iloprost and Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Alteplase and Alteplase may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Quinapril (Compound) resembles Trandolapril (Compound) and Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Quinapril 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 Acetylsalicylic acid Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin and Dalteparin may lead to a major life threatening interaction when taken with Acetylsalicylic acid Quinapril 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 Acetylsalicylic acid
DB00445
DB06643
322
1,136
[ "DDInter655", "DDInter500" ]
Epirubicin
Denosumab
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.
Denosumab is a novel, fully human IgG2 monoclonal antibody specific to receptor activator of nuclear factor kappa-B ligand (RANKL), suppresses bone resorption via inhibiting RANK-mediated activation of osteoclasts. It is the first and currently the only RANKL inhibitor approved to prevent osteoclast-mediated bone loss. Chemically, it consists of 2 heavy and 2 light chains, with each light chain consisting of 215 amino acids and each heavy chain consisting of 448 amino acids with 4 intramolecular disulfides. Denosumab was approved by the FDA approved on June 2010 for the treatment of osteoporosis in postmenopausal women. It further received additional indication approval to increase bone mass in men at high risk for fracture receiving androgen deprivation therapy for non-metastatic prostate cancer and women at high risk for fracture receiving adjuvant aromatase inhibitor therapy for breast cancer in September 2011 and in men with osteoporosis at high risk for fracture in September 2012.
Moderate
1
[ [ [ 322, 24, 1136 ] ], [ [ 322, 24, 1213 ], [ 1213, 24, 1136 ] ], [ [ 322, 63, 1648 ], [ 1648, 24, 1136 ] ], [ [ 322, 24, 1480 ], [ 1480, 63, 1136 ] ], [ [ 322, 25, 1377 ], [ 1377, 24, 1136 ] ], [ [ 322, 25, 1510 ], [ 1510, 63, 1136 ] ], [ [ 322, 35, 51 ], [ 51, 24, 1136 ] ], [ [ 322, 64, 1057 ], [ 1057, 24, 1136 ] ], [ [ 322, 23, 1307 ], [ 1307, 24, 1136 ] ], [ [ 322, 64, 1064 ], [ 1064, 25, 1136 ] ] ]
[ [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Epirubicin", "{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}", "Denosumab" ] ], [ [ "Epirubicin", "{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}", "Denosumab" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ], [ "Ixazomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Epirubicin", "{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}", "Denosumab" ] ], [ [ "Epirubicin", "{u} (Compound) resembles {v} (Compound) and {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}", "Denosumab" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Epirubicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Melphalan" ], [ "Melphalan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Epirubicin", "{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}", "Denosumab" ] ] ]
Epirubicin 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 Denosumab Epirubicin 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 Denosumab Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib and Ixazomib may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Epirubicin may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Epirubicin 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 Denosumab Epirubicin (Compound) resembles Daunorubicin (Compound) and Epirubicin 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 Denosumab Epirubicin may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Epirubicin may cause a minor interaction that can limit clinical effects when taken with Melphalan and Melphalan may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Epirubicin 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 Denosumab
DB00549
DB06616
522
594
[ "DDInter1955", "DDInter224" ]
Zafirlukast
Bosutinib
Zafirlukast is an oral leukotriene receptor antagonist (LTRA) for the maintenance treatment of asthma, often used in conjunction with an inhaled steroid and/or long-acting bronchodilator. It is available as a tablet and is usually dosed twice daily. Another leukotriene receptor antagonist is montelukast (Singulair), which is usually taken just once daily. Zafirlukast blocks the action of the cysteinyl leukotrienes on the CysLT1 receptors, thus reducing constriction of the airways, build-up of mucus in the lungs and inflammation of the breathing passages.
Bosutinib is a 7-alkoxy-3-quinolinecarbonitrile that functions as a potent, dual SRC and ABL tyrosine kinase inhibitor indicated for chronic myelogenous leukemia (CML), specifically Philadelphia chromosome-positive (Ph+) CML. Philadelphia chromosome is a hallmark of CML due to the reciprocal translocation t(9;22)(q34;q11), resulting in a BCR-ABL fusion protein.[A6902,A261796,A261801] The first BCR-ABL inhibitor, [imatinib], was introduced over a decade ago as a breakthrough in CML management; however, emerging resistance to [imatinib] poses challenges in achieving remission. Second-generation BCR-ABL inhibitors like bosutinib inhibit most resistance-conferring BCR-ABL mutations except V299L and T315, thus providing more therapeutic options for patients.[A6901,A17961] Bosutinib was first approved by the FDA in 2012 for the treatment of adult chronic, accelerated, or blast-phase Ph+ CML with resistance or intolerance to prior therapy. On September 26, 2023, bosutinib was also approved by the FDA for the treatment of pediatric CML that is newly diagnosed or resistant/intolerant to prior therapy. This approval was based on favorable results obtained from the open-label, randomized, multicenter trial BFORE that showed a significant improvement in major molecular response, defined as a ≤0.1% BCR ABL ratio on an international scale, with bosutinib treatment.
Moderate
1
[ [ [ 522, 24, 594 ] ], [ [ 522, 63, 883 ], [ 883, 1, 594 ] ], [ [ 522, 6, 8374 ], [ 8374, 45, 594 ] ], [ [ 522, 21, 28882 ], [ 28882, 60, 594 ] ], [ [ 522, 24, 112 ], [ 112, 23, 594 ] ], [ [ 522, 24, 786 ], [ 786, 63, 594 ] ], [ [ 522, 24, 663 ], [ 663, 24, 594 ] ], [ [ 522, 1, 165 ], [ 165, 24, 594 ] ], [ [ 522, 63, 597 ], [ 597, 24, 594 ] ], [ [ 522, 23, 479 ], [ 479, 24, 594 ] ] ]
[ [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gefitinib" ], [ "Gefitinib", "{u} (Compound) resembles {v} (Compound)", "Bosutinib" ] ], [ [ "Zafirlukast", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Bosutinib" ] ], [ [ "Zafirlukast", "{u} (Compound) causes {v} (Side Effect)", "Body temperature increased" ], [ "Body temperature increased", "{u} (Side Effect) is caused by {v} (Compound)", "Bosutinib" ] ], [ [ "Zafirlukast", "{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}", "Bosutinib" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilpivirine" ], [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Zafirlukast", "{u} (Compound) resembles {v} (Compound)", "Tolvaptan" ], [ "Tolvaptan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Zafirlukast", "{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}", "Bosutinib" ] ], [ [ "Zafirlukast", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ] ]
Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Gefitinib and Gefitinib (Compound) resembles Bosutinib (Compound) Zafirlukast (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Bosutinib (Compound) Zafirlukast (Compound) causes Body temperature increased (Side Effect) and Body temperature increased (Side Effect) is caused by Bosutinib (Compound) Zafirlukast 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 Bosutinib Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Rilpivirine and Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib Zafirlukast (Compound) resembles Tolvaptan (Compound) and Tolvaptan may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib Zafirlukast 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 Bosutinib Zafirlukast may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib
DB00047
DB09046
176
1,094
[ "DDInter932", "DDInter1201" ]
Insulin glargine
Metreleptin
Insulin glargine is a long-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Insulin is typically prescribed for the management of diabetes mellitus to mimic the activity of endogenously produced human insulin, a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism. Insulin is released from the pancreas following a meal to promote the uptake of glucose from the blood into internal organs and tissues such as the liver, fat cells, and skeletal muscle. Absorption of glucose into cells allows for its transformation into glycogen or fat for storage. Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis. Insulin is an important treatment in the management of Type 1 Diabetes (T1D), which is caused by an autoimmune reaction that destroys the beta cells of the pancreas, resulting in the body not being able to produce or
Metreleptin, a recombinant analog of the human hormone leptin, is an orphan drug used to treat complications of leptin deficiency in people with lipodystrophy. Lipodystrophies include a range of disorders characterized by the reduction, absence, or altered distribution of adipose tissue. Complications of lipodystrophy include metabolic abnormalities such as hypertriglyceridemia, insulin resistance, diabetes mellitus, and fatty liver disease. These metabolic abnormalities are often aggravated by excessive food intake, which is further aggravated by leptin deficiency, a protein secreted by adipose tissue. Administration of metreleptin results in improvement of metabolic symptoms including improvements in insulin resistance, reduced HbA1c and fasting glucose, reduced triglycerides, and reductions in food intake. Metreleptin is produced in _E. coli_ and differs from native human leptin by the addition of a methionine residue at its amino terminus. In February 2014, metreleptin was approved by the FDA for the treatment of complications of leptin deficiency, as an adjunct to diet, in patients with congenital generalized or acquired generalized lipodystrophy. Metreleptin was approved by Health Canada in January 2024 for the same patient population, in addition to patients with partial lipodystrophy.
Moderate
1
[ [ [ 176, 24, 1094 ] ], [ [ 176, 24, 168 ], [ 168, 23, 1094 ] ], [ [ 176, 24, 959 ], [ 959, 24, 1094 ] ], [ [ 176, 24, 517 ], [ 517, 63, 1094 ] ], [ [ 176, 24, 879 ], [ 879, 25, 1094 ] ], [ [ 176, 24, 168 ], [ 168, 24, 1254 ], [ 1254, 24, 1094 ] ], [ [ 176, 24, 959 ], [ 959, 63, 168 ], [ 168, 23, 1094 ] ], [ [ 176, 24, 517 ], [ 517, 63, 1213 ], [ 1213, 24, 1094 ] ], [ [ 176, 24, 566 ], [ 566, 23, 578 ], [ 578, 24, 1094 ] ], [ [ 176, 24, 1033 ], [ 1033, 63, 1612 ], [ 1612, 62, 1094 ] ] ]
[ [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metreleptin" ] ], [ [ "Insulin glargine", "{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}", "Metreleptin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metreleptin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norgestrel" ], [ "Norgestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metreleptin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumateperone" ], [ "Lumateperone", "{u} may lead to a major life threatening interaction when taken with {v}", "Metreleptin" ] ], [ [ "Insulin glargine", "{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}", "Insulin glulisine" ], [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metreleptin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{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}", "Metreleptin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norgestrel" ], [ "Norgestrel", "{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}", "Metreleptin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levonorgestrel" ], [ "Levonorgestrel", "{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}", "Metreleptin" ] ], [ [ "Insulin glargine", "{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}", "Fostemsavir" ], [ "Fostemsavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metreleptin" ] ] ]
Insulin glargine 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 Metreleptin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Metreleptin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Norgestrel and Norgestrel may cause a moderate interaction that could exacerbate diseases when taken with Metreleptin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Lumateperone and Lumateperone may lead to a major life threatening interaction when taken with Metreleptin Insulin glargine 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 Insulin glulisine and Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Metreleptin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide 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 Metreleptin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Norgestrel and Norgestrel 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 Metreleptin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Levonorgestrel and Levonorgestrel 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 Metreleptin Insulin glargine 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 Fostemsavir and Fostemsavir may cause a minor interaction that can limit clinical effects when taken with Metreleptin
DB00637
DB09420
1,557
1,074
[ "DDInter128", "DDInter953" ]
Astemizole
Iodide I-123
Astemizole is a long-acting, non-sedating second generation antihistamine used in the treatment of allergy symptoms. It was withdrawn from market by the manufacturer in 1999 due to the potential to cause arrhythmias at high doses, especially when when taken with CYP inhibitors or grapefruit juice.
Iodide I-123 (as sodium Iodide I-123) is a radioactive isotope of iodine used in nuclear medicine for the diagnostic study of thyroid disease. Following oral administration, I-123 is absorbed through the gastrointestinal tract and is taken up by the thyroid gland. After incorporation, a gamma camera is used to detect the decay by electron capture to tellurium-123. Iodine is commonly used in thyroid function diagnostic tests as this gland normally absorbs iodine through the diet for formation of the thyroid hormones triiodothyronine (T3) and its prohormone, thyroxine (T4). Radioactive I-123 in particular is effective for this use as its half-life of approximately 13.13 h (hours) is ideal for the 24-h (hour) iodine uptake test and it has a reduced radiation burden as compared to I-131.
Moderate
1
[ [ [ 1557, 24, 1074 ] ], [ [ 1557, 23, 1247 ], [ 1247, 24, 1074 ] ], [ [ 1557, 25, 1487 ], [ 1487, 24, 1074 ] ], [ [ 1557, 24, 401 ], [ 401, 24, 1074 ] ], [ [ 1557, 64, 1424 ], [ 1424, 24, 1074 ] ], [ [ 1557, 24, 1399 ], [ 1399, 63, 1074 ] ], [ [ 1557, 63, 252 ], [ 252, 24, 1074 ] ], [ [ 1557, 23, 1247 ], [ 1247, 40, 161 ], [ 161, 24, 1074 ] ], [ [ 1557, 25, 1487 ], [ 1487, 63, 10 ], [ 10, 24, 1074 ] ], [ [ 1557, 25, 33 ], [ 33, 64, 126 ], [ 126, 24, 1074 ] ] ]
[ [ [ "Astemizole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Astemizole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Astemizole", "{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}", "Iodide I-123" ] ], [ [ "Astemizole", "{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}", "Iodide I-123" ] ], [ [ "Astemizole", "{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}", "Iodide I-123" ] ], [ [ "Astemizole", "{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}", "Iodide I-123" ] ], [ [ "Astemizole", "{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}", "Iodide I-123" ] ], [ [ "Astemizole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} (Compound) resembles {v} (Compound)", "Sulfadiazine" ], [ "Sulfadiazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Astemizole", "{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}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Astemizole", "{u} may lead to a major life threatening interaction when taken with {v}", "Amiodarone" ], [ "Amiodarone", "{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}", "Iodide I-123" ] ] ]
Astemizole may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Astemizole 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 Iodide I-123 Astemizole 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 Iodide I-123 Astemizole 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 Iodide I-123 Astemizole 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 Iodide I-123 Astemizole 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 Iodide I-123 Astemizole may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole (Compound) resembles Sulfadiazine (Compound) and Sulfadiazine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Astemizole 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 Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Astemizole may lead to a major life threatening interaction when taken with Amiodarone and Amiodarone 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 Iodide I-123
DB00978
DB06788
739
1,616
[ "DDInter1084", "DDInter864" ]
Lomefloxacin
Histrelin
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.
Histrelin is a gonadotropin-releasing hormone (GnRH) agonist that acts as a potent inhibitor of gonadotropin when administered as an implant delivering continuous therapeutic doses. This drug is a synthetic analog of naturally occurring GnRH with a higher potency. Histrelin implants are non-biodegradable, diffusion-controlled, hydrogel polymer reservoirs containing histrelin acetate that need to be replaced every 52 weeks.[L41700,L41715,L41755] Initially, histrelin implants were developed to reduce testosterone to castration levels in patients with advanced prostate cancer. The Vantas product was approved by the FDA in October 2004 for the palliative treatment of this condition. Vantas was later discontinued by Endo Pharmaceuticals Inc. on September 21, 2021. GnRH agonists are the first line of treatment for children with central precocious puberty (CPP) due to their capacity to reduce LH levels and the concentration of sex steroids. As the product Supprelin LA, histrelin is indicated for the treatment of CPP in children (approved by the FDA in May 2007).
Moderate
1
[ [ [ 739, 24, 1616 ] ], [ [ 739, 62, 112 ], [ 112, 23, 1616 ] ], [ [ 739, 24, 1342 ], [ 1342, 24, 1616 ] ], [ [ 739, 64, 1179 ], [ 1179, 24, 1616 ] ], [ [ 739, 23, 77 ], [ 77, 24, 1616 ] ], [ [ 739, 24, 603 ], [ 603, 63, 1616 ] ], [ [ 739, 63, 600 ], [ 600, 24, 1616 ] ], [ [ 739, 25, 1296 ], [ 1296, 63, 1616 ] ], [ [ 739, 25, 959 ], [ 959, 24, 1616 ] ], [ [ 739, 62, 51 ], [ 51, 24, 1616 ] ] ]
[ [ [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Lomefloxacin", "{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}", "Histrelin" ] ], [ [ "Lomefloxacin", "{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}", "Histrelin" ] ], [ [ "Lomefloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Insulin lispro" ], [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Lomefloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Idarubicin" ], [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ], [ "Magnesium citrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Lomefloxacin", "{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}", "Histrelin" ] ], [ [ "Lomefloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Lomefloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Lomefloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ] ]
Lomefloxacin 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 Histrelin Lomefloxacin 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 Histrelin Lomefloxacin may lead to a major life threatening interaction when taken with Insulin lispro and Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Lomefloxacin may cause a minor interaction that can limit clinical effects when taken with Idarubicin and Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate and Magnesium citrate may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Lomefloxacin 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 Histrelin Lomefloxacin may lead to a major life threatening interaction when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Lomefloxacin may lead to a major life threatening interaction when taken with Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Lomefloxacin may cause a minor interaction that can limit clinical effects when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Histrelin
DB00532
DB06691
208
849
[ "DDInter1152", "DDInter1155" ]
Mephenytoin
Mepyramine
Mephenytoin is used for the treatment of refractory partial epilepsy. Mephenytoin is a solid. This compound belongs to the phenylhydantoins. These are heterocyclic aromatic compounds containing an imiazolidinedione moiety substituted by a phenyl group. Mephenytoin is known to target sodium channel protein type 5 subunit alpha. Cytochrome P450 2C19, Cytochrome P450 2C8, Cytochrome P450 2C9, Cytochrome P450 2B6, Cytochrome P450 1A2, and Cytochrome P450 2D6 are known to metabolize mephenytoin. Mephenytoin is a hydantoin-derivative anticonvulsant used to control various partial seizures. Mephenytoin and oxazolidinedione derivatives are associated with higher incid
Mepyramine, or pyrilamine, targets the H1 receptor. It is a first generation antihistamine. However, it rapidly permeates the brain and so often causes drowsiness as a side effect. It has been found in over-the-counter combination products for colds and menstrual symptoms, but is considered to be an unapproved prescription medication used for cough, cold, or allergic conditions.
Moderate
1
[ [ [ 208, 24, 849 ] ], [ [ 208, 63, 1594 ], [ 1594, 24, 849 ] ], [ [ 208, 24, 272 ], [ 272, 24, 849 ] ], [ [ 208, 24, 407 ], [ 407, 63, 849 ] ], [ [ 208, 24, 662 ], [ 662, 35, 849 ] ], [ [ 208, 63, 1594 ], [ 1594, 1, 11775 ], [ 11775, 40, 849 ] ], [ [ 208, 24, 272 ], [ 272, 1, 11775 ], [ 11775, 40, 849 ] ], [ [ 208, 24, 770 ], [ 770, 63, 1594 ], [ 1594, 24, 849 ] ], [ [ 208, 24, 1376 ], [ 1376, 40, 11244 ], [ 11244, 1, 849 ] ], [ [ 208, 63, 13 ], [ 13, 63, 1594 ], [ 1594, 24, 849 ] ] ]
[ [ [ "Mephenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Mephenytoin", "{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}", "Mepyramine" ] ], [ [ "Mephenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Mephenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Mephenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Mephenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} (Compound) resembles {v} (Compound)", "Chloropyramine" ], [ "Chloropyramine", "{u} (Compound) resembles {v} (Compound)", "Mepyramine" ] ], [ [ "Mephenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} (Compound) resembles {v} (Compound)", "Chloropyramine" ], [ "Chloropyramine", "{u} (Compound) resembles {v} (Compound)", "Mepyramine" ] ], [ [ "Mephenytoin", "{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}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Mephenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound)", "Pheniramine" ], [ "Pheniramine", "{u} (Compound) resembles {v} (Compound)", "Mepyramine" ] ], [ [ "Mephenytoin", "{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}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ] ]
Mephenytoin 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 Mepyramine Mephenytoin may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Mephenytoin may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Mephenytoin may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine (Compound) resembles Mepyramine (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Mephenytoin may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine (Compound) resembles Chloropyramine (Compound) and Chloropyramine (Compound) resembles Mepyramine (Compound) Mephenytoin may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine (Compound) resembles Chloropyramine (Compound) and Chloropyramine (Compound) resembles Mepyramine (Compound) Mephenytoin 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 Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Mephenytoin may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) resembles Pheniramine (Compound) and Pheniramine (Compound) resembles Mepyramine (Compound) Mephenytoin 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 Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine
DB00425
DB04837
558
649
[ "DDInter1970", "DDInter407" ]
Zolpidem
Clofedanol
Zolpidem, also known as _Ambien_, is a hypnotic drug that was initially approved by the FDA in 1992 [FDA label]. Zolpidem improves sleep in patients with insomnia. It is aimed for use in patients with difficulties initiating sleep. This drug decreases the time to fall asleep (sleep latency), increases the duration of sleep, and decreases the number of awakenings during sleep in patients with temporary (transient) insomnia. It is available in both immediate acting and extended release forms [FDA label],. Its tolerability profile is favorable when administered according to the manufacturer’s instructions, with a low risk of drug withdrawal, drug dependence, and drug tolerance. In addition, zolpidem improves sleep quality in patients suffering from chronic insomnia and can show mild muscle relaxant properties. Research also shows that zolpidem is rapid and effective in restoring brain function for patients in a vegetative state following brain injury. This drug has the propensity to completely or partially
Clofedanol is a centrally-acting cough suppressant available in Canada under the trade name Ulone. It is not available in the United States.
Moderate
1
[ [ [ 558, 24, 649 ] ], [ [ 558, 24, 1376 ], [ 1376, 24, 649 ] ], [ [ 558, 24, 832 ], [ 832, 40, 649 ] ], [ [ 558, 63, 701 ], [ 701, 24, 649 ] ], [ [ 558, 24, 1609 ], [ 1609, 63, 649 ] ], [ [ 558, 64, 475 ], [ 475, 24, 649 ] ], [ [ 558, 24, 662 ], [ 662, 35, 649 ] ], [ [ 558, 24, 1376 ], [ 1376, 74, 21 ], [ 21, 24, 649 ] ], [ [ 558, 24, 832 ], [ 832, 24, 1376 ], [ 1376, 24, 649 ] ], [ [ 558, 63, 701 ], [ 701, 24, 1376 ], [ 1376, 24, 649 ] ] ]
[ [ [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Zolpidem", "{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}", "Clofedanol" ] ], [ [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Zolpidem", "{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}", "Clofedanol" ] ], [ [ "Zolpidem", "{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}", "Clofedanol" ] ], [ [ "Zolpidem", "{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}", "Clofedanol" ] ], [ [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{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}", "Clofedanol" ] ], [ [ "Zolpidem", "{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}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ] ]
Zolpidem 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 Clofedanol Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine (Compound) resembles Clofedanol (Compound) Zolpidem 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 Clofedanol Zolpidem 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 Clofedanol Zolpidem 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 Clofedanol Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine (Compound) resembles Clofedanol (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) resembles Amitriptyline (Compound) and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine 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 Clofedanol Zolpidem 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 Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol
DB00252
DB14568
362
982
[ "DDInter1460", "DDInter1000" ]
Phenytoin
Ivosidenib
Phenytoin is classified as a hydantoin derivative and despite its narrow therapeutic index, it is one of the most commonly used anticonvulsants.[A33595,A188832,A189219] Since it's introduction about 80 years ago, phenytoin has not only been established as an effective anti-epileptic, but has also been investigated for several other indications such as bipolar disorder, retina protection, and wound healing.[A188826,A188832] Clinicians are advised to initiate therapeutic drug monitoring in patients who require phenytoin since even small deviations from the recommended therapeutic range can lead to suboptimal treatment, or adverse effects.[A189219,A35884] Both parenteral and oral formulations of phenytoin are available on the market.
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.
Major
2
[ [ [ 362, 25, 982 ] ], [ [ 362, 24, 112 ], [ 112, 23, 982 ] ], [ [ 362, 64, 168 ], [ 168, 23, 982 ] ], [ [ 362, 23, 1101 ], [ 1101, 23, 982 ] ], [ [ 362, 25, 976 ], [ 976, 24, 982 ] ], [ [ 362, 24, 770 ], [ 770, 24, 982 ] ], [ [ 362, 25, 159 ], [ 159, 63, 982 ] ], [ [ 362, 40, 307 ], [ 307, 24, 982 ] ], [ [ 362, 25, 11 ], [ 11, 25, 982 ] ], [ [ 362, 24, 1250 ], [ 1250, 25, 982 ] ] ]
[ [ [ "Phenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Phenytoin", "{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}", "Ivosidenib" ] ], [ [ "Phenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ], [ [ "Phenytoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ], [ [ "Phenytoin", "{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}", "Ivosidenib" ] ], [ [ "Phenytoin", "{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" ] ], [ [ "Phenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Phenytoin", "{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}", "Ivosidenib" ] ], [ [ "Phenytoin", "{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" ] ] ]
Phenytoin 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 Ivosidenib Phenytoin may lead to a major life threatening interaction when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Ivosidenib Phenytoin may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Ivosidenib Phenytoin 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 Ivosidenib Phenytoin 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 Phenytoin may lead to a major life threatening interaction when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Phenytoin (Compound) resembles Modafinil (Compound) and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Phenytoin 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 Ivosidenib Phenytoin 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
DB00641
DB01611
467
1,487
[ "DDInter1675", "DDInter893" ]
Simvastatin
Hydroxychloroquine
Simvastatin, also known as the brand name product Zocor, is a lipid-lowering drug derived synthetically from a fermentation product of _Aspergillus terreus_. It 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 standard practice following any cardiovascular events and for people with a
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. A recent study reported a fatality in the group being treated with hydroxychloroquine for COVID-19.
Moderate
1
[ [ [ 467, 24, 1487 ] ], [ [ 467, 6, 12523 ], [ 12523, 45, 1487 ] ], [ [ 467, 21, 28658 ], [ 28658, 60, 1487 ] ], [ [ 467, 63, 663 ], [ 663, 23, 1487 ] ], [ [ 467, 24, 723 ], [ 723, 24, 1487 ] ], [ [ 467, 63, 168 ], [ 168, 24, 1487 ] ], [ [ 467, 74, 1463 ], [ 1463, 24, 1487 ] ], [ [ 467, 24, 1623 ], [ 1623, 63, 1487 ] ], [ [ 467, 25, 441 ], [ 441, 24, 1487 ] ], [ [ 467, 64, 798 ], [ 798, 24, 1487 ] ] ]
[ [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{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}", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{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}", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{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}", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lovastatin" ], [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isavuconazonium" ], [ "Isavuconazonium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Delavirdine" ], [ "Delavirdine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Nelfinavir" ], [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ] ]
Simvastatin (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Hydroxychloroquine (Compound) Simvastatin (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Hydroxychloroquine (Compound) Simvastatin 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 Hydroxychloroquine Simvastatin 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 Hydroxychloroquine Simvastatin 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 Hydroxychloroquine Simvastatin (Compound) resembles Lovastatin (Compound) and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Lovastatin and Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Isavuconazonium and Isavuconazonium may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Simvastatin may lead to a major life threatening interaction when taken with Delavirdine and Delavirdine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Simvastatin may lead to a major life threatening interaction when taken with Nelfinavir and Nelfinavir may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine
DB00850
DB01362
1,630
497
[ "DDInter1432", "DDInter960" ]
Perphenazine
Iohexol
An antipsychotic phenothiazine derivative with actions and uses similar to those of chlorpromazine.
