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DB00810
DB01246
456
820
[ "DDInter211", "DDInter45" ]
Biperiden
Alimemazine
A muscarinic antagonist that has effects in both the central and peripheral nervous systems. It has been used in the treatment of arteriosclerotic, idiopathic, and postencephalitic parkinsonism. It has also been used to alleviate extrapyramidal symptoms induced by phenothiazine derivatives and reserpine.
A phenothiazine derivative that is used as an antipruritic.
Moderate
1
[ [ [ 456, 24, 820 ] ], [ [ 456, 24, 104 ], [ 104, 40, 820 ] ], [ [ 456, 24, 401 ], [ 401, 24, 820 ] ], [ [ 456, 24, 649 ], [ 649, 1, 820 ] ], [ [ 456, 18, 3769 ], [ 3769, 46, 820 ] ], [ [ 456, 7, 9242 ], [ 9242, 46, 820 ] ], [ [ 456, 18, 6797 ], [ 6797, 57, 820 ] ], [ [ 456, 63, 475 ], [ 475, 24, 820 ] ], [ [ 456, 1, 1386 ], [ 1386, 24, 820 ] ], [ [ 456, 24, 1429 ], [ 1429, 63, 820 ] ] ]
[ [ [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Biperiden", "{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" ] ], [ [ "Biperiden", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ] ], [ [ "Biperiden", "{u} (Compound) downregulates {v} (Gene)", "EBP" ], [ "EBP", "{u} (Gene) is upregulated by {v} (Compound)", "Alimemazine" ] ], [ [ "Biperiden", "{u} (Compound) upregulates {v} (Gene)", "WDR7" ], [ "WDR7", "{u} (Gene) is upregulated by {v} (Compound)", "Alimemazine" ] ], [ [ "Biperiden", "{u} (Compound) downregulates {v} (Gene)", "CYCS" ], [ "CYCS", "{u} (Gene) is downregulated by {v} (Compound)", "Alimemazine" ] ], [ [ "Biperiden", "{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}", "Alimemazine" ] ], [ [ "Biperiden", "{u} (Compound) resembles {v} (Compound)", "Procyclidine" ], [ "Procyclidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ] ], [ [ "Biperiden", "{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}", "Alimemazine" ] ] ]
Biperiden may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine (Compound) resembles Alimemazine (Compound) Biperiden 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 Biperiden may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Alimemazine (Compound) Biperiden (Compound) downregulates EBP (Gene) and EBP (Gene) is upregulated by Alimemazine (Compound) Biperiden (Compound) upregulates WDR7 (Gene) and WDR7 (Gene) is upregulated by Alimemazine (Compound) Biperiden (Compound) downregulates CYCS (Gene) and CYCS (Gene) is downregulated by Alimemazine (Compound) Biperiden 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 Alimemazine Biperiden (Compound) resembles Procyclidine (Compound) and Procyclidine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine Biperiden 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 Alimemazine
DB04844
DB14568
843
982
[ "DDInter1778", "DDInter1000" ]
Tetrabenazine
Ivosidenib
A drug formerly used as an antipsychotic but now used primarily in the symptomatic treatment of various hyperkinetic disorders. It is a monoamine depletor and used as symptomatic treatment of chorea associated with Huntington's disease. FDA approved on August 15, 2008.
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
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[ [ [ "Tetrabenazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Tetrabenazine", "{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" ] ], [ [ "Tetrabenazine", "{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" ] ], [ [ "Tetrabenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ], [ "Bisacodyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Tetrabenazine", "{u} (Compound) resembles {v} (Compound)", "Donepezil" ], [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ] ], [ [ "Tetrabenazine", "{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" ] ], [ [ "Tetrabenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Tetrabenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ] ], [ [ "Tetrabenazine", "{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}", "Ivosidenib" ] ], [ [ "Tetrabenazine", "{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}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ivosidenib" ] ] ]
Tetrabenazine 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 Tetrabenazine 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 Tetrabenazine may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl and Bisacodyl may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Tetrabenazine (Compound) resembles Donepezil (Compound) and Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib Tetrabenazine 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 Tetrabenazine may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib and Glasdegib may lead to a major life threatening interaction when taken with Ivosidenib Tetrabenazine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may lead to a major life threatening interaction when taken with Ivosidenib Tetrabenazine 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 Ivosidenib Tetrabenazine 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 Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Ivosidenib
DB00574
DB01064
121
1,148
[ "DDInter717", "DDInter987" ]
Fenfluramine
Isoprenaline
Dravet syndrome is a pediatric encephalopathy that typically manifests within the first year of life following exposure to elevated temperatures. It is characterized by recurrent pharmacoresistant seizures, which increase in frequency and severity with disease progression. Concomitantly with these seizures, patients typically display delayed development and neurocognitive impairment.[A214694, A214709, A214712, A214715] Fenfluramine is a serotonergic phenethylamine originally used as an appetite suppressant until concerns regarding cardiotoxicity in obese patients lead to its withdrawal from the market in 1997.[A214694, A214718, A11906] Through its ability to modulate neurotransmission, fenfluramine has reemerged as an effective therapy against pharmacoresistant seizures, such as those involved in Dravet syndrome.[A214688, A214691, A214700] Fenfluramine was granted initial FDA approval in 1973 prior to its withdrawal
Isoprenaline is a non-selective beta adrenergic receptor agonist indicated to treat heart block, Adams-Stokes attacks, bronchospasm in anesthesia, cadiac arrest, hypovolemic shocks, septic shock, hypoperfusion, congestive hear failure, and cardiogenic shock.[A15638,L33160] Isoprenaline research in the 1940s found that this isopropyl analog of epinephrine dilated the bronchi, as well as raising the heart rate and cardiac output, without vasoconstriction.[A233724,A233729] The US patent from 1943 states that this compound had a wider therapeutic index and a stronger action than [adrenaline]. Isoprenaline was granted FDA approval on 19 February 1948.
Moderate
1
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[ [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{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}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Droxidopa" ], [ "Droxidopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tramadol" ], [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ], [ "Milnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxapine" ], [ "Amoxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenelzine" ], [ "Phenelzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronedarone" ], [ "Dronedarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Isoprenaline" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methadone" ], [ "Methadone", "{u} may lead to a major life threatening interaction when taken with {v}", "Isoprenaline" ] ] ]
Fenfluramine 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 Isoprenaline Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Droxidopa and Droxidopa may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Fenfluramine may lead to a major life threatening interaction when taken with Tramadol and Tramadol may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Fenfluramine may lead to a major life threatening interaction when taken with Milnacipran and Milnacipran may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Amoxapine and Amoxapine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Fenfluramine may lead to a major life threatening interaction when taken with Phenelzine and Phenelzine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Dronedarone and Dronedarone may lead to a major life threatening interaction when taken with Isoprenaline Fenfluramine may lead to a major life threatening interaction when taken with Thioridazine and Thioridazine may lead to a major life threatening interaction when taken with Isoprenaline Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Methadone and Methadone may lead to a major life threatening interaction when taken with Isoprenaline
DB00501
DB11828
752
1,406
[ "DDInter380", "DDInter1281" ]
Cimetidine
Neratinib
A histamine congener, it competitively inhibits histamine binding to histamine H2 receptors. Cimetidine has a range of pharmacological actions. It inhibits gastric acid secretion, as well as pepsin and gastrins output. It also blocks the activity of cytochrome P-450 which might explain proposals for use in neoadjuvant therapy.
Neratinib was approved in July 2017 for use as an extended adjuvant therapy in Human Epidermal Growth Factor Receptor 2 (HER2) positive breast cancer. Approval was granted to Puma Biotechnology Inc. for the tradename Nerlynx. Neratinib is currently under investigation for use in many other forms of cancer.
Major
2
[ [ [ 752, 25, 1406 ] ], [ [ 752, 23, 1135 ], [ 1135, 23, 1406 ] ], [ [ 752, 24, 392 ], [ 392, 24, 1406 ] ], [ [ 752, 62, 1252 ], [ 1252, 24, 1406 ] ], [ [ 752, 23, 1117 ], [ 1117, 24, 1406 ] ], [ [ 752, 24, 829 ], [ 829, 63, 1406 ] ], [ [ 752, 64, 1181 ], [ 1181, 24, 1406 ] ], [ [ 752, 25, 543 ], [ 543, 24, 1406 ] ], [ [ 752, 24, 1554 ], [ 1554, 25, 1406 ] ], [ [ 752, 24, 283 ], [ 283, 64, 1406 ] ] ]
[ [ [ "Cimetidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ] ], [ [ "Cimetidine", "{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}", "Neratinib" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ] ], [ [ "Cimetidine", "{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}", "Neratinib" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium bicarbonate" ], [ "Sodium bicarbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ], [ "Ubrogepant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ] ], [ [ "Cimetidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ] ], [ [ "Cimetidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Colchicine" ], [ "Colchicine", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ] ], [ [ "Cimetidine", "{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}", "Neratinib" ] ] ]
Cimetidine 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 Neratinib Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Neratinib Cimetidine 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 Neratinib Cimetidine may cause a minor interaction that can limit clinical effects when taken with Sodium bicarbonate and Sodium bicarbonate may cause a moderate interaction that could exacerbate diseases when taken with Neratinib Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant and Ubrogepant may cause a moderate interaction that could exacerbate diseases when taken with Neratinib Cimetidine may lead to a major life threatening interaction when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Neratinib Cimetidine may lead to a major life threatening interaction when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Neratinib Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Colchicine and Colchicine may lead to a major life threatening interaction when taken with Neratinib Cimetidine 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 Neratinib
DB00501
DB12941
752
466
[ "DDInter380", "DDInter481" ]
Cimetidine
Darolutamide
A histamine congener, it competitively inhibits histamine binding to histamine H2 receptors. Cimetidine has a range of pharmacological actions. It inhibits gastric acid secretion, as well as pepsin and gastrins output. It also blocks the activity of cytochrome P-450 which might explain proposals for use in neoadjuvant therapy.
Darolutamide is a nonsteroidal androgen receptor antagonist for the treatment of castrate-resistant, non-metastatic prostate cancer (nmCRPC). This condition occurs in the majority of patients with advanced prostate cancer who have been treated with androgen receptor antagonists. Though prior treatment for prostate cancer has been successful for these patients, the cancer eventually progresses to become resistant to existing therapies. This warrants further treatment. The goal of treatment with darolutamide is to delay the progression of prostate cancer to metastatic disease, increasing quality of life and life expectancy for those with advanced prostate cancer.[A189054,A189063] Darolutamide was developed by Bayer HealthCare Pharmaceuticals Inc. and approved by the FDA on July 30th, 2019.
Minor
0
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[ [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosamprenavir" ], [ "Fosamprenavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Cimetidine", "{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}", "Darolutamide" ] ], [ [ "Cimetidine", "{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}", "Darolutamide" ] ], [ [ "Cimetidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nelfinavir" ], [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ubrogepant" ], [ "Ubrogepant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ] ]
Cimetidine may cause a minor interaction that can limit clinical effects when taken with Voriconazole and Voriconazole may cause a minor interaction that can limit clinical effects when taken with Darolutamide Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Fosamprenavir and Fosamprenavir may cause a minor interaction that can limit clinical effects when taken with Darolutamide Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a minor interaction that can limit clinical effects when taken with Darolutamide Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Cimetidine 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 Darolutamide Cimetidine 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 Darolutamide Cimetidine may lead to a major life threatening interaction when taken with Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Cimetidine may cause a minor interaction that can limit clinical effects when taken with Nelfinavir and Nelfinavir may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Ubrogepant and Ubrogepant may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide
DB00030
DB00263
1,685
1,029
[ "DDInter934", "DDInter1727" ]
Insulin human
Sulfisoxazole
Human Insulin, also known as Regular Insulin, is a short-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Human insulin is produced by recombinant DNA technology and is identical to endogenously produced insulin. Typically prescribed for the management of diabetes mellitus, insulin is 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 among many other functions. Insulin is an important treatment in the management of Type 1 Diabetes (T1D) which is caused by an autoimmune reaction that destroys
A short-acting sulfonamide antibacterial with activity against a wide range of gram- negative and gram-positive organisms.
Moderate
1
[ [ [ 1685, 24, 1029 ] ], [ [ 1685, 24, 1247 ], [ 1247, 40, 1029 ] ], [ [ 1685, 24, 161 ], [ 161, 1, 1029 ] ], [ [ 1685, 24, 245 ], [ 245, 24, 1029 ] ], [ [ 1685, 24, 1411 ], [ 1411, 63, 1029 ] ], [ [ 1685, 63, 305 ], [ 305, 24, 1029 ] ], [ [ 1685, 24, 1247 ], [ 1247, 40, 11328 ], [ 11328, 1, 1029 ] ], [ [ 1685, 24, 161 ], [ 161, 1, 11328 ], [ 11328, 1, 1029 ] ], [ [ 1685, 24, 245 ], [ 245, 24, 1247 ], [ 1247, 40, 1029 ] ], [ [ 1685, 24, 1411 ], [ 1411, 63, 1247 ], [ 1247, 40, 1029 ] ] ]
[ [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfisoxazole" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} (Compound) resembles {v} (Compound)", "Sulfisoxazole" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfadiazine" ], [ "Sulfadiazine", "{u} (Compound) resembles {v} (Compound)", "Sulfisoxazole" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfisoxazole" ] ], [ [ "Insulin human", "{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}", "Sulfisoxazole" ] ], [ [ "Insulin human", "{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}", "Sulfisoxazole" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} (Compound) resembles {v} (Compound)", "Sulfacytine" ], [ "Sulfacytine", "{u} (Compound) resembles {v} (Compound)", "Sulfisoxazole" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfadiazine" ], [ "Sulfadiazine", "{u} (Compound) resembles {v} (Compound)", "Sulfacytine" ], [ "Sulfacytine", "{u} (Compound) resembles {v} (Compound)", "Sulfisoxazole" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} (Compound) resembles {v} (Compound)", "Sulfisoxazole" ] ], [ [ "Insulin human", "{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}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} (Compound) resembles {v} (Compound)", "Sulfisoxazole" ] ] ]
Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Sulfamethoxazole and Sulfamethoxazole (Compound) resembles Sulfisoxazole (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Sulfadiazine and Sulfadiazine (Compound) resembles Sulfisoxazole (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Sulfisoxazole Insulin human 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 Sulfisoxazole Insulin human 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 Sulfisoxazole Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Sulfamethoxazole and Sulfamethoxazole (Compound) resembles Sulfacytine (Compound) and Sulfacytine (Compound) resembles Sulfisoxazole (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Sulfadiazine and Sulfadiazine (Compound) resembles Sulfacytine (Compound) and Sulfacytine (Compound) resembles Sulfisoxazole (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Sulfamethoxazole and Sulfamethoxazole (Compound) resembles Sulfisoxazole (Compound) Insulin human 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 Sulfamethoxazole and Sulfamethoxazole (Compound) resembles Sulfisoxazole (Compound)
DB00434
DB00810
13
456
[ "DDInter459", "DDInter211" ]
Cyproheptadine
Biperiden
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 muscarinic antagonist that has effects in both the central and peripheral nervous systems. It has been used in the treatment of arteriosclerotic, idiopathic, and postencephalitic parkinsonism. It has also been used to alleviate extrapyramidal symptoms induced by phenothiazine derivatives and reserpine.
Moderate
1
[ [ [ 13, 24, 456 ] ], [ [ 13, 63, 1105 ], [ 1105, 40, 456 ] ], [ [ 13, 6, 4304 ], [ 4304, 45, 456 ] ], [ [ 13, 7, 1898 ], [ 1898, 46, 456 ] ], [ [ 13, 7, 8800 ], [ 8800, 57, 456 ] ], [ [ 13, 18, 14040 ], [ 14040, 57, 456 ] ], [ [ 13, 24, 104 ], [ 104, 63, 456 ] ], [ [ 13, 24, 832 ], [ 832, 24, 456 ] ], [ [ 13, 63, 475 ], [ 475, 24, 456 ] ], [ [ 13, 25, 1621 ], [ 1621, 25, 456 ] ] ]
[ [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Biperiden" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trihexyphenidyl" ], [ "Trihexyphenidyl", "{u} (Compound) resembles {v} (Compound)", "Biperiden" ] ], [ [ "Cyproheptadine", "{u} (Compound) binds {v} (Gene)", "CHRM2" ], [ "CHRM2", "{u} (Gene) is bound by {v} (Compound)", "Biperiden" ] ], [ [ "Cyproheptadine", "{u} (Compound) upregulates {v} (Gene)", "GADD45A" ], [ "GADD45A", "{u} (Gene) is upregulated by {v} (Compound)", "Biperiden" ] ], [ [ "Cyproheptadine", "{u} (Compound) upregulates {v} (Gene)", "RBM34" ], [ "RBM34", "{u} (Gene) is downregulated by {v} (Compound)", "Biperiden" ] ], [ [ "Cyproheptadine", "{u} (Compound) downregulates {v} (Gene)", "BDH1" ], [ "BDH1", "{u} (Gene) is downregulated by {v} (Compound)", "Biperiden" ] ], [ [ "Cyproheptadine", "{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}", "Biperiden" ] ], [ [ "Cyproheptadine", "{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}", "Biperiden" ] ], [ [ "Cyproheptadine", "{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}", "Biperiden" ] ], [ [ "Cyproheptadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium chloride" ], [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Biperiden" ] ] ]
Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Trihexyphenidyl and Trihexyphenidyl (Compound) resembles Biperiden (Compound) Cyproheptadine (Compound) binds CHRM2 (Gene) and CHRM2 (Gene) is bound by Biperiden (Compound) Cyproheptadine (Compound) upregulates GADD45A (Gene) and GADD45A (Gene) is upregulated by Biperiden (Compound) Cyproheptadine (Compound) upregulates RBM34 (Gene) and RBM34 (Gene) is downregulated by Biperiden (Compound) Cyproheptadine (Compound) downregulates BDH1 (Gene) and BDH1 (Gene) is downregulated by Biperiden (Compound) Cyproheptadine 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 Biperiden Cyproheptadine 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 Biperiden Cyproheptadine 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 Biperiden Cyproheptadine may lead to a major life threatening interaction when taken with Potassium chloride and Potassium chloride may lead to a major life threatening interaction when taken with Biperiden
DB00361
DB05679
134
1,683
[ "DDInter1939", "DDInter1907" ]
Vinorelbine
Ustekinumab
Vinorelbine is an anti-mitotic chemotherapy drug that is used in the treatment of several types of malignancies, including breast cancer and non-small cell lung cancer (NSCLC). It was initially approved in the USA in 1990's for the treatment of NSCLC. It is a third-generation vinca alkaloid. The introduction of third-generation drugs (vinorelbine, gemcitabine, taxanes) in platinum combination improved survival of patients with advanced NSCLC, with very similar results from the various drugs. Treatment toxicities are considerable in the combination treatment setting. A study was done on the clearance rate of vinorelbine on individuals with various single polymorphonuclear mutations. It was found that there was 4.3-fold variation in vinorelbine clearance across the cohort, suggesting a strong influence of genetics on the clearance of this drug.
Ustekinumab is a human immunoglobulin (Ig) G1 kappa monoclonal antibody directed against interleukin(IL)-12 and IL-23, which are cytokines that are involved in immune and inflammatory responses. It was generated via recombinant human IL-12 immunization of human Ig (hu-Ig) transgenic mice. It is a targeted biologic disease-modifying anti-rheumatic drug (bDMARDs) that is used in the management of various inflammatory conditions that involve the activation of IL-12 and IL-23 signalling pathways. The therapeutic use of the drug started in Canada, the US, and Europe since 2009 when it was first approved for the treatment of adult patients with moderate to severe plaque psoriasis and active psoriatic arthritis, alone or in combination with [methotrexate]. In September 2016, ustekinumab was additionally approved for the management of moderate to severe Crohn's disease in selected adult patients. In October 2019, it was also approved by the FDA for use to manage moderately to severely active ulcerative colitis in adults. Ustekinumab is currently the first and only approved biologic therapy for ulcerative colitis that targets the interleukin (IL)-12 and IL-23 cytokines. The dosing regimen for ustekinumab is based on the patient's weight and there are intravenous and subcutaneous formulations of the drug based on the dosing schedule and condition being treated. Ustekinumab is commonly marketed under the trade name STELARA. Ustekinumab biosimilars are available in some markets, including Wezlana (ustekinumab-auub) in the US and Jamteki (AVT04) in Canada.