Iohexol is an effective non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiographic procedures. Its low systemic toxicity is the combined result of low chemotoxicity and low osmolality.
Major
2
[ [ [ 1630, 25, 497 ] ], [ [ 1630, 18, 6929 ], [ 6929, 57, 497 ] ], [ [ 1630, 21, 28681 ], [ 28681, 60, 497 ] ], [ [ 1630, 63, 999 ], [ 999, 25, 497 ] ], [ [ 1630, 24, 1264 ], [ 1264, 25, 497 ] ], [ [ 1630, 1, 1237 ], [ 1237, 25, 497 ] ], [ [ 1630, 24, 22 ], [ 22, 64, 497 ] ], [ [ 1630, 35, 820 ], [ 820, 25, 497 ] ], [ [ 1630, 1, 9 ], [ 9, 64, 497 ] ], [ [ 1630, 64, 475 ], [ 475, 25, 497 ] ] ]
[ [ [ "Perphenazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Perphenazine", "{u} (Compound) downregulates {v} (Gene)", "ITGAE" ], [ "ITGAE", "{u} (Gene) is downregulated by {v} (Compound)", "Iohexol" ] ], [ [ "Perphenazine", "{u} (Compound) causes {v} (Side Effect)", "Hypersensitivity" ], [ "Hypersensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Iohexol" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ], [ "Clomipramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound) and {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}", "Iohexol" ] ], [ [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Methotrimeprazine" ], [ "Methotrimeprazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Perphenazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ] ]
Perphenazine (Compound) downregulates ITGAE (Gene) and ITGAE (Gene) is downregulated by Iohexol (Compound) Perphenazine (Compound) causes Hypersensitivity (Side Effect) and Hypersensitivity (Side Effect) is caused by Iohexol (Compound) Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may lead to a major life threatening interaction when taken with Iohexol Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may lead to a major life threatening interaction when taken with Iohexol Perphenazine (Compound) resembles Clomipramine (Compound) and Clomipramine may lead to a major life threatening interaction when taken with Iohexol Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine may lead to a major life threatening interaction when taken with Iohexol Perphenazine (Compound) resembles Alimemazine (Compound) and Perphenazine 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 Iohexol Perphenazine (Compound) resembles Methotrimeprazine (Compound) and Methotrimeprazine may lead to a major life threatening interaction when taken with Iohexol Perphenazine may lead to a major life threatening interaction when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Iohexol
DB00719
DB01233
1,219
1,311
[ "DDInter149", "DDInter1197" ]
Azatadine
Metoclopramide
Antihistamines such as azatadine appear to compete with histamine for histamine H1- receptor sites on effector cells. The antihistamines antagonize those pharmacological effects of histamine which are mediated through activation of H1- receptor sites and thereby reduce the intensity of allergic reactions and tissue injury response involving histamine release.
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
[ [ [ 1219, 24, 1311 ] ], [ [ 1219, 63, 1020 ], [ 1020, 24, 1311 ] ], [ [ 1219, 24, 643 ], [ 643, 63, 1311 ] ], [ [ 1219, 24, 1190 ], [ 1190, 24, 1311 ] ], [ [ 1219, 40, 830 ], [ 830, 63, 1311 ] ], [ [ 1219, 74, 1251 ], [ 1251, 24, 1311 ] ], [ [ 1219, 25, 306 ], [ 306, 24, 1311 ] ], [ [ 1219, 24, 519 ], [ 519, 64, 1311 ] ], [ [ 1219, 24, 1568 ], [ 1568, 25, 1311 ] ], [ [ 1219, 63, 695 ], [ 695, 25, 1311 ] ] ]
[ [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clonidine" ], [ "Clonidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desvenlafaxine" ], [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ], [ "Ketamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} (Compound) resembles {v} (Compound)", "Phenindamine" ], [ "Phenindamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mirtazapine" ], [ "Mirtazapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ], [ "Zonisamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paliperidone" ], [ "Paliperidone", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pimozide" ], [ "Pimozide", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ] ], [ [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clozapine" ], [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ] ] ]
Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Clonidine and Clonidine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Desvenlafaxine and Desvenlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Ketamine and Ketamine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Azatadine (Compound) resembles Phenindamine (Compound) and Phenindamine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Azatadine (Compound) resembles Mirtazapine (Compound) and Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Mirtazapine and Mirtazapine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Azatadine may lead to a major life threatening interaction when taken with Zonisamide and Zonisamide may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Paliperidone and Paliperidone may lead to a major life threatening interaction when taken with Metoclopramide Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Pimozide and Pimozide may lead to a major life threatening interaction when taken with Metoclopramide Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Clozapine and Clozapine may lead to a major life threatening interaction when taken with Metoclopramide
DB00220
DB01083
798
1,142
[ "DDInter1276", "DDInter1348" ]
Nelfinavir
Orlistat
Nelfinavir is a potent HIV-1 protease inhibitor. It is used in combination with other antiviral drugs in the treatment of HIV in both adults and children. Nelfinavir inhibits the HIV viral proteinase enzyme which prevents cleavage of the gag-pol polyprotein, resulting in noninfectious, immature viral particles.
The global prevalence of obesity is increasing rapidly. Obesity-related complications lead to significant personal and economic burden by reducing quality of life and increasing the cost of healthcare. In some individuals, diet and exercise are insufficient to maintain weight loss, and pharmacological or surgical intervention is required. Orlistat is a lipase inhibitor used in the treatment of obesity that works by inhibiting fat-metabolizing enzymes. It was approved by the FDA for use in combination with a reduced-calorie diet in 1999. This drug is a generally well-tolerated and effective weight-loss aid and is now available in both over-the-counter and prescription preparations, depending on the dosage quantity.
Moderate
1
[ [ [ 798, 24, 1142 ] ], [ [ 798, 6, 8374 ], [ 8374, 45, 1142 ] ], [ [ 798, 18, 5833 ], [ 5833, 46, 1142 ] ], [ [ 798, 21, 28785 ], [ 28785, 60, 1142 ] ], [ [ 798, 24, 5 ], [ 5, 63, 1142 ] ], [ [ 798, 24, 1144 ], [ 1144, 24, 1142 ] ], [ [ 798, 63, 1324 ], [ 1324, 24, 1142 ] ], [ [ 798, 1, 215 ], [ 215, 24, 1142 ] ], [ [ 798, 40, 1327 ], [ 1327, 63, 1142 ] ], [ [ 798, 6, 8374 ], [ 8374, 48, 11640 ], [ 11640, 44, 1142 ] ] ]
[ [ [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ] ], [ [ "Nelfinavir", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Orlistat" ] ], [ [ "Nelfinavir", "{u} (Compound) downregulates {v} (Gene)", "ACAT2" ], [ "ACAT2", "{u} (Gene) is upregulated by {v} (Compound)", "Orlistat" ] ], [ [ "Nelfinavir", "{u} (Compound) causes {v} (Side Effect)", "Muscle spasms" ], [ "Muscle spasms", "{u} (Side Effect) is caused by {v} (Compound)", "Orlistat" ] ], [ [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liraglutide" ], [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ] ], [ [ "Nelfinavir", "{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}", "Orlistat" ] ], [ [ "Nelfinavir", "{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}", "Orlistat" ] ], [ [ "Nelfinavir", "{u} (Compound) resembles {v} (Compound)", "Indinavir" ], [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ] ], [ [ "Nelfinavir", "{u} (Compound) resembles {v} (Compound)", "Saquinavir" ], [ "Saquinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ] ], [ [ "Nelfinavir", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is associated with {v} (Disease)", "type 2 diabetes mellitus" ], [ "type 2 diabetes mellitus", "{u} (Disease) is treated by {v} (Compound)", "Orlistat" ] ] ]
Nelfinavir (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Orlistat (Compound) Nelfinavir (Compound) downregulates ACAT2 (Gene) and ACAT2 (Gene) is upregulated by Orlistat (Compound) Nelfinavir (Compound) causes Muscle spasms (Side Effect) and Muscle spasms (Side Effect) is caused by Orlistat (Compound) Nelfinavir may cause a moderate interaction that could exacerbate diseases when taken with Liraglutide and Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Orlistat Nelfinavir 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 Orlistat Nelfinavir 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 Orlistat Nelfinavir (Compound) resembles Indinavir (Compound) and Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Orlistat Nelfinavir (Compound) resembles Saquinavir (Compound) and Saquinavir may cause a moderate interaction that could exacerbate diseases when taken with Orlistat Nelfinavir (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is associated with type 2 diabetes mellitus (Disease) and type 2 diabetes mellitus (Disease) is treated by Orlistat (Compound)
DB00405
DB00454
128
1,349
[ "DDInter517", "DDInter1150" ]
Dexbrompheniramine
Meperidine
Dexbrompheniramine maleate is an antihistamine agent that is used for the treatment of allergic conditions, such as hay fever or urticaria.
A narcotic analgesic that can be used for the relief of most types of moderate to severe pain, including postoperative pain and the pain of labor. Prolonged use may lead to dependence of the morphine type; withdrawal symptoms appear more rapidly than with morphine and are of shorter duration.
Moderate
1
[ [ [ 128, 24, 1349 ] ], [ [ 128, 24, 1688 ], [ 1688, 1, 1349 ] ], [ [ 128, 24, 100 ], [ 100, 63, 1349 ] ], [ [ 128, 24, 1233 ], [ 1233, 24, 1349 ] ], [ [ 128, 74, 1594 ], [ 1594, 24, 1349 ] ], [ [ 128, 63, 1242 ], [ 1242, 24, 1349 ] ], [ [ 128, 24, 1053 ], [ 1053, 64, 1349 ] ], [ [ 128, 63, 475 ], [ 475, 25, 1349 ] ], [ [ 128, 24, 1688 ], [ 1688, 40, 11366 ], [ 11366, 1, 1349 ] ], [ [ 128, 24, 411 ], [ 411, 1, 11366 ], [ 11366, 1, 1349 ] ] ]
[ [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenoxylate" ], [ "Diphenoxylate", "{u} (Compound) resembles {v} (Compound)", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{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}", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ], [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{u} (Compound) resembles {v} (Compound) and {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}", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{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}", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{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}", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{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}", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenoxylate" ], [ "Diphenoxylate", "{u} (Compound) resembles {v} (Compound)", "Anileridine" ], [ "Anileridine", "{u} (Compound) resembles {v} (Compound)", "Meperidine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remifentanil" ], [ "Remifentanil", "{u} (Compound) resembles {v} (Compound)", "Anileridine" ], [ "Anileridine", "{u} (Compound) resembles {v} (Compound)", "Meperidine" ] ] ]
Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Diphenoxylate and Diphenoxylate (Compound) resembles Meperidine (Compound) Dexbrompheniramine 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 Meperidine Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine and Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Meperidine Dexbrompheniramine (Compound) resembles Doxylamine (Compound) and Dexbrompheniramine 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 Meperidine Dexbrompheniramine 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 Meperidine Dexbrompheniramine 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 Meperidine Dexbrompheniramine 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 Meperidine Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Diphenoxylate and Diphenoxylate (Compound) resembles Anileridine (Compound) and Anileridine (Compound) resembles Meperidine (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Remifentanil and Remifentanil (Compound) resembles Anileridine (Compound) and Anileridine (Compound) resembles Meperidine (Compound)
DB00451
DB01142
542
1,264
[ "DDInter1064", "DDInter593" ]
Levothyroxine
Doxepin
Levothyroxine is a synthetically produced form of thyroxine, a major endogenous hormone secreted by the thyroid gland. Also known as L-thyroxine or the brand name product Synthroid, levothyroxine is used primarily to treat hypothyroidism, a condition where the thyroid gland is no longer able to produce sufficient quantities of the thyroid hormones T<sub>4</sub> (tetraiodothyronine or thyroxine) and T<sub>3</sub> (triiodothyronine or ), resulting in diminished down-stream effects of these hormones. Without sufficient quantities of circulating thyroid hormones, symptoms of hypothyroidism begin to develop such as fatigue, increased heart rate, depression, dry skin and hair, muscle cramps, constipation, weight gain, memory impairment, and poor tolerance to cold temperatures.[F4636,A35722] In response to Thyroid Stimulating Hormone (TSH) release by
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
[ [ [ 542, 24, 1264 ] ], [ [ 542, 6, 4973 ], [ 4973, 45, 1264 ] ], [ [ 542, 21, 28809 ], [ 28809, 60, 1264 ] ], [ [ 542, 24, 463 ], [ 463, 23, 1264 ] ], [ [ 542, 24, 857 ], [ 857, 62, 1264 ] ], [ [ 542, 63, 380 ], [ 380, 23, 1264 ] ], [ [ 542, 63, 73 ], [ 73, 24, 1264 ] ], [ [ 542, 40, 624 ], [ 624, 63, 1264 ] ], [ [ 542, 23, 887 ], [ 887, 24, 1264 ] ], [ [ 542, 24, 633 ], [ 633, 63, 1264 ] ] ]
[ [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Levothyroxine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Doxepin" ] ], [ [ "Levothyroxine", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Doxepin" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rifampicin" ], [ "Rifampicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxepin" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholestyramine" ], [ "Cholestyramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxepin" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Conjugated estrogens" ], [ "Conjugated estrogens", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxepin" ] ], [ [ "Levothyroxine", "{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}", "Doxepin" ] ], [ [ "Levothyroxine", "{u} (Compound) resembles {v} (Compound)", "Liotrix" ], [ "Liotrix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pindolol" ], [ "Pindolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lisdexamfetamine" ], [ "Lisdexamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ] ]
Levothyroxine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Doxepin (Compound) Levothyroxine (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Doxepin (Compound) Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Rifampicin and Rifampicin may cause a minor interaction that can limit clinical effects when taken with Doxepin Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Cholestyramine and Cholestyramine may cause a minor interaction that can limit clinical effects when taken with Doxepin Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Conjugated estrogens and Conjugated estrogens may cause a minor interaction that can limit clinical effects when taken with Doxepin Levothyroxine 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 Doxepin Levothyroxine (Compound) resembles Liotrix (Compound) and Liotrix may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Pindolol and Pindolol may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Lisdexamfetamine and Lisdexamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin
DB01182
DB14568
371
982
[ "DDInter1534", "DDInter1000" ]
Propafenone
Ivosidenib
An antiarrhythmia agent that is particularly effective in ventricular arrhythmias. It also has weak beta-blocking activity. The drug is generally well tolerated.
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.
Major
2
[ [ [ 371, 25, 982 ] ], [ [ 371, 40, 271 ], [ 271, 23, 982 ] ], [ [ 371, 62, 112 ], [ 112, 23, 982 ] ], [ [ 371, 24, 976 ], [ 976, 24, 982 ] ], [ [ 371, 63, 543 ], [ 543, 24, 982 ] ], [ [ 371, 25, 1456 ], [ 1456, 24, 982 ] ], [ [ 371, 24, 159 ], [ 159, 63, 982 ] ], [ [ 371, 23, 466 ], [ 466, 24, 982 ] ], [ [ 371, 64, 11 ], [ 11, 25, 982 ] ], [ [ 371, 25, 1493 ], [ 1493, 25, 982 ] ] ]
[ [ [ "Propafenone", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Propafenone", "{u} (Compound) resembles {v} (Compound)", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ], [ [ "Propafenone", "{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}", "Ivosidenib" ] ], [ [ "Propafenone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Propafenone", "{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}", "Ivosidenib" ] ], [ [ "Propafenone", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Propafenone", "{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" ] ], [ [ "Propafenone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Propafenone", "{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}", "Ivosidenib" ] ], [ [ "Propafenone", "{u} may lead to a major life threatening interaction when taken with {v}", "Halofantrine" ], [ "Halofantrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ] ]
Propafenone (Compound) resembles Mirabegron (Compound) and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Ivosidenib Propafenone 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 Ivosidenib Propafenone may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Propafenone 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 Ivosidenib Propafenone may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Propafenone 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 Propafenone may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Propafenone 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 Ivosidenib Propafenone may lead to a major life threatening interaction when taken with Halofantrine and Halofantrine may lead to a major life threatening interaction when taken with Ivosidenib
DB00519
DB01284
1,638
1,042
[ "DDInter1843", "DDInter1782" ]
Trandolapril
Tetracosactide
Trandolapril is a non-sulhydryl prodrug that belongs to the angiotensin-converting enzyme (ACE) inhibitor class of medications. It is metabolized to its biologically active diacid form, trandolaprilat, in the liver. Trandolaprilat inhibits ACE, the enzyme responsible for the conversion of angiotensin I (ATI) to angiotensin II (ATII). ATII regulates blood pressure and is a key component of the renin-angiotensin-aldosterone system (RAAS). Trandolapril may be used to treat mild to moderate hypertension, to improve survival following myocardial infarction in clinically stable patients with left ventricular dysfunction, as an adjunct treatment for congestive heart failure, and to slow the rate of progression of renal disease in hypertensive individuals with diabetes mellitus and microalbuminuria or overt nephropathy.
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
[ [ [ 1638, 24, 1042 ] ], [ [ 1638, 24, 761 ], [ 761, 63, 1042 ] ], [ [ 1638, 35, 1144 ], [ 1144, 24, 1042 ] ], [ [ 1638, 1, 610 ], [ 610, 24, 1042 ] ], [ [ 1638, 63, 590 ], [ 590, 24, 1042 ] ], [ [ 1638, 24, 123 ], [ 123, 24, 1042 ] ], [ [ 1638, 23, 286 ], [ 286, 63, 1042 ] ], [ [ 1638, 24, 593 ], [ 593, 25, 1042 ] ], [ [ 1638, 25, 1377 ], [ 1377, 25, 1042 ] ], [ [ 1638, 25, 1510 ], [ 1510, 64, 1042 ] ] ]
[ [ [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Trandolapril", "{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" ] ], [ [ "Trandolapril", "{u} (Compound) resembles {v} (Compound) and {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" ] ], [ [ "Trandolapril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Trandolapril", "{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" ] ], [ [ "Trandolapril", "{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}", "Tetracosactide" ] ], [ [ "Trandolapril", "{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" ] ], [ [ "Trandolapril", "{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" ] ], [ [ "Trandolapril", "{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" ] ], [ [ "Trandolapril", "{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" ] ] ]
Trandolapril 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 Trandolapril (Compound) resembles Nateglinide (Compound) and Trandolapril 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 Trandolapril (Compound) resembles Enalapril (Compound) and Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Trandolapril 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 Trandolapril 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 Tetracosactide Trandolapril 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 Trandolapril 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 Trandolapril 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 Trandolapril 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
DB00327
DB01362
421
497
[ "DDInter890", "DDInter960" ]
Hydromorphone
Iohexol
Hydromorphone is a pure opioid, a semi-synthetic hydrogenated ketone derivative of [morphine] that has been available clinically since 1920. Structurally, hydromorphone derived from [morphine] in the modification of the hydroxyl group in the carbon 6 to a carbonyl and the absence of a double bond between the carbon 7 and 8. Due to these modifications, it presents a very high potency and comparable side effect profile to the parent compound. Even though hydromorphone does not present a 6-hydroxyl group, it is categorized under the family of phenanthrenes and it is considered a chemical under the schedule II (medical purposes with high addiction potential). The first reported approved product containing hydromorphone in the form of hydromorphone hydrochloride was developed by Fresenius Kabi USA and FDA approved in 1984.
Iohexol is an effective non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiographic procedures. Its low systemic toxicity is the combined result of low chemotoxicity and low osmolality.
Major
2
[ [ [ 421, 25, 497 ] ], [ [ 421, 21, 29750 ], [ 29750, 60, 497 ] ], [ [ 421, 24, 999 ], [ 999, 25, 497 ] ], [ [ 421, 1, 314 ], [ 314, 25, 497 ] ], [ [ 421, 40, 993 ], [ 993, 64, 497 ] ], [ [ 421, 63, 1648 ], [ 1648, 25, 497 ] ], [ [ 421, 24, 407 ], [ 407, 64, 497 ] ], [ [ 421, 64, 475 ], [ 475, 25, 497 ] ], [ [ 421, 25, 593 ], [ 593, 25, 497 ] ], [ [ 421, 21, 29750 ], [ 29750, 60, 258 ], [ 258, 40, 497 ] ] ]
[ [ [ "Hydromorphone", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Hydromorphone", "{u} (Compound) causes {v} (Side Effect)", "Injection site pain" ], [ "Injection site pain", "{u} (Side Effect) is caused by {v} (Compound)", "Iohexol" ] ], [ [ "Hydromorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Hydromorphone", "{u} (Compound) resembles {v} (Compound)", "Nalbuphine" ], [ "Nalbuphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Hydromorphone", "{u} (Compound) resembles {v} (Compound)", "Diamorphine" ], [ "Diamorphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Hydromorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Hydromorphone", "{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}", "Iohexol" ] ], [ [ "Hydromorphone", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ] ], [ [ "Hydromorphone", "{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}", "Iohexol" ] ], [ [ "Hydromorphone", "{u} (Compound) causes {v} (Side Effect)", "Injection site pain" ], [ "Injection site pain", "{u} (Side Effect) is caused by {v} (Compound)", "Iodixanol" ], [ "Iodixanol", "{u} (Compound) resembles {v} (Compound)", "Iohexol" ] ] ]
Hydromorphone (Compound) causes Injection site pain (Side Effect) and Injection site pain (Side Effect) is caused by Iohexol (Compound) Hydromorphone may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may lead to a major life threatening interaction when taken with Iohexol Hydromorphone (Compound) resembles Nalbuphine (Compound) and Nalbuphine may lead to a major life threatening interaction when taken with Iohexol Hydromorphone (Compound) resembles Diamorphine (Compound) and Diamorphine may lead to a major life threatening interaction when taken with Iohexol Hydromorphone may cause a moderate interaction that could exacerbate diseases when taken with Aldesleukin and Aldesleukin may lead to a major life threatening interaction when taken with Iohexol Hydromorphone 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 Iohexol Hydromorphone may lead to a major life threatening interaction when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Iohexol Hydromorphone 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 Iohexol Hydromorphone (Compound) causes Injection site pain (Side Effect) and Injection site pain (Side Effect) is caused by Iodixanol (Compound) and Iodixanol (Compound) resembles Iohexol (Compound)
DB00241
DB00603
288
303
[ "DDInter257", "DDInter1137" ]
Butalbital
Medroxyprogesterone acetate
Butalbital, or 5-allyl-5-isobutylbarbituric acid, is a derivative of barbituric acid which the hydrogens at position 5 are substituted by an allyl group and an isobutyl group. It is a short-to-intermediate acting member of barbiturates that exhibit muscle-relaxing and anti-anxiety properties that produce central nervous system (CNS) depression that ranges from mild sedation to general anesthesia. Butalbital has a low degree of selectivity and a narrow therapeutic index. Typically indicated to manage tension (or muscle contraction) headaches, butalbital is often combined with one or more therapeutic agents, such as acetylsalicylic acid, acetaminophen, aspirin, and caffeine. There have not been clinical trials that evaluate the clinical efficacy of butalbital in migraines thus it is not indicated for such condition. As with other barbiturates
Medroxyprogesterone acetate (MPA) is a [progesterone] derivative that is more resistant to metabolism for improved pharmacokinetic properties. MPA can be use to treat secondary amenorrhea, endometrial hyperplasia, abnormal uterine bleeding, osteoporosis, vasomotor symptoms in menopause, vulvar and vaginal atrophy, prevent pregnancy, manage pain in endometriosis, prevent pregnancy, and is also used in palliative care for endometrial and renal carcinoma.[L8657,L8660,L8663,L8666,L8669] Medroxyprogesterone acetate was granted FDA approval on 18 June 1959.
Moderate
1
[ [ [ 288, 24, 303 ] ], [ [ 288, 24, 167 ], [ 167, 1, 303 ] ], [ [ 288, 24, 888 ], [ 888, 62, 303 ] ], [ [ 288, 24, 1478 ], [ 1478, 63, 303 ] ], [ [ 288, 1, 536 ], [ 536, 24, 303 ] ], [ [ 288, 40, 1023 ], [ 1023, 24, 303 ] ], [ [ 288, 24, 927 ], [ 927, 64, 303 ] ], [ [ 288, 24, 353 ], [ 353, 25, 303 ] ], [ [ 288, 23, 1101 ], [ 1101, 25, 303 ] ], [ [ 288, 24, 167 ], [ 167, 1, 11317 ], [ 11317, 1, 303 ] ] ]
[ [ [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{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}", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{u} (Compound) resembles {v} (Compound)", "Secobarbital" ], [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{u} (Compound) resembles {v} (Compound)", "Pentobarbital" ], [ "Pentobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may lead to a major life threatening interaction when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Medrysone" ], [ "Medrysone", "{u} (Compound) resembles {v} (Compound)", "Medroxyprogesterone acetate" ] ] ]
Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone (Compound) resembles Medroxyprogesterone acetate (Compound) Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen may cause a minor interaction that can limit clinical effects when taken with Medroxyprogesterone acetate Butalbital 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 Medroxyprogesterone acetate Butalbital (Compound) resembles Secobarbital (Compound) and Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate Butalbital (Compound) resembles Pentobarbital (Compound) and Pentobarbital may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib and Encorafenib may lead to a major life threatening interaction when taken with Medroxyprogesterone acetate Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may lead to a major life threatening interaction when taken with Medroxyprogesterone acetate Butalbital may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Medroxyprogesterone acetate Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone (Compound) resembles Medrysone (Compound) and Medrysone (Compound) resembles Medroxyprogesterone acetate (Compound)
DB01276
DB13985
123
546
[ "DDInter706", "DDInter1108" ]
Exenatide
Lutetium Lu 177 dotatate
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.
A 177Lu-labeled somatostatin analog peptide, Lutetium Lu 177 dotatate belongs to an emerging form of treatments called Peptide Receptor Radionuclide Therapy (PRRT), which involves targeting tumours with molecules carrying radioactive particles that bind to specific receptors expressed by the tumour. Lutetium Lu 177 dotatate may also be referred to as 177Lu-DOTA-Tyr3-octreotate. Compared to the alternative somatostatin analogue DOTA-Tyr3-octreotide (dotatoc), Lutetium Lu 177 dotatate displays higher uptake of radioactivity in tumors and better residence times . In terms of biodistribution, Lutetium Lu 177 dotatate demonstrated a lower whole-body retention, indicating potentially lower risk for bone marrow toxicity . The presence of a radioligand allows monitoring of treatment response post therapy and prior to next fraction of the dose delivery which may be clinically beneficial in estimating the intensity of lesion uptakes or deciding the dose for subsequent administrations . Lutetium Lu 177 dotatate was approved by the FDA as Lutathera in January 2018 for intravenous injection. It is a first radiopharmaceutical agent to be approved for gastroenteropancreatic neuroendocrine tumors (GEP-NETs) and is indicated for adult patients with somatostatin receptor-positive GEP-NETs . Targeting pancreas and other parts of the gastrointestinal tract such as the intestines and colon, neuroendocrine tumors may commonly metastasize to metastasize to the mesentery, peritoneum, and liver . Patients with GEP-NETs have limited second-line treatment options after the metastasis of tumors and inadequate therapeutic response from first-line therapies. In a clinical trial involving patients with advanced somatostatin receptor-positive GEP-NET, the treatment of Lutetium Lu 177 dotatate in combination with octreotide resulted in longer progression-free survival compared to patients receiving octreotide alone and there was evidence of an overall survival benefit .
Moderate
1
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[ [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfasalazine" ], [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{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}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfasalazine" ], [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ], [ "Peginterferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{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}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olsalazine" ], [ "Olsalazine", "{u} (Compound) resembles {v} (Compound)", "Sulfasalazine" ], [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Octreotide" ], [ "Octreotide", "{u} (Compound) resembles {v} (Compound)", "Pasireotide" ], [ "Pasireotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ], [ "Lanreotide", "{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}", "Lutetium Lu 177 dotatate" ] ], [ [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ], [ "Peginterferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lutetium Lu 177 dotatate" ] ] ]
Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Sulfasalazine and Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Lutetium Lu 177 dotatate Exenatide 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 Lutetium Lu 177 dotatate Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus and Sirolimus may lead to a major life threatening interaction when taken with Lutetium Lu 177 dotatate Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Sulfasalazine and Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a and Peginterferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Lutetium Lu 177 dotatate Exenatide 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 Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Lutetium Lu 177 dotatate Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Olsalazine and Olsalazine (Compound) resembles Sulfasalazine (Compound) and Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Lutetium Lu 177 dotatate Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Octreotide and Octreotide (Compound) resembles Pasireotide (Compound) and Pasireotide may cause a moderate interaction that could exacerbate diseases when taken with Lutetium Lu 177 dotatate Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide and Lanreotide 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 Lutetium Lu 177 dotatate Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide and Pasireotide may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a and Peginterferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Lutetium Lu 177 dotatate
DB00851
DB16627
611
1,125
[ "DDInter463", "DDInter1145" ]
Dacarbazine
Melphalan flufenamide
An antineoplastic agent. It has significant activity against melanomas. (from Martindale, The Extra Pharmacopoeia, 31st ed, p564). Dacarbazine with Oblimersen is in clinical trials for the treatment of malignant melanoma.
Melphalan flufenamide, also known as melflufen or J1, is a prodrug of [melphalan].[A230123,L32173] Melphalan flufenamide is more readily uptaken by cells than melphalan, and is cleaved to the active metabolite by aminopeptidases. _In vitro_ models show that melphalan is 10 to hundreds of times more potent than melphalan. The increased potency makes melphalan flufenamide a treatment option for patients with relapsed or refractory multiple myeloma who have attempted at least 4 lines of therapy already.[A230143,L32173] Melphalan flufenamide was granted FDA approval on 26 February 2021.. It has since been withdrawn from the market in the wake of the phase 3 OCEAN trial which showed a decrease in overall survival in comparison to standard treatment with [pomalidomide] and [dexamethasone] despite superior progression-free survival.[L39085, L39090]
Moderate
1
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[ [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{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}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{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}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{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}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{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}", "Melphalan flufenamide" ] ], [ [ "Dacarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{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}", "Melphalan flufenamide" ] ] ]
Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Vinblastine and Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan flufenamide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan flufenamide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Vinblastine and Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan flufenamide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine may cause a moderate interaction that could exacerbate diseases when taken with Vinblastine and Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan flufenamide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab 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 Melphalan flufenamide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine 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 Melphalan flufenamide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab 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 Melphalan flufenamide Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab 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 Melphalan flufenamide Dacarbazine may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib 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 Melphalan flufenamide
DB00352
DB14711
482
779
[ "DDInter1814", "DDInter1680" ]
Tioguanine
Smallpox (Vaccinia) Vaccine, Live
An antineoplastic compound which also has antimetabolite action. The drug is used in the therapy of acute leukemia.
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
[ [ [ 482, 25, 779 ] ], [ [ 482, 64, 1064 ], [ 1064, 25, 779 ] ], [ [ 482, 24, 478 ], [ 478, 25, 779 ] ], [ [ 482, 25, 1377 ], [ 1377, 25, 779 ] ], [ [ 482, 63, 1560 ], [ 1560, 25, 779 ] ], [ [ 482, 25, 676 ], [ 676, 64, 779 ] ], [ [ 482, 35, 328 ], [ 328, 25, 779 ] ], [ [ 482, 64, 1064 ], [ 1064, 25, 478 ], [ 478, 25, 779 ] ], [ [ 482, 24, 478 ], [ 478, 64, 1064 ], [ 1064, 25, 779 ] ], [ [ 482, 25, 1377 ], [ 1377, 64, 1064 ], [ 1064, 25, 779 ] ] ]
[ [ [ "Tioguanine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Tioguanine", "{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" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Tioguanine", "{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}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Tioguanine", "{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" ] ], [ [ "Tioguanine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ], [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Tioguanine", "{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" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{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" ] ], [ [ "Tioguanine", "{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" ] ] ]
Tioguanine 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 Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Tioguanine 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 Smallpox (Vaccinia) Vaccine, Live Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Tioguanine 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 Tioguanine (Compound) resembles Mercaptopurine (Compound) and Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine and Mercaptopurine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Tioguanine 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 Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib 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 Tioguanine 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
DB01200
DB01246
469
820
[ "DDInter243", "DDInter45" ]
Bromocriptine
Alimemazine
Bromocriptine mesylate is a semisynthetic ergot alkaloid derivative with potent dopaminergic activity. It inhibits prolactin secretion and may be used to treat dysfunctions associated with hyperprolactinemia. Bromocriptine is also indicated for the management of signs and symptoms of Parkinsonian Syndrome, as well as the treatment of acromegaly. Bromocriptine has been associated with pulmonary fibrosis, and can also cause sustained suppression of somatotropin (growth hormone) secretion in some patients with acromegaly. In 1995, the FDA withdrew the approval of bromocriptine mesylate for the prevention of physiological lactation after finding that bromocriptine was not shown to be safe for use.[L43942,L43947] It continues to be used for the indications mentioned above.
A phenothiazine derivative that is used as an antipruritic.
Moderate
1
[ [ [ 469, 24, 820 ] ], [ [ 469, 63, 104 ], [ 104, 40, 820 ] ], [ [ 469, 63, 401 ], [ 401, 24, 820 ] ], [ [ 469, 24, 649 ], [ 649, 1, 820 ] ], [ [ 469, 6, 8374 ], [ 8374, 45, 820 ] ], [ [ 469, 7, 7669 ], [ 7669, 46, 820 ] ], [ [ 469, 18, 6797 ], [ 6797, 57, 820 ] ], [ [ 469, 21, 28666 ], [ 28666, 60, 820 ] ], [ [ 469, 24, 1637 ], [ 1637, 63, 820 ] ], [ [ 469, 62, 888 ], [ 888, 24, 820 ] ] ]
[ [ [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Bromocriptine", "{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" ] ], [ [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Bromocriptine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Alimemazine" ] ], [ [ "Bromocriptine", "{u} (Compound) upregulates {v} (Gene)", "DDIT4" ], [ "DDIT4", "{u} (Gene) is upregulated by {v} (Compound)", "Alimemazine" ] ], [ [ "Bromocriptine", "{u} (Compound) downregulates {v} (Gene)", "CYCS" ], [ "CYCS", "{u} (Gene) is downregulated by {v} (Compound)", "Alimemazine" ] ], [ [ "Bromocriptine", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Alimemazine" ] ], [ [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ], [ "Amyl Nitrite", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Bromocriptine", "{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}", "Alimemazine" ] ] ]
Bromocriptine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine (Compound) resembles Alimemazine (Compound) Bromocriptine 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 Bromocriptine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Alimemazine (Compound) Bromocriptine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Alimemazine (Compound) Bromocriptine (Compound) upregulates DDIT4 (Gene) and DDIT4 (Gene) is upregulated by Alimemazine (Compound) Bromocriptine (Compound) downregulates CYCS (Gene) and CYCS (Gene) is downregulated by Alimemazine (Compound) Bromocriptine (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Alimemazine (Compound) Bromocriptine may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite and Amyl Nitrite may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine Bromocriptine 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 Alimemazine
DB00661
DB08912
122
1,040
[ "DDInter1928", "DDInter462" ]
Verapamil
Dabrafenib
Verapamil is a phenylalkylamine calcium channel blocker used in the treatment of high blood pressure, heart arrhythmias, and angina, and was the first calcium channel antagonist to be introduced into therapy in the early 1960s. It is a member of the non-dihydropyridine class of calcium channel blockers, which includes drugs like [diltiazem] and [flunarizine], but is chemically unrelated to other cardioactive medications. Verapamil is administered as a racemic mixture containing equal amounts of the S- and R-enantiomer, each of which is pharmacologically distinct - the S-enantiomer carries approximately 20-fold greater potency than the R-enantiomer, but is metabolized at a higher rate.
Dabrafenib mesylate (Tafinlar) is a reversible ATP-competitive kinase inhibitor and targets the MAPK pathway. It was approved on May 29, 2013, for the treatment of melanoma with V600E or V6000K mutation. It was also used for metastatic non-small cell lung cancer with the same mutation. In May 2018, Tafinlar (dabrafenib), in combination with Mekinist (), was approved to treat anaplastic thyroid cancer caused by an abnormal BRAF V600E gene.
Moderate
1
[ [ [ 122, 24, 1040 ] ], [ [ 122, 6, 4973 ], [ 4973, 45, 1040 ] ], [ [ 122, 7, 15855 ], [ 15855, 46, 1040 ] ], [ [ 122, 21, 28779 ], [ 28779, 60, 1040 ] ], [ [ 122, 62, 1101 ], [ 1101, 23, 1040 ] ], [ [ 122, 24, 478 ], [ 478, 24, 1040 ] ], [ [ 122, 23, 466 ], [ 466, 63, 1040 ] ], [ [ 122, 25, 1478 ], [ 1478, 24, 1040 ] ], [ [ 122, 23, 868 ], [ 868, 24, 1040 ] ], [ [ 122, 24, 985 ], [ 985, 63, 1040 ] ] ]
[ [ [ "Verapamil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Verapamil", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Dabrafenib" ] ], [ [ "Verapamil", "{u} (Compound) upregulates {v} (Gene)", "SESN1" ], [ "SESN1", "{u} (Gene) is upregulated by {v} (Compound)", "Dabrafenib" ] ], [ [ "Verapamil", "{u} (Compound) causes {v} (Side Effect)", "Dry mouth" ], [ "Dry mouth", "{u} (Side Effect) is caused by {v} (Compound)", "Dabrafenib" ] ], [ [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dabrafenib" ] ], [ [ "Verapamil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Verapamil", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Verapamil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ] ]
Verapamil (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Dabrafenib (Compound) Verapamil (Compound) upregulates SESN1 (Gene) and SESN1 (Gene) is upregulated by Dabrafenib (Compound) Verapamil (Compound) causes Dry mouth (Side Effect) and Dry mouth (Side Effect) is caused by Dabrafenib (Compound) Verapamil may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Dabrafenib Verapamil may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib Verapamil may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib Verapamil may lead to a major life threatening interaction when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib Verapamil may cause a minor interaction that can limit clinical effects when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib Verapamil may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib
DB00549
DB09074
522
1,362
[ "DDInter1955", "DDInter1327" ]
Zafirlukast
Olaparib
Zafirlukast is an oral leukotriene receptor antagonist (LTRA) for the maintenance treatment of asthma, often used in conjunction with an inhaled steroid and/or long-acting bronchodilator. It is available as a tablet and is usually dosed twice daily. Another leukotriene receptor antagonist is montelukast (Singulair), which is usually taken just once daily. Zafirlukast blocks the action of the cysteinyl leukotrienes on the CysLT1 receptors, thus reducing constriction of the airways, build-up of mucus in the lungs and inflammation of the breathing passages.
Olaparib is a selective and potent inhibitor of poly (ADP-ribose) polymerase (PARP) enzymes, PARP1 and PARP2.[L41100, L40908, L43792] PARP inhibitors represent a novel class of anti-cancer therapy and they work by taking advantage of a defect in DNA repair in cancer cells with BRCA mutations and inducing cell death. Olaparib is used to treat a number of BRCA-associated tumours, including ovarian cancer, breast cancer, pancreatic cancer, and prostate cancer.[L41100, L40908, L43792] It was first approved by the FDA and EU in December 2014, and by Health Canada in April 2016.
Moderate
1
[ [ [ 522, 24, 1362 ] ], [ [ 522, 24, 896 ], [ 896, 24, 1362 ] ], [ [ 522, 63, 588 ], [ 588, 24, 1362 ] ], [ [ 522, 24, 1619 ], [ 1619, 63, 1362 ] ], [ [ 522, 25, 990 ], [ 990, 24, 1362 ] ], [ [ 522, 24, 1155 ], [ 1155, 64, 1362 ] ], [ [ 522, 24, 1622 ], [ 1622, 25, 1362 ] ], [ [ 522, 23, 307 ], [ 307, 25, 1362 ] ], [ [ 522, 25, 1510 ], [ 1510, 25, 1362 ] ], [ [ 522, 63, 1057 ], [ 1057, 25, 1362 ] ] ]
[ [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etoposide" ], [ "Etoposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylergometrine" ], [ "Methylergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Zafirlukast", "{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}", "Olaparib" ] ], [ [ "Zafirlukast", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ], [ "Lomitapide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tucatinib" ], [ "Tucatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Olaparib" ] ], [ [ "Zafirlukast", "{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}", "Olaparib" ] ], [ [ "Zafirlukast", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Olaparib" ] ], [ [ "Zafirlukast", "{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}", "Olaparib" ] ], [ [ "Zafirlukast", "{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}", "Olaparib" ] ] ]
Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Etoposide and Etoposide may cause a moderate interaction that could exacerbate diseases when taken with Olaparib Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Methylergometrine and Methylergometrine may cause a moderate interaction that could exacerbate diseases when taken with Olaparib Zafirlukast 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 Olaparib Zafirlukast may lead to a major life threatening interaction when taken with Lomitapide and Lomitapide may cause a moderate interaction that could exacerbate diseases when taken with Olaparib Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Tucatinib and Tucatinib may lead to a major life threatening interaction when taken with Olaparib Zafirlukast 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 Olaparib Zafirlukast may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may lead to a major life threatening interaction when taken with Olaparib Zafirlukast 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 Olaparib Zafirlukast 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 Olaparib
DB06694
DB09080
31
144
[ "DDInter1952", "DDInter1331" ]
Xylometazoline (nasal)
Olodaterol
Xylometazoline is an alkylbenzene.
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
[ [ [ 31, 24, 144 ] ], [ [ 31, 63, 1290 ], [ 1290, 24, 144 ] ], [ [ 31, 24, 1663 ], [ 1663, 63, 144 ] ], [ [ 31, 24, 41 ], [ 41, 24, 144 ] ], [ [ 31, 63, 1290 ], [ 1290, 24, 1445 ], [ 1445, 24, 144 ] ], [ [ 31, 63, 901 ], [ 901, 63, 1445 ], [ 1445, 24, 144 ] ], [ [ 31, 63, 87 ], [ 87, 25, 1011 ], [ 1011, 24, 144 ] ], [ [ 31, 24, 1663 ], [ 1663, 63, 1445 ], [ 1445, 24, 144 ] ], [ [ 31, 63, 688 ], [ 688, 23, 1247 ], [ 1247, 23, 144 ] ], [ [ 31, 63, 1161 ], [ 1161, 75, 1445 ], [ 1445, 24, 144 ] ] ]
[ [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midodrine" ], [ "Midodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Solriamfetol" ], [ "Solriamfetol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midodrine" ], [ "Midodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ], [ "Milnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxapine" ], [ "Amoxapine", "{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" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Solriamfetol" ], [ "Solriamfetol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{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" ] ], [ [ "Xylometazoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Selegiline" ], [ "Selegiline", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ] ] ]
Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Midodrine and Midodrine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Solriamfetol and Solriamfetol may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Midodrine and Midodrine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran and Milnacipran may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Amoxapine and Amoxapine 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 Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Solriamfetol and Solriamfetol may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol 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 Xylometazoline may cause a moderate interaction that could exacerbate diseases when taken with Selegiline and Selegiline (Compound) resembles Pseudoephedrine (Compound) and Selegiline may lead to a major life threatening interaction when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol
DB00635
DB01174
1,573
697
[ "DDInter1515", "DDInter1442" ]
Prednisone
Phenobarbital
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.
A barbituric acid derivative that acts as a nonselective central nervous system depressant. It promotes binding to inhibitory gamma-aminobutyric acid subtype receptors, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
Moderate
1
[ [ [ 1573, 24, 697 ] ], [ [ 1573, 24, 759 ], [ 759, 1, 697 ] ], [ [ 1573, 63, 362 ], [ 362, 1, 697 ] ], [ [ 1573, 63, 536 ], [ 536, 40, 697 ] ], [ [ 1573, 6, 8374 ], [ 8374, 45, 697 ] ], [ [ 1573, 21, 28905 ], [ 28905, 60, 697 ] ], [ [ 1573, 62, 1018 ], [ 1018, 23, 697 ] ], [ [ 1573, 63, 1512 ], [ 1512, 23, 697 ] ], [ [ 1573, 40, 167 ], [ 167, 24, 697 ] ], [ [ 1573, 25, 908 ], [ 908, 63, 697 ] ] ]
[ [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ], [ "Primidone", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Prednisone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Phenobarbital" ] ], [ [ "Prednisone", "{u} (Compound) causes {v} (Side Effect)", "Irritability" ], [ "Irritability", "{u} (Side Effect) is caused by {v} (Compound)", "Phenobarbital" ] ], [ [ "Prednisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Prednisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ] ]
Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Primidone and Primidone (Compound) resembles Phenobarbital (Compound) Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Phenobarbital (Compound) Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital (Compound) resembles Phenobarbital (Compound) Prednisone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Phenobarbital (Compound) Prednisone (Compound) causes Irritability (Side Effect) and Irritability (Side Effect) is caused by Phenobarbital (Compound) Prednisone may cause a minor interaction that can limit clinical effects when taken with Ticlopidine and Ticlopidine may cause a minor interaction that can limit clinical effects when taken with Phenobarbital Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac may cause a minor interaction that can limit clinical effects when taken with Phenobarbital Prednisone (Compound) resembles Hydrocortisone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Prednisone may lead to a major life threatening interaction when taken with Golimumab and Golimumab may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital
DB01024
DB01357
1,096
890
[ "DDInter1252", "DDInter1160" ]
Mycophenolic acid
Mestranol
Mycophenolic acid is a potent immunosuppressant agent that inhibits _de novo_ purine biosynthesis. It was derived from _Penicillium stoloniferum_, and has also shown antibacterial, antifungal and antiviral properties.. Mycophenolic acid is used in immunosuppressive regimens as part of a triple therapy that includes a calcineurin inhibitor (ciclosporin or tacrolimus) and prednisolone. This regimen can be used in place of the older anti-proliferative [azathioprine] due to its stronger immunosuppressive potency. However, mycophenolic acid treatment is more expensive and requires therapeutic drug monitoring to optimize efficacy and minimize toxicity.[A249180,A249185] Mycophenolic acid is available as enteric-coated tablets of delayed-release, in an effort to improve upper gastrointestinal adverse events by delaying mycophenolic
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.
Major
2
[ [ [ 1096, 25, 890 ] ], [ [ 1096, 64, 1197 ], [ 1197, 40, 890 ] ], [ [ 1096, 7, 5415 ], [ 5415, 46, 890 ] ], [ [ 1096, 63, 1572 ], [ 1572, 24, 890 ] ], [ [ 1096, 24, 416 ], [ 416, 24, 890 ] ], [ [ 1096, 24, 259 ], [ 259, 63, 890 ] ], [ [ 1096, 25, 375 ], [ 375, 63, 890 ] ], [ [ 1096, 64, 1197 ], [ 1197, 1, 615 ], [ 615, 40, 890 ] ], [ [ 1096, 64, 566 ], [ 566, 40, 1197 ], [ 1197, 40, 890 ] ], [ [ 1096, 7, 5415 ], [ 5415, 46, 1495 ], [ 1495, 1, 890 ] ] ]
[ [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Norethisterone" ], [ "Norethisterone", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} (Compound) upregulates {v} (Gene)", "UBQLN2" ], [ "UBQLN2", "{u} (Gene) is upregulated by {v} (Compound)", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Norethisterone" ], [ "Norethisterone", "{u} (Compound) resembles {v} (Compound)", "Norelgestromin" ], [ "Norelgestromin", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Levonorgestrel" ], [ "Levonorgestrel", "{u} (Compound) resembles {v} (Compound)", "Norethisterone" ], [ "Norethisterone", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ], [ [ "Mycophenolic acid", "{u} (Compound) upregulates {v} (Gene)", "UBQLN2" ], [ "UBQLN2", "{u} (Gene) is upregulated by {v} (Compound)", "Ethinylestradiol" ], [ "Ethinylestradiol", "{u} (Compound) resembles {v} (Compound)", "Mestranol" ] ] ]
Mycophenolic acid may lead to a major life threatening interaction when taken with Norethisterone and Norethisterone (Compound) resembles Mestranol (Compound) Mycophenolic acid (Compound) upregulates UBQLN2 (Gene) and UBQLN2 (Gene) is upregulated by Mestranol (Compound) Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Demeclocycline and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Mycophenolic acid may lead to a major life threatening interaction when taken with Certolizumab pegol and Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Mestranol Mycophenolic acid may lead to a major life threatening interaction when taken with Norethisterone and Norethisterone (Compound) resembles Norelgestromin (Compound) and Norelgestromin (Compound) resembles Mestranol (Compound) Mycophenolic acid may lead to a major life threatening interaction when taken with Levonorgestrel and Levonorgestrel (Compound) resembles Norethisterone (Compound) and Norethisterone (Compound) resembles Mestranol (Compound) Mycophenolic acid (Compound) upregulates UBQLN2 (Gene) and UBQLN2 (Gene) is upregulated by Ethinylestradiol (Compound) and Ethinylestradiol (Compound) resembles Mestranol (Compound)
DB00738
DB12825
485
1,375
[ "DDInter1420", "DDInter1032" ]
Pentamidine
Lefamulin
Antiprotozoal agent effective in trypanosomiasis, leishmaniasis, and some fungal infections; used in treatment of pneumocystis pneumonia in HIV-infected patients. It may cause diabetes mellitus, central nervous system damage, and other toxic effects.
Lefamulin is a pleuromutilin antibiotic used for the treatment of bacterial community-acquired pneumonia. A pleuromotilin is a more recently developed type of antibiotic that is derived from the fungus, Pleurotus mutilus. Lefamulin is available in intravenous and oral preparations and was granted FDA approval in August 2019. This drug is the first semi-synthetic pleuromutilin that has been designed for systemic administration. Lefamulin features a novel mechanism of action that shows benefit against resistant bacteria that cause pneumonia. The chemical structure of lefamulin contains a tricyclic mutilin core that is necessary for some of its antimicrobial activity.
Major
2
[ [ [ 485, 25, 1375 ] ], [ [ 485, 23, 112 ], [ 112, 23, 1375 ] ], [ [ 485, 64, 1101 ], [ 1101, 24, 1375 ] ], [ [ 485, 24, 659 ], [ 659, 24, 1375 ] ], [ [ 485, 63, 1324 ], [ 1324, 24, 1375 ] ], [ [ 485, 25, 629 ], [ 629, 24, 1375 ] ], [ [ 485, 25, 1069 ], [ 1069, 25, 1375 ] ], [ [ 485, 63, 1494 ], [ 1494, 25, 1375 ] ], [ [ 485, 24, 609 ], [ 609, 25, 1375 ] ], [ [ 485, 25, 877 ], [ 877, 64, 1375 ] ] ]
[ [ [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ], [ [ "Pentamidine", "{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}", "Lefamulin" ] ] ]
Pentamidine 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 Lefamulin Pentamidine 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 Lefamulin Pentamidine 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 Lefamulin Pentamidine 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 Lefamulin Pentamidine 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 Lefamulin Pentamidine 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 Lefamulin Pentamidine 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 Lefamulin Pentamidine 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 Lefamulin Pentamidine 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 Lefamulin
DB00065
DB01115
581
336
[ "DDInter923", "DDInter1291" ]
Infliximab
Nifedipine
Infliximab is a tumor necrosis factor (TNF-alpha or TNF-α) blocker and a chimeric monoclonal IgG1 antibody composed of human constant (75%) and murine variable (25%) regions. Infliximab is produced by a recombinant cell line cultured by continuous perfusion. Tumor necrosis factor-alpha (TNF-α) is a key proinflammatory cytokine involved in chronic inflammatory diseases. Its hyperactivity and enhanced signalling pathways can be observed in inflammatory diseases where it activates further pro-inflammatory cascades. By binding to both the soluble subunit and the membrane-bound precursor of TNF-α, infliximab disrupts the interaction of TNF-α with its receptors and may also cause lysis of cells that produce TNF-α. Infliximab was first approved by the FDA in 1998 under the market name Remicade as an intravenous injection. It is indicated for the treatment
Nifedipine, or BAY a 1040, is a first generation dihydropyridine L-type calcium channel blocker, similar to [nicardipine].[A190210,A190273,A175390,L11383] Nifedipine was developed by Bayer and first described in the literature, along with other dihydropyridines, in 1972.[A175390,A190276] Since nifedipine's development, second and third generation dihydropyridines have been developed with slower onsets and longer durations of action. The most popular of the third generation dihydropyridines is [amlodipine]. Nifedipine was granted FDA approval on 31 December 1981.
Moderate
1
[ [ [ 581, 24, 336 ] ], [ [ 581, 24, 1428 ], [ 1428, 1, 336 ] ], [ [ 581, 24, 1081 ], [ 1081, 40, 336 ] ], [ [ 581, 24, 1031 ], [ 1031, 23, 336 ] ], [ [ 581, 25, 1342 ], [ 1342, 63, 336 ] ], [ [ 581, 24, 1593 ], [ 1593, 63, 336 ] ], [ [ 581, 25, 891 ], [ 891, 24, 336 ] ], [ [ 581, 24, 58 ], [ 58, 24, 336 ] ], [ [ 581, 64, 1184 ], [ 1184, 24, 336 ] ], [ [ 581, 25, 1456 ], [ 1456, 64, 336 ] ] ]
[ [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isradipine" ], [ "Isradipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nicardipine" ], [ "Nicardipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Theophylline" ], [ "Theophylline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nifedipine" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Nifedipine" ] ] ]
Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Isradipine and Isradipine (Compound) resembles Nifedipine (Compound) Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Nicardipine and Nicardipine (Compound) resembles Nifedipine (Compound) Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Theophylline and Theophylline may cause a minor interaction that can limit clinical effects when taken with Nifedipine Infliximab may lead to a major life threatening interaction when taken with Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine Infliximab may lead to a major life threatening interaction when taken with Prednisolone and Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine Infliximab may lead to a major life threatening interaction when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine Infliximab may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may lead to a major life threatening interaction when taken with Nifedipine
DB00005
DB12001
1,057
564
[ "DDInter687", "DDInter7" ]
Etanercept
Abemaciclib
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).