Moderate
1
[ [ [ 134, 24, 1683 ] ], [ [ 134, 63, 1461 ], [ 1461, 23, 1683 ] ], [ [ 134, 24, 1362 ], [ 1362, 63, 1683 ] ], [ [ 134, 24, 1001 ], [ 1001, 24, 1683 ] ], [ [ 134, 63, 141 ], [ 141, 24, 1683 ] ], [ [ 134, 25, 384 ], [ 384, 63, 1683 ] ], [ [ 134, 25, 770 ], [ 770, 24, 1683 ] ], [ [ 134, 24, 1583 ], [ 1583, 64, 1683 ] ], [ [ 134, 25, 908 ], [ 908, 64, 1683 ] ], [ [ 134, 64, 1066 ], [ 1066, 25, 1683 ] ] ]
[ [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{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}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mechlorethamine" ], [ "Mechlorethamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ], [ "Floxuridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarilumab" ], [ "Sarilumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Ustekinumab" ] ], [ [ "Vinorelbine", "{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}", "Ustekinumab" ] ] ]
Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Ustekinumab Vinorelbine 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 Ustekinumab Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Mechlorethamine and Mechlorethamine may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Floxuridine and Floxuridine may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Vinorelbine may lead to a major life threatening interaction when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Vinorelbine may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Sarilumab and Sarilumab may lead to a major life threatening interaction when taken with Ustekinumab Vinorelbine may lead to a major life threatening interaction when taken with Golimumab and Golimumab may lead to a major life threatening interaction when taken with Ustekinumab Vinorelbine 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 Ustekinumab
DB00352
DB08903
482
996
[ "DDInter1814", "DDInter170" ]
Tioguanine
Bedaquiline
An antineoplastic compound which also has antimetabolite action. The drug is used in the therapy of acute leukemia.
Bedaquiline is a bactericidal antimycobacterial drug belonging to the class of diarylquinoline. The quinolinic central heterocyclic nucleus with alcohol and amine side chains is responsible for bedaquiline-mediated antimycobacterial activity. Although it is closely related to fluoroquinolones, bedaquiline does not affect DNA gyrase; instead, bedaquiline inhibits the c subunit of ATP synthase responsible for synthesizing ATP. Consequently, bedaquiline can be used to treat mycobacterial infection, particularly tuberculosis (TB). Although the current standard of TB treatment of anti-TB drugs for 2 months, including 2 key drugs [isoniazid] and [rifampin], is highly effective, the emergence of multidrug-resistant TB (MDR-TB) to [isoniazid] and [rifampin] has substantially worsened patients outcome. Bedaquiline was approved by the FDA on December 28, 2012, to treat pulmonary MDR-TB, following favorable results in multiple pre-clinical and clinical studies.[A261856,A261861] It is the first drug that was approved in the last 40 years by the FDA for TB unresponsive to current treatments on the market. Currently, bedaquiline is the last-line anti-TB drug and must only be used in an appropriate combination regimen.[L48506,A261866]
Moderate
1
[ [ [ 482, 24, 996 ] ], [ [ 482, 21, 28722 ], [ 28722, 60, 996 ] ], [ [ 482, 24, 713 ], [ 713, 63, 996 ] ], [ [ 482, 24, 848 ], [ 848, 24, 996 ] ], [ [ 482, 63, 491 ], [ 491, 24, 996 ] ], [ [ 482, 25, 770 ], [ 770, 24, 996 ] ], [ [ 482, 64, 581 ], [ 581, 24, 996 ] ], [ [ 482, 35, 328 ], [ 328, 24, 996 ] ], [ [ 482, 24, 609 ], [ 609, 25, 996 ] ], [ [ 482, 25, 1377 ], [ 1377, 25, 996 ] ] ]
[ [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Tioguanine", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Bedaquiline" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ], [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2a" ], [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Tioguanine", "{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}", "Bedaquiline" ] ], [ [ "Tioguanine", "{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}", "Bedaquiline" ] ], [ [ "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 cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Tioguanine", "{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}", "Bedaquiline" ] ], [ [ "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}", "Bedaquiline" ] ] ]
Tioguanine (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Bedaquiline (Compound) Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen and Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2a and Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Tioguanine 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 Bedaquiline Tioguanine 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 Bedaquiline Tioguanine (Compound) resembles Mercaptopurine (Compound) and Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine and Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Tioguanine 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 Bedaquiline 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 Bedaquiline
DB00501
DB01124
752
1,411
[ "DDInter380", "DDInter1828" ]
Cimetidine
Tolbutamide
A histamine congener, it competitively inhibits histamine binding to histamine H2 receptors. Cimetidine has a range of pharmacological actions. It inhibits gastric acid secretion, as well as pepsin and gastrins output. It also blocks the activity of cytochrome P-450 which might explain proposals for use in neoadjuvant therapy.
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
[ [ [ 752, 24, 1411 ] ], [ [ 752, 24, 959 ], [ 959, 40, 1411 ] ], [ [ 752, 63, 245 ], [ 245, 40, 1411 ] ], [ [ 752, 6, 10215 ], [ 10215, 45, 1411 ] ], [ [ 752, 21, 29455 ], [ 29455, 60, 1411 ] ], [ [ 752, 24, 1347 ], [ 1347, 23, 1411 ] ], [ [ 752, 62, 556 ], [ 556, 23, 1411 ] ], [ [ 752, 24, 1478 ], [ 1478, 63, 1411 ] ], [ [ 752, 62, 831 ], [ 831, 24, 1411 ] ], [ [ 752, 23, 559 ], [ 559, 24, 1411 ] ] ]
[ [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ] ], [ [ "Cimetidine", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Tolbutamide" ] ], [ [ "Cimetidine", "{u} (Compound) causes {v} (Side Effect)", "Agranulocytosis" ], [ "Agranulocytosis", "{u} (Side Effect) is caused by {v} (Compound)", "Tolbutamide" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tolbutamide" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Valproic acid" ], [ "Valproic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tolbutamide" ] ], [ [ "Cimetidine", "{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}", "Tolbutamide" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Indomethacin" ], [ "Indomethacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Estrone" ], [ "Estrone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ] ] ]
Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide (Compound) resembles Tolbutamide (Compound) Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride (Compound) resembles Tolbutamide (Compound) Cimetidine (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Tolbutamide (Compound) Cimetidine (Compound) causes Agranulocytosis (Side Effect) and Agranulocytosis (Side Effect) is caused by Tolbutamide (Compound) Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Clopidogrel and Clopidogrel may cause a minor interaction that can limit clinical effects when taken with Tolbutamide Cimetidine may cause a minor interaction that can limit clinical effects when taken with Valproic acid and Valproic acid may cause a minor interaction that can limit clinical effects when taken with Tolbutamide Cimetidine 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 Tolbutamide Cimetidine may cause a minor interaction that can limit clinical effects when taken with Indomethacin and Indomethacin may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide Cimetidine may cause a minor interaction that can limit clinical effects when taken with Estrone and Estrone may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide
DB00405
DB00909
128
306
[ "DDInter517", "DDInter1971" ]
Dexbrompheniramine
Zonisamide
Dexbrompheniramine maleate is an antihistamine agent that is used for the treatment of allergic conditions, such as hay fever or urticaria.
Zonisamide is a sulfonamide anticonvulsant used as an adjunctive therapy in adults with partial-onset seizures.[L42530,L42535] Zonisamide may act by blocking repetitive firing of voltage-gated sodium channels, leading to a reduction of T-type calcium channel currents or by binding allosterically to GABA receptors. This latter action may inhibit the uptake of the inhibitory neurotransmitter GABA while enhancing the uptake of the excitatory neurotransmitter glutamate.[L42530,L42535] Zonisamide represents an alternative for patients that remain refractory to established antiepileptic drugs. In 1989, it was approved for commercial use in Japan. The US and Europe approved it in 2000 and 2005, respectively.[A1379,A1383]
Major
2
[ [ [ 128, 25, 306 ] ], [ [ 128, 24, 1609 ], [ 1609, 63, 306 ] ], [ [ 128, 24, 717 ], [ 717, 24, 306 ] ], [ [ 128, 63, 475 ], [ 475, 24, 306 ] ], [ [ 128, 24, 537 ], [ 537, 64, 306 ] ], [ [ 128, 74, 1594 ], [ 1594, 25, 306 ] ], [ [ 128, 24, 85 ], [ 85, 25, 306 ] ], [ [ 128, 63, 701 ], [ 701, 25, 306 ] ], [ [ 128, 24, 1609 ], [ 1609, 63, 770 ], [ 770, 63, 306 ] ], [ [ 128, 24, 770 ], [ 770, 6, 10215 ], [ 10215, 45, 306 ] ] ]
[ [ [ "Dexbrompheniramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Dexbrompheniramine", "{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}", "Zonisamide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "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 lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ] ], [ [ "Dexbrompheniramine", "{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}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Zonisamide" ] ] ]
Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Trimethobenzamide and Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Dexbrompheniramine 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 Zonisamide Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine may lead to a major life threatening interaction when taken with Zonisamide Dexbrompheniramine (Compound) resembles Doxylamine (Compound) and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may lead to a major life threatening interaction when taken with Zonisamide Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine may lead to a major life threatening interaction when taken with Zonisamide Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may lead to a major life threatening interaction when taken with Zonisamide Dexbrompheniramine 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 Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Zonisamide (Compound)
DB00087
DB01041
599
770
[ "DDInter41", "DDInter1789" ]
Alemtuzumab
Thalidomide
Alemtuzumab is a humanized monoclonal antibody specific to lymphocyte antigens. It is a recombinant DNA-derived humanized monoclonal antibody (Campath-1H) that is directed against the 21-28 kD cell surface glycoprotein, CD52. The Campath-1H antibody is an IgG1 kappa with the human variable framework and constant regions, and complementarity-determining regions from a murine (rat) monoclonal antibody (Campath-1G). Alemtuzumab is produced in mammalian cell (Chinese hamster ovary) suspension culture in a medium containing neomycin. Alemtuzumab was approved by the FDA in 2001. It is marketed as LEMTRADA for multiple sclerosis (MS) treatment and CAMPTAH for B-cell chronic lymphocytic leukemia (B-CLL). The dose of alemtuzumab used for B-CLL is
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.
Moderate
1
[ [ [ 599, 24, 770 ] ], [ [ 599, 24, 1668 ], [ 1668, 1, 770 ] ], [ [ 599, 24, 4 ], [ 4, 63, 770 ] ], [ [ 599, 24, 1401 ], [ 1401, 24, 770 ] ], [ [ 599, 63, 491 ], [ 491, 24, 770 ] ], [ [ 599, 25, 1624 ], [ 1624, 64, 770 ] ], [ [ 599, 24, 63 ], [ 63, 25, 770 ] ], [ [ 599, 24, 1468 ], [ 1468, 64, 770 ] ], [ [ 599, 63, 669 ], [ 669, 25, 770 ] ], [ [ 599, 25, 1064 ], [ 1064, 25, 770 ] ] ]
[ [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lenalidomide" ], [ "Lenalidomide", "{u} (Compound) resembles {v} (Compound)", "Thalidomide" ] ], [ [ "Alemtuzumab", "{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" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procainamide" ], [ "Procainamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2a" ], [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ] ], [ [ "Alemtuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ], [ "Rotavirus vaccine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ], [ [ "Alemtuzumab", "{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}", "Thalidomide" ] ], [ [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denileukin diftitox" ], [ "Denileukin diftitox", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ] ], [ [ "Alemtuzumab", "{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}", "Thalidomide" ] ] ]
Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Lenalidomide and Lenalidomide (Compound) resembles Thalidomide (Compound) Alemtuzumab 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 Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Procainamide and Procainamide may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2a and Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide Alemtuzumab may lead to a major life threatening interaction when taken with Rotavirus vaccine and Rotavirus vaccine may lead to a major life threatening interaction when taken with Thalidomide Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Teniposide and Teniposide may lead to a major life threatening interaction when taken with Thalidomide Alemtuzumab 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 Thalidomide Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Denileukin diftitox and Denileukin diftitox may lead to a major life threatening interaction when taken with Thalidomide Alemtuzumab 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 Thalidomide
DB00063
DB00278
366
291
[ "DDInter659", "DDInter117" ]
Eptifibatide
Argatroban
Synthetic cyclic hexapeptide that binds to platelet receptor glycoprotein and inhibits platelet aggregation. Derived from venom of the Southeastern pygmy rattlesnake (Sistrurus miliarus barbouri), eptifibatide is a cyclic heptapeptide that belongs to the class of arginin-glycin-aspartat-mimetics.
Argatroban is a direct, selective thrombin inhibitor. The American College of Cardiologists (ACC) recommend using bivalirudin or argatroban in patients who have had, or at risk for, heparin induced thrombocytopenia (HIT) and are undergoing percutaneous coronary intervention. Argatroban is a non-heparin anticoagulant shown to both normalize platelet count in patients with HIT and prevent the formation of thrombi. Parental anticoagulants must be stopped and a baseline activated partial thromboplastin time must be obtained prior to administering argatroban.
Major
2
[ [ [ 366, 25, 291 ] ], [ [ 366, 23, 297 ], [ 297, 62, 291 ] ], [ [ 366, 24, 972 ], [ 972, 63, 291 ] ], [ [ 366, 24, 1230 ], [ 1230, 24, 291 ] ], [ [ 366, 63, 1595 ], [ 1595, 24, 291 ] ], [ [ 366, 25, 1167 ], [ 1167, 25, 291 ] ], [ [ 366, 25, 707 ], [ 707, 64, 291 ] ], [ [ 366, 64, 1271 ], [ 1271, 25, 291 ] ], [ [ 366, 24, 477 ], [ 477, 64, 291 ] ], [ [ 366, 63, 942 ], [ 942, 25, 291 ] ] ]
[ [ [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clove" ], [ "Clove", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ], [ "Choline salicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Collagenase clostridium histolyticum" ], [ "Collagenase clostridium histolyticum", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Streptokinase" ], [ "Streptokinase", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ], [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Alteplase" ], [ "Alteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ] ], [ [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bivalirudin" ], [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ] ] ]
Eptifibatide may cause a minor interaction that can limit clinical effects when taken with Clove and Clove may cause a minor interaction that can limit clinical effects when taken with Argatroban Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate and Choline salicylate may cause a moderate interaction that could exacerbate diseases when taken with Argatroban Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Citalopram and Citalopram may cause a moderate interaction that could exacerbate diseases when taken with Argatroban Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Collagenase clostridium histolyticum and Collagenase clostridium histolyticum may cause a moderate interaction that could exacerbate diseases when taken with Argatroban Eptifibatide may lead to a major life threatening interaction when taken with Streptokinase and Streptokinase may lead to a major life threatening interaction when taken with Argatroban Eptifibatide may lead to a major life threatening interaction when taken with Danaparoid and Danaparoid may lead to a major life threatening interaction when taken with Argatroban Eptifibatide may lead to a major life threatening interaction when taken with Alteplase and Alteplase may lead to a major life threatening interaction when taken with Argatroban Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol and Cilostazol may lead to a major life threatening interaction when taken with Argatroban Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Bivalirudin and Bivalirudin may lead to a major life threatening interaction when taken with Argatroban
DB00745
DB09143
307
313
[ "DDInter1236", "DDInter1701" ]
Modafinil
Sonidegib
Modafinil is a stimulant drug marketed as a 'wakefulness promoting agent' and is one of the stimulants used in the treatment of narcolepsy. Narcolepsy is caused by dysfunction of a family of wakefulness-promoting and sleep-suppressing peptides, the orexins, whose neurons are activated by modafinil. The prexin neuron activation is associated with psychoactivation and euphoria. The exact mechanism of action is unclear, although in vitro studies have shown it to inhibit the reuptake of dopamine by binding to the dopamine reuptake pump, and lead to an increase in extracellular dopamine. Modafinil activates glutamatergic circuits while inhibiting GABA.
Sonidegib is a Hedgehog signaling pathway inhibitor (via smoothened antagonism) developed as an anticancer agent by Novartis. It was FDA approved in 2015 for the treatment of basal cell carcinoma.
Major
2
[ [ [ 307, 25, 313 ] ], [ [ 307, 63, 837 ], [ 837, 23, 313 ] ], [ [ 307, 24, 379 ], [ 379, 23, 313 ] ], [ [ 307, 23, 478 ], [ 478, 24, 313 ] ], [ [ 307, 24, 578 ], [ 578, 24, 313 ] ], [ [ 307, 62, 597 ], [ 597, 24, 313 ] ], [ [ 307, 25, 484 ], [ 484, 63, 313 ] ], [ [ 307, 24, 1320 ], [ 1320, 63, 313 ] ], [ [ 307, 63, 353 ], [ 353, 24, 313 ] ], [ [ 307, 23, 1619 ], [ 1619, 63, 313 ] ] ]
[ [ [ "Modafinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Sonidegib" ] ], [ [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pantoprazole" ], [ "Pantoprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sonidegib" ] ], [ [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ], [ "Rabeprazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sonidegib" ] ], [ [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sonidegib" ] ], [ [ "Modafinil", "{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}", "Sonidegib" ] ], [ [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sonidegib" ] ], [ [ "Modafinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sonidegib" ] ], [ [ "Modafinil", "{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}", "Sonidegib" ] ], [ [ "Modafinil", "{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}", "Sonidegib" ] ], [ [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sonidegib" ] ] ]
Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Pantoprazole and Pantoprazole may cause a minor interaction that can limit clinical effects when taken with Sonidegib Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole and Rabeprazole may cause a minor interaction that can limit clinical effects when taken with Sonidegib Modafinil may cause a minor interaction that can limit clinical effects when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Sonidegib Modafinil 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 Sonidegib Modafinil may cause a minor interaction that can limit clinical effects when taken with Chloramphenicol and Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Sonidegib Modafinil may lead to a major life threatening interaction when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Sonidegib Modafinil 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 Sonidegib Modafinil 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 Sonidegib Modafinil may cause a minor interaction that can limit clinical effects when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Sonidegib
DB00197
DB08880
1,324
1,510
[ "DDInter1881", "DDInter1771" ]
Troglitazone
Teriflunomide
Troglitazone was withdrawn in 2000 due to risk of hepatotoxicity. It was superseded by [pioglitazone] and [rosiglitazone].
Teriflunomide is the active metabolite of leflunomide, and it acts as an immunomodulatory agent by inhibiting pyrimidine synthesis. It is marketed under the name Aubagio® and is indicated for the treatment of multiple sclerosis, specifically relapsing forms. The FDA label states an important warning about the risk of hepatoxicity and teratogenicity for patients using teriflunomide.
Major
2
[ [ [ 1324, 25, 1510 ] ], [ [ 1324, 23, 608 ], [ 608, 23, 1510 ] ], [ [ 1324, 24, 129 ], [ 129, 63, 1510 ] ], [ [ 1324, 23, 1612 ], [ 1612, 63, 1510 ] ], [ [ 1324, 24, 303 ], [ 303, 24, 1510 ] ], [ [ 1324, 24, 1622 ], [ 1622, 25, 1510 ] ], [ [ 1324, 24, 637 ], [ 637, 64, 1510 ] ], [ [ 1324, 63, 168 ], [ 168, 25, 1510 ] ], [ [ 1324, 25, 990 ], [ 990, 25, 1510 ] ], [ [ 1324, 23, 1101 ], [ 1101, 25, 1510 ] ] ]
[ [ [ "Troglitazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Troglitazone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Teriflunomide" ] ], [ [ "Troglitazone", "{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" ] ], [ [ "Troglitazone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fostemsavir" ], [ "Fostemsavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ], [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ], [ "Asparaginase Erwinia chrysanthemi", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Troglitazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ], [ "Lomitapide", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ] ], [ [ "Troglitazone", "{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}", "Teriflunomide" ] ] ]
Troglitazone may cause a minor interaction that can limit clinical effects when taken with Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Teriflunomide Troglitazone 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 Troglitazone may cause a minor interaction that can limit clinical effects when taken with Fostemsavir and Fostemsavir may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate and Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Voriconazole and Voriconazole may lead to a major life threatening interaction when taken with Teriflunomide Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi and Asparaginase Erwinia chrysanthemi may lead to a major life threatening interaction when taken with Teriflunomide Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may lead to a major life threatening interaction when taken with Teriflunomide Troglitazone may lead to a major life threatening interaction when taken with Lomitapide and Lomitapide may lead to a major life threatening interaction when taken with Teriflunomide Troglitazone 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 Teriflunomide
DB00451
DB00598
542
1,523
[ "DDInter1064", "DDInter1013" ]
Levothyroxine
Labetalol
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
Labetalol is a racemic mixture of 2 diastereoisomers where dilevalol, the R,R' stereoisomer, makes up 25% of the mixture. Labetalol is formulated as an injection or tablets to treat hypertension.[L7727,L7730] Labetalol was granted FDA approval on 1 August 1984.