Abemaciclib is an antitumor agent and dual inhibitor of cyclin-dependent kinases 4 (CDK4) and 6 (CDK6) that are involved in the cell cycle and promotion of cancer cell growth in case of unregulated activity. On September 28, 2017, FDA granted approval of abemaciclib treatment under the market name Verzenio for the treatment of HR-positive and HER2-negative advanced or metastatic breast cancer that has progressed after unsuccessful endocrine therapy. It is either given alone in patients who has undergone endocrine therapy and chemotherapy after the metastasis of cancer, or in combination with . Following oral treatment in patients with HR-positive, HER2-negative breast cancer, abemaciclib demonstrated increased progression-free survival rates and objective response rates. Abemaciclib has been used in trials studying the treatment of melanoma, lymphoma, neoplasm, solid tumor, and glioblastoma.
Major
2
[ [ [ 1057, 25, 564 ] ], [ [ 1057, 24, 748 ], [ 748, 24, 564 ] ], [ [ 1057, 25, 259 ], [ 259, 24, 564 ] ], [ [ 1057, 24, 151 ], [ 151, 63, 564 ] ], [ [ 1057, 25, 1476 ], [ 1476, 63, 564 ] ], [ [ 1057, 25, 1011 ], [ 1011, 25, 564 ] ], [ [ 1057, 25, 779 ], [ 779, 64, 564 ] ], [ [ 1057, 24, 362 ], [ 362, 25, 564 ] ], [ [ 1057, 24, 748 ], [ 748, 63, 58 ], [ 58, 24, 564 ] ], [ [ 1057, 24, 58 ], [ 58, 24, 748 ], [ 748, 24, 564 ] ] ]
[ [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Abemaciclib" ] ], [ [ "Etanercept", "{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}", "Abemaciclib" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)" ], [ "Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Etanercept", "{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}", "Abemaciclib" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Abemaciclib" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ], [ "Smallpox (Vaccinia) Vaccine, Live", "{u} may lead to a major life threatening interaction when taken with {v}", "Abemaciclib" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Abemaciclib" ] ], [ [ "Etanercept", "{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}", "Alefacept" ], [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{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}", "Abemaciclib" ] ] ]
Etanercept 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 Abemaciclib Etanercept may lead to a major life threatening interaction when taken with Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) and Influenza A virus A/California/7/2009 (H1N1)-like antigen (propiolactone inactivated) may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib Etanercept 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 Abemaciclib Etanercept may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Abemaciclib Etanercept may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live and Smallpox (Vaccinia) Vaccine, Live may lead to a major life threatening interaction when taken with Abemaciclib Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin may lead to a major life threatening interaction when taken with Abemaciclib Etanercept 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 Alefacept and Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept 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 Abemaciclib
DB01324
DB09038
178
1,450
[ "DDInter1490", "DDInter636" ]
Polythiazide
Empagliflozin
A thiazide diuretic with actions and uses similar to those of hydrochlorothiazide. (From Martindale, The Extra Pharmacopoeia, 30th ed, p826)
Empagliflozin is an inhibitor of sodium-glucose co-transporter-2 (SGLT2), the transporters primarily responsible for the reabsorption of glucose in the kidney. It is used clinically as an adjunct to diet and exercise, often in combination with other drug therapies,[L13673,L13679,L11479] for the management of type 2 diabetes mellitus. The first known inhibitor of SGLTs, phlorizin, was isolated from the bark of apple trees in 1835 and researched extensively into the 20th century, but was ultimately deemed inappropriate for clinical use given its lack of specificity and significant gastrointestinal side effects. Attempts at overcoming these limitations first saw the development of O-glucoside analogs of phlorizin (e.g. [remogliflozin etabonate]), but these molecules proved relatively pharmacokinetically unstable. The development of C-glucoside phlorizin analogs remedied the issues observed in the previous generation, and led to the FDA approval of [canagliflozin] in 2013 and both [dapagliflozin] and empagliflozin in 2014. As the most recently approved of the "flozin" drugs, empagliflozin carries the highest selectivity for SGLT2 over SGLT1 (approximately 2700-fold). Empagliflozin was further approved by the EMA in March 2022 and Health Canada in April 2022, making it the first and only approved treatment in Europe and Canada for adults with symptomatic chronic heart failure regardless of ejection fraction.[L40783,L13916]
Moderate
1
[ [ [ 178, 24, 1450 ] ], [ [ 178, 24, 659 ], [ 659, 63, 1450 ] ], [ [ 178, 63, 1061 ], [ 1061, 24, 1450 ] ], [ [ 178, 1, 323 ], [ 323, 24, 1450 ] ], [ [ 178, 24, 659 ], [ 659, 64, 461 ], [ 461, 24, 1450 ] ], [ [ 178, 63, 1061 ], [ 1061, 63, 461 ], [ 461, 24, 1450 ] ], [ [ 178, 63, 1179 ], [ 1179, 23, 1103 ], [ 1103, 23, 1450 ] ], [ [ 178, 63, 688 ], [ 688, 64, 461 ], [ 461, 24, 1450 ] ], [ [ 178, 63, 870 ], [ 870, 1, 1103 ], [ 1103, 23, 1450 ] ], [ [ 178, 24, 1455 ], [ 1455, 63, 461 ], [ 461, 24, 1450 ] ] ]
[ [ [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Polythiazide", "{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}", "Empagliflozin" ] ], [ [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Polythiazide", "{u} (Compound) resembles {v} (Compound)", "Bendroflumethiazide" ], [ "Bendroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin lispro" ], [ "Insulin lispro", "{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}", "Empagliflozin" ] ], [ [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may lead to a major life threatening interaction when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Empagliflozin" ] ], [ [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ], [ "Nitrous acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ] ]
Polythiazide 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 Empagliflozin Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Polythiazide (Compound) resembles Bendroflumethiazide (Compound) and Bendroflumethiazide may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may lead to a major life threatening interaction when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Insulin lispro and Insulin lispro 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 Empagliflozin Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may lead to a major life threatening interaction when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Empagliflozin Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid and Nitrous acid may cause a moderate interaction that could exacerbate diseases when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin
DB06605
DB15035
1,409
503
[ "DDInter108", "DDInter1959" ]
Apixaban
Zanubrutinib
Apixaban is an oral, direct, and highly selective factor Xa (FXa) inhibitor of both free and bound FXa, as well as prothrombinase, independent of antithrombin III for the prevention and treatment of thromboembolic diseases[Label,A6897]. It is marketed under the name Eliquis[Label,L6043]. Apixaban was approved by the FDA on December 28, 2012.
Zanubrutinib is a novel Bruton's tyrosine kinase (BTK) inhibitor used for the treatment of adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy. Mantle cell lymphoma is an aggressive mature B-cell non-Hodgkin lymphoma associated with early relapse, poor clinical outcomes, and long-term survival. BTK is an enzyme that plays a role in oncogenic signalling pathways, promoting the survival and proliferation of malignant B cells. Compared to the first-generation BTK inhibitor [ibrutinib], zanubrutinib displays higher potency and selectivity for BTK with fewer off-target effects. Due to this enhanced selectivity towards BTK, zanubrutinib belongs to the second-generation BTK inhibitor drug group that also includes [acalabrutinib], which was approved by the FDA in 2017. Zanubrutinib was granted accelerated approval by the FDA in November 2019 based on clinical trial results that demonstrated an 84% overall response rate from zanubrutinib therapy in patients with MCL, which measures the proportion of patients in a trial whose tumour is entirely or partially destroyed by a drug. It is currently marketed under the trade name BRUKINSA™ and is available as oral capsules. In August 2021, the FDA granted accelerated approval to zanubrutinib for the treatment of adults with Waldenström’s macroglobulinemia. This indication is valid in the US, Europe, and Canada. In September 2021, zanubrutinib was granted another accelerated approval for the treatment of relapsed or refractory marginal zone lymphoma who have received at least one anti-CD20-based regimen. In October 2022, the EMA's Committee for Medicinal Products for Human Use (CHMP) recommended zanubrutinib be granted marketing authorization for the treatment of chronic lymphocytic leukemia.
Major
2
[ [ [ 1409, 25, 503 ] ], [ [ 1409, 24, 982 ], [ 982, 24, 503 ] ], [ [ 1409, 63, 222 ], [ 222, 24, 503 ] ], [ [ 1409, 64, 39 ], [ 39, 25, 503 ] ], [ [ 1409, 24, 1593 ], [ 1593, 25, 503 ] ], [ [ 1409, 25, 1618 ], [ 1618, 25, 503 ] ], [ [ 1409, 63, 600 ], [ 600, 25, 503 ] ], [ [ 1409, 64, 1274 ], [ 1274, 37, 503 ] ], [ [ 1409, 24, 982 ], [ 982, 64, 868 ], [ 868, 24, 503 ] ], [ [ 1409, 24, 868 ], [ 868, 24, 1094 ], [ 1094, 24, 503 ] ] ]
[ [ [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Zanubrutinib" ] ], [ [ "Apixaban", "{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}", "Zanubrutinib" ] ], [ [ "Apixaban", "{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}", "Zanubrutinib" ] ], [ [ "Apixaban", "{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}", "Zanubrutinib" ] ], [ [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Zanubrutinib" ] ], [ [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Zanubrutinib" ] ], [ [ "Apixaban", "{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}", "Zanubrutinib" ] ], [ [ "Apixaban", "{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} and {u} may lead to a major life threatening interaction when taken with {v}", "Zanubrutinib" ] ], [ [ "Apixaban", "{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}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zanubrutinib" ] ], [ [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metreleptin" ], [ "Metreleptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zanubrutinib" ] ] ]
Apixaban 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 Zanubrutinib Apixaban 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 Zanubrutinib Apixaban 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 Zanubrutinib Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib and Crizotinib may lead to a major life threatening interaction when taken with Zanubrutinib Apixaban may lead to a major life threatening interaction when taken with Cabozantinib and Cabozantinib may lead to a major life threatening interaction when taken with Zanubrutinib Apixaban 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 Zanubrutinib Apixaban 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 Zanubrutinib and Flurbiprofen may lead to a major life threatening interaction when taken with Zanubrutinib Apixaban 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 Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Zanubrutinib Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Metreleptin and Metreleptin may cause a moderate interaction that could exacerbate diseases when taken with Zanubrutinib
DB00500
DB08816
24
578
[ "DDInter1831", "DDInter1802" ]
Tolmetin
Ticagrelor
A non-steroidal anti-inflammatory agent (anti-inflammatory agents, NON-steroidal) similar in mode of action to indomethacin.
Ticagrelor, or AZD6140, was first described in the literature in 2003.[A204170,A2903] Ticagrelor is an ADP derivative developed for its P2Y<sub>12</sub> receptor antagonism. Unlike [clopidogrel], ticagrelor is not a prodrug. It is marketed by Astra Zeneca as Brilinta in the US and Brilique or Possia in the EU,. Ticagrelor was granted EMA approval on 3 December 2010. Ticagrelor was granted FDA approval on 20 July 2011.
Moderate
1
[ [ [ 24, 24, 578 ] ], [ [ 24, 21, 28762 ], [ 28762, 60, 578 ] ], [ [ 24, 63, 1578 ], [ 1578, 24, 578 ] ], [ [ 24, 64, 1172 ], [ 1172, 24, 578 ] ], [ [ 24, 24, 1220 ], [ 1220, 24, 578 ] ], [ [ 24, 1, 831 ], [ 831, 24, 578 ] ], [ [ 24, 40, 1263 ], [ 1263, 24, 578 ] ], [ [ 24, 24, 738 ], [ 738, 63, 578 ] ], [ [ 24, 25, 39 ], [ 39, 24, 578 ] ], [ [ 24, 25, 840 ], [ 840, 63, 578 ] ] ]
[ [ [ "Tolmetin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Tolmetin", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Ticagrelor" ] ], [ [ "Tolmetin", "{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}", "Ticagrelor" ] ], [ [ "Tolmetin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ibritumomab tiuxetan" ], [ "Ibritumomab tiuxetan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Tolmetin", "{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}", "Ticagrelor" ] ], [ [ "Tolmetin", "{u} (Compound) resembles {v} (Compound)", "Indomethacin" ], [ "Indomethacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Tolmetin", "{u} (Compound) resembles {v} (Compound)", "Bromfenac" ], [ "Bromfenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Tolmetin", "{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}", "Ticagrelor" ] ], [ [ "Tolmetin", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Tolmetin", "{u} may lead to a major life threatening interaction when taken with {v}", "Vorapaxar" ], [ "Vorapaxar", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ] ]
Tolmetin (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Ticagrelor (Compound) Tolmetin 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 Ticagrelor Tolmetin may lead to a major life threatening interaction when taken with Ibritumomab tiuxetan and Ibritumomab tiuxetan may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Tolmetin 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 Ticagrelor Tolmetin (Compound) resembles Indomethacin (Compound) and Indomethacin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Tolmetin (Compound) resembles Bromfenac (Compound) and Bromfenac may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Tolmetin 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 Ticagrelor Tolmetin may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Tolmetin may lead to a major life threatening interaction when taken with Vorapaxar and Vorapaxar may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor
DB00911
DB15982
458
1,339
[ "DDInter1811", "DDInter193" ]
Tinidazole
Berotralstat
A nitroimidazole antitrichomonal agent effective against _Trichomonas vaginalis_, _Entamoeba histolytica_, and _Giardia lamblia_ infections.
Berotralstat is a selective inhibitor of plasma kallikrein used in the prophylaxis of attacks of hereditary angioedema (HAE). It works by blocking the enzymatic activity of plasma kallikrein in releasing bradykinin, the major biologic peptide that promotes swelling and pain associated with attacks of HAE. Berotralstat is strictly used to prevent, but not treat, these attacks. Developed by BioCryst Pharmaceuticals, berotralstat is marketed under the name Orladeyo as oral capsules. Berotralstat was first approved by the FDA on December 3, 2020, as the first once-daily oral therapy to prevent angioedema attacks of HAE in adults and pediatric patients 12 years and older. Berotralstat was approved by the European Commission on April 30, 2021 and by Health Canada on June 06, 2022.
Moderate
1
[ [ [ 458, 24, 1339 ] ], [ [ 458, 63, 1101 ], [ 1101, 23, 1339 ] ], [ [ 458, 24, 283 ], [ 283, 23, 1339 ] ], [ [ 458, 24, 351 ], [ 351, 24, 1339 ] ], [ [ 458, 63, 134 ], [ 134, 24, 1339 ] ], [ [ 458, 24, 1619 ], [ 1619, 25, 1339 ] ], [ [ 458, 63, 1101 ], [ 1101, 24, 283 ], [ 283, 23, 1339 ] ], [ [ 458, 24, 283 ], [ 283, 63, 1101 ], [ 1101, 23, 1339 ] ], [ [ 458, 24, 1468 ], [ 1468, 64, 1101 ], [ 1101, 23, 1339 ] ], [ [ 458, 63, 134 ], [ 134, 63, 1101 ], [ 1101, 23, 1339 ] ] ]
[ [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Berotralstat" ] ], [ [ "Tinidazole", "{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}", "Berotralstat" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Berotralstat" ] ], [ [ "Tinidazole", "{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}", "Berotralstat" ] ], [ [ "Tinidazole", "{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}", "Berotralstat" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Berotralstat" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Berotralstat" ] ], [ [ "Tinidazole", "{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}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Berotralstat" ] ], [ [ "Tinidazole", "{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}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Berotralstat" ] ], [ [ "Tinidazole", "{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}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Berotralstat" ] ] ]
Tinidazole 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 Berotralstat Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a minor interaction that can limit clinical effects when taken with Berotralstat Tinidazole 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 Berotralstat Tinidazole 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 Berotralstat Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may lead to a major life threatening interaction when taken with Berotralstat Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a minor interaction that can limit clinical effects when taken with Berotralstat Tinidazole 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 Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Berotralstat Tinidazole 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 Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Berotralstat Tinidazole 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 Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Berotralstat
DB00434
DB01068
13
1,565
[ "DDInter459", "DDInter411" ]
Cyproheptadine
Clonazepam
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.
A benzodiazepine used to treat various seizures, including myotonic or atonic seizures, photosensitive epilepsy, and absence seizures, although tolerance may develop.[FDA Label][L5572,F3763,F3787,F3796] The agent has also been indicated for treating panic disorder.[FDA Label][A175438,L5572,F3763,F3787,F3796] The mechanism of action appears to involve the enhancement of gamma-aminobutyric acid receptor responses.[FDA Label][A175438,A175441,L5572,F3763,F3787,F3796] Since being first patented in 1960 and then released for sale from Roche in the US in 1975,[T469,T472] clonazepam has experienced a storied history in the treatment of the aforementioned medical conditions. Now available as a generic medication, the agent continues to see exceptionally high use as millions of prescriptions are written for the medication internationally every year. Unfortunately, however, like most benzodiazepines, clonazepam use has also been associated with recreational use and drug abuse.[FDA Label][L5572,F3763,F3787,F3796]
Moderate
1
[ [ [ 13, 24, 1565 ] ], [ [ 13, 24, 1382 ], [ 1382, 1, 1565 ] ], [ [ 13, 24, 1216 ], [ 1216, 40, 1565 ] ], [ [ 13, 74, 695 ], [ 695, 40, 1565 ] ], [ [ 13, 63, 523 ], [ 523, 1, 1565 ] ], [ [ 13, 63, 905 ], [ 905, 40, 1565 ] ], [ [ 13, 10, 11584 ], [ 11584, 49, 1565 ] ], [ [ 13, 21, 29108 ], [ 29108, 60, 1565 ] ], [ [ 13, 24, 272 ], [ 272, 63, 1565 ] ], [ [ 13, 63, 999 ], [ 999, 24, 1565 ] ] ]
[ [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clonazepam" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midazolam" ], [ "Midazolam", "{u} (Compound) resembles {v} (Compound)", "Clonazepam" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurazepam" ], [ "Flurazepam", "{u} (Compound) resembles {v} (Compound)", "Clonazepam" ] ], [ [ "Cyproheptadine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clozapine" ], [ "Clozapine", "{u} (Compound) resembles {v} (Compound)", "Clonazepam" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alprazolam" ], [ "Alprazolam", "{u} (Compound) resembles {v} (Compound)", "Clonazepam" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorazepam" ], [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Clonazepam" ] ], [ [ "Cyproheptadine", "{u} (Compound) palliates {v} (Disease)", "schizophrenia" ], [ "schizophrenia", "{u} (Disease) is palliated by {v} (Compound)", "Clonazepam" ] ], [ [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Increased appetite" ], [ "Increased appetite", "{u} (Side Effect) is caused by {v} (Compound)", "Clonazepam" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clonazepam" ] ], [ [ "Cyproheptadine", "{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}", "Clonazepam" ] ] ]
Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Midazolam and Midazolam (Compound) resembles Clonazepam (Compound) Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Flurazepam and Flurazepam (Compound) resembles Clonazepam (Compound) Cyproheptadine (Compound) resembles Clozapine (Compound) and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Clozapine and Clozapine (Compound) resembles Clonazepam (Compound) Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Alprazolam and Alprazolam (Compound) resembles Clonazepam (Compound) Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Lorazepam and Lorazepam (Compound) resembles Clonazepam (Compound) Cyproheptadine (Compound) palliates schizophrenia (Disease) and schizophrenia (Disease) is palliated by Clonazepam (Compound) Cyproheptadine (Compound) causes Increased appetite (Side Effect) and Increased appetite (Side Effect) is caused by Clonazepam (Compound) Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Clonazepam Cyproheptadine 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 Clonazepam
DB08907
DB08931
1,344
947
[ "DDInter280", "DDInter1600" ]
Canagliflozin
Riociguat
Canagliflozin, also known as _Invokana_, is a sodium-glucose cotransporter 2 (SGLT2) inhibitor used in the management of type 2 diabetes mellitus along with lifestyle changes including diet and exercise [FDA label]. It was initially approved by the FDA in 2013 for the management of diabetes and later approved in 2018 for a second indication of reducing the risk of cardiovascular events in patients diagnosed with type 2 diabetes mellitus, [FDA label]. Canagliflozin is the first oral antidiabetic drug approved for the prevention of cardiovascular events in patients with type 2 diabetes. Cardiovascular disease is the most common cause of death in these patients.
Riociguat is a soluble guanylate cyclase (sGC) agonist approved in the USA, Europe and several other regions for patients with group I PAH (pulmonary arterial hypertension) in WHO FC II or III; and for the treatment of patients with inoperable CTEPH (chronic thromboembolic pulmonary hypertension), or persistent/recurrent PH (pulmonary hypertension) after pulmonary endarterectomy in WHO FC II or III. Riociguat is marketed under the brand Adempas® by Bayer HealthCare Pharmaceuticals. Treatment with riociguat costs USD $7,500 for 30 days of treatment.
Moderate
1
[ [ [ 1344, 24, 947 ] ], [ [ 1344, 63, 609 ], [ 609, 24, 947 ] ], [ [ 1344, 24, 1455 ], [ 1455, 63, 947 ] ], [ [ 1344, 40, 549 ], [ 549, 24, 947 ] ], [ [ 1344, 63, 1637 ], [ 1637, 25, 947 ] ], [ [ 1344, 63, 609 ], [ 609, 25, 1478 ], [ 1478, 24, 947 ] ], [ [ 1344, 63, 1574 ], [ 1574, 24, 1455 ], [ 1455, 63, 947 ] ], [ [ 1344, 63, 1220 ], [ 1220, 24, 1478 ], [ 1478, 24, 947 ] ], [ [ 1344, 24, 1455 ], [ 1455, 63, 1574 ], [ 1574, 24, 947 ] ], [ [ 1344, 63, 714 ], [ 714, 63, 1214 ], [ 1214, 24, 947 ] ] ]
[ [ [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Riociguat" ] ], [ [ "Canagliflozin", "{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}", "Riociguat" ] ], [ [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ], [ "Nitrous acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Riociguat" ] ], [ [ "Canagliflozin", "{u} (Compound) resembles {v} (Compound)", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Riociguat" ] ], [ [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ], [ "Amyl Nitrite", "{u} may lead to a major life threatening interaction when taken with {v}", "Riociguat" ] ], [ [ "Canagliflozin", "{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}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Riociguat" ] ], [ [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Urea" ], [ "Urea", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ], [ "Nitrous acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Riociguat" ] ], [ [ "Canagliflozin", "{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}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Riociguat" ] ], [ [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ], [ "Nitrous acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Urea" ], [ "Urea", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Riociguat" ] ], [ [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ], [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Minoxidil" ], [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Riociguat" ] ] ]
Canagliflozin 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 Riociguat Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid and Nitrous acid may cause a moderate interaction that could exacerbate diseases when taken with Riociguat Canagliflozin (Compound) resembles Dapagliflozin (Compound) and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Riociguat Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite and Amyl Nitrite may lead to a major life threatening interaction when taken with Riociguat Canagliflozin 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 Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Riociguat Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Urea and Urea may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid and Nitrous acid may cause a moderate interaction that could exacerbate diseases when taken with Riociguat Canagliflozin 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 Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Riociguat Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid and Nitrous acid may cause a moderate interaction that could exacerbate diseases when taken with Urea and Urea may cause a moderate interaction that could exacerbate diseases when taken with Riociguat Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Iloprost and Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Minoxidil and Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Riociguat
DB00465
DB00585
886
1,127
[ "DDInter1010", "DDInter1309" ]
Ketorolac
Nizatidine
Ketorolac is a Non-steroidal anti-inflammatory drug (NSAID) and is commercially available as an oral tablet, injectable, nasal spray and as an ophthalmic solution. It's analgesic properties make it a useful pain management tool across many settings including postoperative pain, rheumatoid arthritis, osteoarthritis, menstrual disorders, headaches, spinal and soft tissue pain, and ankylosing spondylitis. Impressively, ketorolac has a similar efficacy to standard doses of morphine and meperidine making it a useful opioid sparing agent.
A histamine H2 receptor antagonist with low toxicity that inhibits gastric acid secretion. The drug is used for the treatment of duodenal ulcers.
Minor
0
[ [ [ 886, 23, 1127 ] ], [ [ 886, 23, 1194 ], [ 1194, 40, 1127 ] ], [ [ 886, 7, 2216 ], [ 2216, 46, 1127 ] ], [ [ 886, 6, 7720 ], [ 7720, 46, 1127 ] ], [ [ 886, 18, 6212 ], [ 6212, 57, 1127 ] ], [ [ 886, 21, 28898 ], [ 28898, 60, 1127 ] ], [ [ 886, 25, 1274 ], [ 1274, 62, 1127 ] ], [ [ 886, 1, 24 ], [ 24, 23, 1127 ] ], [ [ 886, 1, 935 ], [ 935, 62, 1127 ] ], [ [ 886, 24, 1411 ], [ 1411, 63, 1127 ] ] ]
[ [ [ "Ketorolac", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nizatidine" ] ], [ [ "Ketorolac", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ranitidine" ], [ "Ranitidine", "{u} (Compound) resembles {v} (Compound)", "Nizatidine" ] ], [ [ "Ketorolac", "{u} (Compound) upregulates {v} (Gene)", "PAK1" ], [ "PAK1", "{u} (Gene) is upregulated by {v} (Compound)", "Nizatidine" ] ], [ [ "Ketorolac", "{u} (Compound) binds {v} (Gene)", "PTGS2" ], [ "PTGS2", "{u} (Gene) is upregulated by {v} (Compound)", "Nizatidine" ] ], [ [ "Ketorolac", "{u} (Compound) downregulates {v} (Gene)", "CSRP1" ], [ "CSRP1", "{u} (Gene) is downregulated by {v} (Compound)", "Nizatidine" ] ], [ [ "Ketorolac", "{u} (Compound) causes {v} (Side Effect)", "Constipation" ], [ "Constipation", "{u} (Side Effect) is caused by {v} (Compound)", "Nizatidine" ] ], [ [ "Ketorolac", "{u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nizatidine" ] ], [ [ "Ketorolac", "{u} (Compound) resembles {v} (Compound)", "Tolmetin" ], [ "Tolmetin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nizatidine" ] ], [ [ "Ketorolac", "{u} (Compound) resembles {v} (Compound)", "Ketoprofen" ], [ "Ketoprofen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nizatidine" ] ], [ [ "Ketorolac", "{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}", "Nizatidine" ] ] ]
Ketorolac may cause a minor interaction that can limit clinical effects when taken with Ranitidine and Ranitidine (Compound) resembles Nizatidine (Compound) Ketorolac (Compound) upregulates PAK1 (Gene) and PAK1 (Gene) is upregulated by Nizatidine (Compound) Ketorolac (Compound) binds PTGS2 (Gene) and PTGS2 (Gene) is upregulated by Nizatidine (Compound) Ketorolac (Compound) downregulates CSRP1 (Gene) and CSRP1 (Gene) is downregulated by Nizatidine (Compound) Ketorolac (Compound) causes Constipation (Side Effect) and Constipation (Side Effect) is caused by Nizatidine (Compound) Ketorolac may lead to a major life threatening interaction when taken with Flurbiprofen and Flurbiprofen may cause a minor interaction that can limit clinical effects when taken with Nizatidine Ketorolac (Compound) resembles Tolmetin (Compound) and Tolmetin may cause a minor interaction that can limit clinical effects when taken with Nizatidine Ketorolac (Compound) resembles Ketoprofen (Compound) and Ketoprofen may cause a minor interaction that can limit clinical effects when taken with Nizatidine Ketorolac 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 Nizatidine
DB00619
DB00872
1,419
1,080
[ "DDInter909", "DDInter438" ]
Imatinib
Conivaptan
Imatinib is a small molecule kinase inhibitor that revolutionized the treatment of cancer, particularly chronic myeloid leukemia, in 2001. It was deemed a "miracle drug" due to its clinical success, as oncologist Dr. Brian noted that "complete hematologic responses were observed in 53 of 54 patients with CML treated with a daily dosage of 300 mg or more and typically occurred in the first four weeks of therapy".. The discovery of imatinib also established a new group of therapy called "targeted therapy", since treatment can be tailored specifically to the unique cancer genetics of each patient. Imatinib was approved on February 1st,2001 by the FDA and November 7th, 2001 by the EMA; however, its European approval has been withdrawn in October 2023.[A263036,L49746,L49751]
Conivaptan is a non-peptide inhibitor of antidiuretic hormone (vasopressin). It was approved in 2004 for hyponatremia (low blood sodium levels) caused by syndrome of inappropriate antidiuretic hormone (SIADH). Conivaptan inhibits both isotypes of the vasopressin receptor (V1a and V2).
Moderate
1
[ [ [ 1419, 24, 1080 ] ], [ [ 1419, 24, 165 ], [ 165, 40, 1080 ] ], [ [ 1419, 25, 990 ], [ 990, 40, 1080 ] ], [ [ 1419, 6, 8374 ], [ 8374, 45, 1080 ] ], [ [ 1419, 21, 28769 ], [ 28769, 60, 1080 ] ], [ [ 1419, 25, 126 ], [ 126, 23, 1080 ] ], [ [ 1419, 62, 1101 ], [ 1101, 23, 1080 ] ], [ [ 1419, 24, 1220 ], [ 1220, 63, 1080 ] ], [ [ 1419, 63, 1424 ], [ 1424, 24, 1080 ] ], [ [ 1419, 24, 891 ], [ 891, 24, 1080 ] ] ]
[ [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Conivaptan" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolvaptan" ], [ "Tolvaptan", "{u} (Compound) resembles {v} (Compound)", "Conivaptan" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ], [ "Lomitapide", "{u} (Compound) resembles {v} (Compound)", "Conivaptan" ] ], [ [ "Imatinib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Conivaptan" ] ], [ [ "Imatinib", "{u} (Compound) causes {v} (Side Effect)", "Feeling abnormal" ], [ "Feeling abnormal", "{u} (Side Effect) is caused by {v} (Compound)", "Conivaptan" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Conivaptan" ] ], [ [ "Imatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Conivaptan" ] ], [ [ "Imatinib", "{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}", "Conivaptan" ] ], [ [ "Imatinib", "{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}", "Conivaptan" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Conivaptan" ] ] ]
Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Tolvaptan and Tolvaptan (Compound) resembles Conivaptan (Compound) Imatinib may lead to a major life threatening interaction when taken with Lomitapide and Lomitapide (Compound) resembles Conivaptan (Compound) Imatinib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Conivaptan (Compound) Imatinib (Compound) causes Feeling abnormal (Side Effect) and Feeling abnormal (Side Effect) is caused by Conivaptan (Compound) Imatinib may lead to a major life threatening interaction when taken with Warfarin and Warfarin may cause a minor interaction that can limit clinical effects when taken with Conivaptan Imatinib may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Conivaptan Imatinib 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 Conivaptan Imatinib 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 Conivaptan Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Prednisolone and Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Conivaptan
DB01069
DB04837
401
649
[ "DDInter1533", "DDInter407" ]
Promethazine
Clofedanol
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]
Clofedanol is a centrally-acting cough suppressant available in Canada under the trade name Ulone. It is not available in the United States.
Moderate
1
[ [ [ 401, 24, 649 ] ], [ [ 401, 24, 1376 ], [ 1376, 24, 649 ] ], [ [ 401, 74, 21 ], [ 21, 24, 649 ] ], [ [ 401, 63, 1405 ], [ 1405, 24, 649 ] ], [ [ 401, 64, 675 ], [ 675, 40, 649 ] ], [ [ 401, 36, 1301 ], [ 1301, 40, 649 ] ], [ [ 401, 1, 293 ], [ 293, 40, 649 ] ], [ [ 401, 63, 832 ], [ 832, 40, 649 ] ], [ [ 401, 35, 358 ], [ 358, 24, 649 ] ], [ [ 401, 25, 996 ], [ 996, 40, 649 ] ] ]
[ [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Promethazine", "{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}", "Clofedanol" ] ], [ [ "Promethazine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Promethazine", "{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}", "Clofedanol" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Promethazine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Levacetylmethadol" ], [ "Levacetylmethadol", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Promethazine", "{u} (Compound) resembles {v} (Compound)", "Imipramine" ], [ "Imipramine", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Promethazine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ], [ "Orphenadrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bedaquiline" ], [ "Bedaquiline", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ] ]
Promethazine 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 Clofedanol Promethazine (Compound) resembles Amitriptyline (Compound) and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Promethazine 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 Clofedanol Promethazine may lead to a major life threatening interaction when taken with Dextropropoxyphene and Dextropropoxyphene (Compound) resembles Clofedanol (Compound) Promethazine (Compound) resembles Levacetylmethadol (Compound) and Promethazine may lead to a major life threatening interaction when taken with Levacetylmethadol and Levacetylmethadol (Compound) resembles Clofedanol (Compound) Promethazine (Compound) resembles Imipramine (Compound) and Imipramine (Compound) resembles Clofedanol (Compound) Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine (Compound) resembles Clofedanol (Compound) Promethazine (Compound) resembles Orphenadrine (Compound) and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine and Orphenadrine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Promethazine may lead to a major life threatening interaction when taken with Bedaquiline and Bedaquiline (Compound) resembles Clofedanol (Compound)
DB00762
DB08820
613
1,478
[ "DDInter973", "DDInter997" ]
Irinotecan
Ivacaftor
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).
Ivacaftor (also known as Kalydeco or VX-770) is a drug used for the management of Cystic Fibrosis (CF). It is manufactured and distributed by Vertex Pharmaceuticals. It was approved by the Food and Drug Administration on January 31, 2012, and by Health Canada in late 2012. Ivacaftor is administered as a monotherapy and also administered in combination with other drugs for the management of CF.[L6814,L6979,L6847] Cystic Fibrosis is an autosomal recessive disorder caused by one of several different mutations in the gene for the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein, an ion channel involved in the transport of chloride and sodium ions across cell membranes. CFTR is active in epithelial cells of organs such as of the lungs, pancreas, liver, digestive system, and reproductive tract. Alterations in the CFTR gene result in altered production, misfolding, or function of the protein and consequently abnormal fluid and ion transport across cell membranes.[A20298, A20299] As a result, CF patients produce thick, sticky mucus that clogs the ducts of organs where it is produced making patients more susceptible to complications such as infections, lung damage, pancreatic insufficiency, and malnutrition. Prior to the development of ivacaftor, management of CF primarily involved therapies for the control of infections, nutritional support, clearance of mucus, and management of symptoms rather than improvements in the underlying disease process or lung function (FEV1). Notably, ivacaftor was the first medication approved for the management of the underlying causes of CF (abnormalities in CFTR protein function) rather than control of symptoms.
Moderate
1
[ [ [ 613, 24, 1478 ] ], [ [ 613, 6, 8374 ], [ 8374, 45, 1478 ] ], [ [ 613, 21, 28762 ], [ 28762, 60, 1478 ] ], [ [ 613, 63, 307 ], [ 307, 23, 1478 ] ], [ [ 613, 62, 1230 ], [ 1230, 23, 1478 ] ], [ [ 613, 24, 985 ], [ 985, 63, 1478 ] ], [ [ 613, 24, 804 ], [ 804, 24, 1478 ] ], [ [ 613, 63, 1028 ], [ 1028, 24, 1478 ] ], [ [ 613, 25, 932 ], [ 932, 24, 1478 ] ], [ [ 613, 63, 600 ], [ 600, 25, 1478 ] ] ]
[ [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Irinotecan", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Ivacaftor" ] ], [ [ "Irinotecan", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Ivacaftor" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivacaftor" ] ], [ [ "Irinotecan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivacaftor" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfinpyrazone" ], [ "Sulfinpyrazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Torasemide" ], [ "Torasemide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Irinotecan", "{u} may lead to a major life threatening interaction when taken with {v}", "Mifepristone" ], [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Irinotecan", "{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}", "Ivacaftor" ] ] ]
Irinotecan (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Ivacaftor (Compound) Irinotecan (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Ivacaftor (Compound) Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Ivacaftor Irinotecan may cause a minor interaction that can limit clinical effects when taken with Citalopram and Citalopram may cause a minor interaction that can limit clinical effects when taken with Ivacaftor Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Sulfinpyrazone and Sulfinpyrazone may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Torasemide and Torasemide may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Irinotecan may lead to a major life threatening interaction when taken with Mifepristone and Mifepristone may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Irinotecan 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 Ivacaftor
DB00776
DB01501
1,335
1,118
[ "DDInter1360", "DDInter549" ]
Oxcarbazepine
Difenoxin
Oxcarbazepine is an anti-epileptic medication used in the treatment of partial onset seizures that was first approved for use in the United States in 2000.[L8627,L8630,L8633] It is a structural derivative of [carbamazepine] and exerts a majority of its activity via a pharmacologically active metabolite, MHD, which exists as a racemate in the blood - a pro-drug of the more active (S)-enantiomer is also marketed as a separate anti-epileptic under the name [eslicarbazepine]. Compared to other anti-epileptic drugs, which are generally metabolized via the cytochrome P450 system, oxcarbazepine has a reduced propensity for involvement in drug-drug interactions owing to its primarily reductive metabolism.
Difenoxin is a 4-phenylpiperidine which is closely related to the opioid analgesic meperidine. Difenoxin alone is a USA Schedule I controlled drug, as it may be habit forming. However, it is listed as a Schedule IV controlled drug if combined with atropine, which is added to decrease deliberate misuse. Motofen(R) is a brand mixture which combines atropine sulfate and difenoxin hydrochloride. It is approved by the FDA to treat acute and chronic diarrhea. Difenoxin is an active metabolite of the anti-diarrheal drug, diphenoxylate, which is also used in combination with atropine in the brand mixture Lomotil(R). It works mostly in the periphery and activates opioid receptors in the intestine rather than the central nervous system (CNS). [3] Difenoxin is also closely related to loperamide, but unlike loperamide it is still capable of crossing the blood brain barrier to produce weak sedative and analgesic effects. However, the antidiarrheal potency of difenoxin is much greater than its CNS effects, which makes it an attractive alternative to other opioids.
Moderate
1
[ [ [ 1335, 24, 1118 ] ], [ [ 1335, 24, 1688 ], [ 1688, 40, 1118 ] ], [ [ 1335, 63, 506 ], [ 506, 24, 1118 ] ], [ [ 1335, 1, 902 ], [ 902, 24, 1118 ] ], [ [ 1335, 24, 1609 ], [ 1609, 63, 1118 ] ], [ [ 1335, 40, 1236 ], [ 1236, 24, 1118 ] ], [ [ 1335, 24, 1688 ], [ 1688, 40, 11264 ], [ 11264, 40, 1118 ] ], [ [ 1335, 63, 506 ], [ 506, 63, 576 ], [ 576, 1, 1118 ] ], [ [ 1335, 1, 902 ], [ 902, 24, 1688 ], [ 1688, 40, 1118 ] ], [ [ 1335, 24, 1609 ], [ 1609, 63, 576 ], [ 576, 1, 1118 ] ] ]
[ [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenoxylate" ], [ "Diphenoxylate", "{u} (Compound) resembles {v} (Compound)", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{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}", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{u} (Compound) resembles {v} (Compound)", "Clobazam" ], [ "Clobazam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{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}", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{u} (Compound) resembles {v} (Compound)", "Carbamazepine" ], [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenoxylate" ], [ "Diphenoxylate", "{u} (Compound) resembles {v} (Compound)", "Diphenidol" ], [ "Diphenidol", "{u} (Compound) resembles {v} (Compound)", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{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}", "Methadone" ], [ "Methadone", "{u} (Compound) resembles {v} (Compound)", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{u} (Compound) resembles {v} (Compound)", "Clobazam" ], [ "Clobazam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenoxylate" ], [ "Diphenoxylate", "{u} (Compound) resembles {v} (Compound)", "Difenoxin" ] ], [ [ "Oxcarbazepine", "{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}", "Methadone" ], [ "Methadone", "{u} (Compound) resembles {v} (Compound)", "Difenoxin" ] ] ]
Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Diphenoxylate and Diphenoxylate (Compound) resembles Difenoxin (Compound) Oxcarbazepine 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 Difenoxin Oxcarbazepine (Compound) resembles Clobazam (Compound) and Clobazam may cause a moderate interaction that could exacerbate diseases when taken with Difenoxin Oxcarbazepine 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 Difenoxin Oxcarbazepine (Compound) resembles Carbamazepine (Compound) and Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Difenoxin Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Diphenoxylate and Diphenoxylate (Compound) resembles Diphenidol (Compound) and Diphenidol (Compound) resembles Difenoxin (Compound) Oxcarbazepine 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 Methadone and Methadone (Compound) resembles Difenoxin (Compound) Oxcarbazepine (Compound) resembles Clobazam (Compound) and Clobazam may cause a moderate interaction that could exacerbate diseases when taken with Diphenoxylate and Diphenoxylate (Compound) resembles Difenoxin (Compound) Oxcarbazepine 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 Methadone and Methadone (Compound) resembles Difenoxin (Compound)
DB00321
DB01087
21
1,520
[ "DDInter78", "DDInter1520" ]
Amitriptyline
Primaquine
Amitriptyline is a tricyclic antidepressant that has been used to treat depression for decades. ELAVIL, a previously approved branded product of amitriptyline, was first approved by the FDA in 1961. Amitriptyline has been investigated in the treatment of pain-related conditions, attributed to its analgesic properties.
An aminoquinoline that is given by mouth to produce a radical cure and prevent relapse of vivax and ovale malarias following treatment with a blood schizontocide. It has also been used to prevent transmission of falciparum malaria by those returning to areas where there is a potential for re-introduction of malaria. Adverse effects include anemias and GI disturbances. (From Martindale, The Extra Pharmacopeia, 30th ed, p404)
Moderate
1
[ [ [ 21, 24, 1520 ] ], [ [ 21, 25, 1487 ], [ 1487, 64, 1520 ] ], [ [ 21, 6, 12523 ], [ 12523, 45, 1520 ] ], [ [ 21, 21, 28722 ], [ 28722, 60, 1520 ] ], [ [ 21, 23, 112 ], [ 112, 23, 1520 ] ], [ [ 21, 1, 508 ], [ 508, 24, 1520 ] ], [ [ 21, 63, 618 ], [ 618, 24, 1520 ] ], [ [ 21, 24, 1342 ], [ 1342, 63, 1520 ] ], [ [ 21, 25, 1133 ], [ 1133, 24, 1520 ] ], [ [ 21, 24, 1181 ], [ 1181, 24, 1520 ] ] ]
[ [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Amitriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ] ], [ [ "Amitriptyline", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Primaquine" ] ], [ [ "Amitriptyline", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Primaquine" ] ], [ [ "Amitriptyline", "{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}", "Primaquine" ] ], [ [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abarelix" ], [ "Abarelix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Amitriptyline", "{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}", "Primaquine" ] ], [ [ "Amitriptyline", "{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}", "Primaquine" ] ], [ [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ] ]
Amitriptyline may lead to a major life threatening interaction when taken with Hydroxychloroquine and Hydroxychloroquine may lead to a major life threatening interaction when taken with Primaquine Amitriptyline (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Primaquine (Compound) Amitriptyline (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Primaquine (Compound) Amitriptyline 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 Primaquine Amitriptyline (Compound) resembles Promazine (Compound) and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Abarelix and Abarelix may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Amitriptyline 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 Primaquine Amitriptyline 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 Primaquine Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Primaquine
DB00995
DB08865
1,112
1,593
[ "DDInter139", "DDInter448" ]
Auranofin
Crizotinib
Auranofin is a gold salt that is capable of eliciting pharmacologic actions that suppress inflammation and stimulate cell-mediated immunity. It has subsequently been listed by the World Health Organization as a member of the antirheumatic agent category. Auranofin appears to induce heme oxygenase 1 (HO-1) mRNA. Heme oxygenase 1 is an inducible heme-degrading enzyme with anti-inflammatory properties.
Crizotinib is a tyrosine kinase receptor inhibitor used for the treatment of anaplastic lymphoma kinase (ALK) or ROS1-positive non-small cell lung cancer (NSCLC) tumors, as well as ALK-positive anaplastic large cell lymphoma (ALCL) and inflammatory myofibroblastic tumor (IMT). By targeting the echinoderm microtubule-associated protein-like 4 (EML4)-ALK fusion protein, crizotinib offers robust effectiveness in treating NSCLC in patients with this type of rearrangement. Crizotinib was the first-in-class drug used to treat ALK-positive tumors. Second- and third-generation ALK-tyrosine kinase-inhibitors have overcome many of the pharmacodynamic and genetic resistance mechanisms crizotinib is prone to. Crizotinib was approved by the FDA in 2011, and its use is accompanied by FDA-approved tests used to detect ALK and ROS1 rearrangements.
Moderate
1
[ [ [ 1112, 24, 1593 ] ], [ [ 1112, 18, 2900 ], [ 2900, 46, 1593 ] ], [ [ 1112, 7, 7478 ], [ 7478, 46, 1593 ] ], [ [ 1112, 18, 10375 ], [ 10375, 57, 1593 ] ], [ [ 1112, 21, 28803 ], [ 28803, 60, 1593 ] ], [ [ 1112, 24, 148 ], [ 148, 63, 1593 ] ], [ [ 1112, 63, 1057 ], [ 1057, 24, 1593 ] ], [ [ 1112, 24, 309 ], [ 309, 24, 1593 ] ], [ [ 1112, 24, 36 ], [ 36, 64, 1593 ] ], [ [ 1112, 64, 1424 ], [ 1424, 25, 1593 ] ] ]
[ [ [ "Auranofin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ], [ [ "Auranofin", "{u} (Compound) downregulates {v} (Gene)", "NFKBIA" ], [ "NFKBIA", "{u} (Gene) is upregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Auranofin", "{u} (Compound) upregulates {v} (Gene)", "TRAPPC6A" ], [ "TRAPPC6A", "{u} (Gene) is upregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Auranofin", "{u} (Compound) downregulates {v} (Gene)", "RPS4Y1" ], [ "RPS4Y1", "{u} (Gene) is downregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Auranofin", "{u} (Compound) causes {v} (Side Effect)", "Anaemia" ], [ "Anaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Crizotinib" ] ], [ [ "Auranofin", "{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}", "Crizotinib" ] ], [ [ "Auranofin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ], [ [ "Auranofin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ], [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ], [ [ "Auranofin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ], [ "Eribulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ] ], [ [ "Auranofin", "{u} may lead to a major life threatening interaction when taken with {v}", "Quinine" ], [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ] ] ]
Auranofin (Compound) downregulates NFKBIA (Gene) and NFKBIA (Gene) is upregulated by Crizotinib (Compound) Auranofin (Compound) upregulates TRAPPC6A (Gene) and TRAPPC6A (Gene) is upregulated by Crizotinib (Compound) Auranofin (Compound) downregulates RPS4Y1 (Gene) and RPS4Y1 (Gene) is downregulated by Crizotinib (Compound) Auranofin (Compound) causes Anaemia (Side Effect) and Anaemia (Side Effect) is caused by Crizotinib (Compound) Auranofin 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 Crizotinib Auranofin may cause a moderate interaction that could exacerbate diseases when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib Auranofin may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone and Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib Auranofin may cause a moderate interaction that could exacerbate diseases when taken with Eribulin and Eribulin may lead to a major life threatening interaction when taken with Crizotinib Auranofin may lead to a major life threatening interaction when taken with Quinine and Quinine may lead to a major life threatening interaction when taken with Crizotinib
DB00673
DB00712
723
1,274
[ "DDInter112", "DDInter763" ]
Aprepitant
Flurbiprofen
Aprepitant, an antiemetic, is a substance P/neurokinin 1 (NK1) receptor antagonist which, in combination with other antiemetic agents, is indicated for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy. Aprepitant is a selective high-affinity antagonist of human substance P/neurokinin 1 (NK1) receptors. Aprepitant has little or no affinity for serotonin (5-HT3), dopamine, and corticosteroid receptors, the targets of existing therapies for chemotherapy-induced nausea and vomiting (CI NV).
Flurbiprofen, a propionic acid derivative, is a nonsteroidal anti-inflammatory agent (NSAIA) with antipyretic and analgesic activity. Oral formulations of flurbiprofen may be used for the symptomatic treatment of rheumatoid arthritis, osteoarthritis and anklylosing spondylitis. Flurbiprofen may also be used topically prior to ocular surgery to prevent or reduce intraoperative miosis. Flurbiprofen is structurally and pharmacologically related to fenoprofen, ibuprofen, and ketoprofen.
Moderate
1
[ [ [ 723, 24, 1274 ] ], [ [ 723, 6, 6017 ], [ 6017, 45, 1274 ] ], [ [ 723, 21, 28769 ], [ 28769, 60, 1274 ] ], [ [ 723, 63, 752 ], [ 752, 23, 1274 ] ], [ [ 723, 23, 479 ], [ 479, 62, 1274 ] ], [ [ 723, 63, 1081 ], [ 1081, 24, 1274 ] ], [ [ 723, 24, 336 ], [ 336, 63, 1274 ] ], [ [ 723, 24, 240 ], [ 240, 24, 1274 ] ], [ [ 723, 25, 1598 ], [ 1598, 63, 1274 ] ], [ [ 723, 1, 875 ], [ 875, 63, 1274 ] ] ]
[ [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Aprepitant", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Flurbiprofen" ] ], [ [ "Aprepitant", "{u} (Compound) causes {v} (Side Effect)", "Feeling abnormal" ], [ "Feeling abnormal", "{u} (Side Effect) is caused by {v} (Compound)", "Flurbiprofen" ] ], [ [ "Aprepitant", "{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}", "Flurbiprofen" ] ], [ [ "Aprepitant", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Flurbiprofen" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nicardipine" ], [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Aprepitant", "{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}", "Flurbiprofen" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Losartan" ], [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Tazemetostat" ], [ "Tazemetostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Aprepitant", "{u} (Compound) resembles {v} (Compound)", "Fosaprepitant" ], [ "Fosaprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ] ]
Aprepitant (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Flurbiprofen (Compound) Aprepitant (Compound) causes Feeling abnormal (Side Effect) and Feeling abnormal (Side Effect) is caused by Flurbiprofen (Compound) Aprepitant 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 Flurbiprofen Aprepitant may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil may cause a minor interaction that can limit clinical effects when taken with Flurbiprofen Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Nicardipine and Nicardipine may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen Aprepitant 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 Flurbiprofen Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Losartan and Losartan may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen Aprepitant may lead to a major life threatening interaction when taken with Tazemetostat and Tazemetostat may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen Aprepitant (Compound) resembles Fosaprepitant (Compound) and Fos
DB00581
DB06699
355
774
[ "DDInter1018", "DDInter493" ]
Lactulose
Degarelix
Lactulose is a synthetic disaccharide derivative of lactose that is most commonly used as a laxative agent despite also being formally indicated to serve as an adjunct therapy in treating portal-systemic encephalopathy (PSE).[FDA Label,L6199,L6202] Despite being first synthesized in 1929, investigations regarding its possible use as a laxative for the treatment of chronic constipation did not occur until the 1960s and its first clinical use for treating PSE was not until 1966. Nevertheless, although lactulose received formal FDA approval in 1977 and has since become a readily available generic and brand-name non-prescription medication listed on the World Health Organization's List of Essential Medicines as one of the most effective and safe medicines employed in a health system, data regarding its optimal place in therapy is often ambiguous. Especially considering the use of lactulose as a laxative is typically only considered after lifestyle and dietary modifications fail and the
Degarelix is used for the treatment of advanced prostate cancer. Degarelix is a synthetic peptide derivative drug which binds to gonadotropin-releasing hormone (GnRH) receptors in the pituitary gland and blocks interaction with GnRH. This antagonism reduces luteinising hormone (LH) and follicle-stimulating hormone (FSH) which ultimately causes testosterone suppression. Reduction in testosterone is important in treating men with advanced prostate cancer. Chemically, it is a synthetic linear decapeptide amide with seven unnatural amino acids, five of which are D-amino acids. FDA approved on December 24, 2008.