Minor
0
[ [ [ 542, 23, 1523 ] ], [ [ 542, 24, 532 ], [ 532, 1, 1523 ] ], [ [ 542, 21, 28936 ], [ 28936, 60, 1523 ] ], [ [ 542, 40, 1152 ], [ 1152, 23, 1523 ] ], [ [ 542, 24, 1384 ], [ 1384, 62, 1523 ] ], [ [ 542, 62, 417 ], [ 417, 23, 1523 ] ], [ [ 542, 23, 752 ], [ 752, 24, 1523 ] ], [ [ 542, 24, 636 ], [ 636, 63, 1523 ] ], [ [ 542, 63, 590 ], [ 590, 24, 1523 ] ], [ [ 542, 24, 99 ], [ 99, 24, 1523 ] ] ]
[ [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Labetalol" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dobutamine" ], [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Labetalol" ] ], [ [ "Levothyroxine", "{u} (Compound) causes {v} (Side Effect)", "Hyperhidrosis" ], [ "Hyperhidrosis", "{u} (Side Effect) is caused by {v} (Compound)", "Labetalol" ] ], [ [ "Levothyroxine", "{u} (Compound) resembles {v} (Compound)", "Liothyronine" ], [ "Liothyronine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Labetalol" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magaldrate" ], [ "Magaldrate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Labetalol" ] ], [ [ "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}", "Labetalol" ] ], [ [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Labetalol" ] ], [ [ "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}", "Labetalol" ] ], [ [ "Levothyroxine", "{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}", "Labetalol" ] ], [ [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propylthiouracil" ], [ "Propylthiouracil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Labetalol" ] ] ]
Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Dobutamine and Dobutamine (Compound) resembles Labetalol (Compound) Levothyroxine (Compound) causes Hyperhidrosis (Side Effect) and Hyperhidrosis (Side Effect) is caused by Labetalol (Compound) Levothyroxine (Compound) resembles Liothyronine (Compound) and Liothyronine may cause a minor interaction that can limit clinical effects when taken with Labetalol Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Magaldrate and Magaldrate may cause a minor interaction that can limit clinical effects when taken with Labetalol 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 Labetalol Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Labetalol 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 Labetalol Levothyroxine 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 Labetalol Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Propylthiouracil and Propylthiouracil may cause a moderate interaction that could exacerbate diseases when taken with Labetalol
DB00630
DB11126
1,485
900
[ "DDInter42", "DDInter276" ]
Alendronic acid
Calcium gluconate
Alendronic acid is a second generation bisphosphonate that is used for the treatment of some forms of osteoperosis and Paget's disease[FDA Label][A959,A203111]. It functions by preventing resorption of bone[FDA Label].
Calcium gluconate is used as mineral supplement and medication when there is insufficient calcium in the diet. Supplementation may be done to treat or prevent osteoporosis or rickets, consequences of hypocalcemia. It can also be taken by mouth but is not recommended by injection into a muscle. Calcium Gluconate Injection, USP is a sterile, nonpyrogenic supersaturated solution of calcium gluconate for intravenous use only. Each mL contains: Calcium gluconate 94 mg; calcium saccharate (tetrahydrate) 4.5 mg; water for injection q.s. Hydrochloric acid and/or sodium hydroxide may have been added for pH adjustment (6.0 to 8.2). Calcium saccharate provides 6% of the total calcium and stabilizes the supersaturated solution of calcium gluconate. Each 10 mL of the injection provides 93 mg elemental calcium (Ca++) equivalent to 1 g of calcium gluconate.
Moderate
1
[ [ [ 1485, 24, 900 ] ], [ [ 1485, 1, 1199 ], [ 1199, 24, 900 ] ], [ [ 1485, 1, 1199 ], [ 1199, 1, 1008 ], [ 1008, 24, 900 ] ], [ [ 1485, 21, 28762 ], [ 28762, 60, 729 ], [ 729, 24, 900 ] ], [ [ 1485, 1, 1008 ], [ 1008, 40, 1199 ], [ 1199, 24, 900 ] ], [ [ 1485, 24, 1283 ], [ 1283, 62, 729 ], [ 729, 24, 900 ] ], [ [ 1485, 24, 1283 ], [ 1283, 63, 945 ], [ 945, 24, 900 ] ], [ [ 1485, 24, 1283 ], [ 1283, 24, 933 ], [ 933, 63, 900 ] ], [ [ 1485, 24, 1479 ], [ 1479, 23, 729 ], [ 729, 24, 900 ] ], [ [ 1485, 24, 1479 ], [ 1479, 24, 945 ], [ 945, 24, 900 ] ] ]
[ [ [ "Alendronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{u} (Compound) resembles {v} (Compound)", "Ibandronate" ], [ "Ibandronate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{u} (Compound) resembles {v} (Compound)", "Ibandronate" ], [ "Ibandronate", "{u} (Compound) resembles {v} (Compound)", "Risedronic acid" ], [ "Risedronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Penbutolol" ], [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{u} (Compound) resembles {v} (Compound)", "Risedronic acid" ], [ "Risedronic acid", "{u} (Compound) resembles {v} (Compound)", "Ibandronate" ], [ "Ibandronate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{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" ], [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omadacycline" ], [ "Omadacycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Penbutolol" ], [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Alendronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ] ]
Alendronic acid (Compound) resembles Ibandronate (Compound) and Ibandronate may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Alendronic acid (Compound) resembles Ibandronate (Compound) and Ibandronate (Compound) resembles Risedronic acid (Compound) and Risedronic acid may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Alendronic acid (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Penbutolol (Compound) and Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Alendronic acid (Compound) resembles Risedronic acid (Compound) and Risedronic acid (Compound) resembles Ibandronate (Compound) and Ibandronate may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Alendronic acid 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 and Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Alendronic acid may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide and Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Sparfloxacin and Sparfloxacin may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Alendronic acid may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide and Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Omadacycline and Omadacycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Alendronic acid may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Penbutolol and Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Alendronic acid may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Sparfloxacin and Sparfloxacin may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate
DB00281
DB04861
608
1,592
[ "DDInter1066", "DDInter1271" ]
Lidocaine
Nebivolol
Ever since its discovery and availability for sale and use in the late 1940s, lidocaine has become an exceptionally commonly used medication. In particular, lidocaine's principal mode of action in acting as a local anesthetic that numbs the sensations of tissues means the agent is indicated for facilitating local anesthesia for a large variety of surgical procedures [F4349, L5930, L5948]. It ultimately elicits its numbing activity by blocking sodium channels so that the neurons of local tissues that have the medication applied on are transiently incapable of signaling the brain regarding sensations [F4349, L5930, L5948]. In doing so, however, it can block or decrease muscle contractile, resulting in effects like vasodilation, hypotension, and irregular heart rate, among others [F4349, L5930, L5948]. As a result, lidocaine is also considered a class Ib anti-arrhythmic agent [L
Nebivolol is a racemic mixture of 2 enantiomers where one is a beta adrenergic antagonist and the other acts as a cardiac stimulant without beta adrenergic activity. Treatment with nebivolol leads to a greater decrease in systolic and diastolic blood pressure than [atenolol], [propranolol], or [pindolol]. Nebivolol and other beta blockers are generally not first line therapies as many patients are first treated with thiazide diuretics. Nebivolol was granted FDA approval on 17 December 2007.
Moderate
1
[ [ [ 608, 24, 1592 ] ], [ [ 608, 6, 12523 ], [ 12523, 45, 1592 ] ], [ [ 608, 21, 28762 ], [ 28762, 60, 1592 ] ], [ [ 608, 24, 1419 ], [ 1419, 24, 1592 ] ], [ [ 608, 24, 976 ], [ 976, 63, 1592 ] ], [ [ 608, 23, 1220 ], [ 1220, 24, 1592 ] ], [ [ 608, 25, 497 ], [ 497, 24, 1592 ] ], [ [ 608, 63, 966 ], [ 966, 24, 1592 ] ], [ [ 608, 23, 868 ], [ 868, 63, 1592 ] ], [ [ 608, 25, 1455 ], [ 1455, 63, 1592 ] ] ]
[ [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Lidocaine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Nebivolol" ] ], [ [ "Lidocaine", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Nebivolol" ] ], [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Lidocaine", "{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}", "Nebivolol" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Lidocaine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Octreotide" ], [ "Octreotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Lidocaine", "{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}", "Nebivolol" ] ], [ [ "Lidocaine", "{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}", "Nebivolol" ] ] ]
Lidocaine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Nebivolol (Compound) Lidocaine (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Nebivolol (Compound) Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol Lidocaine 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 Nebivolol Lidocaine may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol Lidocaine may lead to a major life threatening interaction when taken with Iohexol and Iohexol may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Octreotide and Octreotide may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol Lidocaine 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 Nebivolol Lidocaine 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 Nebivolol
DB00372
DB00460
999
612
[ "DDInter1793", "DDInter1929" ]
Thiethylperazine
Verteporfin
A dopamine antagonist that is particularly useful in treating the nausea and vomiting associated with anesthesia, mildly emetic cancer chemotherapy agents, radiation therapy, and toxins. This piperazine phenothiazine does not prevent vertigo or motion sickness. (From AMA Drug Evaluations Annual, 1994, p457)
Verteporfin, marketed as Visudyne, is a benzoporphyrin derivative. It is used as a photosensitizer in photodynamic therapy to eliminate abnormal blood vessels in wet form macular degeneration. Verteporfin accumulates in these abnormal blood vessels and, when stimulated by nonthermal red light with a wavelength of 693 nm in the presence of oxygen, produces highly reactive short-lived singlet oxygen and other reactive oxygen radicals, resulting in local damage to the endothelium and blockage of the vessels.
Moderate
1
[ [ [ 999, 24, 612 ] ], [ [ 999, 24, 959 ], [ 959, 63, 612 ] ], [ [ 999, 63, 1214 ], [ 1214, 24, 612 ] ], [ [ 999, 24, 959 ], [ 959, 21, 30573 ], [ 30573, 60, 612 ] ], [ [ 999, 24, 1637 ], [ 1637, 63, 820 ], [ 820, 63, 612 ] ], [ [ 999, 24, 92 ], [ 92, 54, 19243 ], [ 19243, 15, 612 ] ], [ [ 999, 63, 1214 ], [ 1214, 24, 820 ], [ 820, 63, 612 ] ], [ [ 999, 63, 245 ], [ 245, 21, 28762 ], [ 28762, 60, 612 ] ], [ [ 999, 25, 497 ], [ 497, 21, 29750 ], [ 29750, 60, 612 ] ], [ [ 999, 24, 1637 ], [ 1637, 63, 1061 ], [ 1061, 24, 612 ] ] ]
[ [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Thiethylperazine", "{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}", "Verteporfin" ] ], [ [ "Thiethylperazine", "{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}", "Verteporfin" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} (Compound) causes {v} (Side Effect)", "Retinal haemorrhage" ], [ "Retinal haemorrhage", "{u} (Side Effect) is caused by {v} (Compound)", "Verteporfin" ] ], [ [ "Thiethylperazine", "{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" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxsalen" ], [ "Methoxsalen", "{u} (Compound) is included by {v} (Pharmacologic Class)", "Photosensitizing Activity" ], [ "Photosensitizing Activity", "{u} (Pharmacologic Class) includes {v} (Compound)", "Verteporfin" ] ], [ [ "Thiethylperazine", "{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}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ], [ [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Verteporfin" ] ], [ [ "Thiethylperazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} (Compound) causes {v} (Side Effect)", "Injection site pain" ], [ "Injection site pain", "{u} (Side Effect) is caused by {v} (Compound)", "Verteporfin" ] ], [ [ "Thiethylperazine", "{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}", "Treprostinil" ], [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ] ] ]
Thiethylperazine 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 Verteporfin Thiethylperazine 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 Verteporfin Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide (Compound) causes Retinal haemorrhage (Side Effect) and Retinal haemorrhage (Side Effect) is caused by Verteporfin (Compound) Thiethylperazine 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 and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Methoxsalen and Methoxsalen (Compound) is included by Photosensitizing Activity (Pharmacologic Class) and Photosensitizing Activity (Pharmacologic Class) includes Verteporfin (Compound) Thiethylperazine 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 Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Verteporfin (Compound) Thiethylperazine may lead to a major life threatening interaction when taken with Iohexol and Iohexol (Compound) causes Injection site pain (Side Effect) and Injection site pain (Side Effect) is caused by Verteporfin (Compound) Thiethylperazine 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 Treprostinil and Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin
DB00398
DB00539
79
11
[ "DDInter1702", "DDInter1837" ]
Sorafenib
Toremifene
Sorafenib is a bi-aryl urea and an oral multikinase inhibitor. It targets cell surface tyrosine kinase receptors and downstream intracellular kinases that are implicated in tumour cell proliferation and tumour angiogenesis. First approved by the FDA and European Commission in 2007 for the treatment of hepatocellular carcinoma, sorafenib is also indicated to treat renal carcinoma and differentiated thyroid carcinoma.
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.
Major
2
[ [ [ 79, 25, 11 ] ], [ [ 79, 6, 4973 ], [ 4973, 45, 11 ] ], [ [ 79, 7, 16941 ], [ 16941, 46, 11 ] ], [ [ 79, 18, 6134 ], [ 6134, 46, 11 ] ], [ [ 79, 18, 2852 ], [ 2852, 57, 11 ] ], [ [ 79, 7, 4360 ], [ 4360, 57, 11 ] ], [ [ 79, 21, 28646 ], [ 28646, 60, 11 ] ], [ [ 79, 23, 1247 ], [ 1247, 62, 11 ] ], [ [ 79, 63, 62 ], [ 62, 24, 11 ] ], [ [ 79, 24, 144 ], [ 144, 63, 11 ] ] ]
[ [ [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ] ], [ [ "Sorafenib", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Toremifene" ] ], [ [ "Sorafenib", "{u} (Compound) upregulates {v} (Gene)", "MICALL1" ], [ "MICALL1", "{u} (Gene) is upregulated by {v} (Compound)", "Toremifene" ] ], [ [ "Sorafenib", "{u} (Compound) downregulates {v} (Gene)", "SQLE" ], [ "SQLE", "{u} (Gene) is upregulated by {v} (Compound)", "Toremifene" ] ], [ [ "Sorafenib", "{u} (Compound) downregulates {v} (Gene)", "CCNB1" ], [ "CCNB1", "{u} (Gene) is downregulated by {v} (Compound)", "Toremifene" ] ], [ [ "Sorafenib", "{u} (Compound) upregulates {v} (Gene)", "TIMM9" ], [ "TIMM9", "{u} (Gene) is downregulated by {v} (Compound)", "Toremifene" ] ], [ [ "Sorafenib", "{u} (Compound) causes {v} (Side Effect)", "Unspecified disorder of skin and subcutaneous tissue" ], [ "Unspecified disorder of skin and subcutaneous tissue", "{u} (Side Effect) is caused by {v} (Compound)", "Toremifene" ] ], [ [ "Sorafenib", "{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}", "Toremifene" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tacrine" ], [ "Tacrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Toremifene" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ], [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Toremifene" ] ] ]
Sorafenib (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Toremifene (Compound) Sorafenib (Compound) upregulates MICALL1 (Gene) and MICALL1 (Gene) is upregulated by Toremifene (Compound) Sorafenib (Compound) downregulates SQLE (Gene) and SQLE (Gene) is upregulated by Toremifene (Compound) Sorafenib (Compound) downregulates CCNB1 (Gene) and CCNB1 (Gene) is downregulated by Toremifene (Compound) Sorafenib (Compound) upregulates TIMM9 (Gene) and TIMM9 (Gene) is downregulated by Toremifene (Compound) Sorafenib (Compound) causes Unspecified disorder of skin and subcutaneous tissue (Side Effect) and Unspecified disorder of skin and subcutaneous tissue (Side Effect) is caused by Toremifene (Compound) Sorafenib 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 Toremifene Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Tacrine and Tacrine may cause a moderate interaction that could exacerbate diseases when taken with Toremifene Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol and Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Toremifene
DB00006
DB06228
942
792
[ "DDInter217", "DDInter1609" ]
Bivalirudin
Rivaroxaban
Bivalirudin is a synthetic 20 residue peptide (thrombin inhibitor) which reversibly inhibits thrombin. Once bound to the active site, thrombin cannot activate fibrinogen into fibrin, the crucial step in the formation of thrombus. It is administered intravenously. Because it can cause blood stagnation, it is important to monitor changes in hematocrit, activated partial thromboplastin time, international normalized ratio and blood pressure.
Rivaroxaban is an anticoagulant and the first orally active direct factor Xa inhibitor. Unlike warfarin, routine lab monitoring of INR is not necessary. However there is no antidote available in the event of a major bleed. Only the 10 mg tablet can be taken without regard to food. The 15 mg and 20 mg tablet should be taken with food. FDA approved on July 1, 2011.
Major
2
[ [ [ 942, 25, 792 ] ], [ [ 942, 23, 944 ], [ 944, 62, 792 ] ], [ [ 942, 24, 901 ], [ 901, 24, 792 ] ], [ [ 942, 24, 738 ], [ 738, 63, 792 ] ], [ [ 942, 25, 292 ], [ 292, 64, 792 ] ], [ [ 942, 24, 885 ], [ 885, 25, 792 ] ], [ [ 942, 25, 702 ], [ 702, 25, 792 ] ], [ [ 942, 24, 578 ], [ 578, 64, 792 ] ], [ [ 942, 64, 1578 ], [ 1578, 25, 792 ] ], [ [ 942, 23, 944 ], [ 944, 62, 885 ], [ 885, 25, 792 ] ] ]
[ [ [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chamomile" ], [ "Chamomile", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{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}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ], [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Regorafenib" ], [ "Regorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ], [ [ "Bivalirudin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chamomile" ], [ "Chamomile", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ] ] ]
Bivalirudin may cause a minor interaction that can limit clinical effects when taken with Chamomile and Chamomile may cause a minor interaction that can limit clinical effects when taken with Rivaroxaban Bivalirudin 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 Rivaroxaban Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Niraparib and Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Rivaroxaban Bivalirudin may lead to a major life threatening interaction when taken with Regorafenib and Regorafenib may lead to a major life threatening interaction when taken with Rivaroxaban Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may lead to a major life threatening interaction when taken with Rivaroxaban Bivalirudin may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Rivaroxaban Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may lead to a major life threatening interaction when taken with Rivaroxaban Bivalirudin may lead to a major life threatening interaction when taken with Lepirudin and Lepirudin may lead to a major life threatening interaction when taken with Rivaroxaban Bivalirudin may cause a minor interaction that can limit clinical effects when taken with Chamomile and Chamomile may cause a minor interaction that can limit clinical effects when taken with Epoprostenol and Epoprostenol may lead to a major life threatening interaction when taken with Rivaroxaban
DB01015
DB08912
1,247
1,040
[ "DDInter1724", "DDInter462" ]
Sulfamethoxazole
Dabrafenib
Sulfamethoxazole is a bacteriostatic sulfonamide antibiotic that interferes with folic acid synthesis in susceptible bacteria. It is generally given in combination with [trimethoprim], which inhibits a sequential step in bacterial folic acid synthesis - these agents work synergistically to block two consecutive steps in the biosynthesis of nucleic acids and proteins which are necessary for bacterial growth and division, and using them in conjunction helps to slow the development of bacterial resistance. In this combination, sulfamethoxazole is useful for the treatment of a variety of bacterial infections, including those of the urinary, respiratory, and gastrointestinal tracts.