Moderate
1
[ [ [ 355, 24, 774 ] ], [ [ 355, 63, 521 ], [ 521, 1, 774 ] ], [ [ 355, 21, 28722 ], [ 28722, 60, 774 ] ], [ [ 355, 24, 956 ], [ 956, 24, 774 ] ], [ [ 355, 24, 484 ], [ 484, 63, 774 ] ], [ [ 355, 63, 1570 ], [ 1570, 24, 774 ] ], [ [ 355, 23, 286 ], [ 286, 63, 774 ] ], [ [ 355, 24, 33 ], [ 33, 25, 774 ] ], [ [ 355, 63, 1176 ], [ 1176, 25, 774 ] ], [ [ 355, 24, 996 ], [ 996, 64, 774 ] ] ]
[ [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Degarelix" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} (Compound) resembles {v} (Compound)", "Degarelix" ] ], [ [ "Lactulose", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Degarelix" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norfloxacin" ], [ "Norfloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Degarelix" ] ], [ [ "Lactulose", "{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}", "Degarelix" ] ], [ [ "Lactulose", "{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}", "Degarelix" ] ], [ [ "Lactulose", "{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}", "Degarelix" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ], [ "Amiodarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Degarelix" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Degarelix" ] ], [ [ "Lactulose", "{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}", "Degarelix" ] ] ]
Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin (Compound) resembles Degarelix (Compound) Lactulose (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Degarelix (Compound) Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Norfloxacin and Norfloxacin may cause a moderate interaction that could exacerbate diseases when taken with Degarelix Lactulose 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 Degarelix Lactulose 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 Degarelix Lactulose 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 Degarelix Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone and Amiodarone may lead to a major life threatening interaction when taken with Degarelix Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Moxifloxacin and Moxifloxacin may lead to a major life threatening interaction when taken with Degarelix Lactulose 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 Degarelix
DB00022
DB01156
268
593
[ "DDInter1408", "DDInter252" ]
Peginterferon alfa-2b
Bupropion
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
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 (MAOIs), Tricyclic Antidepressants (TCAs), or Selective Serotonin Reuptake Inhibitors (SSRIs). While it has comparable effectiveness to typical first-line options for the treatment of depression such as SSRIs,[A178798,A178804] bupropion is a unique option for the treatment of MDD as it lacks any clinically relevant serotonergic effects, typical of other mood medications, or any effects on histamine or adrenaline receptors.[A6399,A178840] Lack of activity at these receptors results in a more tolerable side effect profile; bupropion is less likely to cause sexual side effects, sedation, or weight gain as compared to SSRIs or TCAs, for example.[A178804,A178807] When used as an aid to smoking cessation, bupropion is thought to confer its anti-craving and anti-withdrawal effects by inhibiting dopamine reuptake, which is thought to be involved in the reward pathways associated with nicotine, and through the antagonism of the nicotinic acetylcholinergic receptor.[A178825,A1966,A16508] A Cochrane Review of meta-analyses of available treatment modalities for smoking cessation found that abstinence rates approximately doubled when bupropion was used as compared to placebo, and was found to have similar rates of smoking cessation as [nicotine] replacement therapy (NRT). Bupropion is sometimes used as an add-on agent to first-line treatments of depression such as selective serotonin reuptake inhibitor (SSRI) medications when there is a treatment-failure or only partial response. Bupropion is also used off-label for the management of Attention/Deficit-Hyperactivity Disorder (ADHD) in adults with comorbid bipolar depression to avoid mood destabilization caused by typical stimulant medications used for the treatment of ADHD. When used in combination with [naltrexone] in the marketed product ContraveⓇ for chronic weight management, the two components are thought to have effects on areas of the brain involved in the regulation of food intake. This includes the hypothalamus, which is involved in appetite regulation, and the mesolimbic dopamine circuit, which is involved in reward pathways. Studies have shown that the combined activity of bupropion and [naltrexone] increase the firing rate of hypothalamic pro-opiomelanocortin (POMC) neurons and blockade of opioid receptor-mediated POMC auto-inhibition, which are associated with a reduction in food intake and increased energy expenditure.[L6562,A179038,A179050] The combination of naltrexone and bupropion was shown to result in a statistically significant weight loss, with a mean change in body weight of -6.3% compared to -1.3% for placebo.
Major
2
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[ [ [ "Peginterferon alfa-2b", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ], [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{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}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ], [ "Lindane", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{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}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{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}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitolisant" ], [ "Pitolisant", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon alfa-n1" ], [ "Interferon alfa-n1", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ], [ "Bedaquiline", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Bupropion" ] ] ]
Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline and Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Bupropion Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Bupropion Peginterferon alfa-2b 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 Bupropion Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Lindane and Lindane may lead to a major life threatening interaction when taken with Bupropion Peginterferon alfa-2b 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 Bupropion Peginterferon alfa-2b 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 Bupropion Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Pitolisant and Pitolisant may lead to a major life threatening interaction when taken with Bupropion Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Interferon alfa-n1 and Interferon alfa-n1 may lead to a major life threatening interaction when taken with Bupropion Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline and Bedaquiline (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Bupropion (Compound)
DB00631
DB00861
372
914
[ "DDInter405", "DDInter551" ]
Clofarabine
Diflunisal
Clofarabine is a purine nucleoside antimetabolite that is being studied in the treatment of cancer. It is marketed as Clolar in the U.S. and Canada, or Evoltra in Europe, Australia, and New Zealand. Clofarabine is used in paediatrics to treat a type of leukaemia called relapsed or refractory acute lymphoblastic leukaemia (ALL), only after at least two other types of treatment have failed. It is not known if the drug extends life expectancy. Its potential use in acute myeloid leukaemia (AML) and juvenile myelomonocytic leukaemia (JMML) has been investigated.
Diflunisal, a salicylate derivative, is a nonsteroidal anti-inflammatory agent (NSAIA) with pharmacologic actions similar to other prototypical NSAIAs. Diflunisal possesses anti-inflammatory, analgesic and antipyretic activity. Though its mechanism of action has not been clearly established, most of its actions appear to be associated with inhibition of prostaglandin synthesis via the arachidonic acid pathway. Diflunisal is used to relieve pain accompanied with inflammation and in the symptomatic treatment of rheumatoid arthritis and osteoarthritis.
Moderate
1
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[ [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olsalazine" ], [ "Olsalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ] ], [ [ "Clofarabine", "{u} (Compound) upregulates {v} (Gene)", "PTGS2" ], [ "PTGS2", "{u} (Gene) is bound by {v} (Compound)", "Diflunisal" ] ], [ [ "Clofarabine", "{u} (Compound) causes {v} (Side Effect)", "Anorexia" ], [ "Anorexia", "{u} (Side Effect) is caused by {v} (Compound)", "Diflunisal" ] ], [ [ "Clofarabine", "{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}", "Diflunisal" ] ], [ [ "Clofarabine", "{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}", "Diflunisal" ] ], [ [ "Clofarabine", "{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}", "Diflunisal" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Diflunisal" ] ], [ [ "Clofarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ioversol" ], [ "Ioversol", "{u} may lead to a major life threatening interaction when taken with {v}", "Diflunisal" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Diflunisal" ] ] ]
Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Olsalazine and Olsalazine may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal Clofarabine (Compound) upregulates PTGS2 (Gene) and PTGS2 (Gene) is bound by Diflunisal (Compound) Clofarabine (Compound) causes Anorexia (Side Effect) and Anorexia (Side Effect) is caused by Diflunisal (Compound) Clofarabine 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 Diflunisal Clofarabine 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 Diflunisal Clofarabine 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 Diflunisal Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Panobinostat and Panobinostat may lead to a major life threatening interaction when taken with Diflunisal Clofarabine may lead to a major life threatening interaction when taken with Ioversol and Ioversol may lead to a major life threatening interaction when taken with Diflunisal Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may lead to a major life threatening interaction when taken with Diflunisal
DB08820
DB12010
1,478
214
[ "DDInter997", "DDInter785" ]
Ivacaftor
Fostamatinib
Ivacaftor (also known as Kalydeco or VX-770) is a drug used for the management of Cystic Fibrosis (CF). It is manufactured and distributed by Vertex Pharmaceuticals. It was approved by the Food and Drug Administration on January 31, 2012, and by Health Canada in late 2012. Ivacaftor is administered as a monotherapy and also administered in combination with other drugs for the management of CF.[L6814,L6979,L6847] Cystic Fibrosis is an autosomal recessive disorder caused by one of several different mutations in the gene for the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein, an ion channel involved in the transport of chloride and sodium ions across cell membranes. CFTR is active in epithelial cells of organs such as of the lungs, pancreas, liver, digestive system, and reproductive tract. Alterations in the CFTR gene result
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]
Moderate
1
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[ [ [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isradipine" ], [ "Isradipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ], [ "Ripretinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{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}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Tucatinib" ], [ "Tucatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Voxelotor" ], [ "Voxelotor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Ivacaftor", "{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}", "Fostamatinib" ] ] ]
Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Isradipine and Isradipine may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Ivacaftor may lead to a major life threatening interaction when taken with Aprepitant and Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib and Ripretinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Ivacaftor may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Ivacaftor 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 Fostamatinib Ivacaftor may lead to a major life threatening interaction when taken with Tucatinib and Tucatinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Ivacaftor may cause a minor interaction that can limit clinical effects when taken with Mirabegron and Mirabegron may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Ivacaftor may lead to a major life threatening interaction when taken with Voxelotor and Voxelotor may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Ivacaftor 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 Fostamatinib
DB00446
DB01024
597
1,096
[ "DDInter351", "DDInter1252" ]
Chloramphenicol
Mycophenolic acid
An antibiotic first isolated from cultures of _Streptomyces venezuelae_ in 1947 but now produced synthetically. It has a relatively simple structure and was the first broad-spectrum antibiotic to be discovered. It acts by interfering with bacterial protein synthesis and is mainly bacteriostatic. (From Martindale, The Extra Pharmacopoeia, 29th ed, p106) The FDA has withdrawn all oral drug products containing chloramphenicol, due to the high risk of fatal aplastic anemia associated with this specific route of administration.[L43942,L44022]
Mycophenolic acid is a potent immunosuppressant agent that inhibits _de novo_ purine biosynthesis. It was derived from _Penicillium stoloniferum_, and has also shown antibacterial, antifungal and antiviral properties.. Mycophenolic acid is used in immunosuppressive regimens as part of a triple therapy that includes a calcineurin inhibitor (ciclosporin or tacrolimus) and prednisolone. This regimen can be used in place of the older anti-proliferative [azathioprine] due to its stronger immunosuppressive potency. However, mycophenolic acid treatment is more expensive and requires therapeutic drug monitoring to optimize efficacy and minimize toxicity.[A249180,A249185] Mycophenolic acid is available as enteric-coated tablets of delayed-release, in an effort to improve upper gastrointestinal adverse events by delaying mycophenolic acid release until it reaches the small intestine. [Mycophenolate mofetil], a prodrug of mycophenolic acid, is also prescribed to transplant recipients to prevent organ rejection.
Moderate
1
[ [ [ 597, 24, 1096 ] ], [ [ 597, 24, 955 ], [ 955, 1, 1096 ] ], [ [ 597, 7, 2329 ], [ 2329, 46, 1096 ] ], [ [ 597, 18, 10780 ], [ 10780, 57, 1096 ] ], [ [ 597, 21, 28666 ], [ 28666, 60, 1096 ] ], [ [ 597, 24, 157 ], [ 157, 23, 1096 ] ], [ [ 597, 24, 428 ], [ 428, 62, 1096 ] ], [ [ 597, 63, 362 ], [ 362, 23, 1096 ] ], [ [ 597, 24, 1124 ], [ 1124, 63, 1096 ] ], [ [ 597, 24, 629 ], [ 629, 24, 1096 ] ] ]
[ [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} (Compound) resembles {v} (Compound)", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{u} (Compound) upregulates {v} (Gene)", "UBE2L6" ], [ "UBE2L6", "{u} (Gene) is upregulated by {v} (Compound)", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{u} (Compound) downregulates {v} (Gene)", "CCNB2" ], [ "CCNB2", "{u} (Gene) is downregulated by {v} (Compound)", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethotoin" ], [ "Ethotoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ], [ "Ferrous fumarate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefamandole" ], [ "Cefamandole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ] ], [ [ "Chloramphenicol", "{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}", "Mycophenolic acid" ] ] ]
Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolate mofetil and Mycophenolate mofetil (Compound) resembles Mycophenolic acid (Compound) Chloramphenicol (Compound) upregulates UBE2L6 (Gene) and UBE2L6 (Gene) is upregulated by Mycophenolic acid (Compound) Chloramphenicol (Compound) downregulates CCNB2 (Gene) and CCNB2 (Gene) is downregulated by Mycophenolic acid (Compound) Chloramphenicol (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Mycophenolic acid (Compound) Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Ethotoin and Ethotoin may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate and Ferrous fumarate may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Cefamandole and Cefamandole may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid Chloramphenicol 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 Mycophenolic acid
DB00451
DB01359
542
729
[ "DDInter1064", "DDInter1417" ]
Levothyroxine
Penbutolol
Levothyroxine is a synthetically produced form of thyroxine, a major endogenous hormone secreted by the thyroid gland. Also known as L-thyroxine or the brand name product Synthroid, levothyroxine is used primarily to treat hypothyroidism, a condition where the thyroid gland is no longer able to produce sufficient quantities of the thyroid hormones T<sub>4</sub> (tetraiodothyronine or thyroxine) and T<sub>3</sub> (triiodothyronine or ), resulting in diminished down-stream effects of these hormones. Without sufficient quantities of circulating thyroid hormones, symptoms of hypothyroidism begin to develop such as fatigue, increased heart rate, depression, dry skin and hair, muscle cramps, constipation, weight gain, memory impairment, and poor tolerance to cold temperatures.[F4636,A35722] In response to Thyroid Stimulating Hormone (TSH) release by
Penbutolol is a drug in the beta-blocker class used to treat hypertension. Penbutolol binds both beta-1 and beta-2 adrenergic receptors, rendering it a non-selective beta-blocker. Penbutolol can act as a partial agonist at beta adrenergic receptors, since it is a sympathomimetric drug. Penbutolol also demonstrates high binding affinity to the 5-hydroxytryptamine receptor 1A with antagonistic effects. This binding characteristic of penbutolol is being investigated for its implications in Antidepressant Therapy. Penbutolol is contraindicated in patients with cardiogenic shock, sinus bradycardia, second and third degree atrioventricular conduction block, bronchial asthma, and those with known hypersensitivity.
Minor
0
[ [ [ 542, 23, 729 ] ], [ [ 542, 62, 461 ], [ 461, 1, 729 ] ], [ [ 542, 23, 699 ], [ 699, 40, 729 ] ], [ [ 542, 21, 28698 ], [ 28698, 60, 729 ] ], [ [ 542, 24, 1283 ], [ 1283, 62, 729 ] ], [ [ 542, 24, 126 ], [ 126, 23, 729 ] ], [ [ 542, 40, 1152 ], [ 1152, 23, 729 ] ], [ [ 542, 62, 417 ], [ 417, 23, 729 ] ], [ [ 542, 24, 636 ], [ 636, 63, 729 ] ], [ [ 542, 24, 1144 ], [ 1144, 24, 729 ] ] ]
[ [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Penbutolol" ] ], [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Timolol" ], [ "Timolol", "{u} (Compound) resembles {v} (Compound)", "Penbutolol" ] ], [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ], [ "Nadolol", "{u} (Compound) resembles {v} (Compound)", "Penbutolol" ] ], [ [ "Levothyroxine", "{u} (Compound) causes {v} (Side Effect)", "Insomnia" ], [ "Insomnia", "{u} (Side Effect) is caused by {v} (Compound)", "Penbutolol" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Penbutolol" ] ], [ [ "Levothyroxine", "{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}", "Penbutolol" ] ], [ [ "Levothyroxine", "{u} (Compound) resembles {v} (Compound)", "Liothyronine" ], [ "Liothyronine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Penbutolol" ] ], [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Penbutolol" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium citrate" ], [ "Calcium citrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Penbutolol" ] ], [ [ "Levothyroxine", "{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}", "Penbutolol" ] ] ]
Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Timolol and Timolol (Compound) resembles Penbutolol (Compound) Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Nadolol and Nadolol (Compound) resembles Penbutolol (Compound) Levothyroxine (Compound) causes Insomnia (Side Effect) and Insomnia (Side Effect) is caused by Penbutolol (Compound) Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide and Magnesium oxide may cause a minor interaction that can limit clinical effects when taken with Penbutolol Levothyroxine 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 Penbutolol Levothyroxine (Compound) resembles Liothyronine (Compound) and Liothyronine may cause a minor interaction that can limit clinical effects when taken with Penbutolol Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Sucralfate and Sucralfate may cause a minor interaction that can limit clinical effects when taken with Penbutolol Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Calcium citrate and Calcium citrate may cause a moderate interaction that could exacerbate diseases when taken with Penbutolol Levothyroxine 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 Penbutolol
DB00687
DB00816
870
1,674
[ "DDInter747", "DDInter1346" ]
Fludrocortisone
Orciprenaline
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.
A beta-adrenergic agonist used in the treatment of asthma and bronchospasms. [PubChem]
Minor
0
[ [ [ 870, 23, 1674 ] ], [ [ 870, 21, 28845 ], [ 28845, 60, 1674 ] ], [ [ 870, 1, 251 ], [ 251, 23, 1674 ] ], [ [ 870, 1, 891 ], [ 891, 62, 1674 ] ], [ [ 870, 24, 819 ], [ 819, 63, 1674 ] ], [ [ 870, 63, 1685 ], [ 1685, 24, 1674 ] ], [ [ 870, 23, 480 ], [ 480, 63, 1674 ] ], [ [ 870, 24, 997 ], [ 997, 24, 1674 ] ], [ [ 870, 23, 307 ], [ 307, 24, 1674 ] ], [ [ 870, 25, 739 ], [ 739, 63, 1674 ] ] ]
[ [ [ "Fludrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{u} (Compound) causes {v} (Side Effect)", "Oedema" ], [ "Oedema", "{u} (Side Effect) is caused by {v} (Compound)", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{u} (Compound) resembles {v} (Compound)", "Betamethasone" ], [ "Betamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{u} (Compound) resembles {v} (Compound)", "Prednisolone" ], [ "Prednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{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}", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methazolamide" ], [ "Methazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ] ], [ [ "Fludrocortisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ] ] ]
Fludrocortisone (Compound) causes Oedema (Side Effect) and Oedema (Side Effect) is caused by Orciprenaline (Compound) Fludrocortisone (Compound) resembles Betamethasone (Compound) and Betamethasone may cause a minor interaction that can limit clinical effects when taken with Orciprenaline Fludrocortisone (Compound) resembles Prednisolone (Compound) and Prednisolone may cause a minor interaction that can limit clinical effects when taken with Orciprenaline Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Acebutolol and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline Fludrocortisone 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 Orciprenaline Fludrocortisone may cause a minor interaction that can limit clinical effects when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Methazolamide and Methazolamide may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline Fludrocortisone may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline Fludrocortisone may lead to a major life threatening interaction when taken with Lomefloxacin and Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline
DB06674
DB11952
908
800
[ "DDInter837", "DDInter612" ]
Golimumab
Duvelisib
Golimumab is a human IgG1қ monoclonal antibody derived from immunizing genetically engineered mice with human TNFα. Golimumab binds and inhibits soluble and transmembrane human TNFα. Increased TNFα is associated with chronic inflammation. Thus golimumab is indicated for use in adults (i) as an adjunct to methotrexate treatment in patients with moderate to severe active rheumatoid arthritis (RA), (ii) alone or as an adjunct to methotrexate treatment in patients with active psoriatic arthritis (PsA), (iii) as a single agent in patients with active ankylosing spondylitis (AS), and (iv) as a single agent in patients with moderate to severe ulcerative colitis (UC) who require chronic steroids or have experienced intolerance or only a partial response to previous medications. In the U.S. and Canada, golimumab is marketed under the brand name Simponi®.
Duvelisib, also known as IPI-145 and INK-1197, is a small-molecule inhibitor of phosphoinositide-3 kinases that was designed initially to prove that simultaneous inhibition of the isoforms delta and gamma can produce a broad adaptative and innate immune cell inhibitory activity. All the work around duvelisib showed that this agent is a potent inhibitor of both forms. Duvelisib was developed by Verastem, Inc and FDA approved on September 24, 2018.
Major
2
[ [ [ 908, 25, 800 ] ], [ [ 908, 25, 310 ], [ 310, 24, 800 ] ], [ [ 908, 63, 467 ], [ 467, 24, 800 ] ], [ [ 908, 25, 1476 ], [ 1476, 63, 800 ] ], [ [ 908, 64, 663 ], [ 663, 24, 800 ] ], [ [ 908, 24, 1593 ], [ 1593, 24, 800 ] ], [ [ 908, 25, 1292 ], [ 1292, 25, 800 ] ], [ [ 908, 64, 1057 ], [ 1057, 25, 800 ] ], [ [ 908, 25, 676 ], [ 676, 64, 800 ] ], [ [ 908, 25, 310 ], [ 310, 63, 467 ], [ 467, 24, 800 ] ] ]
[ [ [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Duvelisib" ] ], [ [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Golimumab", "{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}", "Duvelisib" ] ], [ [ "Golimumab", "{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}", "Duvelisib" ] ], [ [ "Golimumab", "{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}", "Duvelisib" ] ], [ [ "Golimumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Golimumab", "{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}", "Duvelisib" ] ], [ [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Duvelisib" ] ], [ [ "Golimumab", "{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}", "Duvelisib" ] ], [ [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{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}", "Duvelisib" ] ] ]
Golimumab may lead to a major life threatening interaction when taken with Cabazitaxel and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Golimumab 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 Duvelisib Golimumab 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 Duvelisib Golimumab 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 Duvelisib Golimumab may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Golimumab 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 Duvelisib Golimumab may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Duvelisib Golimumab 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 Duvelisib Golimumab may lead to a major life threatening interaction when taken with Cabazitaxel and Cabazitaxel 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 Duvelisib
DB00983
DB01142
480
1,264
[ "DDInter776", "DDInter593" ]
Formoterol
Doxepin
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
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
[ [ [ 480, 24, 1264 ] ], [ [ 480, 63, 508 ], [ 508, 24, 1264 ] ], [ [ 480, 24, 401 ], [ 401, 24, 1264 ] ], [ [ 480, 6, 6017 ], [ 6017, 45, 1264 ] ], [ [ 480, 21, 29226 ], [ 29226, 60, 1264 ] ], [ [ 480, 63, 471 ], [ 471, 23, 1264 ] ], [ [ 480, 24, 749 ], [ 749, 63, 1264 ] ], [ [ 480, 64, 887 ], [ 887, 24, 1264 ] ], [ [ 480, 25, 729 ], [ 729, 63, 1264 ] ], [ [ 480, 25, 772 ], [ 772, 24, 1264 ] ] ]
[ [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Formoterol", "{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" ] ], [ [ "Formoterol", "{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" ] ], [ [ "Formoterol", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Doxepin" ] ], [ [ "Formoterol", "{u} (Compound) causes {v} (Side Effect)", "Sinusitis" ], [ "Sinusitis", "{u} (Side Effect) is caused by {v} (Compound)", "Doxepin" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetazolamide" ], [ "Acetazolamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxepin" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pimavanserin" ], [ "Pimavanserin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Formoterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Pindolol" ], [ "Pindolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Formoterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Penbutolol" ], [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ], [ [ "Formoterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Carvedilol" ], [ "Carvedilol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ] ] ]
Formoterol 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 Formoterol 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 Formoterol (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Doxepin (Compound) Formoterol (Compound) causes Sinusitis (Side Effect) and Sinusitis (Side Effect) is caused by Doxepin (Compound) Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Acetazolamide and Acetazolamide may cause a minor interaction that can limit clinical effects when taken with Doxepin Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Pimavanserin and Pimavanserin may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Formoterol may lead to a major life threatening interaction when taken with Pindolol and Pindolol may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Formoterol may lead to a major life threatening interaction when taken with Penbutolol and Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Doxepin Formoterol may lead to a major life threatening interaction when taken with Carvedilol and Carvedilol may cause a moderate interaction that could exacerbate diseases when taken with Doxepin
DB04908
DB09073
1,671
951
[ "DDInter741", "DDInter1379" ]
Flibanserin
Palbociclib
Flibanserin is the first drug to be approved for hypoactive sexual desire disorder (HSDD) in premenopausal women by the FDA in August 2015. It was originally developed as an antidepressant medication by Boehringer Ingelheim, but showed lack of efficacy in trials and was further developed as a hypoactive sexual disorder drug by Sprout Pharmaceuticals. Flibanserin's mechanism of action is attributed to its high affinity for 5-HTA1 and 5-HTA2 receptors, displaying agonist activity on 5-HTA1 and antagonist on 5-HTA2, resulting in lowering of serotonin in the brain as well as an effect on increasing norepinephrine and dopamine neurotransmitters.
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
[ [ [ 1671, 24, 951 ] ], [ [ 1671, 24, 159 ], [ 159, 63, 951 ] ], [ [ 1671, 63, 134 ], [ 134, 24, 951 ] ], [ [ 1671, 25, 283 ], [ 283, 63, 951 ] ], [ [ 1671, 64, 600 ], [ 600, 24, 951 ] ], [ [ 1671, 24, 578 ], [ 578, 24, 951 ] ], [ [ 1671, 25, 1593 ], [ 1593, 24, 951 ] ], [ [ 1671, 25, 129 ], [ 129, 25, 951 ] ], [ [ 1671, 64, 609 ], [ 609, 25, 951 ] ], [ [ 1671, 25, 1604 ], [ 1604, 64, 951 ] ] ]
[ [ [ "Flibanserin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Flibanserin", "{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" ] ], [ [ "Flibanserin", "{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}", "Palbociclib" ] ], [ [ "Flibanserin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Flibanserin", "{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}", "Palbociclib" ] ], [ [ "Flibanserin", "{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}", "Palbociclib" ] ], [ [ "Flibanserin", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Flibanserin", "{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}", "Palbociclib" ] ], [ [ "Flibanserin", "{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}", "Palbociclib" ] ], [ [ "Flibanserin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ], [ "Lumacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ] ] ]
Flibanserin 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 Flibanserin 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 Palbociclib Flibanserin may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Flibanserin 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 Palbociclib Flibanserin 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 Palbociclib Flibanserin may lead to a major life threatening interaction when taken with Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Flibanserin 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 Palbociclib Flibanserin 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 Palbociclib Flibanserin may lead to a major life threatening interaction when taken with Lumacaftor and Lumacaftor may lead to a major life threatening interaction when taken with Palbociclib
DB00352
DB01050
482
848
[ "DDInter1814", "DDInter900" ]
Tioguanine
Ibuprofen
An antineoplastic compound which also has antimetabolite action. The drug is used in the therapy of acute leukemia.
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 the R-enantiomer.