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
[ [ [ 1247, 24, 1040 ] ], [ [ 1247, 6, 3486 ], [ 3486, 45, 1040 ] ], [ [ 1247, 7, 9900 ], [ 9900, 46, 1040 ] ], [ [ 1247, 18, 1918 ], [ 1918, 57, 1040 ] ], [ [ 1247, 21, 28900 ], [ 28900, 60, 1040 ] ], [ [ 1247, 23, 478 ], [ 478, 24, 1040 ] ], [ [ 1247, 24, 1478 ], [ 1478, 24, 1040 ] ], [ [ 1247, 63, 245 ], [ 245, 24, 1040 ] ], [ [ 1247, 23, 985 ], [ 985, 63, 1040 ] ], [ [ 1247, 64, 126 ], [ 126, 24, 1040 ] ] ]
[ [ [ "Sulfamethoxazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{u} (Compound) upregulates {v} (Gene)", "SLC1A4" ], [ "SLC1A4", "{u} (Gene) is upregulated by {v} (Compound)", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{u} (Compound) downregulates {v} (Gene)", "PCNA" ], [ "PCNA", "{u} (Gene) is downregulated by {v} (Compound)", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{u} (Compound) causes {v} (Side Effect)", "Abdominal pain" ], [ "Abdominal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{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}", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ] ], [ [ "Sulfamethoxazole", "{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}", "Dabrafenib" ] ] ]
Sulfamethoxazole (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Dabrafenib (Compound) Sulfamethoxazole (Compound) upregulates SLC1A4 (Gene) and SLC1A4 (Gene) is upregulated by Dabrafenib (Compound) Sulfamethoxazole (Compound) downregulates PCNA (Gene) and PCNA (Gene) is downregulated by Dabrafenib (Compound) Sulfamethoxazole (Compound) causes Abdominal pain (Side Effect) and Abdominal pain (Side Effect) is caused by Dabrafenib (Compound) Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib Sulfamethoxazole 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 Dabrafenib Sulfamethoxazole may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Osimertinib and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib Sulfamethoxazole 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 Dabrafenib
DB00938
DB09054
455
384
[ "DDInter1635", "DDInter905" ]
Salmeterol
Idelalisib
Salmeterol is a long-acting beta-2 adrenergic receptor agonist drug that is currently prescribed for the treatment of asthma and chronic obstructive pulmonary disease COPD.[L11545,L11548,L11551,L11554,L11557] It has a longer duration of action than the short-acting beta-2 adrenergic receptor agonist, [salbutamol]. Salmeterol was first described in the literature in 1988. Salmeterol's structure is similar to salbutamol's with an aralkyloxy-alkyl substitution on the amine. Salmeterol was granted FDA approval on 4 February 1994.
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.
Major
2
[ [ [ 455, 25, 384 ] ], [ [ 455, 24, 222 ], [ 222, 23, 384 ] ], [ [ 455, 63, 1230 ], [ 1230, 23, 384 ] ], [ [ 455, 24, 1618 ], [ 1618, 24, 384 ] ], [ [ 455, 62, 891 ], [ 891, 24, 384 ] ], [ [ 455, 63, 1570 ], [ 1570, 24, 384 ] ], [ [ 455, 25, 851 ], [ 851, 24, 384 ] ], [ [ 455, 24, 1228 ], [ 1228, 63, 384 ] ], [ [ 455, 64, 798 ], [ 798, 24, 384 ] ], [ [ 455, 25, 1155 ], [ 1155, 63, 384 ] ] ]
[ [ [ "Salmeterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Idelalisib" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Idelalisib" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Salmeterol", "{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}", "Idelalisib" ] ], [ [ "Salmeterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lenvatinib" ], [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Salmeterol", "{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}", "Idelalisib" ] ], [ [ "Salmeterol", "{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}", "Idelalisib" ] ] ]
Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Idelalisib Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Citalopram and Citalopram may cause a minor interaction that can limit clinical effects when taken with Idelalisib Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Cabozantinib and Cabozantinib may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Salmeterol may cause a minor interaction that can limit clinical effects when taken with Prednisolone and Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Salmeterol 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 Idelalisib Salmeterol may lead to a major life threatening interaction when taken with Nefazodone and Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Lenvatinib and Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Salmeterol 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 Idelalisib Salmeterol 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 Idelalisib
DB00059
DB01128
1,560
918
[ "DDInter1404", "DDInter204" ]
Pegaspargase
Bicalutamide
Pegaspargase is a conjugate of monomethoxypolyethylene glycol (mPEG) and L-asparaginase (L-asparagine amidohydrolase), an asparagine-specific enzyme that converts L-asparagine into aspartic acid and ammonia. Asparagine is an amino acid that is vital for cell survival. In humans, most normal tissues can produce asparagine through the action of asparagine synthetase. However, leukemia cells have low levels of this enzyme and depend on exogenous sources. Therefore, the use of pegaspargase results in leukemic cell death.[A103,A255912,L44667] Pegaspargase has the same mechanism of action as [L-asparaginase] derived from _Escherichia coli_, a previously developed enzyme used for the treatment of acute lymphoblastic leukemia (ALL). However, using L-asparaginase derived from _Escherich
Bicalutamide is an oral non-steroidal anti-androgen for prostate cancer. It is comprised of a racemic mixture that is a 50:50 composition of the (R)-bicalutamide and (S)-bicalutamide enantionmers. Bicalutamide binds to the androgen receptor.
Moderate
1
[ [ [ 1560, 24, 918 ] ], [ [ 1560, 24, 1247 ], [ 1247, 23, 918 ] ], [ [ 1560, 24, 786 ], [ 786, 63, 918 ] ], [ [ 1560, 24, 473 ], [ 473, 24, 918 ] ], [ [ 1560, 25, 770 ], [ 770, 24, 918 ] ], [ [ 1560, 25, 1510 ], [ 1510, 64, 918 ] ], [ [ 1560, 24, 868 ], [ 868, 64, 918 ] ], [ [ 1560, 24, 1176 ], [ 1176, 25, 918 ] ], [ [ 1560, 25, 695 ], [ 695, 25, 918 ] ], [ [ 1560, 24, 1247 ], [ 1247, 23, 129 ], [ 129, 40, 918 ] ] ]
[ [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{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}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{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}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{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}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{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}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{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}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{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}", "Bicalutamide" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} (Compound) resembles {v} (Compound)", "Bicalutamide" ] ] ]
Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Bicalutamide Pegaspargase 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 Bicalutamide Pegaspargase 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 Bicalutamide Pegaspargase 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 Bicalutamide Pegaspargase 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 Bicalutamide Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may lead to a major life threatening interaction when taken with Bicalutamide Pegaspargase 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 Bicalutamide Pegaspargase 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 Bicalutamide Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Enzalutamide and Enzalutamide (Compound) resembles Bicalutamide (Compound)
DB00250
DB09570
10
1,480
[ "DDInter475", "DDInter1002" ]
Dapsone
Ixazomib
A sulfone active against a wide range of bacteria but mainly employed for its actions against mycobacterium leprae. Its mechanism of action is probably similar to that of the sulfonamides which involves inhibition of folic acid synthesis in susceptible organisms. It is also used with pyrimethamine in the treatment of malaria. (From Martindale, The Extra Pharmacopoeia, 30th ed, p157-8)
Ixazomib a second generation proteasome inhibitor (PI) and the first oral PI approved by the FDA in November 2015 for multiple myeloma treatment in combination with 2 other therapies (lenalidomide and dexamethasone) for patients who have received at least 1 prior therapy. It was found to have similar efficacy to bortezomib (the first PI approved for multiple myeloma therapy) in the control of myeloma growth and prevention of bone loss. Ixazomib citrate is marketed by Takeda Pharmaceuticals under the brand name Ninlaro, which is a prodrug that becomes quickly converted to its active metabolite, ixazomib, after administration.
Moderate
1
[ [ [ 10, 24, 1480 ] ], [ [ 10, 63, 268 ], [ 268, 24, 1480 ] ], [ [ 10, 24, 148 ], [ 148, 63, 1480 ] ], [ [ 10, 24, 453 ], [ 453, 24, 1480 ] ], [ [ 10, 23, 307 ], [ 307, 24, 1480 ] ], [ [ 10, 25, 695 ], [ 695, 25, 1480 ] ], [ [ 10, 24, 129 ], [ 129, 25, 1480 ] ], [ [ 10, 64, 1064 ], [ 1064, 25, 1480 ] ], [ [ 10, 63, 1057 ], [ 1057, 25, 1480 ] ], [ [ 10, 24, 913 ], [ 913, 64, 1480 ] ] ]
[ [ [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2b" ], [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Dapsone", "{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}", "Ixazomib" ] ], [ [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ], [ "Linezolid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Dapsone", "{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}", "Ixazomib" ] ], [ [ "Dapsone", "{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}", "Ixazomib" ] ], [ [ "Dapsone", "{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}", "Ixazomib" ] ], [ [ "Dapsone", "{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}", "Ixazomib" ] ], [ [ "Dapsone", "{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}", "Ixazomib" ] ], [ [ "Dapsone", "{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}", "Ixazomib" ] ] ]
Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2b and Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib Dapsone 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 Ixazomib Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Linezolid and Linezolid may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib Dapsone 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 Ixazomib Dapsone 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 Ixazomib Dapsone 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 Ixazomib Dapsone 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 Ixazomib Dapsone 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 Ixazomib Dapsone 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 Ixazomib
DB01067
DB09154
959
1,475
[ "DDInter826", "DDInter1686" ]
Glipizide
Sodium citrate
Glipizide is an oral hypoglycemic agent in the second-generation sulfonylurea drug class that is used to control blood sugar levels in patients with type 2 diabetes mellitus. It was first introduced in 1984 and is available in various countries including Canada and the U.S. According to the 2018 Clinical Practice Guidelines by Diabetes Canada, sulfonylurea drugs are considered a second-line glucose-lowering therapy following metformin. Because sulfonylureas require functional pancreatic beta cells for their therapeutic effectiveness, sulfonylureas are more commonly used for early-stage type 2 diabetes when there is no progressed pancreatic failure. Compared to the first-generation sulfonylureas, such as [tolbutamide] and [chlorpropamide], second-generation sulfonylureas contain a more non-polar side chain in their chemical structure, which enhances their hypoglycemic potency. Compared to other members of the sulfonyl
Sodium citrate is the sodium salt of citric acid. It is white, crystalline powder or white, granular crystals, slightly deliquescent in moist air, freely soluble in water, practically insoluble in alcohol. Like citric acid, it has a sour taste. From the medical point of view, it is used as alkalinizing agent. It works by neutralizing excess acid in the blood and urine. It has been indicated for the treatment of metabolic acidosis.
Minor
0
[ [ [ 959, 23, 1475 ] ], [ [ 959, 24, 1603 ], [ 1603, 23, 1475 ] ], [ [ 959, 63, 610 ], [ 610, 23, 1475 ] ], [ [ 959, 40, 1411 ], [ 1411, 23, 1475 ] ], [ [ 959, 64, 1467 ], [ 1467, 24, 1475 ] ], [ [ 959, 24, 22 ], [ 22, 24, 1475 ] ], [ [ 959, 25, 1539 ], [ 1539, 24, 1475 ] ], [ [ 959, 63, 939 ], [ 939, 24, 1475 ] ], [ [ 959, 24, 1399 ], [ 1399, 63, 1475 ] ], [ [ 959, 24, 115 ], [ 115, 25, 1475 ] ] ]
[ [ [ "Glipizide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Captopril" ], [ "Captopril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enalapril" ], [ "Enalapril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Glipizide", "{u} (Compound) resembles {v} (Compound)", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Glipizide", "{u} may lead to a major life threatening interaction when taken with {v}", "Enoxacin" ], [ "Enoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Glipizide", "{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}", "Sodium citrate" ] ], [ [ "Glipizide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzphetamine" ], [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Glipizide", "{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}", "Sodium citrate" ] ], [ [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ], [ "Aluminum hydroxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium citrate" ] ] ]
Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Captopril and Captopril may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Enalapril and Enalapril may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Glipizide (Compound) resembles Tolbutamide (Compound) and Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Glipizide may lead to a major life threatening interaction when taken with Enoxacin and Enoxacin may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Glipizide 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 Sodium citrate Glipizide may lead to a major life threatening interaction when taken with Ofloxacin and Ofloxacin may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Benzphetamine and Benzphetamine may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Glipizide 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 Sodium citrate Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide and Aluminum hydroxide may lead to a major life threatening interaction when taken with Sodium citrate
DB00539
DB04844
11
843
[ "DDInter1837", "DDInter1778" ]
Toremifene
Tetrabenazine
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.
A drug formerly used as an antipsychotic but now used primarily in the symptomatic treatment of various hyperkinetic disorders. It is a monoamine depletor and used as symptomatic treatment of chorea associated with Huntington's disease. FDA approved on August 15, 2008.
Major
2
[ [ [ 11, 25, 843 ] ], [ [ 11, 24, 479 ], [ 479, 40, 843 ] ], [ [ 11, 7, 10439 ], [ 10439, 46, 843 ] ], [ [ 11, 7, 15786 ], [ 15786, 57, 843 ] ], [ [ 11, 21, 28698 ], [ 28698, 60, 843 ] ], [ [ 11, 23, 112 ], [ 112, 23, 843 ] ], [ [ 11, 64, 1555 ], [ 1555, 24, 843 ] ], [ [ 11, 1, 649 ], [ 649, 24, 843 ] ], [ [ 11, 24, 286 ], [ 286, 63, 843 ] ], [ [ 11, 25, 823 ], [ 823, 63, 843 ] ] ]
[ [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetrabenazine" ] ], [ [ "Toremifene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} (Compound) resembles {v} (Compound)", "Tetrabenazine" ] ], [ [ "Toremifene", "{u} (Compound) upregulates {v} (Gene)", "PROS1" ], [ "PROS1", "{u} (Gene) is upregulated by {v} (Compound)", "Tetrabenazine" ] ], [ [ "Toremifene", "{u} (Compound) upregulates {v} (Gene)", "TCTN1" ], [ "TCTN1", "{u} (Gene) is downregulated by {v} (Compound)", "Tetrabenazine" ] ], [ [ "Toremifene", "{u} (Compound) causes {v} (Side Effect)", "Insomnia" ], [ "Insomnia", "{u} (Side Effect) is caused by {v} (Compound)", "Tetrabenazine" ] ], [ [ "Toremifene", "{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}", "Tetrabenazine" ] ], [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Toremifene", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Toremifene", "{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}", "Tetrabenazine" ] ], [ [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Triclabendazole" ], [ "Triclabendazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ] ]
Toremifene may cause a moderate interaction that could exacerbate diseases when taken with Donepezil and Donepezil (Compound) resembles Tetrabenazine (Compound) Toremifene (Compound) upregulates PROS1 (Gene) and PROS1 (Gene) is upregulated by Tetrabenazine (Compound) Toremifene (Compound) upregulates TCTN1 (Gene) and TCTN1 (Gene) is downregulated by Tetrabenazine (Compound) Toremifene (Compound) causes Insomnia (Side Effect) and Insomnia (Side Effect) is caused by Tetrabenazine (Compound) Toremifene 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 Tetrabenazine Toremifene may lead to a major life threatening interaction when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine Toremifene (Compound) resembles Clofedanol (Compound) and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine Toremifene 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 Tetrabenazine Toremifene may lead to a major life threatening interaction when taken with Triclabendazole and Triclabendazole may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine
DB00026
DB00682
1,184
126
[ "DDInter94", "DDInter1951" ]
Anakinra
Warfarin
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 _
Warfarin is an anticoagulant drug normally used to prevent blood clot formation as well as migration. Although originally marketed as a pesticide (d-Con, Rodex, among others), Warfarin has since become the most frequently prescribed oral anticoagulant in North America. Warfarin has several properties that should be noted when used medicinally, including its ability to cross the placental barrier during pregnancy which can result in fetal bleeding, spontaneous abortion, preterm birth, stillbirth, and neonatal death. Additional adverse effects such as necrosis, purple toe syndrome, osteoporosis, valve and artery calcification, and drug interactions have also been documented with warfarin use. Warfarin does not actually affect blood viscosity, rather, it inhibits vitamin-k dependent synthesis of biologically active forms of various clotting factors in addition to several regulatory factors.
Moderate
1
[ [ [ 1184, 24, 126 ] ], [ [ 1184, 24, 362 ], [ 362, 24, 126 ] ], [ [ 1184, 24, 168 ], [ 168, 23, 126 ] ], [ [ 1184, 24, 1001 ], [ 1001, 62, 126 ] ], [ [ 1184, 24, 328 ], [ 328, 63, 126 ] ], [ [ 1184, 25, 1377 ], [ 1377, 63, 126 ] ], [ [ 1184, 23, 1461 ], [ 1461, 24, 126 ] ], [ [ 1184, 25, 581 ], [ 581, 24, 126 ] ], [ [ 1184, 63, 305 ], [ 305, 24, 126 ] ], [ [ 1184, 64, 1057 ], [ 1057, 24, 126 ] ] ]
[ [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Anakinra", "{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}", "Warfarin" ] ], [ [ "Anakinra", "{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}", "Warfarin" ] ], [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mechlorethamine" ], [ "Mechlorethamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ] ], [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ], [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Anakinra", "{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}", "Warfarin" ] ], [ [ "Anakinra", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Anakinra", "{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}", "Warfarin" ] ], [ [ "Anakinra", "{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}", "Warfarin" ] ], [ [ "Anakinra", "{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}", "Warfarin" ] ] ]
Anakinra 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 Warfarin Anakinra 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 Warfarin Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Mechlorethamine and Mechlorethamine may cause a minor interaction that can limit clinical effects when taken with Warfarin Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine and Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Anakinra 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 Warfarin Anakinra may cause a minor interaction that can limit clinical effects when taken with Vitamin E and Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Anakinra 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 Warfarin Anakinra 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 Warfarin Anakinra 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 Warfarin
DB01105
DB15093
222
1,654
[ "DDInter1665", "DDInter1698" ]
Sibutramine
Somapacitan
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.
Somapacitan, also known as NNC0195-0092, is a growth hormone analog indicated to treat adults with growth hormone deficiency.[A219126,L15661] This human growth hormone analog differs by the creation of an albumin binding site, and prolonging the effect so that it requires weekly dosing rather than daily. Somapacitan was granted FDA approval on 28 August 2020.
Moderate
1
[ [ [ 222, 24, 1654 ] ], [ [ 222, 24, 433 ], [ 433, 24, 1654 ] ], [ [ 222, 63, 176 ], [ 176, 24, 1654 ] ], [ [ 222, 23, 351 ], [ 351, 24, 1654 ] ], [ [ 222, 62, 723 ], [ 723, 24, 1654 ] ], [ [ 222, 64, 1166 ], [ 1166, 24, 1654 ] ], [ [ 222, 24, 433 ], [ 433, 63, 168 ], [ 168, 23, 1654 ] ], [ [ 222, 63, 176 ], [ 176, 24, 168 ], [ 168, 23, 1654 ] ], [ [ 222, 23, 351 ], [ 351, 63, 10 ], [ 10, 24, 1654 ] ], [ [ 222, 63, 1512 ], [ 1512, 63, 1645 ], [ 1645, 24, 1654 ] ] ]
[ [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glargine" ], [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dolasetron" ], [ "Dolasetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{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}", "Somapacitan" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glargine" ], [ "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}", "Somapacitan" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{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}", "Somapacitan" ] ], [ [ "Sibutramine", "{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}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ] ]
Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Insulin glargine and Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Sibutramine may cause a minor interaction that can limit clinical effects when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Sibutramine may cause a minor interaction that can limit clinical effects when taken with Aprepitant and Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Sibutramine may lead to a major life threatening interaction when taken with Dolasetron and Dolasetron may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin 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 Somapacitan Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Insulin glargine and 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 Somapacitan Sibutramine may cause a minor interaction that can limit clinical effects when taken with Ribociclib and Ribociclib 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 Somapacitan Sibutramine 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 Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan
DB00734
DB05294
1,664
1,069
[ "DDInter1605", "DDInter1917" ]
Risperidone
Vandetanib
Risperidone is a second-generation antipsychotic (SGA) medication used in the treatment of a number of mood and mental health conditions including schizophrenia and bipolar disorder. It is one of the most widely used SGAs. [Paliperidone], another commonly used SGA, is the primary active metabolite of risperidone (i.e. 9-hydroxyrisperidone). Schizophrenia and various mood disorders are thought to be caused by an excess of dopaminergic D2 and serotonergic 5-HT2A activity, resulting in overactivity of central mesolimbic pathways and mesocortical pathways, respectively. Risperidone is thought to reduce this overactivity through inhibition of dopaminergic D2 receptors and serotonergic 5-HT2A receptors in the brain. Risperidone binds with a very high affinity to 5-HT2A receptors, approximately 10-20 fold greater than the drug's
Vandetanib is an oral once-daily kinase inhibitor of tumour angiogenesis and tumour cell proliferation with the potential for use in a broad range of tumour types. On April 6 2011, vandetanib was approved by the FDA to treat nonresectable, locally advanced, or metastatic medullary thyroid cancer in adult patients.