Moderate
1
[ [ [ 482, 24, 848 ] ], [ [ 482, 24, 1307 ], [ 1307, 1, 848 ] ], [ [ 482, 6, 9320 ], [ 9320, 45, 848 ] ], [ [ 482, 21, 28868 ], [ 28868, 60, 848 ] ], [ [ 482, 24, 62 ], [ 62, 23, 848 ] ], [ [ 482, 63, 362 ], [ 362, 23, 848 ] ], [ [ 482, 63, 831 ], [ 831, 24, 848 ] ], [ [ 482, 24, 996 ], [ 996, 63, 848 ] ], [ [ 482, 23, 1299 ], [ 1299, 24, 848 ] ], [ [ 482, 23, 945 ], [ 945, 63, 848 ] ] ]
[ [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan" ], [ "Melphalan", "{u} (Compound) resembles {v} (Compound)", "Ibuprofen" ] ], [ [ "Tioguanine", "{u} (Compound) binds {v} (Gene)", "ABCC4" ], [ "ABCC4", "{u} (Gene) is bound by {v} (Compound)", "Ibuprofen" ] ], [ [ "Tioguanine", "{u} (Compound) causes {v} (Side Effect)", "Stomatitis" ], [ "Stomatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Ibuprofen" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tacrine" ], [ "Tacrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ibuprofen" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ibuprofen" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Indomethacin" ], [ "Indomethacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ], [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Tioguanine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Trovafloxacin" ], [ "Trovafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Tioguanine", "{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}", "Ibuprofen" ] ] ]
Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan and Melphalan (Compound) resembles Ibuprofen (Compound) Tioguanine (Compound) binds ABCC4 (Gene) and ABCC4 (Gene) is bound by Ibuprofen (Compound) Tioguanine (Compound) causes Stomatitis (Side Effect) and Stomatitis (Side Effect) is caused by Ibuprofen (Compound) Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Tacrine and Tacrine may cause a minor interaction that can limit clinical effects when taken with Ibuprofen Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin may cause a minor interaction that can limit clinical effects when taken with Ibuprofen Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Indomethacin and Indomethacin may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline and Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Tioguanine may cause a minor interaction that can limit clinical effects when taken with Trovafloxacin and Trovafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Tioguanine 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 Ibuprofen
DB06616
DB09039
594
1,670
[ "DDInter224", "DDInter629" ]
Bosutinib
Eliglustat
Bosutinib is a 7-alkoxy-3-quinolinecarbonitrile that functions as a potent, dual SRC and ABL tyrosine kinase inhibitor indicated for chronic myelogenous leukemia (CML), specifically Philadelphia chromosome-positive (Ph+) CML. Philadelphia chromosome is a hallmark of CML due to the reciprocal translocation t(9;22)(q34;q11), resulting in a BCR-ABL fusion protein.[A6902,A261796,A261801] The first BCR-ABL inhibitor, [imatinib], was introduced over a decade ago as a breakthrough in CML management; however, emerging resistance to [imatinib] poses challenges in achieving remission. Second-generation BCR-ABL inhibitors like bosutinib inhibit most resistance-conferring BCR-ABL mutations except V299L and T315, thus providing more therapeutic options for patients.[A6901,A17961] Bosutinib was first approved by the FDA in
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 (EMs), intermediate metabolizers (IMs), or poor metabolizers (PMs). The results of this test dictate eliglustat dosing recommendations for each type of patient. There are no dosing recommendations for CYP2D6 ultra-rapid or indeterminate metabolizers.[L41404,A7634] Eliglustat was approved by the FDA in August 2014 as an oral substrate reduction therapy for the first-line treatment of type 1 Gaucher disease.[L41404,A7634] Enzyme replacement continues to be the standard of care for the treatment of type 1 Gaucher disease ([imiglucerase], [velaglucerase alfa], [taliglucerase alfa]); however, oral substrate reduction therapies with favourable safety profiles, such as eliglustat, represent a treatment alternative.[A246389,A7634]
Moderate
1
[ [ [ 594, 24, 1670 ] ], [ [ 594, 63, 479 ], [ 479, 23, 1670 ] ], [ [ 594, 63, 839 ], [ 839, 24, 1670 ] ], [ [ 594, 24, 943 ], [ 943, 63, 1670 ] ], [ [ 594, 64, 1220 ], [ 1220, 24, 1670 ] ], [ [ 594, 25, 868 ], [ 868, 24, 1670 ] ], [ [ 594, 24, 1040 ], [ 1040, 24, 1670 ] ], [ [ 594, 25, 982 ], [ 982, 63, 1670 ] ], [ [ 594, 64, 762 ], [ 762, 25, 1670 ] ], [ [ 594, 63, 86 ], [ 86, 25, 1670 ] ] ]
[ [ [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Eliglustat" ] ], [ [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ], [ "Sarecycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Bosutinib", "{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}", "Eliglustat" ] ], [ [ "Bosutinib", "{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}", "Eliglustat" ] ], [ [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Bepridil" ], [ "Bepridil", "{u} may lead to a major life threatening interaction when taken with {v}", "Eliglustat" ] ], [ [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ], [ "Miconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Eliglustat" ] ] ]
Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Donepezil and Donepezil may cause a minor interaction that can limit clinical effects when taken with Eliglustat Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Grepafloxacin and Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline and Sarecycline may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat Bosutinib may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat Bosutinib may lead to a major life threatening interaction when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat Bosutinib 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 Eliglustat Bosutinib 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 Eliglustat Bosutinib may lead to a major life threatening interaction when taken with Bepridil and Bepridil may lead to a major life threatening interaction when taken with Eliglustat Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Miconazole and Miconazole may lead to a major life threatening interaction when taken with Eliglustat
DB01001
DB01118
688
33
[ "DDInter1632", "DDInter76" ]
Salbutamol
Amiodarone
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,
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
[ [ [ 688, 24, 33 ] ], [ [ 688, 24, 540 ], [ 540, 1, 33 ] ], [ [ 688, 6, 1704 ], [ 1704, 45, 33 ] ], [ [ 688, 21, 28779 ], [ 28779, 60, 33 ] ], [ [ 688, 63, 455 ], [ 455, 24, 33 ] ], [ [ 688, 24, 286 ], [ 286, 63, 33 ] ], [ [ 688, 62, 112 ], [ 112, 24, 33 ] ], [ [ 688, 23, 617 ], [ 617, 63, 33 ] ], [ [ 688, 24, 1493 ], [ 1493, 64, 33 ] ], [ [ 688, 63, 1425 ], [ 1425, 25, 33 ] ] ]
[ [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronedarone" ], [ "Dronedarone", "{u} (Compound) resembles {v} (Compound)", "Amiodarone" ] ], [ [ "Salbutamol", "{u} (Compound) binds {v} (Gene)", "ADRB1" ], [ "ADRB1", "{u} (Gene) is bound by {v} (Compound)", "Amiodarone" ] ], [ [ "Salbutamol", "{u} (Compound) causes {v} (Side Effect)", "Dry mouth" ], [ "Dry mouth", "{u} (Side Effect) is caused by {v} (Compound)", "Amiodarone" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Salbutamol", "{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}", "Amiodarone" ] ], [ [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Halofantrine" ], [ "Halofantrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Amiodarone" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cisapride" ], [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Amiodarone" ] ] ]
Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Dronedarone and Dronedarone (Compound) resembles Amiodarone (Compound) Salbutamol (Compound) binds ADRB1 (Gene) and ADRB1 (Gene) is bound by Amiodarone (Compound) Salbutamol (Compound) causes Dry mouth (Side Effect) and Dry mouth (Side Effect) is caused by Amiodarone (Compound) Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Salbutamol 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 Amiodarone Salbutamol may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Salbutamol may cause a minor interaction that can limit clinical effects when taken with Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Halofantrine and Halofantrine may lead to a major life threatening interaction when taken with Amiodarone Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Cisapride and Cisapride may lead to a major life threatening interaction when taken with Amiodarone
DB00631
DB09498
372
810
[ "DDInter405", "DDInter1715" ]
Clofarabine
Strontium chloride Sr-89
Clofarabine is a purine nucleoside antimetabolite that is being studied in the treatment of cancer. It is marketed as Clolar in the U.S. and Canada, or Evoltra in Europe, Australia, and New Zealand. Clofarabine is used in paediatrics to treat a type of leukaemia called relapsed or refractory acute lymphoblastic leukaemia (ALL), only after at least two other types of treatment have failed. It is not known if the drug extends life expectancy. Its potential use in acute myeloid leukaemia (AML) and juvenile myelomonocytic leukaemia (JMML) has been investigated.
Strontium chloride (Sr-89), initially FDA-approved in 1993, is used as a paliative therapeutic option to help relieve the pain from bone metastases. Strontium chloride is mainly used in cases of metastatic castrate-resistant prostate cancer. Bone metastases is a common and severe complication presented in advanced stages of the disease. It is usually presented mainly in patients with prostatic and breast cancer, as well as in cancer of lung, bladder and thyroid. There has been some cases of apparent tumor regression which has given it a potential tumoricidal effect.
Moderate
1
[ [ [ 372, 24, 810 ] ], [ [ 372, 63, 552 ], [ 552, 24, 810 ] ], [ [ 372, 35, 1224 ], [ 1224, 24, 810 ] ], [ [ 372, 24, 304 ], [ 304, 24, 810 ] ], [ [ 372, 24, 1480 ], [ 1480, 63, 810 ] ], [ [ 372, 1, 1488 ], [ 1488, 24, 810 ] ], [ [ 372, 25, 770 ], [ 770, 24, 810 ] ], [ [ 372, 25, 1259 ], [ 1259, 63, 810 ] ], [ [ 372, 64, 695 ], [ 695, 25, 810 ] ], [ [ 372, 63, 552 ], [ 552, 24, 1555 ], [ 1555, 24, 810 ] ] ]
[ [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ], [ "Carmustine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimetrexate" ], [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ], [ "Ixazomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{u} (Compound) resembles {v} (Compound)", "Fludarabine" ], [ "Fludarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{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}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clozapine" ], [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Strontium chloride Sr-89" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ], [ "Carmustine", "{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}", "Strontium chloride Sr-89" ] ] ]
Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Carmustine and Carmustine may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 Clofarabine (Compound) resembles Cytarabine (Compound) and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Trimetrexate and Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib and Ixazomib may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 Clofarabine (Compound) resembles Fludarabine (Compound) and Fludarabine may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 Clofarabine 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 Strontium chloride Sr-89 Clofarabine may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 Clofarabine may lead to a major life threatening interaction when taken with Clozapine and Clozapine may lead to a major life threatening interaction when taken with Strontium chloride Sr-89 Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Carmustine and Carmustine 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 Strontium chloride Sr-89
DB00390
DB00860
1,252
891
[ "DDInter554", "DDInter1513" ]
Digoxin
Prednisolone
Digoxin is one of the oldest cardiovascular medications used today. It is a common agent used to manage atrial fibrillation and the symptoms of heart failure. Digoxin is classified as a cardiac glycoside and was initially approved by the FDA in 1954. This drug originates from the foxglove plant, also known as the _Digitalis_ plant, studied by William Withering, an English physician and botanist in the 1780s.[A178237,A178240] Prior to this, a Welsh family, historically referred to as the _Physicians of Myddvai_, formulated drugs from this plant. They were one of the first to prescribe cardiac glycosides, according to ancient literature dating as early as the 1250s.
Prednisolone is a glucocorticoid similar to [cortisol] used for its anti-inflammatory, immunosuppressive, anti-neoplastic, and vasoconstrictive effects. Prednisolone was granted FDA approval on 21 June 1955.
Moderate
1
[ [ [ 1252, 24, 891 ] ], [ [ 1252, 24, 175 ], [ 175, 40, 891 ] ], [ [ 1252, 24, 167 ], [ 167, 1, 891 ] ], [ [ 1252, 7, 1899 ], [ 1899, 45, 891 ] ], [ [ 1252, 6, 8374 ], [ 8374, 45, 891 ] ], [ [ 1252, 7, 2900 ], [ 2900, 46, 891 ] ], [ [ 1252, 18, 10375 ], [ 10375, 57, 891 ] ], [ [ 1252, 7, 20113 ], [ 20113, 57, 891 ] ], [ [ 1252, 21, 28787 ], [ 28787, 60, 891 ] ], [ [ 1252, 23, 1384 ], [ 1384, 62, 891 ] ] ]
[ [ [ "Digoxin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisolone" ] ], [ [ "Digoxin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Prednisolone" ] ], [ [ "Digoxin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Prednisolone" ] ], [ [ "Digoxin", "{u} (Compound) upregulates {v} (Gene)", "NR3C1" ], [ "NR3C1", "{u} (Gene) is bound by {v} (Compound)", "Prednisolone" ] ], [ [ "Digoxin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Prednisolone" ] ], [ [ "Digoxin", "{u} (Compound) upregulates {v} (Gene)", "NFKBIA" ], [ "NFKBIA", "{u} (Gene) is upregulated by {v} (Compound)", "Prednisolone" ] ], [ [ "Digoxin", "{u} (Compound) downregulates {v} (Gene)", "RPS4Y1" ], [ "RPS4Y1", "{u} (Gene) is downregulated by {v} (Compound)", "Prednisolone" ] ], [ [ "Digoxin", "{u} (Compound) upregulates {v} (Gene)", "IER3" ], [ "IER3", "{u} (Gene) is downregulated by {v} (Compound)", "Prednisolone" ] ], [ [ "Digoxin", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Prednisolone" ] ], [ [ "Digoxin", "{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}", "Prednisolone" ] ] ]
Digoxin may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone (Compound) resembles Prednisolone (Compound) Digoxin may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone (Compound) resembles Prednisolone (Compound) Digoxin (Compound) upregulates NR3C1 (Gene) and NR3C1 (Gene) is bound by Prednisolone (Compound) Digoxin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Prednisolone (Compound) Digoxin (Compound) upregulates NFKBIA (Gene) and NFKBIA (Gene) is upregulated by Prednisolone (Compound) Digoxin (Compound) downregulates RPS4Y1 (Gene) and RPS4Y1 (Gene) is downregulated by Prednisolone (Compound) Digoxin (Compound) upregulates IER3 (Gene) and IER3 (Gene) is downregulated by Prednisolone (Compound) Digoxin (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Prednisolone (Compound) Digoxin 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 Prednisolone
DB00439
DB11837
289
1,297
[ "DDInter341", "DDInter1351" ]
Cerivastatin
Osilodrostat
On August 8, 2001 the U.S. Food and Drug Administration (FDA) announced that Bayer Pharmaceutical Division voluntarily withdrew Baycol from the U.S. market, due to reports of fatal rhabdomyolysis, a severe adverse reaction from this cholesterol-lowering (lipid-lowering) product. It has also been withdrawn from the Canadian market.[A669,L43942]
Osilodrostat is an inhibitor of 11β-hydroxylase (also referred to as CYP11B1), the enzyme that catalyzes the final step in the biosynthesis of endogenous cortisol. It is used to lower circulating cortisol levels in the treatment of Cushing's disease, a disorder in which cortisol levels are chronically and supraphysiologically elevated. Cushing's disease is often the result of ACTH hypersecretion secondary to a pituitary tumor, and surgical resection of the tumour is generally the treatment of choice. As an orally bioavailable drug therapy, osilodrostat provides a novel treatment option for patients in whom removal of the causative tumor is not an option or for whom previous pituitary surgery has not been curative. Osilodrostat is manufactured by Novartis under the brand name Isturisa. It has undergone phase II clinical trials for the treatment of solid tumours, hypertension, and heart failure, but development for these indications was discontinued by Novartis in January 2013. Osilodrostat was approved for use in the EU in January 2020 for the treatment of endogenous Cushing's syndrome (i.e. Cushing's disease), and was granted FDA approval and Orphan Drug designation in the US in March 2020 for the same indication.
Moderate
1
[ [ [ 289, 24, 1297 ] ], [ [ 289, 24, 112 ], [ 112, 23, 1297 ] ], [ [ 289, 24, 466 ], [ 466, 62, 1297 ] ], [ [ 289, 24, 578 ], [ 578, 24, 1297 ] ], [ [ 289, 64, 600 ], [ 600, 24, 1297 ] ], [ [ 289, 24, 159 ], [ 159, 63, 1297 ] ], [ [ 289, 24, 351 ], [ 351, 25, 1297 ] ], [ [ 289, 25, 609 ], [ 609, 25, 1297 ] ], [ [ 289, 24, 913 ], [ 913, 64, 1297 ] ], [ [ 289, 24, 112 ], [ 112, 23, 1247 ], [ 1247, 23, 1297 ] ] ]
[ [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Osilodrostat" ] ], [ [ "Cerivastatin", "{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}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Osilodrostat" ] ] ]
Cerivastatin 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 Osilodrostat Cerivastatin 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 Osilodrostat Cerivastatin 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 Osilodrostat Cerivastatin 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 Osilodrostat Cerivastatin 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 Osilodrostat Cerivastatin 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 Osilodrostat Cerivastatin 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 Osilodrostat Cerivastatin 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 Osilodrostat Cerivastatin 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 Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Osilodrostat
DB00371
DB01181
1,050
1,532
[ "DDInter1154", "DDInter906" ]
Meprobamate
Ifosfamide
A carbamate with hypnotic, sedative, and some muscle relaxant properties, although in therapeutic doses reduction of anxiety rather than a direct effect may be responsible for muscle relaxation. Meprobamate has been reported to have anticonvulsant actions against petit mal seizures, but not against grand mal seizures (which may be exacerbated). It is used in the treatment of anxiety disorders, and also for the short-term management of insomnia but has largely been superseded by the benzodiazepines. (From Martindale, The Extra Pharmacopoeia, 30th ed, p603) Meprobamate is a controlled substance in the U.S.
Ifosfamide is a chemotherapeutic agent chemically related to the nitrogen mustards and a synthetic analog of cyclophosphamide. It is active as an alkylating agent and an immunosuppressive agent.
Moderate
1
[ [ [ 1050, 24, 1532 ] ], [ [ 1050, 6, 10215 ], [ 10215, 45, 1532 ] ], [ [ 1050, 21, 28956 ], [ 28956, 60, 1532 ] ], [ [ 1050, 63, 1648 ], [ 1648, 24, 1532 ] ], [ [ 1050, 24, 401 ], [ 401, 24, 1532 ] ], [ [ 1050, 24, 849 ], [ 849, 63, 1532 ] ], [ [ 1050, 64, 475 ], [ 475, 24, 1532 ] ], [ [ 1050, 40, 210 ], [ 210, 24, 1532 ] ], [ [ 1050, 24, 770 ], [ 770, 25, 1532 ] ], [ [ 1050, 6, 10215 ], [ 10215, 45, 307 ], [ 307, 23, 1532 ] ] ]
[ [ [ "Meprobamate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Meprobamate", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Ifosfamide" ] ], [ [ "Meprobamate", "{u} (Compound) causes {v} (Side Effect)", "Palpitations" ], [ "Palpitations", "{u} (Side Effect) is caused by {v} (Compound)", "Ifosfamide" ] ], [ [ "Meprobamate", "{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}", "Ifosfamide" ] ], [ [ "Meprobamate", "{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}", "Ifosfamide" ] ], [ [ "Meprobamate", "{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}", "Ifosfamide" ] ], [ [ "Meprobamate", "{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}", "Ifosfamide" ] ], [ [ "Meprobamate", "{u} (Compound) resembles {v} (Compound)", "Carisoprodol" ], [ "Carisoprodol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Meprobamate", "{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}", "Ifosfamide" ] ], [ [ "Meprobamate", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ifosfamide" ] ] ]
Meprobamate (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Ifosfamide (Compound) Meprobamate (Compound) causes Palpitations (Side Effect) and Palpitations (Side Effect) is caused by Ifosfamide (Compound) Meprobamate 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 Ifosfamide Meprobamate 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 Ifosfamide Meprobamate 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 Ifosfamide Meprobamate 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 Ifosfamide Meprobamate (Compound) resembles Carisoprodol (Compound) and Carisoprodol may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Meprobamate 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 Ifosfamide Meprobamate (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Modafinil (Compound) and Modafinil may cause a minor interaction that can limit clinical effects when taken with Ifosfamide
DB00590
DB01143
1,433
923
[ "DDInter592", "DDInter65" ]
Doxazosin
Amifostine
Doxazosin is an alpha-1 antagonist used for the treatment of benign prostatic hypertrophy (BPH) symptoms and hypertension. Other members of this drug class include [Prazosin], [Terazosin], [Tamsulosin], and [Alfuzosin]. Because of its long-lasting effects, doxazosin can be administered once a day. It is marketed by Pfizer and was initially approved by the FDA in 1990.
A phosphorothioate proposed as a radiation-protective agent. It causes splenic vasodilation and may block autonomic ganglia.
Moderate
1
[ [ [ 1433, 24, 923 ] ], [ [ 1433, 21, 28642 ], [ 28642, 60, 923 ] ], [ [ 1433, 1, 1205 ], [ 1205, 24, 923 ] ], [ [ 1433, 24, 714 ], [ 714, 24, 923 ] ], [ [ 1433, 40, 472 ], [ 472, 24, 923 ] ], [ [ 1433, 40, 195 ], [ 195, 63, 923 ] ], [ [ 1433, 24, 885 ], [ 885, 63, 923 ] ], [ [ 1433, 63, 1061 ], [ 1061, 24, 923 ] ], [ [ 1433, 21, 28642 ], [ 28642, 60, 336 ], [ 336, 24, 923 ] ], [ [ 1433, 1, 1205 ], [ 1205, 21, 28642 ], [ 28642, 60, 923 ] ] ]
[ [ [ "Doxazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Doxazosin", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Amifostine" ] ], [ [ "Doxazosin", "{u} (Compound) resembles {v} (Compound)", "Prazosin" ], [ "Prazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Doxazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ], [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Doxazosin", "{u} (Compound) resembles {v} (Compound)", "Alfuzosin" ], [ "Alfuzosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Doxazosin", "{u} (Compound) resembles {v} (Compound)", "Terazosin" ], [ "Terazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Doxazosin", "{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}", "Amifostine" ] ], [ [ "Doxazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Doxazosin", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Doxazosin", "{u} (Compound) resembles {v} (Compound)", "Prazosin" ], [ "Prazosin", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Amifostine" ] ] ]
Doxazosin (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Amifostine (Compound) Doxazosin (Compound) resembles Prazosin (Compound) and Prazosin may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Doxazosin may cause a moderate interaction that could exacerbate diseases when taken with Iloprost and Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Doxazosin (Compound) resembles Alfuzosin (Compound) and Alfuzosin may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Doxazosin (Compound) resembles Terazosin (Compound) and Terazosin may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Doxazosin 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 Amifostine Doxazosin may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Doxazosin (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Doxazosin (Compound) resembles Prazosin (Compound) and Prazosin (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Amifostine (Compound)
DB00023
DB00812
305
998
[ "DDInter127", "DDInter1451" ]
Asparaginase Escherichia coli
Phenylbutazone
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
A drug that has anti-inflammatory, antipyretic, and analgesic activities. It is especially effective in the treatment of ankylosing spondylitis. It also is useful in rheumatoid arthritis and Reiter&#39;s syndrome (investigational indication). Although phenylbutazone is effective in gouty arthritis, risk/benefit considerations indicate that this drug should not be employed for this disease. (From AMA Drug Evaluations Annual, 1994, p1822)
Moderate
1
[ [ [ 305, 24, 998 ] ], [ [ 305, 24, 362 ], [ 362, 1, 998 ] ], [ [ 305, 24, 97 ], [ 97, 40, 998 ] ], [ [ 305, 24, 168 ], [ 168, 23, 998 ] ], [ [ 305, 25, 1101 ], [ 1101, 23, 998 ] ], [ [ 305, 24, 484 ], [ 484, 63, 998 ] ], [ [ 305, 24, 251 ], [ 251, 24, 998 ] ], [ [ 305, 25, 976 ], [ 976, 63, 998 ] ], [ [ 305, 24, 663 ], [ 663, 25, 998 ] ], [ [ 305, 24, 498 ], [ 498, 64, 998 ] ] ]
[ [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Phenylbutazone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ], [ "Oxaprozin", "{u} (Compound) resembles {v} (Compound)", "Phenylbutazone" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Phenylbutazone" ] ], [ [ "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}", "Phenylbutazone" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Phenylbutazone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Phenylbutazone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylbutazone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ], [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylbutazone" ] ] ]
Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Phenylbutazone (Compound) Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin and Oxaprozin (Compound) resembles Phenylbutazone (Compound) Asparaginase Escherichia coli 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 Phenylbutazone 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 Phenylbutazone Asparaginase Escherichia coli 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 Phenylbutazone Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone Asparaginase Escherichia coli 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 Phenylbutazone Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may lead to a major life threatening interaction when taken with Phenylbutazone Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban and Edoxaban may lead to a major life threatening interaction when taken with Phenylbutazone
DB00341
DB00850
1,242
1,630
[ "DDInter343", "DDInter1432" ]
Cetirizine
Perphenazine
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
An antipsychotic phenothiazine derivative with actions and uses similar to those of chlorpromazine.
Moderate
1
[ [ [ 1242, 24, 1630 ] ], [ [ 1242, 35, 252 ], [ 252, 40, 1630 ] ], [ [ 1242, 1, 1321 ], [ 1321, 40, 1630 ] ], [ [ 1242, 24, 508 ], [ 508, 40, 1630 ] ], [ [ 1242, 40, 11372 ], [ 11372, 1, 1630 ] ], [ [ 1242, 6, 10104 ], [ 10104, 45, 1630 ] ], [ [ 1242, 21, 29232 ], [ 29232, 60, 1630 ] ], [ [ 1242, 24, 717 ], [ 717, 24, 1630 ] ], [ [ 1242, 24, 849 ], [ 849, 63, 1630 ] ], [ [ 1242, 74, 701 ], [ 701, 24, 1630 ] ] ]
[ [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxyzine" ], [ "Hydroxyzine", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound)", "Prochlorperazine" ], [ "Prochlorperazine", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promazine" ], [ "Promazine", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound)", "Zuclopenthixol" ], [ "Zuclopenthixol", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ] ], [ [ "Cetirizine", "{u} (Compound) binds {v} (Gene)", "HRH1" ], [ "HRH1", "{u} (Gene) is bound by {v} (Compound)", "Perphenazine" ] ], [ [ "Cetirizine", "{u} (Compound) causes {v} (Side Effect)", "Urticaria" ], [ "Urticaria", "{u} (Side Effect) is caused by {v} (Compound)", "Perphenazine" ] ], [ [ "Cetirizine", "{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}", "Perphenazine" ] ], [ [ "Cetirizine", "{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}", "Perphenazine" ] ], [ [ "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}", "Perphenazine" ] ] ]
Cetirizine (Compound) resembles Hydroxyzine (Compound) and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxyzine and Hydroxyzine (Compound) resembles Perphenazine (Compound) Cetirizine (Compound) resembles Prochlorperazine (Compound) and Prochlorperazine (Compound) resembles Perphenazine (Compound) Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Promazine and Promazine (Compound) resembles Perphenazine (Compound) Cetirizine (Compound) resembles Zuclopenthixol (Compound) and Zuclopenthixol (Compound) resembles Perphenazine (Compound) Cetirizine (Compound) binds HRH1 (Gene) and HRH1 (Gene) is bound by Perphenazine (Compound) Cetirizine (Compound) causes Urticaria (Side Effect) and Urticaria (Side Effect) is caused by Perphenazine (Compound) Cetirizine 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 Perphenazine Cetirizine 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 Perphenazine 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 Perphenazine
DB00307
DB14761
1,101
242
[ "DDInter202", "DDInter1578" ]
Bexarotene
Remdesivir
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.
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative agent of coronavirus disease 2019 (COVID-19), which is a respiratory disease that is capable of progressing to viral pneumonia and acute respiratory distress syndrome (ARDS); COVID-19 can be fatal. Like other RNA viruses, SARS-CoV-2 depends on an RNA-dependent RNA polymerase (RdRp) enzyme complex for genomic replication, which can be inhibited by a class of drugs known as nucleoside analogues. Remdesivir (GS-5734) is an adenosine triphosphate analogue first described in the literature in 2016 as a potential treatment for Ebola.[A191379, A222393] Broad antiviral activity of remdesivir is suggested by its mechanism of action, and to date, it has demonstrated _in vitro_ activity against the _Arenaviridae_, _Flaviviridae_, _Filoviridae_, _Paramyxoviridae_, _Pneumoviridae_, and _Coronaviridae_ viral families. Remdesivir activity against the _Coronaviridae_ family was first demonstrated in 2017, leading to considerable interest in remdesivir as a possible treatment for COVID-19.[A191427, A198810] Remdesivir was confirmed as a non-obligate chain terminator of RdRp from SARS-CoV-2 and the related SARS-CoV and MERS-CoV, and has been investigated in multiple COVID-19 clinical trials.[L12174, L12177] After initially being granted an FDA Emergency Use Authorization (EUA) on May 1st, 2020, remdesivir was fully approved by the FDA for the treatment of COVID-19 on October 22, 2020. Remdesivir is currently marketed under the trademark name VEKLURY by Gilead Sciences Inc. Remdesivir was also approved by the European Commission on July 3, 2020. Remdesivir in combination with [baricitinib] for the treatment of COVID-19, was granted an FDA Emergency Use Authorization on November 19, 2020.