Major
2
[ [ [ 1664, 25, 1069 ] ], [ [ 1664, 6, 8374 ], [ 8374, 45, 1069 ] ], [ [ 1664, 21, 28719 ], [ 28719, 60, 1069 ] ], [ [ 1664, 23, 1194 ], [ 1194, 23, 1069 ] ], [ [ 1664, 24, 659 ], [ 659, 63, 1069 ] ], [ [ 1664, 24, 688 ], [ 688, 24, 1069 ] ], [ [ 1664, 63, 355 ], [ 355, 24, 1069 ] ], [ [ 1664, 24, 401 ], [ 401, 25, 1069 ] ], [ [ 1664, 25, 985 ], [ 985, 64, 1069 ] ], [ [ 1664, 24, 1228 ], [ 1228, 64, 1069 ] ] ]
[ [ [ "Risperidone", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ] ], [ [ "Risperidone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Vandetanib" ] ], [ [ "Risperidone", "{u} (Compound) causes {v} (Side Effect)", "Pain" ], [ "Pain", "{u} (Side Effect) is caused by {v} (Compound)", "Vandetanib" ] ], [ [ "Risperidone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ranitidine" ], [ "Ranitidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vandetanib" ] ], [ [ "Risperidone", "{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}", "Vandetanib" ] ], [ [ "Risperidone", "{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}", "Vandetanib" ] ], [ [ "Risperidone", "{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}", "Vandetanib" ] ], [ [ "Risperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ] ], [ [ "Risperidone", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ] ], [ [ "Risperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lenvatinib" ], [ "Lenvatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ] ] ]
Risperidone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Vandetanib (Compound) Risperidone (Compound) causes Pain (Side Effect) and Pain (Side Effect) is caused by Vandetanib (Compound) Risperidone may cause a minor interaction that can limit clinical effects when taken with Ranitidine and Ranitidine may cause a minor interaction that can limit clinical effects when taken with Vandetanib Risperidone 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 Vandetanib Risperidone 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 Vandetanib Risperidone 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 Vandetanib Risperidone may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may lead to a major life threatening interaction when taken with Vandetanib Risperidone may lead to a major life threatening interaction when taken with Osimertinib and Osimertinib may lead to a major life threatening interaction when taken with Vandetanib Risperidone may cause a moderate interaction that could exacerbate diseases when taken with Lenvatinib and Lenvatinib may lead to a major life threatening interaction when taken with Vandetanib
DB01169
DB01344
57
1,231
[ "DDInter120", "DDInter1830" ]
Arsenic trioxide
Tolevamer
Arsenic trioxide is a chemotherapeutic agent of idiopathic function used to treat leukemia that is unresponsive to first line agents. It is suspected that arsenic trisulfide induces cancer cells to undergo apoptosis. In general, arsenic is known to be a naturally toxic substance capable of eliciting a variety of dangerous adverse effects. The enzyme thioredoxin reductase has recently been identified as a target for arsenic trioxide.
Sodium polystyrene sulfonate is a medication used to treat abnormally high potassium levels. It may be taken orally or by rectum, as an enema, and functions as a potassium-binding resin in the intestines. It is also an effective topical microbicide and spermicide, inhibiting the genital transfection of, among others, HIV.
Major
2
[ [ [ 57, 25, 1231 ] ], [ [ 57, 25, 519 ], [ 519, 24, 1231 ] ], [ [ 57, 64, 1178 ], [ 1178, 24, 1231 ] ], [ [ 57, 25, 924 ], [ 924, 63, 1231 ] ], [ [ 57, 24, 603 ], [ 603, 63, 1231 ] ], [ [ 57, 64, 1568 ], [ 1568, 25, 1231 ] ], [ [ 57, 24, 286 ], [ 286, 64, 1231 ] ], [ [ 57, 25, 540 ], [ 540, 64, 1231 ] ], [ [ 57, 25, 1301 ], [ 1301, 25, 1231 ] ], [ [ 57, 25, 519 ], [ 519, 63, 870 ], [ 870, 24, 1231 ] ] ]
[ [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{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}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Trifluoperazine" ], [ "Trifluoperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{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}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Pimozide" ], [ "Pimozide", "{u} may lead to a major life threatening interaction when taken with {v}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Dronedarone" ], [ "Dronedarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Levacetylmethadol" ], [ "Levacetylmethadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Tolevamer" ] ], [ [ "Arsenic trioxide", "{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}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolevamer" ] ] ]
Arsenic trioxide 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 Tolevamer Arsenic trioxide may lead to a major life threatening interaction when taken with Trifluoperazine and Trifluoperazine may cause a moderate interaction that could exacerbate diseases when taken with Tolevamer Arsenic trioxide may lead to a major life threatening interaction when taken with Iloperidone and Iloperidone may cause a moderate interaction that could exacerbate diseases when taken with Tolevamer Arsenic trioxide 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 Tolevamer Arsenic trioxide may lead to a major life threatening interaction when taken with Pimozide and Pimozide may lead to a major life threatening interaction when taken with Tolevamer Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may lead to a major life threatening interaction when taken with Tolevamer Arsenic trioxide may lead to a major life threatening interaction when taken with Dronedarone and Dronedarone may lead to a major life threatening interaction when taken with Tolevamer Arsenic trioxide may lead to a major life threatening interaction when taken with Levacetylmethadol and Levacetylmethadol may lead to a major life threatening interaction when taken with Tolevamer Arsenic trioxide 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 Fludrocortisone and Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Tolevamer
DB00662
DB01219
717
716
[ "DDInter1873", "DDInter473" ]
Trimethobenzamide
Dantrolene
Trimethobenzamide is a novel antiemetic which prevents nausea and vomiting in humans. Its actions are unclear but most likely involves the chemoreceptor trigger zone (CTZ). In dogs pretreated with trimethobenzamide HCl, the emetic response to apomorphine is inhibited, while little or no protection is afforded against emesis induced by intragastric copper sulfate.
Chemically, dantrolene is a hydantoin derivative, but does not exhibit antiepileptic activity like other hydantoin derivates such as phenytoin.
Moderate
1
[ [ [ 717, 24, 716 ] ], [ [ 717, 21, 28751 ], [ 28751, 60, 716 ] ], [ [ 717, 24, 1609 ], [ 1609, 63, 716 ] ], [ [ 717, 24, 100 ], [ 100, 24, 716 ] ], [ [ 717, 63, 13 ], [ 13, 24, 716 ] ], [ [ 717, 63, 475 ], [ 475, 25, 716 ] ], [ [ 717, 21, 28751 ], [ 28751, 60, 11311 ], [ 11311, 1, 716 ] ], [ [ 717, 21, 28921 ], [ 28921, 60, 654 ], [ 654, 40, 716 ] ], [ [ 717, 24, 1609 ], [ 1609, 63, 100 ], [ 100, 24, 716 ] ], [ [ 717, 24, 100 ], [ 100, 6, 8374 ], [ 8374, 45, 716 ] ] ]
[ [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{u} (Compound) causes {v} (Side Effect)", "Convulsion" ], [ "Convulsion", "{u} (Side Effect) is caused by {v} (Compound)", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{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}", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{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}", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{u} (Compound) causes {v} (Side Effect)", "Convulsion" ], [ "Convulsion", "{u} (Side Effect) is caused by {v} (Compound)", "Nitrazepam" ], [ "Nitrazepam", "{u} (Compound) resembles {v} (Compound)", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Nitrofurantoin" ], [ "Nitrofurantoin", "{u} (Compound) resembles {v} (Compound)", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brompheniramine" ], [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dantrolene" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brompheniramine" ], [ "Brompheniramine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Dantrolene" ] ] ]
Trimethobenzamide (Compound) causes Convulsion (Side Effect) and Convulsion (Side Effect) is caused by Dantrolene (Compound) Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Dantrolene Trimethobenzamide 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 Dantrolene Trimethobenzamide 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 Dantrolene Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Dantrolene Trimethobenzamide (Compound) causes Convulsion (Side Effect) and Convulsion (Side Effect) is caused by Nitrazepam (Compound) and Nitrazepam (Compound) resembles Dantrolene (Compound) Trimethobenzamide (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Nitrofurantoin (Compound) and Nitrofurantoin (Compound) resembles Dantrolene (Compound) Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Brompheniramine and Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Dantrolene Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Brompheniramine and Brompheniramine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Dantrolene (Compound)
DB00404
DB09104
523
286
[ "DDInter54", "DDInter1118" ]
Alprazolam
Magnesium hydroxide
Alprazolam is a triazolobenzodiazepine indicated for the treatment of anxiety and panic disorders.[L34783, L34788] It is mainly metabolized by CYP3As and so is contraindicated with CYP3A inhibitors like ketoconazole and itraconazole.[L34783, L34788] Benzodiazepine treatment should be stopped gradually by tapering down a patient's dose to avoid withdrawal symptoms. Alprazolam's adverse effects are generally related to the sedation it can cause. Alprazolam has been mixed with alcohol as a drug of abuse to potentiate the sedative effects of the drug which may lead to coma and death. Alprazolam was given FDA approval on October 16, 1981.
Magnesium hydroxide is an inorganic compound. It is naturally found as the mineral brucite. Magnesium hydroxide can be used as an antacid or a laxative in either an oral liquid suspension or chewable tablet form. Additionally, magnesium hydroxide has smoke suppressing and flame retardant properties and is thus used commercially as a fire retardant. It can also be used topically as a deodorant or for the relief of canker sores (aphthous ulcers).
Minor
0
[ [ [ 523, 23, 286 ] ], [ [ 523, 1, 481 ], [ 481, 23, 286 ] ], [ [ 523, 24, 820 ], [ 820, 23, 286 ] ], [ [ 523, 40, 1119 ], [ 1119, 23, 286 ] ], [ [ 523, 63, 999 ], [ 999, 23, 286 ] ], [ [ 523, 24, 1593 ], [ 1593, 24, 286 ] ], [ [ 523, 23, 1283 ], [ 1283, 24, 286 ] ], [ [ 523, 24, 982 ], [ 982, 63, 286 ] ], [ [ 523, 64, 600 ], [ 600, 24, 286 ] ], [ [ 523, 63, 702 ], [ 702, 24, 286 ] ] ]
[ [ [ "Alprazolam", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{u} (Compound) resembles {v} (Compound)", "Quazepam" ], [ "Quazepam", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{u} (Compound) resembles {v} (Compound)", "Chlordiazepoxide" ], [ "Chlordiazepoxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{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}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{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}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{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}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{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}", "Magnesium hydroxide" ] ], [ [ "Alprazolam", "{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}", "Magnesium hydroxide" ] ] ]
Alprazolam (Compound) resembles Quazepam (Compound) and Quazepam may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide Alprazolam may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide Alprazolam (Compound) resembles Chlordiazepoxide (Compound) and Chlordiazepoxide may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide Alprazolam may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide Alprazolam 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 Magnesium hydroxide Alprazolam 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 Magnesium hydroxide Alprazolam 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 Magnesium hydroxide Alprazolam 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 Magnesium hydroxide Alprazolam 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 Magnesium hydroxide
DB06589
DB08864
1,250
786
[ "DDInter1400", "DDInter1595" ]
Pazopanib
Rilpivirine
Pazopanib is a small molecule inhibitor of multiple protein tyrosine kinases with potential antineoplastic activity. It is developed by GlaxoSmithKline and was FDA approved on October 19, 2009.
Rilpivirine is non-nucleoside reverse transcriptase inhibitor (NNRTI) which is used for the treatment of HIV-1 infections in treatment-naive patients. It is a diarylpyrimidine derivative. The internal conformational flexibility of rilpivirine and the plasticity of it interacting binding site gives it a very high potency and reduces the chance of resistance compared to other NNRTI's. Rilpivirine was developed by Tilbotec, Inc. and FDA approved on May 20, 2011. On November 21, 2017, Rilpivirine, in combination with [dolutegravir], was approved as part of the first complete treatment regimen with only two drugs for the treatment of adults with HIV-1 named Juluca. Rilpivirine in combination with [cabotegravir] was granted FDA approval on 21 January 2021. While previously administered once-monthly only, this combination product was granted FDA approval for dosing every two months on February 01, 2022 and without the need for an oral lead-in period prior.
Moderate
1
[ [ [ 1250, 35, 786 ] ], [ [ 1250, 63, 655 ], [ 655, 1, 786 ] ], [ [ 1250, 6, 8374 ], [ 8374, 45, 786 ] ], [ [ 1250, 21, 29343 ], [ 29343, 60, 786 ] ], [ [ 1250, 62, 112 ], [ 112, 23, 786 ] ], [ [ 1250, 63, 522 ], [ 522, 24, 786 ] ], [ [ 1250, 24, 1017 ], [ 1017, 63, 786 ] ], [ [ 1250, 24, 594 ], [ 594, 24, 786 ] ], [ [ 1250, 64, 609 ], [ 609, 24, 786 ] ], [ [ 1250, 25, 384 ], [ 384, 63, 786 ] ] ]
[ [ [ "Pazopanib", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilpivirine" ] ], [ [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etravirine" ], [ "Etravirine", "{u} (Compound) resembles {v} (Compound)", "Rilpivirine" ] ], [ [ "Pazopanib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Rilpivirine" ] ], [ [ "Pazopanib", "{u} (Compound) causes {v} (Side Effect)", "Blood creatinine increased" ], [ "Blood creatinine increased", "{u} (Side Effect) is caused by {v} (Compound)", "Rilpivirine" ] ], [ [ "Pazopanib", "{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}", "Rilpivirine" ] ], [ [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zafirlukast" ], [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilpivirine" ] ], [ [ "Pazopanib", "{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}", "Rilpivirine" ] ], [ [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilpivirine" ] ], [ [ "Pazopanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilpivirine" ] ], [ [ "Pazopanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilpivirine" ] ] ]
Pazopanib (Compound) resembles Rilpivirine (Compound) and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Etravirine and Etravirine (Compound) resembles Rilpivirine (Compound) Pazopanib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Rilpivirine (Compound) Pazopanib (Compound) causes Blood creatinine increased (Side Effect) and Blood creatinine increased (Side Effect) is caused by Rilpivirine (Compound) Pazopanib 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 Rilpivirine Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Zafirlukast and Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Rilpivirine Pazopanib 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 Rilpivirine Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Rilpivirine Pazopanib may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Rilpivirine Pazopanib may lead to a major life threatening interaction when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Rilpivirine
DB00261
DB11796
702
1,612
[ "DDInter93", "DDInter786" ]
Anagrelide
Fostemsavir
Anagrelide is a platelet-reducing agent used to lower dangerously elevated platelet levels (i.e. to treat thrombocythemia) in patients with myeloproliferative neoplasms. It is an oral imidazoquinazoline that was first approved for use in the US in 1997. It appears to carry a better response rate than other thrombocythemia treatments (e.g. [busulfan], [hydroxyurea]) and may be better tolerated.
Fostemsavir is the phosphonooxymethyl prodrug of temsavir, a novel HIV-1 attachment inhibitor. It binds to and inhibits the activity of gp120, a subunit within the HIV-1 gp160 envelope glycoprotein that facilitates the attachment of HIV-1 to host cell CD4 receptors - in doing so, temsavir prevents the first step in the HIV-1 viral lifecycle. The discovery of gp120 as a potential target of interest in the treatment of HIV-1 infection is relatively recent, and was born out of a desire to find alternative target proteins (i.e. mechanistically orthogonal therapies) for the treatment of HIV-1 patients with resistant infections. Fostemavir is the first attachment inhibitor to receive FDA approval, granted in July 2020 for use in combination with other antiretrovirals in highly treatment-experienced patients with multidrug-resistant HIV-1 infection whom are failing their current therapy.[L14867,L14917] Targeting gp120 subunits is a new and novel therapeutic approach to HIV-1 infection, and the addition of attachment inhibitors, like temsavir, to the armament of therapies targeted against HIV-1 fills a necessary niche for therapeutic options in patients left with few, if any, viable treatments.
Major
2
[ [ [ 702, 25, 1612 ] ], [ [ 702, 23, 112 ], [ 112, 23, 1612 ] ], [ [ 702, 25, 1424 ], [ 1424, 24, 1612 ] ], [ [ 702, 25, 823 ], [ 823, 63, 1612 ] ], [ [ 702, 24, 770 ], [ 770, 24, 1612 ] ], [ [ 702, 64, 521 ], [ 521, 24, 1612 ] ], [ [ 702, 25, 351 ], [ 351, 25, 1612 ] ], [ [ 702, 25, 877 ], [ 877, 64, 1612 ] ], [ [ 702, 23, 112 ], [ 112, 62, 1424 ], [ 1424, 24, 1612 ] ], [ [ 702, 25, 1424 ], [ 1424, 63, 1051 ], [ 1051, 23, 1612 ] ] ]
[ [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostemsavir" ] ], [ [ "Anagrelide", "{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}", "Fostemsavir" ] ], [ [ "Anagrelide", "{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}", "Fostemsavir" ] ], [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Triclabendazole" ], [ "Triclabendazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Anagrelide", "{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}", "Fostemsavir" ] ], [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostemsavir" ] ], [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostemsavir" ] ], [ [ "Anagrelide", "{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}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ] ], [ [ "Anagrelide", "{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}", "Aminoglutethimide" ], [ "Aminoglutethimide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fostemsavir" ] ] ]
Anagrelide 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 Fostemsavir Anagrelide 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 Fostemsavir Anagrelide may lead to a major life threatening interaction when taken with Triclabendazole and Triclabendazole may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir Anagrelide 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 Fostemsavir Anagrelide may lead to a major life threatening interaction when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir Anagrelide may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Fostemsavir Anagrelide may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Fostemsavir Anagrelide 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 Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir Anagrelide 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 Aminoglutethimide and Aminoglutethimide may cause a minor interaction that can limit clinical effects when taken with Fostemsavir
DB01157
DB09061
304
1,627
[ "DDInter1875", "DDInter284" ]
Trimetrexate
Cannabidiol
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.