Moderate
1
[ [ [ 1101, 24, 242 ] ], [ [ 1101, 24, 1130 ], [ 1130, 24, 242 ] ], [ [ 1101, 25, 1377 ], [ 1377, 24, 242 ] ], [ [ 1101, 64, 367 ], [ 367, 24, 242 ] ], [ [ 1101, 62, 1324 ], [ 1324, 24, 242 ] ], [ [ 1101, 23, 1419 ], [ 1419, 24, 242 ] ], [ [ 1101, 63, 912 ], [ 912, 24, 242 ] ], [ [ 1101, 24, 1130 ], [ 1130, 64, 1377 ], [ 1377, 24, 242 ] ], [ [ 1101, 24, 467 ], [ 467, 25, 1377 ], [ 1377, 24, 242 ] ], [ [ 1101, 25, 1377 ], [ 1377, 25, 1130 ], [ 1130, 24, 242 ] ] ]
[ [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pioglitazone" ], [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Interferon alfacon-1" ], [ "Interferon alfacon-1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Bexarotene", "{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}", "Remdesivir" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pioglitazone" ], [ "Pioglitazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ], [ [ "Bexarotene", "{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}", "Pioglitazone" ], [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ] ] ]
Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Pioglitazone and Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Bexarotene may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Bexarotene may lead to a major life threatening interaction when taken with Interferon alfacon-1 and Interferon alfacon-1 may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Bexarotene may cause a minor interaction that can limit clinical effects when taken with Troglitazone and Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Bexarotene may cause a minor interaction that can limit clinical effects when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Bexarotene 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 Remdesivir Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Pioglitazone and Pioglitazone may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir Bexarotene 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 Pioglitazone and Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir
DB00331
DB01577
1,645
1,529
[ "DDInter1164", "DDInter1161" ]
Metformin
Metamfetamine
Metformin is a biguanide antihyperglycemic agent and first-line pharmacotherapy used in the management of type II diabetes.[L12207,A176173] Metformin is considered an antihyperglycemic drug because it lowers blood glucose concentrations in type II diabetes without causing hypoglycemia. It is commonly described as an "insulin sensitizer", leading to a decrease in insulin resistance and a clinically significant reduction of plasma fasting insulin levels. Another well-known benefit of this drug is modest weight loss, making it an effective choice for obese patients type II diabetes. Metformin was first approved in Canada in 1972, and received subsequent FDA approval in the US in 1995.
Metamfetamine (methamphetamine) is a psychostimulant and sympathomimetic drug, and a member of the amphetamine group of sympathomimetic amines. Methamphetamine can induce effects such as euphoria, increased alertness and energy, and enhanced self-esteem. It is a scheduled drug in most countries due to its high potential for addiction and abuse. The FDA withdrew its approval for the use of all parenteral drug products containing methamphetamine hydrochloride, a metamfetamine salt.
Moderate
1
[ [ [ 1645, 24, 1529 ] ], [ [ 1645, 24, 939 ], [ 939, 40, 1529 ] ], [ [ 1645, 24, 22 ], [ 22, 24, 1529 ] ], [ [ 1645, 24, 1039 ], [ 1039, 25, 1529 ] ], [ [ 1645, 6, 10659 ], [ 10659, 45, 1529 ] ], [ [ 1645, 21, 28762 ], [ 28762, 60, 1529 ] ], [ [ 1645, 62, 1647 ], [ 1647, 24, 1529 ] ], [ [ 1645, 63, 1179 ], [ 1179, 24, 1529 ] ], [ [ 1645, 24, 659 ], [ 659, 63, 1529 ] ], [ [ 1645, 25, 497 ], [ 497, 25, 1529 ] ] ]
[ [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metamfetamine" ] ], [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzphetamine" ], [ "Benzphetamine", "{u} (Compound) resembles {v} (Compound)", "Metamfetamine" ] ], [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metamfetamine" ] ], [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metamfetamine" ] ], [ [ "Metformin", "{u} (Compound) binds {v} (Gene)", "SLC22A3" ], [ "SLC22A3", "{u} (Gene) is bound by {v} (Compound)", "Metamfetamine" ] ], [ [ "Metformin", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Metamfetamine" ] ], [ [ "Metformin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acarbose" ], [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metamfetamine" ] ], [ [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin lispro" ], [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metamfetamine" ] ], [ [ "Metformin", "{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}", "Metamfetamine" ] ], [ [ "Metformin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Metamfetamine" ] ] ]
Metformin may cause a moderate interaction that could exacerbate diseases when taken with Benzphetamine and Benzphetamine (Compound) resembles Metamfetamine (Compound) Metformin may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Metamfetamine Metformin may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may lead to a major life threatening interaction when taken with Metamfetamine Metformin (Compound) binds SLC22A3 (Gene) and SLC22A3 (Gene) is bound by Metamfetamine (Compound) Metformin (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Metamfetamine (Compound) Metformin may cause a minor interaction that can limit clinical effects when taken with Acarbose and Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Metamfetamine Metformin may cause a moderate interaction that could exacerbate diseases when taken with Insulin lispro and Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Metamfetamine Metformin 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 Metamfetamine Metformin may lead to a major life threatening interaction when taken with Iohexol and Iohexol may lead to a major life threatening interaction when taken with Metamfetamine
DB09039
DB12035
1,670
943
[ "DDInter629", "DDInter1641" ]
Eliglustat
Sarecycline
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 (
Sarecycline is a semi-synthetic derivative of tetracycline that was initially discovered by Paratek Pharmaceuticals from Boston, MA but then licensed to Warner Chilcott of Rockaway, NJ in July of 2007 . After completing various phase-II and phase-III trials demonstrating its effectiveness in treating moderate to severe facial acne vulgaris [A39993, A39994] the US Food and Drug Administration approved Barcelona based Almirall, S.A.'s Seysara (sarecylcine) as a new first in class narrow spectrum tetracycline derived oral antibiotic for the treatment of inflammatory lesions of non-nodular moderate to severe acne vulgaris in patients nine years of age and older . Seysara (sarecycline) was originally part of Allergan's US Medical Dermatology portfolio, before Almirall acquired the portfolio in the second half of 2018 as a means of consolidating and reinforcing the dermatology-focused pharmaceutical company's presence in the United States . Acne vulgaris itself is a common chronic skin condition associated with the blockage and/or inflammation of hair follicles and their accompanying sebaceous glands . The acne often presents physically as a mixture of non-inflammatory and inflammatory lesions mainly on the face but on the back and chest as well . Based upon data from Global Burden of Disease studies, the acne vulgaris condition affects up to 85% of young adults aged 12 to 25 years globally - with the possibility of permanent physical and mental scarring resulting from cases of severe acne . Subsequently, while a number of first line tetracycline therapies like doxycycline and minocycline do exist for treating acne vulgaris, sarecycline presents a new and innovative therapy choice because it exhibits the necessary antibacterial activity against relevant pathogens that cause acne vulgaris but also possesses a low propensity for resistance development in such pathogens and a narrower, more specific spectrum of antibacterial activity, resulting in fewer off-target antibacterial effects on endogenous intestinal flora and consequently fewer resultant adverse effects associated with diarrhea, fungal overgrowth, etc.
Moderate
1
[ [ [ 1670, 24, 943 ] ], [ [ 1670, 23, 1135 ], [ 1135, 23, 943 ] ], [ [ 1670, 63, 1181 ], [ 1181, 24, 943 ] ], [ [ 1670, 25, 1456 ], [ 1456, 24, 943 ] ], [ [ 1670, 24, 1499 ], [ 1499, 24, 943 ] ], [ [ 1670, 24, 1619 ], [ 1619, 63, 943 ] ], [ [ 1670, 64, 1419 ], [ 1419, 24, 943 ] ], [ [ 1670, 25, 498 ], [ 498, 25, 943 ] ], [ [ 1670, 23, 1135 ], [ 1135, 23, 1456 ], [ 1456, 24, 943 ] ], [ [ 1670, 63, 1181 ], [ 1181, 24, 1456 ], [ 1456, 24, 943 ] ] ]
[ [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Eliglustat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sarecycline" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Eliglustat", "{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}", "Sarecycline" ] ], [ [ "Eliglustat", "{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}", "Sarecycline" ] ], [ [ "Eliglustat", "{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}", "Sarecycline" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ], [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Sarecycline" ] ], [ [ "Eliglustat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{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}", "Sarecycline" ] ] ]
Eliglustat may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Sarecycline Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Eliglustat may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Eliglustat 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 Sarecycline Eliglustat 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 Sarecycline Eliglustat 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 Sarecycline Eliglustat may lead to a major life threatening interaction when taken with Edoxaban and Edoxaban may lead to a major life threatening interaction when taken with Sarecycline Eliglustat may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Terfenadine and Terfenadine 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 Sarecycline
DB01058
DB01174
978
697
[ "DDInter1510", "DDInter1442" ]
Praziquantel
Phenobarbital
Praziquantel is a pyrazino-isoquinolein derivative from the thioxantonic group used as a broad anthelmintic spectrum. Specifically, it is known as a treatment of trematodes and cestodes infections such as schistosomiasis, taeniasis, and cysticercosis. The efficacy of praziquantel in treating parasitic flatworms infection with low cost (~US$0.20 drug cost to treat a child) makes it an integral to WHO's plan to eliminate schistosomiasis by 2030.[A263206,A263211] Despite being approved since 1980, the exact mechanism of action is yet to be elucidated.
A barbituric acid derivative that acts as a nonselective central nervous system depressant. It promotes binding to inhibitory gamma-aminobutyric acid subtype receptors, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
Major
2
[ [ [ 978, 25, 697 ] ], [ [ 978, 64, 759 ], [ 759, 1, 697 ] ], [ [ 978, 63, 536 ], [ 536, 40, 697 ] ], [ [ 978, 63, 1023 ], [ 1023, 1, 697 ] ], [ [ 978, 6, 7950 ], [ 7950, 45, 697 ] ], [ [ 978, 21, 29106 ], [ 29106, 60, 697 ] ], [ [ 978, 62, 752 ], [ 752, 23, 697 ] ], [ [ 978, 63, 1101 ], [ 1101, 23, 697 ] ], [ [ 978, 63, 353 ], [ 353, 24, 697 ] ], [ [ 978, 24, 1487 ], [ 1487, 63, 697 ] ] ]
[ [ [ "Praziquantel", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenobarbital" ] ], [ [ "Praziquantel", "{u} may lead to a major life threatening interaction when taken with {v}", "Primidone" ], [ "Primidone", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentobarbital" ], [ "Pentobarbital", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Praziquantel", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Phenobarbital" ] ], [ [ "Praziquantel", "{u} (Compound) causes {v} (Side Effect)", "Myalgia" ], [ "Myalgia", "{u} (Side Effect) is caused by {v} (Compound)", "Phenobarbital" ] ], [ [ "Praziquantel", "{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}", "Phenobarbital" ] ], [ [ "Praziquantel", "{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}", "Phenobarbital" ] ], [ [ "Praziquantel", "{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}", "Phenobarbital" ] ], [ [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ] ]
Praziquantel may lead to a major life threatening interaction when taken with Primidone and Primidone (Compound) resembles Phenobarbital (Compound) Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital (Compound) resembles Phenobarbital (Compound) Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Pentobarbital and Pentobarbital (Compound) resembles Phenobarbital (Compound) Praziquantel (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Phenobarbital (Compound) Praziquantel (Compound) causes Myalgia (Side Effect) and Myalgia (Side Effect) is caused by Phenobarbital (Compound) Praziquantel 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 Phenobarbital Praziquantel 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 Phenobarbital Praziquantel 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 Phenobarbital Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital
DB00023
DB00564
305
1,236
[ "DDInter127", "DDInter293" ]
Asparaginase Escherichia coli
Carbamazepine
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
Carbamazepine, also known as Tegretol, is an anticonvulsant drug and analgesic drug used to control seizures and to treat pain resulting from trigeminal neuralgia. It was initially approved by the FDA in 1965. Aside from the above uses, this drug is also given to control the symptoms of bipolar 1. Interestingly, carbamazepine was the first anticonvulsant used to treat individuals with bipolar disorder.
Moderate
1
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[ [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Carbamazepine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nicotinamide" ], [ "Nicotinamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Carbamazepine" ] ], [ [ "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}", "Carbamazepine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Blinatumomab" ], [ "Blinatumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Carbamazepine" ] ] ]
Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Carbamazepine (Compound) Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Nicotinamide and Nicotinamide may cause a minor interaction that can limit clinical effects when taken with Carbamazepine 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 Carbamazepine Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Alemtuzumab and Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Blinatumomab and Blinatumomab may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Golimumab and Golimumab may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Infliximab and Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Carbamazepine
DB00757
DB00808
1,166
1,605
[ "DDInter581", "DDInter916" ]
Dolasetron
Indapamide
Dolasetron is an antinauseant and antiemetic agent indicated for the prevention of nausea and vomiting associated with moderately-emetogenic cancer chemotherapy and for the prevention of postoperative nausea and vomiting. Dolasetron is a highly specific and selective serotonin 5-HT3 receptor antagonist. This drug is not shown to have activity at other known serotonin receptors, and has low affinity for dopamine receptors.
The most significant modifiable risk factor for cardiovascular disease and the most prominent contributor to all-cause mortality is hypertension. Characterized by an office blood pressure of ≥140/90, hypertension is pervasive and impacts an estimated 25% of adults globally. Treatment for hypertension should include a number of lifestyle changes (ie. reduced sodium intake) along with pharmacotherapy - it should be noted that treatment with several antihypertensive agents may be required in order to achieve blood pressure targets. Thiazide-like diuretics such as indapamide are a valuable tool for the treatment of hypertension and continue to grow in popularity, falling behind only ACE inhibitors in terms of prescription frequency. When compared to [hydrochlorothiazide] (another commonly prescribed diuretic), indapamide has been shown to be superior at lowering systolic blood pressure, reducing left ventricular mass index, lowering oxidative stress, inhibiting platelet aggregation, and reducing microalbuminuria associated with diabetes. Interestingly, unlike thiazide diuretics, several sources suggest that indapamide is not associated with glucose or lipid disturbances.[A204134,A204161] Indapamide is characterized by both a methylindoline and a sulfamoyl chlorobenzamide functional group, with the former being largely responsible for the molecule’s lipid solubility.
Major
2
[ [ [ 1166, 25, 1605 ] ], [ [ 1166, 64, 811 ], [ 811, 1, 1605 ] ], [ [ 1166, 6, 8374 ], [ 8374, 45, 1605 ] ], [ [ 1166, 21, 28826 ], [ 28826, 60, 1605 ] ], [ [ 1166, 40, 85 ], [ 85, 23, 1605 ] ], [ [ 1166, 1, 19 ], [ 19, 23, 1605 ] ], [ [ 1166, 63, 475 ], [ 475, 24, 1605 ] ], [ [ 1166, 25, 593 ], [ 593, 63, 1605 ] ], [ [ 1166, 24, 688 ], [ 688, 63, 1605 ] ], [ [ 1166, 64, 11 ], [ 11, 24, 1605 ] ] ]
[ [ [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Indapamide" ] ], [ [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Metolazone" ], [ "Metolazone", "{u} (Compound) resembles {v} (Compound)", "Indapamide" ] ], [ [ "Dolasetron", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Indapamide" ] ], [ [ "Dolasetron", "{u} (Compound) causes {v} (Side Effect)", "Jaundice" ], [ "Jaundice", "{u} (Side Effect) is caused by {v} (Compound)", "Indapamide" ] ], [ [ "Dolasetron", "{u} (Compound) resembles {v} (Compound)", "Atropine" ], [ "Atropine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Indapamide" ] ], [ [ "Dolasetron", "{u} (Compound) resembles {v} (Compound)", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Indapamide" ] ], [ [ "Dolasetron", "{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}", "Indapamide" ] ], [ [ "Dolasetron", "{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}", "Indapamide" ] ], [ [ "Dolasetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Indapamide" ] ], [ [ "Dolasetron", "{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}", "Indapamide" ] ] ]
Dolasetron may lead to a major life threatening interaction when taken with Metolazone and Metolazone (Compound) resembles Indapamide (Compound) Dolasetron (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Indapamide (Compound) Dolasetron (Compound) causes Jaundice (Side Effect) and Jaundice (Side Effect) is caused by Indapamide (Compound) Dolasetron (Compound) resembles Atropine (Compound) and Atropine may cause a minor interaction that can limit clinical effects when taken with Indapamide Dolasetron (Compound) resembles Hyoscyamine (Compound) and Hyoscyamine may cause a minor interaction that can limit clinical effects when taken with Indapamide Dolasetron 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 Indapamide Dolasetron 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 Indapamide Dolasetron may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Indapamide Dolasetron 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 Indapamide
DB00005
DB00620
1,057
175
[ "DDInter687", "DDInter1855" ]
Etanercept
Triamcinolone
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).
Triamcinolone is a corticosteroid used to treat various inflammatory conditions in the body from allergic rhinitis to acute exacerbations of multiple sclerosis. Triamcinolone can be used as a one time adjunct treatment of osteoarthritic knee pain, or first line as a topical treatment of corticosteroid responsive dermatoses. Triamcinolone is more commonly seen in the forms triamcinolone hexacetonide, triamcinolone acetonide, and triamcinolone diacetate.[L8246,L8249,L8252,L8255,L8258,L8261,L8264] Triamcinolone was granted FDA approval on 3 December 1957. In October 2021, a suspension of triamcinolone acetonide was approved for suprachoroidal injection - the first suprachoroidal injection to receive FDA approval - for the treatment of patients with macular edema associated with uveitis.
Major
2
[ [ [ 1057, 25, 175 ] ], [ [ 1057, 25, 1573 ], [ 1573, 1, 175 ] ], [ [ 1057, 25, 617 ], [ 617, 40, 175 ] ], [ [ 1057, 24, 1072 ], [ 1072, 62, 175 ] ], [ [ 1057, 23, 1461 ], [ 1461, 23, 175 ] ], [ [ 1057, 23, 1193 ], [ 1193, 62, 175 ] ], [ [ 1057, 24, 1430 ], [ 1430, 63, 175 ] ], [ [ 1057, 24, 1428 ], [ 1428, 24, 175 ] ], [ [ 1057, 25, 270 ], [ 270, 63, 175 ] ], [ [ 1057, 25, 1184 ], [ 1184, 24, 175 ] ] ]
[ [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Triamcinolone" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Prednisone" ], [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Budesonide" ], [ "Budesonide", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoniazid" ], [ "Isoniazid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Triamcinolone" ] ], [ [ "Etanercept", "{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}", "Triamcinolone" ] ], [ [ "Etanercept", "{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}", "Triamcinolone" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ], [ "Sipuleucel-T", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isradipine" ], [ "Isradipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ] ] ]
Etanercept may lead to a major life threatening interaction when taken with Prednisone and Prednisone (Compound) resembles Triamcinolone (Compound) Etanercept may lead to a major life threatening interaction when taken with Budesonide and Budesonide (Compound) resembles Triamcinolone (Compound) Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Isoniazid and Isoniazid may cause a minor interaction that can limit clinical effects when taken with Triamcinolone Etanercept 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 Triamcinolone Etanercept 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 Triamcinolone Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T and Sipuleucel-T may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Isradipine and Isradipine may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone Etanercept may lead to a major life threatening interaction when taken with Ocrelizumab and Ocrelizumab may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone Etanercept may lead to a major life threatening interaction when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone
DB00539
DB08871
11
36
[ "DDInter1837", "DDInter666" ]
Toremifene
Eribulin
Toremifene is a selective estrogen receptor modulator (SERM) and a nonsteroidal antiestrogen used to treat estrogen receptor positive breast cancer. Like [tamoxifen], toremifene is part of the first-generation triphenylethylene derivative chemical class of SERMs. Toremifene possesses tissue-specific actions: it has estrogenic (agonist) activity on the cardiovascular system and on bone tissue and it has weak estrogenic effects on uterine tissue, however, it also has antiestrogenic (estrogen-antagonist) activity on breast tissue.
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 .
Major
2
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[ [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Eribulin" ] ], [ [ "Toremifene", "{u} (Compound) treats {v} (Disease)", "breast cancer" ], [ "breast cancer", "{u} (Disease) is treated by {v} (Compound)", "Eribulin" ] ], [ [ "Toremifene", "{u} (Compound) downregulates {v} (Gene)", "TUBB6" ], [ "TUBB6", "{u} (Gene) is bound by {v} (Compound)", "Eribulin" ] ], [ [ "Toremifene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verapamil" ], [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Eribulin" ] ], [ [ "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}", "Eribulin" ] ], [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Paliperidone" ], [ "Paliperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ] ], [ [ "Toremifene", "{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}", "Eribulin" ] ], [ [ "Toremifene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ] ], [ [ "Toremifene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olanzapine" ], [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ] ], [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Oliceridine" ], [ "Oliceridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ] ] ]
Toremifene (Compound) treats breast cancer (Disease) and breast cancer (Disease) is treated by Eribulin (Compound) Toremifene (Compound) downregulates TUBB6 (Gene) and TUBB6 (Gene) is bound by Eribulin (Compound) Toremifene may cause a moderate interaction that could exacerbate diseases when taken with Verapamil and Verapamil may cause a minor interaction that can limit clinical effects when taken with Eribulin 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 Eribulin Toremifene may lead to a major life threatening interaction when taken with Paliperidone and Paliperidone may cause a moderate interaction that could exacerbate diseases when taken with Eribulin Toremifene 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 Eribulin Toremifene may cause a moderate interaction that could exacerbate diseases when taken with Donepezil and Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Eribulin Toremifene may cause a moderate interaction that could exacerbate diseases when taken with Olanzapine and Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Eribulin Toremifene may lead to a major life threatening interaction when taken with Oliceridine and Oliceridine may cause a moderate interaction that could exacerbate diseases when taken with Eribulin
DB00564
DB00603
1,236
303
[ "DDInter293", "DDInter1137" ]
Carbamazepine
Medroxyprogesterone acetate
Carbamazepine, also known as Tegretol, is an anticonvulsant drug and analgesic drug used to control seizures and to treat pain resulting from trigeminal neuralgia. It was initially approved by the FDA in 1965. Aside from the above uses, this drug is also given to control the symptoms of bipolar 1. Interestingly, carbamazepine was the first anticonvulsant used to treat individuals with bipolar disorder.
Medroxyprogesterone acetate (MPA) is a [progesterone] derivative that is more resistant to metabolism for improved pharmacokinetic properties. MPA can be use to treat secondary amenorrhea, endometrial hyperplasia, abnormal uterine bleeding, osteoporosis, vasomotor symptoms in menopause, vulvar and vaginal atrophy, prevent pregnancy, manage pain in endometriosis, prevent pregnancy, and is also used in palliative care for endometrial and renal carcinoma.[L8657,L8660,L8663,L8666,L8669] Medroxyprogesterone acetate was granted FDA approval on 18 June 1959.
Moderate
1
[ [ [ 1236, 24, 303 ] ], [ [ 1236, 24, 167 ], [ 167, 1, 303 ] ], [ [ 1236, 6, 8374 ], [ 8374, 45, 303 ] ], [ [ 1236, 21, 28957 ], [ 28957, 60, 303 ] ], [ [ 1236, 24, 888 ], [ 888, 62, 303 ] ], [ [ 1236, 63, 305 ], [ 305, 24, 303 ] ], [ [ 1236, 25, 1478 ], [ 1478, 63, 303 ] ], [ [ 1236, 24, 1093 ], [ 1093, 63, 303 ] ], [ [ 1236, 64, 1064 ], [ 1064, 24, 303 ] ], [ [ 1236, 40, 307 ], [ 307, 63, 303 ] ] ]
[ [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{u} (Compound) causes {v} (Side Effect)", "Arthralgia" ], [ "Arthralgia", "{u} (Side Effect) is caused by {v} (Compound)", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{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}", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixekizumab" ], [ "Ixekizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{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}", "Medroxyprogesterone acetate" ] ], [ [ "Carbamazepine", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ] ] ]
Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone (Compound) resembles Medroxyprogesterone acetate (Compound) Carbamazepine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Medroxyprogesterone acetate (Compound) Carbamazepine (Compound) causes Arthralgia (Side Effect) and Arthralgia (Side Effect) is caused by Medroxyprogesterone acetate (Compound) Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen may cause a minor interaction that can limit clinical effects when taken with Medroxyprogesterone acetate Carbamazepine 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 Medroxyprogesterone acetate Carbamazepine may lead to a major life threatening interaction when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Ixekizumab and Ixekizumab may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate Carbamazepine 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 Medroxyprogesterone acetate Carbamazepine (Compound) resembles Modafinil (Compound) and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate
DB00427
DB06702
1,233
573
[ "DDInter1879", "DDInter731" ]
Triprolidine
Fesoterodine
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.
Fesoterodine is an antimuscarinic prodrug for the treatment of overactive bladder syndrome.
Moderate
1
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[ [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fesoterodine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolterodine" ], [ "Tolterodine", "{u} (Compound) resembles {v} (Compound)", "Fesoterodine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Disopyramide" ], [ "Disopyramide", "{u} (Compound) resembles {v} (Compound)", "Fesoterodine" ] ], [ [ "Triprolidine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Fesoterodine" ] ], [ [ "Triprolidine", "{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}", "Fesoterodine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aclidinium" ], [ "Aclidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fesoterodine" ] ], [ [ "Triprolidine", "{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}", "Fesoterodine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolterodine" ], [ "Tolterodine", "{u} (Compound) resembles {v} (Compound)", "Disopyramide" ], [ "Disopyramide", "{u} (Compound) resembles {v} (Compound)", "Fesoterodine" ] ], [ [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Disopyramide" ], [ "Disopyramide", "{u} (Compound) resembles {v} (Compound)", "Tolterodine" ], [ "Tolterodine", "{u} (Compound) resembles {v} (Compound)", "Fesoterodine" ] ], [ [ "Triprolidine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Tolterodine" ], [ "Tolterodine", "{u} (Compound) resembles {v} (Compound)", "Fesoterodine" ] ] ]
Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Tolterodine and Tolterodine (Compound) resembles Fesoterodine (Compound) Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Disopyramide and Disopyramide (Compound) resembles Fesoterodine (Compound) Triprolidine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Fesoterodine (Compound) Triprolidine 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 Fesoterodine Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Aclidinium and Aclidinium may cause a moderate interaction that could exacerbate diseases when taken with Fesoterodine Triprolidine 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 Fesoterodine Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Tolterodine and Tolterodine (Compound) resembles Disopyramide (Compound) and Disopyramide (Compound) resembles Fesoterodine (Compound) Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Disopyramide and Disopyramide (Compound) resembles Tolterodine (Compound) and Tolterodine (Compound) resembles Fesoterodine (Compound) Triprolidine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Tolterodine (Compound) and Tolterodine (Compound) resembles Fesoterodine (Compound)