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
[ [ [ 304, 24, 1627 ] ], [ [ 304, 62, 600 ], [ 600, 23, 1627 ] ], [ [ 304, 24, 384 ], [ 384, 23, 1627 ] ], [ [ 304, 63, 597 ], [ 597, 23, 1627 ] ], [ [ 304, 24, 1613 ], [ 1613, 63, 1627 ] ], [ [ 304, 63, 267 ], [ 267, 24, 1627 ] ], [ [ 304, 24, 713 ], [ 713, 24, 1627 ] ], [ [ 304, 64, 581 ], [ 581, 24, 1627 ] ], [ [ 304, 1, 717 ], [ 717, 24, 1627 ] ], [ [ 304, 25, 1011 ], [ 1011, 24, 1627 ] ] ]
[ [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Trimetrexate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ], [ [ "Trimetrexate", "{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" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ], [ [ "Trimetrexate", "{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" ] ], [ [ "Trimetrexate", "{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" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Trimetrexate", "{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}", "Cannabidiol" ] ], [ [ "Trimetrexate", "{u} (Compound) resembles {v} (Compound)", "Trimethobenzamide" ], [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Trimetrexate", "{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}", "Cannabidiol" ] ] ]
Trimetrexate may cause a minor interaction that can limit clinical effects when taken with Fluconazole and Fluconazole may cause a minor interaction that can limit clinical effects when taken with Cannabidiol Trimetrexate 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 Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a minor interaction that can limit clinical effects when taken with Cannabidiol Trimetrexate 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 Trimetrexate 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 Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Trimetrexate 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 Cannabidiol Trimetrexate (Compound) resembles Trimethobenzamide (Compound) and Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Trimetrexate 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 Cannabidiol
DB09241
DB11632
1,629
580
[ "DDInter1186", "DDInter1343" ]
Methylene blue
Opicapone
Methylene blue is an oxidation-reduction agent. The intravenous form of methylene blue is approved by the FDA for the treatment of pediatric and adult patients with acquired methemoglobinemia. Historically, it has been widely used in Africa to treat malaria, but now it disappeared when chloroquine (CQ) and other drugs entered the market. Its use as an urinary tract antiseptic has also been investigated. Methylthioninium chloride (INN, or methylene blue, proposed trade name Rember) is an investigational drug being developed by the University of Aberdeen and TauRx Therapeutics that has been shown in early clinical trials to be an inhibitor of Tau protein aggregation. The drug is of potential interest for the treatment of patients with Alzheimer's disease.
Opicapone is a potent, reversible, and peripherally-acting third-generation inhibitor of catechol-o-methyltransferase (COMT), an enzyme involved in the breakdown of various catecholamines including dopamine.[A36938, A203048] Many patients with Parkinson’s disease treated with levodopa plus a dopa decarboxylase (DDC) inhibitor (eg carbidopa) experience motor complications over time, which calls for the management of these symptoms through the use of a dopamine agonist, a monoamine oxidase B inhibitor (selegiline, rasagiline), a _catechol-O-methyl transferase (COMT)_ inhibitor, or amantadine, or using a modified-release formulation of levodopa. Opicapone is used for adjunct therapy to levodopa and carbidopa in adult patients with Parkinson's disease and end-of-dose motor fluctuations. Opicapone was approved for use by the European Commission in June 2016 and the FDA in April 2020. It is marketed under the brand name Ongentys as once-daily oral capsules. Exhibiting a long duration of action that exceeds 24 hours, opicapone can be administered once-daily and demonstrates the lowest risk for cytotoxicity compared to other catechol-O-methyltransferase inhibitors.
Major
2
[ [ [ 1629, 25, 580 ] ], [ [ 1629, 64, 475 ], [ 475, 24, 580 ] ], [ [ 1629, 63, 1311 ], [ 1311, 24, 580 ] ], [ [ 1629, 25, 407 ], [ 407, 24, 580 ] ], [ [ 1629, 64, 475 ], [ 475, 24, 104 ], [ 104, 24, 580 ] ], [ [ 1629, 63, 1311 ], [ 1311, 64, 104 ], [ 104, 24, 580 ] ], [ [ 1629, 25, 407 ], [ 407, 63, 104 ], [ 104, 24, 580 ] ], [ [ 1629, 63, 874 ], [ 874, 24, 104 ], [ 104, 24, 580 ] ], [ [ 1629, 64, 1264 ], [ 1264, 63, 104 ], [ 104, 24, 580 ] ], [ [ 1629, 63, 874 ], [ 874, 63, 999 ], [ 999, 24, 580 ] ] ]
[ [ [ "Methylene blue", "{u} may lead to a major life threatening interaction when taken with {v}", "Opicapone" ] ], [ [ "Methylene blue", "{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}", "Opicapone" ] ], [ [ "Methylene blue", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opicapone" ] ], [ [ "Methylene blue", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opicapone" ] ], [ [ "Methylene blue", "{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}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opicapone" ] ], [ [ "Methylene blue", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opicapone" ] ], [ [ "Methylene blue", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ], [ "Opium", "{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}", "Opicapone" ] ], [ [ "Methylene blue", "{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}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opicapone" ] ], [ [ "Methylene blue", "{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}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opicapone" ] ], [ [ "Methylene blue", "{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}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opicapone" ] ] ]
Methylene blue 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 Opicapone Methylene blue may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Opicapone Methylene blue may lead to a major life threatening interaction when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Opicapone Methylene blue 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 Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Opicapone Methylene blue may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide and Metoclopramide may lead to a major life threatening interaction when taken with Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Opicapone Methylene blue may lead to a major life threatening interaction when taken with Opium and Opium 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 Opicapone Methylene blue 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 Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Opicapone Methylene blue 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 Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Opicapone Methylene blue 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 Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Opicapone
DB01320
DB09038
651
1,450
[ "DDInter783", "DDInter636" ]
Fosphenytoin
Empagliflozin
Fosphenytoin is a water-soluble phenytoin prodrug used only in hospitals for the treatment of epileptic seizures. It works by slowing down impulses in the brain that cause seizures. Its main mechanism is to block frequency-dependent, use-dependent and voltage-dependent neuronal sodium channels, and therefore limit repetitive firing of action potentials.
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
[ [ [ 651, 24, 1450 ] ], [ [ 651, 63, 1486 ], [ 1486, 24, 1450 ] ], [ [ 651, 25, 1017 ], [ 1017, 63, 1450 ] ], [ [ 651, 25, 1510 ], [ 1510, 24, 1450 ] ], [ [ 651, 24, 850 ], [ 850, 24, 1450 ] ], [ [ 651, 24, 1296 ], [ 1296, 63, 1450 ] ], [ [ 651, 64, 629 ], [ 629, 24, 1450 ] ], [ [ 651, 40, 362 ], [ 362, 24, 1450 ] ], [ [ 651, 63, 1486 ], [ 1486, 63, 461 ], [ 461, 24, 1450 ] ], [ [ 651, 63, 1179 ], [ 1179, 23, 1103 ], [ 1103, 23, 1450 ] ] ]
[ [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{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}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{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}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{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}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{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}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{u} (Compound) resembles {v} (Compound)", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Fosphenytoin", "{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" ] ] ]
Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Fosphenytoin may lead to a major life threatening interaction when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Fosphenytoin 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 Empagliflozin Fosphenytoin 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 Empagliflozin Fosphenytoin 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 Empagliflozin Fosphenytoin 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 Empagliflozin Fosphenytoin (Compound) resembles Phenytoin (Compound) and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Fosphenytoin 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
DB01088
DB04896
714
901
[ "DDInter908", "DDInter1220" ]
Iloprost
Milnacipran
Iloprost is a mimetic of prostacyclin (PGI2; epoprostenol). Iloprost consists of a mixture of the 4R and 4S diastereoisomers at a ratio of approximately 53:47. It is a potent vasodilator with reported anti-thrombotic properties.
Milnacipran is a selective serotonin and norepinephrine reuptake inhibitor (SNRI) and like many agents in this category was originally developed for and continues to be approved and indicated for the treatment of depression [F3928, F3934, A175786, A175951]. Furthermore, in 2009 the US FDA approved milnacipran for the additional indication of treating fibromyalgia , although other regional regulatory authorities like the EMA, among others, have not yet approved the agent for such treatment, citing lack of robust evidence of efficacy, insufficient demonstration of maintenance of effect, and other concerns [F3928, F3934]. Nevertheless, milnacipran demonstrates a somewhat unique characteristic among SNRIs to elicit a relatively balanced reuptake inhibition of both serotonin and noradrenaline, with a somewhat increased preference for noradrenaline reuptake inhibition - which is potentially a point of interest given the plausible proposal that noradrenaline plays an important role in the mitigation of pain signals in the descending inhibitory pain pathways in the brain and spinal cord [A175759, A175843, A175846]. Moreover, recent research has shown that the levorotatory enantiomer of milnacipran, levomilnacipran, may have the capacity to inhibit the activity of beta-site amyloid precursor protein cleaving enzyme-1 (BACE-1), which has investigationally been associated with β-amyloid plaque formation - making the agent a possible course of treatment for Alzheimer's disease .
Moderate
1
[ [ [ 714, 24, 901 ] ], [ [ 714, 24, 41 ], [ 41, 1, 901 ] ], [ [ 714, 25, 405 ], [ 405, 63, 901 ] ], [ [ 714, 24, 256 ], [ 256, 63, 901 ] ], [ [ 714, 63, 1636 ], [ 1636, 24, 901 ] ], [ [ 714, 25, 500 ], [ 500, 24, 901 ] ], [ [ 714, 64, 1172 ], [ 1172, 24, 901 ] ], [ [ 714, 24, 477 ], [ 477, 24, 901 ] ], [ [ 714, 63, 121 ], [ 121, 25, 901 ] ], [ [ 714, 24, 222 ], [ 222, 25, 901 ] ] ]
[ [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} (Compound) resembles {v} (Compound)", "Milnacipran" ] ], [ [ "Iloprost", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ], [ "Acalabrutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ], [ "Prasugrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylephrine" ], [ "Phenylephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Iloprost", "{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}", "Milnacipran" ] ], [ [ "Iloprost", "{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}", "Milnacipran" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ] ] ]
Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran (Compound) resembles Milnacipran (Compound) Iloprost may lead to a major life threatening interaction when taken with Acalabrutinib and Acalabrutinib may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel and Prasugrel may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Phenylephrine and Phenylephrine may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Iloprost 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 Milnacipran Iloprost 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 Milnacipran Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Fenfluramine and Fenfluramine may lead to a major life threatening interaction when taken with Milnacipran Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may lead to a major life threatening interaction when taken with Milnacipran
DB00193
DB00486
534
1,614
[ "DDInter1841", "DDInter1253" ]
Tramadol
Nabilone
Tramadol is a centrally acting synthetic opioid analgesic and SNRI (serotonin/norepinephrine reuptake-inhibitor) that is structurally related to [codeine] and [morphine]. Due to its good tolerability profile and multimodal mechanism of action, tramadol is generally considered a lower-risk opioid option for the treatment of moderate to severe pain. It is considered a Step 2 option on the World Health Organization's pain ladder and has about 1/10th of the potency of [morphine]. Tramadol differs from other traditional opioid medications in that it doesn't just act as a μ-opioid agonist, but also affects monoamines by modulating the effects of neurotransmitters involved in the modulation of pain such as serotonin and norepinpehrine which activate descending pain inhibitory pathways. Tramadol's effects on serotonin and norepinephrine mimic the effects of other SNRI antidepressants such as [dul
Nabilone (marketed as Cesamet) is a synthetic form of delta-9-tetrahydrocannabinol (Δ⁹-THC), the primary psychoactive component of cannabis (marijuana). Although structurally distinct from THC, nabilone mimics THC's structure and pharmacological activity through weak partial agonist activity at Cannabinoid-1 (CB1R) and Cannabinoid-2 (CB2R) receptors, however it is considered to be twice as active as Δ⁹-THC. Nabilone is approved by the FDA for the treatment of nausea and vomiting associated with cancer chemotherapy in patients who have failed to respond adequately to conventional antiemetic treatments [FDA Label]. Tetrahydrocannabinol (THC) and cannabidiol (CBD) are the two most abundant cannabinoids found naturally in the resin of the marijuana plant, both of which are pharmacologically active due to their interaction with cannabinoid receptors that are found throughout the body . While both CBD and THC are used for medicinal purposes, they have different receptor activity, function, and physiological effects. If not provided in their activated form (such as through synthetic forms like Nabilone or ), THC and CBD are obtained through conversion from their precursors, tetrahydrocannabinolic acid-A (THCA-A) and cannabidiolic acid (CBDA), through decarboxylation reactions. This can be achieved through heating, smoking, vaporization, or baking of dried unfertilized female cannabis flowers. From a pharmacological perspective, Cannabis' diverse receptor profile explains its potential application for such a wide variety of medical conditions. Cannabis contains more than 400 different chemical compounds, of which 61 are considered cannabinoids, a class of compounds that act upon endogenous cannabinoid receptors of the body . The endocannabinoid system is widely distributed throughout the central and peripheral nervous system (via the Cannabinoid Receptors CB1 and CB2) and plays a role in many physiological processes such as inflammation, cardiovascular function, learning, pain, memory, stress and emotional regulation, and the sleep/wake cycle among many others . CB1 receptors are found in both the central and peripheral nervous system, and are most abundant in the hippocampus and amygdala, which are the areas of the brain responsible for short-term memory storage and emotional regulation. CB2 receptors are mainly located in the peripheral nervous system and can be found on lymphoid tissue where they are involved in regulation of immune function . In Canada, the United States, the United Kingdom and Mexico, nabilone is marketed as Cesamet. It was approved in 1985 by the United States FDA for treatment of chemotherapy-induced nausea and vomiting that has not responded to conventional antiemetics. Though it was approved by the FDA in 1985, the drug only began marketing in the United States in 2006. It is also approved for use in treatment of anorexia and weight loss in patients with AIDS. Nabilone is a racemate consisting of the (S,S) and the (R,R) isomers.
Moderate
1
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[ [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Dronabinol" ], [ "Dronabinol", "{u} (Compound) resembles {v} (Compound)", "Nabilone" ] ], [ [ "Tramadol", "{u} (Compound) causes {v} (Side Effect)", "Loss of consciousness" ], [ "Loss of consciousness", "{u} (Side Effect) is caused by {v} (Compound)", "Nabilone" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levocetirizine" ], [ "Levocetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Tramadol", "{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}", "Nabilone" ] ], [ [ "Tramadol", "{u} (Compound) resembles {v} (Compound)", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Tramadol", "{u} (Compound) resembles {v} (Compound)", "Venlafaxine" ], [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ] ] ]
Tramadol may lead to a major life threatening interaction when taken with Dronabinol and Dronabinol (Compound) resembles Nabilone (Compound) Tramadol (Compound) causes Loss of consciousness (Side Effect) and Loss of consciousness (Side Effect) is caused by Nabilone (Compound) Tramadol may lead to a major life threatening interaction when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Tramadol may cause a moderate interaction that could exacerbate diseases when taken with Levocetirizine and Levocetirizine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Tramadol may lead to a major life threatening interaction when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Tramadol 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 Nabilone Tramadol (Compound) resembles Dextromethorphan (Compound) and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Tramadol (Compound) resembles Venlafaxine (Compound) and Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone Tramadol may lead to a major life threatening interaction when taken with Aldesleukin and Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Nabilone
DB00877
DB11986
629
484
[ "DDInter1678", "DDInter648" ]
Sirolimus
Entrectinib
Sirolimus, also known as rapamycin, is a macrocyclic lactone antibiotic produced by bacteria _Streptomyces hygroscopicus_, which was isolated from the soil of the Vai Atari region of Rapa Nui (Easter Island). It was first isolated and identified as an antifungal agent with potent anticandida activity; however, after its potent antitumor and immunosuppressive activities were later discovered, it was extensively investigated as an immunosuppressive and antitumour agent. Its primary mechanism of action is the inhibition of the mammalian target of rapamycin (mTOR), which is a serine/threonine-specific protein kinase that regulates cell growth, proliferation, and survival. mTOR is an important therapeutic target for various diseases, as it was shown to regulate longevity and maintain normal glucose homeostasis. Targeting mTOR received more attention especially in cancer, as mTOR signalling pathways are constitutively activated in
Entrectinib is a tropomyosin receptor tyrosine kinase (TRK) TRKA, TRKB, TRKC, proto-oncogene tyrosine-protein kinase ROS1, and anaplastic lymphoma kinase (ALK) inhibitor. It was approved by the FDA in August 2019 for use in the treatment of ROS1-positive metastatic non-small cell lung cancer and NTRK gene fusion positive solid tumors. Entrectinib's approved use is meant as a last line of therapy due to its accelerated approval based on early trial data. This therapy offers benefit over similar ALK inhibitors such as [alectinib], [ceritinib], and [lorlatinib] due to a wider range of targets.
Moderate
1
[ [ [ 629, 24, 484 ] ], [ [ 629, 24, 222 ], [ 222, 23, 484 ] ], [ [ 629, 23, 907 ], [ 907, 62, 484 ] ], [ [ 629, 63, 1197 ], [ 1197, 24, 484 ] ], [ [ 629, 64, 998 ], [ 998, 24, 484 ] ], [ [ 629, 24, 623 ], [ 623, 24, 484 ] ], [ [ 629, 24, 180 ], [ 180, 63, 484 ] ], [ [ 629, 25, 1399 ], [ 1399, 63, 484 ] ], [ [ 629, 25, 1079 ], [ 1079, 24, 484 ] ], [ [ 629, 63, 494 ], [ 494, 25, 484 ] ] ]
[ [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norethisterone" ], [ "Norethisterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oliceridine" ], [ "Oliceridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Telavancin" ], [ "Telavancin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Disopyramide" ], [ "Disopyramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ] ]
Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Entrectinib Sirolimus may cause a minor interaction that can limit clinical effects when taken with Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Entrectinib Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Norethisterone and Norethisterone may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Sirolimus may lead to a major life threatening interaction when taken with Phenylbutazone and Phenylbutazone may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Quetiapine and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Oliceridine and Oliceridine may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Sirolimus may lead to a major life threatening interaction when taken with Lithium carbonate and Lithium carbonate may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Sirolimus may lead to a major life threatening interaction when taken with Telavancin and Telavancin may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Disopyramide and Disopyramide may lead to a major life threatening interaction when taken with Entrectinib
DB06626
DB08881
263
868
[ "DDInter147", "DDInter1925" ]
Axitinib
Vemurafenib
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.
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.
Moderate
1
[ [ [ 263, 24, 868 ] ], [ [ 263, 63, 122 ], [ 122, 23, 868 ] ], [ [ 263, 24, 578 ], [ 578, 24, 868 ] ], [ [ 263, 25, 760 ], [ 760, 63, 868 ] ], [ [ 263, 64, 441 ], [ 441, 24, 868 ] ], [ [ 263, 23, 286 ], [ 286, 63, 868 ] ], [ [ 263, 24, 1412 ], [ 1412, 63, 868 ] ], [ [ 263, 63, 1324 ], [ 1324, 24, 868 ] ], [ [ 263, 25, 74 ], [ 74, 24, 868 ] ], [ [ 263, 62, 1559 ], [ 1559, 24, 868 ] ] ]
[ [ [ "Axitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Axitinib", "{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}", "Vemurafenib" ] ], [ [ "Axitinib", "{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}", "Vemurafenib" ] ], [ [ "Axitinib", "{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" ] ], [ [ "Axitinib", "{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}", "Vemurafenib" ] ], [ [ "Axitinib", "{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}", "Vemurafenib" ] ], [ [ "Axitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ], [ "Calaspargase pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Axitinib", "{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}", "Vemurafenib" ] ], [ [ "Axitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Boceprevir" ], [ "Boceprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Axitinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ] ]
Axitinib 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 Vemurafenib Axitinib 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 Vemurafenib Axitinib 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 Axitinib 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 Vemurafenib Axitinib 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 Vemurafenib Axitinib may cause a moderate interaction that could exacerbate diseases when taken with Calaspargase pegol and Calaspargase pegol may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Axitinib 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 Vemurafenib Axitinib may lead to a major life threatening interaction when taken with Boceprevir and Boceprevir may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Axitinib may cause a minor interaction that can limit clinical effects when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib
DB01244
DB06595
762
1,491
[ "DDInter192", "DDInter1214" ]
Bepridil
Midostaurin
A long-acting, non selective, calcium channel blocker with significant anti-anginal activity. The drug produces significant coronary vasodilation and modest peripheral effects. It has antihypertensive and selective anti-arrhythmia activities and acts as a calmodulin antagonist. It is no longer marketed in the United States, as it has been implicated in causing ventricular arrhythmias (ie. Torsade de pointes).
Midostaurin (as Rydapt) is a multitarget kinase inhibitor for the treatment for adult patients with newly diagnosed acute myeloid leukemia (AML) who have a specific genetic mutation called FLT3. It was initially characterized as a potential broad-spectrum antineoplastic agent, with activity toward diverse solid and hematopoietic tumors . It was approved on April 28, 2017 and has shown to increase the overall survival rate in patients with AML as an adjunct therapy along with chemotherapeutic agents.
Major
2
[ [ [ 762, 25, 1491 ] ], [ [ 762, 23, 1135 ], [ 1135, 62, 1491 ] ], [ [ 762, 62, 112 ], [ 112, 23, 1491 ] ], [ [ 762, 64, 888 ], [ 888, 24, 1491 ] ], [ [ 762, 24, 657 ], [ 657, 63, 1491 ] ], [ [ 762, 25, 1342 ], [ 1342, 24, 1491 ] ], [ [ 762, 25, 1662 ], [ 1662, 63, 1491 ] ], [ [ 762, 63, 629 ], [ 629, 24, 1491 ] ], [ [ 762, 24, 549 ], [ 549, 24, 1491 ] ], [ [ 762, 1, 675 ], [ 675, 24, 1491 ] ] ]
[ [ [ "Bepridil", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ] ], [ [ "Bepridil", "{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}", "Midostaurin" ] ], [ [ "Bepridil", "{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}", "Midostaurin" ] ], [ [ "Bepridil", "{u} may lead to a major life threatening interaction when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Bepridil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Castor oil" ], [ "Castor oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Bepridil", "{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}", "Midostaurin" ] ], [ [ "Bepridil", "{u} may lead to a major life threatening interaction when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Bepridil", "{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}", "Midostaurin" ] ], [ [ "Bepridil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Bepridil", "{u} (Compound) resembles {v} (Compound)", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ] ]
Bepridil 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 Midostaurin Bepridil 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 Midostaurin Bepridil may lead to a major life threatening interaction when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Bepridil may cause a moderate interaction that could exacerbate diseases when taken with Castor oil and Castor oil may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Bepridil 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 Midostaurin Bepridil may lead to a major life threatening interaction when taken with Picosulfuric acid and Picosulfuric acid may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Bepridil 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 Midostaurin Bepridil may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Bepridil (Compound) resembles Dextropropoxyphene (Compound) and Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin
DB00095
DB15719
66
487
[ "DDInter623", "DDInter171" ]
Efalizumab
Belantamab mafodotin
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).
Belantamab mafodotin, or GSK2857916, is an afucosylated monoclonal antibody that targets B cell maturation antigen conjugated to the microtubule disrupter monomethyl auristatin-F (MMAF). Belantamab mafodotin was granted FDA accelerated approval on 5 August 2020 for the treatment of multiple myeloma; however, its manufacturer began the process for withdrawal of the US marketing authorization in November 2022. In the meantime, belantamab mafodotin will be available for patients in the Risk Evaluation and Mitigation Strategy (REMS) program who can enrol in a compassionate use program.
Moderate
1
[ [ [ 66, 24, 487 ] ], [ [ 66, 24, 259 ], [ 259, 24, 487 ] ], [ [ 66, 63, 1184 ], [ 1184, 24, 487 ] ], [ [ 66, 25, 976 ], [ 976, 25, 487 ] ], [ [ 66, 63, 581 ], [ 581, 25, 487 ] ], [ [ 66, 24, 375 ], [ 375, 25, 487 ] ], [ [ 66, 24, 259 ], [ 259, 63, 4 ], [ 4, 24, 487 ] ], [ [ 66, 24, 1683 ], [ 1683, 24, 259 ], [ 259, 24, 487 ] ], [ [ 66, 63, 1184 ], [ 1184, 24, 259 ], [ 259, 24, 487 ] ], [ [ 66, 25, 976 ], [ 976, 24, 810 ], [ 810, 24, 487 ] ] ]
[ [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Efalizumab", "{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}", "Belantamab mafodotin" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Efalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Belantamab mafodotin" ] ], [ [ "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}", "Belantamab mafodotin" ] ], [ [ "Efalizumab", "{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}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Efalizumab", "{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}", "Strontium chloride Sr-89" ], [ "Strontium chloride Sr-89", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ] ]
Efalizumab 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 Belantamab mafodotin Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Efalizumab may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Belantamab mafodotin Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Belantamab mafodotin 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 Belantamab mafodotin Efalizumab 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 Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Efalizumab 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 Strontium chloride Sr-89 and Strontium chloride Sr-89 may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin
DB01032
DB08826
824
1,292
[ "DDInter1522", "DDInter489" ]
Probenecid
Deferiprone
The prototypical uricosuric agent. It inhibits the renal excretion of organic anions and reduces tubular reabsorption of urate. Probenecid has also been used to treat patients with renal impairment, and, because it reduces the renal tubular excretion of other drugs, has been used as an adjunct to antibacterial therapy.
Deferiprone is an oral iron chelator used as a second line agent in thalassemia syndromes when iron overload from blood transfusions occurs. Thalassemias are a type of hereditary anaemia due a defect in the production of hemoglobin. As a result, erythropoiesis, the production of new red blood cells, is impaired. FDA approved on October 14, 2011.
Moderate
1
[ [ [ 824, 24, 1292 ] ], [ [ 824, 18, 7242 ], [ 7242, 57, 1292 ] ], [ [ 824, 21, 28762 ], [ 28762, 60, 1292 ] ], [ [ 824, 62, 1512 ], [ 1512, 24, 1292 ] ], [ [ 824, 63, 1096 ], [ 1096, 25, 1292 ] ], [ [ 824, 64, 663 ], [ 663, 25, 1292 ] ], [ [ 824, 1, 1401 ], [ 1401, 25, 1292 ] ], [ [ 824, 25, 1259 ], [ 1259, 64, 1292 ] ], [ [ 824, 18, 7242 ], [ 7242, 17, 2240 ], [ 2240, 46, 1292 ] ], [ [ 824, 21, 28762 ], [ 28762, 60, 45 ], [ 45, 24, 1292 ] ] ]
[ [ [ "Probenecid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deferiprone" ] ], [ [ "Probenecid", "{u} (Compound) downregulates {v} (Gene)", "PHKA1" ], [ "PHKA1", "{u} (Gene) is downregulated by {v} (Compound)", "Deferiprone" ] ], [ [ "Probenecid", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Deferiprone" ] ], [ [ "Probenecid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deferiprone" ] ], [ [ "Probenecid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Probenecid", "{u} may lead to a major life threatening interaction when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Probenecid", "{u} (Compound) resembles {v} (Compound)", "Procainamide" ], [ "Procainamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Probenecid", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Probenecid", "{u} (Compound) downregulates {v} (Gene)", "PHKA1" ], [ "PHKA1", "{u} (Gene) regulates {v} (Gene)", "BTK" ], [ "BTK", "{u} (Gene) is upregulated by {v} (Compound)", "Deferiprone" ] ], [ [ "Probenecid", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Didanosine" ], [ "Didanosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deferiprone" ] ] ]
Probenecid (Compound) downregulates PHKA1 (Gene) and PHKA1 (Gene) is downregulated by Deferiprone (Compound) Probenecid (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Deferiprone (Compound) Probenecid may cause a minor interaction that can limit clinical effects when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Deferiprone Probenecid may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may lead to a major life threatening interaction when taken with Deferiprone Probenecid may lead to a major life threatening interaction when taken with Methotrexate and Methotrexate may lead to a major life threatening interaction when taken with Deferiprone Probenecid (Compound) resembles Procainamide (Compound) and Procainamide may lead to a major life threatening interaction when taken with Deferiprone Probenecid may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Deferiprone Probenecid (Compound) downregulates PHKA1 (Gene) and PHKA1 (Gene) regulates BTK (Gene) and BTK (Gene) is upregulated by Deferiprone (Compound) Probenecid (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Didanosine (Compound) and Didanosine may cause a moderate interaction that could exacerbate diseases when taken with Deferiprone
DB06655
DB06788
5
1,616
[ "DDInter1077", "DDInter864" ]
Liraglutide
Histrelin
Victoza contains liraglutide, a synthetic analog of human glucagon-like peptide-1(GLP-1) and acts as a GLP-1 receptor agonist.[Label,A6932] Liraglutide is 97% similar to native human GLP-1, differing primarily by substituting arginine for lysine at position 34. Liraglutide is made by attaching a C-16 fatty acid (palmitic acid) with a glutamic acid spacer on the remaining lysine residue at position 26 of the peptide precursor. Liraglutide was granted FDA approval on January 25, 2010.
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
[ [ [ 5, 24, 1616 ] ], [ [ 5, 63, 1664 ], [ 1664, 24, 1616 ] ], [ [ 5, 24, 1296 ], [ 1296, 63, 1616 ] ], [ [ 5, 63, 684 ], [ 684, 25, 1616 ] ], [ [ 5, 64, 246 ], [ 246, 25, 1616 ] ], [ [ 5, 24, 1154 ], [ 1154, 25, 1616 ] ], [ [ 5, 63, 1664 ], [ 1664, 23, 112 ], [ 112, 23, 1616 ] ], [ [ 5, 63, 623 ], [ 623, 62, 112 ], [ 112, 23, 1616 ] ], [ [ 5, 63, 1179 ], [ 1179, 24, 1247 ], [ 1247, 23, 1616 ] ], [ [ 5, 63, 4 ], [ 4, 24, 1342 ], [ 1342, 24, 1616 ] ] ]
[ [ [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ], [ "Risperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Liraglutide", "{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}", "Histrelin" ] ], [ [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Histrelin" ] ], [ [ "Liraglutide", "{u} may lead to a major life threatening interaction when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Histrelin" ] ], [ [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Histrelin" ] ], [ [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ], [ "Risperidone", "{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" ] ], [ [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quetiapine" ], [ "Quetiapine", "{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" ] ], [ [ "Liraglutide", "{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}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Histrelin" ] ], [ [ "Liraglutide", "{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}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ] ]
Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Risperidone and Risperidone may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Liraglutide 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 Histrelin Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Thioridazine and Thioridazine may lead to a major life threatening interaction when taken with Histrelin Liraglutide may lead to a major life threatening interaction when taken with Gatifloxacin and Gatifloxacin may lead to a major life threatening interaction when taken with Histrelin Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide and Pasireotide may lead to a major life threatening interaction when taken with Histrelin Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Risperidone and Risperidone 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 Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Quetiapine and Quetiapine 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 Liraglutide 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 Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Histrelin Liraglutide 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 Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Histrelin
DB06016
DB11979
1,508
1,320
[ "DDInter300", "DDInter625" ]
Cariprazine
Elagolix
Cariprazine is an atypical antipsychotic agent and a piperazine derivative that was first developed in Hungary. It works as a partial agonist at central dopamine D2, dopamine D3, and serotonin 5-HT<sub>1A</sub> receptors and as an antagonist at serotonin 5-HT<sub>2A</sub> receptors. Cariprazine has been investigated in a variety of psychiatric disorders, including schizophrenia, bipolar disorders, and major depressive disorder. Cariprazine gained its first global approval in the US in September 2015 and was later approved by Health Canada in April 2022. It is currently used to treat schizophrenia, and manic or mixed episodes and depressive episodes associated with bipolar I disorder.[L41655,L40198]
Elagolix has been used in trials studying the basic science and treatment of Endometriosis, Folliculogenesis, Uterine Fibroids, Heavy Uterine Bleeding, and Heavy Menstrual Bleeding. As of 24 July 2018, however, the U.S. Food and Drug Administration (FDA) approved AbbVie's elagolix under the brand name Orilissa as the first and only oral gonadotropin-releasing hormone (GnRH) antagonist specifically developed for women with moderate to severe endometriosis pain . It has been determined that endometriosis is one of the most common gynecologic disorders in the United States [A35868, A35869, F801]. In particular, estimates suggest that one in ten women of reproductive age is affected by endometriosis and experience debilitating pain symptoms [A35868, A35869, F801]. Moreover, women who are affected by this condition can suffer for up to six to ten years and visit multiple physicians before receiving a proper diagnosis [A35868, A35869, F801]. Subsequently, as Orilissa (elagolix) was approved by the FDA under priority review , this expedited new approval gives healthcare professionals another valuable option for treating the potentially unmet needs of women who are affected by endometriosis, depending on their specific type and severity of endometriosis pain.
Moderate
1
[ [ [ 1508, 24, 1320 ] ], [ [ 1508, 24, 1297 ], [ 1297, 24, 1320 ] ], [ [ 1508, 24, 484 ], [ 484, 63, 1320 ] ], [ [ 1508, 63, 597 ], [ 597, 24, 1320 ] ], [ [ 1508, 25, 760 ], [ 760, 25, 1320 ] ], [ [ 1508, 64, 609 ], [ 609, 25, 1320 ] ], [ [ 1508, 24, 1297 ], [ 1297, 63, 608 ], [ 608, 23, 1320 ] ], [ [ 1508, 24, 129 ], [ 129, 64, 168 ], [ 168, 23, 1320 ] ], [ [ 1508, 24, 484 ], [ 484, 62, 271 ], [ 271, 23, 1320 ] ], [ [ 1508, 63, 597 ], [ 597, 63, 168 ], [ 168, 23, 1320 ] ] ]
[ [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ], [ "Osilodrostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elagolix" ] ], [ [ "Cariprazine", "{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}", "Elagolix" ] ], [ [ "Cariprazine", "{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}", "Elagolix" ] ], [ [ "Cariprazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may lead to a major life threatening interaction when taken with {v}", "Elagolix" ] ], [ [ "Cariprazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Elagolix" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ], [ "Osilodrostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Elagolix" ] ], [ [ "Cariprazine", "{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}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Elagolix" ] ], [ [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Elagolix" ] ], [ [ "Cariprazine", "{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}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Elagolix" ] ] ]
Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat and Osilodrostat may cause a moderate interaction that could exacerbate diseases when taken with Elagolix Cariprazine 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 Elagolix Cariprazine 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 Elagolix Cariprazine may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may lead to a major life threatening interaction when taken with Elagolix Cariprazine may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Elagolix Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat and Osilodrostat may cause a moderate interaction that could exacerbate diseases when taken with Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Elagolix Cariprazine 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 Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Elagolix Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib and Entrectinib may cause a minor interaction that can limit clinical effects when taken with Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Elagolix Cariprazine 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 Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Elagolix
DB08912
DB09154
1,040
1,475
[ "DDInter462", "DDInter1686" ]
Dabrafenib
Sodium citrate
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.
Sodium citrate is the sodium salt of citric acid. It is white, crystalline powder or white, granular crystals, slightly deliquescent in moist air, freely soluble in water, practically insoluble in alcohol. Like citric acid, it has a sour taste. From the medical point of view, it is used as alkalinizing agent. It works by neutralizing excess acid in the blood and urine. It has been indicated for the treatment of metabolic acidosis.
Moderate
1
[ [ [ 1040, 24, 1475 ] ], [ [ 1040, 64, 263 ], [ 263, 23, 1475 ] ], [ [ 1040, 63, 902 ], [ 902, 23, 1475 ] ], [ [ 1040, 25, 1406 ], [ 1406, 63, 1475 ] ], [ [ 1040, 63, 786 ], [ 786, 24, 1475 ] ], [ [ 1040, 24, 70 ], [ 70, 24, 1475 ] ], [ [ 1040, 24, 405 ], [ 405, 63, 1475 ] ], [ [ 1040, 63, 115 ], [ 115, 25, 1475 ] ], [ [ 1040, 64, 263 ], [ 263, 63, 663 ], [ 663, 23, 1475 ] ], [ [ 1040, 63, 902 ], [ 902, 40, 1563 ], [ 1563, 23, 1475 ] ] ]
[ [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Axitinib" ], [ "Axitinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clobazam" ], [ "Clobazam", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ], [ "Neratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{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}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elvitegravir" ], [ "Elvitegravir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ], [ "Acalabrutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ], [ "Aluminum hydroxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Axitinib" ], [ "Axitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clobazam" ], [ "Clobazam", "{u} (Compound) resembles {v} (Compound)", "Halazepam" ], [ "Halazepam", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ] ]
Dabrafenib may lead to a major life threatening interaction when taken with Axitinib and Axitinib may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Clobazam and Clobazam may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Dabrafenib may lead to a major life threatening interaction when taken with Neratinib and Neratinib may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Dabrafenib 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 Sodium citrate Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Elvitegravir and Elvitegravir may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib and Acalabrutinib may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide and Aluminum hydroxide may lead to a major life threatening interaction when taken with Sodium citrate Dabrafenib may lead to a major life threatening interaction when taken with Axitinib and Axitinib may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Clobazam and Clobazam (Compound) resembles Halazepam (Compound) and Halazepam may cause a minor interaction that can limit clinical effects when taken with Sodium citrate
DB00712
DB01082
1,274
1,448
[ "DDInter763", "DDInter1713" ]
Flurbiprofen
Streptomycin
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.
Streptomycin, an antibiotic derived from _Streptomyces griseus_, was the first aminoglycoside to be discovered and used in practice in the 1940s.[A233325,A233390] Selman Waksman and eventually Albert Schatz were recognized with the Nobel Prize in Medicine for their discovery of streptomycin and its antibacterial activity.[A233325,A232294] Although streptomycin was the first antibiotic determined to be effective against mycobacterium tuberculosis, it has fallen out of favor due to resistance and is now primarily used as adjunctive treatment in cases of multi-drug resistant tuberculosis.
Moderate
1
[ [ [ 1274, 24, 1448 ] ], [ [ 1274, 6, 10612 ], [ 10612, 45, 1448 ] ], [ [ 1274, 21, 29327 ], [ 29327, 60, 1448 ] ], [ [ 1274, 24, 1332 ], [ 1332, 24, 1448 ] ], [ [ 1274, 24, 1272 ], [ 1272, 63, 1448 ] ], [ [ 1274, 63, 1027 ], [ 1027, 24, 1448 ] ], [ [ 1274, 64, 886 ], [ 886, 24, 1448 ] ], [ [ 1274, 35, 914 ], [ 914, 24, 1448 ] ], [ [ 1274, 25, 1552 ], [ 1552, 64, 1448 ] ], [ [ 1274, 24, 1680 ], [ 1680, 25, 1448 ] ] ]
[ [ [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Streptomycin" ] ], [ [ "Flurbiprofen", "{u} (Compound) binds {v} (Gene)", "SLC22A6" ], [ "SLC22A6", "{u} (Gene) is bound by {v} (Compound)", "Streptomycin" ] ], [ [ "Flurbiprofen", "{u} (Compound) causes {v} (Side Effect)", "Renal failure" ], [ "Renal failure", "{u} (Side Effect) is caused by {v} (Compound)", "Streptomycin" ] ], [ [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methoxyflurane" ], [ "Methoxyflurane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Streptomycin" ] ], [ [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flucytosine" ], [ "Flucytosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Streptomycin" ] ], [ [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Piroxicam" ], [ "Piroxicam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Streptomycin" ] ], [ [ "Flurbiprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Ketorolac" ], [ "Ketorolac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Streptomycin" ] ], [ [ "Flurbiprofen", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ], [ "Diflunisal", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Streptomycin" ] ], [ [ "Flurbiprofen", "{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}", "Streptomycin" ] ], [ [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etacrynic acid" ], [ "Etacrynic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Streptomycin" ] ] ]
Flurbiprofen (Compound) binds SLC22A6 (Gene) and SLC22A6 (Gene) is bound by Streptomycin (Compound) Flurbiprofen (Compound) causes Renal failure (Side Effect) and Renal failure (Side Effect) is caused by Streptomycin (Compound) Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Methoxyflurane and Methoxyflurane may cause a moderate interaction that could exacerbate diseases when taken with Streptomycin Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Flucytosine and Flucytosine may cause a moderate interaction that could exacerbate diseases when taken with Streptomycin Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Piroxicam and Piroxicam may cause a moderate interaction that could exacerbate diseases when taken with Streptomycin Flurbiprofen may lead to a major life threatening interaction when taken with Ketorolac and Ketorolac may cause a moderate interaction that could exacerbate diseases when taken with Streptomycin Flurbiprofen (Compound) resembles Diflunisal (Compound) and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal and Diflunisal may cause a moderate interaction that could exacerbate diseases when taken with Streptomycin Flurbiprofen 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 Streptomycin Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Etacrynic acid and Etacrynic acid may lead to a major life threatening interaction when taken with Streptomycin
DB00358
DB11932
1,010
327
[ "DDInter1140", "DDInter3" ]
Mefloquine
Abametapir (topical)
Malaria is a protozoan disease that places an enormous burden on human health in endemic areas around the world. The 2020 World Health Organization malaria report indicates a 60% decrease in the global malaria fatality rate between 2000 to 2019. Despite this, malaria remains a significant cause of morbidity and mortality; 90% of deaths from malaria occur in Africa. Individuals at the highest risk for malaria are those in disease naïve populations, children under age 5, refugees in Central and Eastern Africa, nonimmune civilian and military travelers, pregnant women, and immigrants traveling to their place of origin. Mefloquine, commonly known as Lariam, is an antimalarial drug used for the prevention and treatment of malaria caused by infection with Plasmodium vivax and Plasmodium falciparum. The drug was initially discovered by the Walter Reed Army Institute of Research (WRAIR) during a malaria drug discovery program between 196
Abametapir is a member of bipyridines.
Moderate
1
[ [ [ 1010, 24, 327 ] ], [ [ 1010, 24, 124 ], [ 124, 63, 327 ] ], [ [ 1010, 24, 79 ], [ 79, 24, 327 ] ], [ [ 1010, 25, 1069 ], [ 1069, 24, 327 ] ], [ [ 1010, 63, 1101 ], [ 1101, 24, 327 ] ], [ [ 1010, 64, 702 ], [ 702, 24, 327 ] ], [ [ 1010, 24, 124 ], [ 124, 24, 283 ], [ 283, 63, 327 ] ], [ [ 1010, 24, 283 ], [ 283, 63, 124 ], [ 124, 63, 327 ] ], [ [ 1010, 25, 1069 ], [ 1069, 25, 124 ], [ 124, 63, 327 ] ], [ [ 1010, 63, 1101 ], [ 1101, 24, 124 ], [ 124, 63, 327 ] ] ]
[ [ [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ] ], [ [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ] ], [ [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ] ], [ [ "Mefloquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ] ], [ [ "Mefloquine", "{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}", "Abametapir" ] ], [ [ "Mefloquine", "{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}", "Abametapir" ] ], [ [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{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}", "Abametapir" ] ], [ [ "Mefloquine", "{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}", "Glasdegib" ], [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ] ], [ [ "Mefloquine", "{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}", "Glasdegib" ], [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ] ], [ [ "Mefloquine", "{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}", "Glasdegib" ], [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abametapir" ] ] ]
Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Abametapir Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib and Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Abametapir Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Sorafenib and Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Abametapir Mefloquine may lead to a major life threatening interaction when taken with Vandetanib and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Abametapir Mefloquine 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 Abametapir Mefloquine 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 Abametapir Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib and Glasdegib 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 Abametapir Mefloquine 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 Glasdegib and Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Abametapir Mefloquine 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 Glasdegib and Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Abametapir Mefloquine 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 Glasdegib and Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Abametapir
DB09074
DB09280
1,362
1,604
[ "DDInter1327", "DDInter1101" ]
Olaparib
Lumacaftor
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.
Lumacaftor is a drug used in combination with as the fixed dose combination product Orkambi for the management of Cystic Fibrosis (CF) in patients aged 6 years and older. 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, a transmembrane ion channel involved in the transport of chloride and sodium ions across cell membranes of the lungs, pancreas, and other organs. Mutations in the CFTR gene result in altered production, misfolding, or function of the CFTR 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 infections, lung damage, pancreatic insufficiency, and malnutrition. Lumacaftor improves CF symptoms and underlying disease pathology by aiding the conformational stability of F508del-mutated CFTR proteins, preventing misfolding and resulting in increased processing and trafficking of mature protein to the cell surface. Results from clinical trials indicated that treatment with Orkambi (lumacaftor/ivacaftor) results in improved lung function, reduced chance of experiencing a pulmonary exacerbation, increased weight gain, and improvements in CF symptoms.[FDA Label] This data has been heavily scrutinized, however, with clinical trials showing only modest improvements despite a hefty yearly cost of $259,000 for Orkambi. Improvements in lung function (ppFEV1) were found to be statistically significant, but minimal, with only a 2.6-3.0% change from baseline with more than 70% of patients failing to achieve an absolute improvement of at least 5%.[A20343, L936] A wide variety of CFTR mutations correlate to the Cystic Fibrosis phenotype and are associated with differing levels of disease severity. The most common mutation, affecting approximately 70% of patients with CF worldwide, is known as F508del-CFTR, or delta-F508 (ΔF508), in which a deletion in the amino acid phenylalanine at position 508 results in impaired production of the CFTR protein, thereby causing a significant reduction in the amount of ion transporter present on cell membranes. When used in combination with as the fixed dose combination product Orkambi, lumacaftor is specific for the management of CF in patients with delta-F508 mutations as it acts as a protein-folding chaperone, aiding the conformational stability of the mutated CFTR protein. Consequently, lumacaftor increases successful production of CFTR ion channels and the total number of receptors available for use at the cell membrane for fluid and ion transport. The next most common mutation, G551D, affecting 4-5% of CF patients worldwide, is characterized as a missense mutation, whereby there is sufficient amount of protein at the cell surface, but opening and closing mechanisms of the channel are altered. Treatment of patients with G551D and other rarer missense mutations is usually managed with (Kalydeco), as it aids with altered gating mechanisms by potentiating channel opening probability of CFTR protein. Prior to the development of lumacaftor and (Kalydeco), 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. Approved for use by the Food and Drug Administration in July 2015 and by Health Canada in January 2016, Orkambi was the first combination product approved for the management of Cystic Fibrosis with delta-F508 mutations. Ivacaftor is manufactured and distributed by Vertex Pharmaceuticals.
Major
2
[ [ [ 1362, 25, 1604 ] ], [ [ 1362, 24, 1060 ], [ 1060, 62, 1604 ] ], [ [ 1362, 63, 628 ], [ 628, 24, 1604 ] ], [ [ 1362, 64, 307 ], [ 307, 24, 1604 ] ], [ [ 1362, 24, 785 ], [ 785, 64, 1604 ] ], [ [ 1362, 63, 1197 ], [ 1197, 25, 1604 ] ], [ [ 1362, 25, 676 ], [ 676, 64, 1604 ] ], [ [ 1362, 25, 1580 ], [ 1580, 25, 1604 ] ], [ [ 1362, 64, 976 ], [ 976, 25, 1604 ] ], [ [ 1362, 24, 1060 ], [ 1060, 63, 473 ], [ 473, 24, 1604 ] ] ]
[ [ [ "Olaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ] ], [ [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enfortumab vedotin" ], [ "Enfortumab vedotin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lumacaftor" ] ], [ [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ergometrine" ], [ "Ergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumacaftor" ] ], [ [ "Olaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumacaftor" ] ], [ [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capmatinib" ], [ "Capmatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ] ], [ [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norethisterone" ], [ "Norethisterone", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ] ], [ [ "Olaparib", "{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}", "Lumacaftor" ] ], [ [ "Olaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Stiripentol" ], [ "Stiripentol", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ] ], [ [ "Olaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ] ], [ [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enfortumab vedotin" ], [ "Enfortumab vedotin", "{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}", "Lumacaftor" ] ] ]
Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Enfortumab vedotin and Enfortumab vedotin may cause a minor interaction that can limit clinical effects when taken with Lumacaftor Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Ergometrine and Ergometrine may cause a moderate interaction that could exacerbate diseases when taken with Lumacaftor Olaparib may lead to a major life threatening interaction when taken with Modafinil and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Lumacaftor Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Capmatinib and Capmatinib may lead to a major life threatening interaction when taken with Lumacaftor Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Norethisterone and Norethisterone may lead to a major life threatening interaction when taken with Lumacaftor Olaparib 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 Lumacaftor Olaparib may lead to a major life threatening interaction when taken with Stiripentol and Stiripentol may lead to a major life threatening interaction when taken with Lumacaftor Olaparib may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Lumacaftor Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Enfortumab vedotin and Enfortumab vedotin 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 Lumacaftor
DB00398
DB01611
79
1,487
[ "DDInter1702", "DDInter893" ]
Sorafenib
Hydroxychloroquine
Sorafenib is a bi-aryl urea and an oral multikinase inhibitor. It targets cell surface tyrosine kinase receptors and downstream intracellular kinases that are implicated in tumour cell proliferation and tumour angiogenesis. First approved by the FDA and European Commission in 2007 for the treatment of hepatocellular carcinoma, sorafenib is also indicated to treat renal carcinoma and differentiated thyroid carcinoma.
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.
Major
2
[ [ [ 79, 25, 1487 ] ], [ [ 79, 24, 1520 ], [ 1520, 25, 1487 ] ], [ [ 79, 6, 12523 ], [ 12523, 45, 1487 ] ], [ [ 79, 21, 28658 ], [ 28658, 60, 1487 ] ], [ [ 79, 23, 1247 ], [ 1247, 23, 1487 ] ], [ [ 79, 24, 663 ], [ 663, 23, 1487 ] ], [ [ 79, 24, 286 ], [ 286, 63, 1487 ] ], [ [ 79, 63, 521 ], [ 521, 24, 1487 ] ], [ [ 79, 24, 1516 ], [ 1516, 24, 1487 ] ], [ [ 79, 23, 112 ], [ 112, 24, 1487 ] ] ]
[ [ [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ], [ "Primaquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Sorafenib", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Hydroxychloroquine" ] ], [ [ "Sorafenib", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Hydroxychloroquine" ] ], [ [ "Sorafenib", "{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}", "Hydroxychloroquine" ] ], [ [ "Sorafenib", "{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" ] ], [ [ "Sorafenib", "{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}", "Hydroxychloroquine" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Galantamine" ], [ "Galantamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Sorafenib", "{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}", "Hydroxychloroquine" ] ] ]
Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Primaquine and Primaquine may lead to a major life threatening interaction when taken with Hydroxychloroquine Sorafenib (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Hydroxychloroquine (Compound) Sorafenib (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Hydroxychloroquine (Compound) Sorafenib 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 Hydroxychloroquine Sorafenib 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 Sorafenib 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 Hydroxychloroquine Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Galantamine and Galantamine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Sorafenib 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 Hydroxychloroquine
DB00099
DB01101
440
60
[ "DDInter735", "DDInter285" ]
Filgrastim
Capecitabine
Filgrastim is a short-acting recombinant, non-pegylated human granulocyte colony-stimulating factor (G-CSF) analog produced by recombinant DNA technology. It has an amino acid sequence identical to endogenous G-CSF, but it is non-glycosylated unlike the endogenous G-CSF and has an N-terminal methionine added in the sequence for expression in _E. Coli_. Human G-CSF is a glycoprotein that regulates the production and release of neutrophils from the bone marrow. Filgrastim mimics the biological actions of G-CSF to increase the levels of neutrophils in the blood. It has a number of therapeutic uses, including the management and prevention of infections and febrile neutropenia in patients receiving myelosuppressive chemotherapy or radiation therapy. It is also used to manage severe chronic neutropenia and mobilize hematopoietic progenitor cells to the
Capecitabine is an orally-administered chemotherapeutic agent used in the treatment of metastatic breast and colorectal cancers. Capecitabine is a prodrug, that is enzymatically converted to fluorouracil (antimetabolite) in the tumor, where it inhibits DNA synthesis and slows growth of tumor tissue.
Moderate
1
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[ [ [ "Filgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ] ], [ [ "Filgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ], [ "Ixabepilone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capecitabine" ] ], [ [ "Filgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capecitabine" ] ], [ [ "Filgrastim", "{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}", "Capecitabine" ] ], [ [ "Filgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ] ], [ [ "Filgrastim", "{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}", "Capecitabine" ] ], [ [ "Filgrastim", "{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}", "Capecitabine" ] ], [ [ "Filgrastim", "{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}", "Capecitabine" ] ], [ [ "Filgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ], [ "Ixabepilone", "{u} (Compound) treats {v} (Disease)", "breast cancer" ], [ "breast cancer", "{u} (Disease) is treated by {v} (Compound)", "Capecitabine" ] ], [ [ "Filgrastim", "{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}", "Ixabepilone" ], [ "Ixabepilone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capecitabine" ] ] ]
Filgrastim may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone and Ixabepilone may cause a minor interaction that can limit clinical effects when taken with Capecitabine Filgrastim may cause a moderate interaction that could exacerbate diseases when taken with Vinblastine and Vinblastine may cause a minor interaction that can limit clinical effects when taken with Capecitabine Filgrastim 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 Capecitabine Filgrastim may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Capecitabine Filgrastim 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 Capecitabine Filgrastim 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 Capecitabine Filgrastim 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 Capecitabine Filgrastim may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone and Ixabepilone (Compound) treats breast cancer (Disease) and breast cancer (Disease) is treated by Capecitabine (Compound) Filgrastim 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 Ixabepilone and Ixabepilone may cause a minor interaction that can limit clinical effects when taken with Capecitabine
DB06043
DB14409
1,644
1,129
[ "DDInter1328", "DDInter867" ]
Olaratumab
Human adenovirus e serotype 4 strain cl-68578 antigen
Olaratumab (IMC-3G3) is a fully human IgG1 monoclonal antibody with antitumor activity that selectively binds the external domain of human platelet-derived growth factor receptor (PDGFR)-α with high affinity and blocks ligand binding. It is composed of two heavy chain molecule fragments and 2 light chain fragments. Studies show that the treatment of olaratumab in combination with doxorubicin resulted in significant reduction of cancer cell proliferation and tumor growth. Olaratumab was granted accelerated approval (as Lartruvo) as initial therapy to treat adults with certain types of soft tissue sarcoma (STS) in October, 2016.
Human adenovirus e serotype 4 strain cl-68578 antigen is a vaccine.
Moderate
1
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[ [ [ "Olaratumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{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}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{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}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{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}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{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}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Olaratumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ] ]
Olaratumab 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 Human adenovirus e serotype 4 strain cl-68578 antigen Olaratumab may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Olaratumab 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 Human adenovirus e serotype 4 strain cl-68578 antigen Olaratumab may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Olaratumab may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Olaratumab 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 Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Olaratumab may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab 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 Human adenovirus e serotype 4 strain cl-68578 antigen Olaratumab may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Olaratumab may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen
DB00694
DB10989
51
496
[ "DDInter485", "DDInter858" ]
Daunorubicin
Hepatitis A Vaccine
A very toxic anthracycline aminoglycoside antineoplastic isolated from Streptomyces peucetius and others, used in treatment of leukemia and other neoplasms.
Hepatitis A viral infection can lead to significant morbidity and mortality, with signs and symptoms that include anorexia, nausea, vomiting, and liver failure. Known by several trade names, such as Havrix and Twinrix, the Hepatitis A vaccine has been formulated for immunization against hepatitis A virus (HAV) infection and safely confers strong protection against the disease caused by infection with this virus.[A199185,L12756] In the US, the approved vaccine is inactivated while live Hepatitis A vaccines are currently available in other countries.
Moderate
1
[ [ [ 51, 24, 496 ] ], [ [ 51, 24, 4 ], [ 4, 24, 496 ] ], [ [ 51, 63, 147 ], [ 147, 24, 496 ] ], [ [ 51, 24, 738 ], [ 738, 63, 496 ] ], [ [ 51, 35, 77 ], [ 77, 24, 496 ] ], [ [ 51, 25, 976 ], [ 976, 24, 496 ] ], [ [ 51, 74, 322 ], [ 322, 24, 496 ] ], [ [ 51, 64, 1066 ], [ 1066, 24, 496 ] ], [ [ 51, 25, 676 ], [ 676, 63, 496 ] ], [ [ 51, 24, 4 ], [ 4, 24, 1093 ], [ 1093, 63, 496 ] ] ]
[ [ [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{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}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{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}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{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}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idarubicin" ], [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{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}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{u} (Compound) resembles {v} (Compound) and {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}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ] ], [ [ "Daunorubicin", "{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}", "Ixekizumab" ], [ "Ixekizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ] ] ]
Daunorubicin 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 Hepatitis A Vaccine Daunorubicin 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 Hepatitis A Vaccine Daunorubicin 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 Hepatitis A Vaccine Daunorubicin (Compound) resembles Idarubicin (Compound) and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Idarubicin and Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine Daunorubicin 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 Hepatitis A Vaccine Daunorubicin (Compound) resembles Epirubicin (Compound) and Daunorubicin 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 Hepatitis A Vaccine Daunorubicin may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine Daunorubicin may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine Daunorubicin 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 Ixekizumab and Ixekizumab may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine
DB01069
DB01278
401
1,021
[ "DDInter1533", "DDInter1506" ]
Promethazine
Pramlintide
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]
Pramlintide is a relatively new adjunct treatment for diabetes (both type 1 and 2), developed by Amylin Pharmaceuticals. It is derived from amylin, a hormone that is released into the bloodstream, in a similar pattern as insulin, after a meal. Like insulin, amylin is deficient in individuals with diabetes.
Moderate
1
[ [ [ 401, 24, 1021 ] ], [ [ 401, 63, 1680 ], [ 1680, 24, 1021 ] ], [ [ 401, 64, 839 ], [ 839, 24, 1021 ] ], [ [ 401, 24, 1539 ], [ 1539, 24, 1021 ] ], [ [ 401, 24, 1536 ], [ 1536, 63, 1021 ] ], [ [ 401, 25, 945 ], [ 945, 24, 1021 ] ], [ [ 401, 74, 508 ], [ 508, 24, 1021 ] ], [ [ 401, 75, 684 ], [ 684, 24, 1021 ] ], [ [ 401, 25, 1154 ], [ 1154, 63, 1021 ] ], [ [ 401, 62, 417 ], [ 417, 24, 1021 ] ] ]
[ [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etacrynic acid" ], [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belladonna" ], [ "Belladonna", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Promethazine", "{u} (Compound) resembles {v} (Compound) and {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}", "Pramlintide" ] ], [ [ "Promethazine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Promethazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ] ]
Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Etacrynic acid and Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Promethazine may lead to a major life threatening interaction when taken with Grepafloxacin and Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin and Ofloxacin may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Belladonna and Belladonna may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Promethazine may lead to a major life threatening interaction when taken with Sparfloxacin and Sparfloxacin may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Promethazine (Compound) resembles Promazine (Compound) and Promethazine 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 Pramlintide Promethazine (Compound) resembles Thioridazine (Compound) and Promethazine may lead to a major life threatening interaction when taken with Thioridazine and Thioridazine may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Promethazine may lead to a major life threatening interaction when taken with Pasireotide and Pasireotide may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Promethazine may cause a minor interaction that can limit clinical effects when taken with Sucralfate and Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide
DB00741
DB01320
167
651
[ "DDInter885", "DDInter783" ]
Hydrocortisone
Fosphenytoin
Hydrocortisone, or cortisol, is a glucocorticoid secreted by the adrenal cortex. Hydrocortisone is used to treat immune, inflammatory, and neoplastic conditions.[L10529,L10532,L10535,L10538,L7772,L7321] It was discovered in the 1930s by Edward Kendall and named Compound F, or 17-hydroxycorticosterone. Hydrocortisone was granted FDA approval on 5 August 1952.
Fosphenytoin is a water-soluble phenytoin prodrug used only in hospitals for the treatment of epileptic seizures. It works by slowing down impulses in the brain that cause seizures. Its main mechanism is to block frequency-dependent, use-dependent and voltage-dependent neuronal sodium channels, and therefore limit repetitive firing of action potentials.
Moderate
1
[ [ [ 167, 24, 651 ] ], [ [ 167, 23, 307 ], [ 307, 1, 651 ] ], [ [ 167, 63, 362 ], [ 362, 1, 651 ] ], [ [ 167, 24, 998 ], [ 998, 1, 651 ] ], [ [ 167, 6, 8374 ], [ 8374, 45, 651 ] ], [ [ 167, 21, 28814 ], [ 28814, 60, 651 ] ], [ [ 167, 24, 1479 ], [ 1479, 23, 651 ] ], [ [ 167, 63, 1101 ], [ 1101, 23, 651 ] ], [ [ 167, 63, 590 ], [ 590, 24, 651 ] ], [ [ 167, 24, 5 ], [ 5, 63, 651 ] ] ]
[ [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} (Compound) resembles {v} (Compound)", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} (Compound) resembles {v} (Compound)", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{u} (Compound) causes {v} (Side Effect)", "Affect lability" ], [ "Affect lability", "{u} (Side Effect) is caused by {v} (Compound)", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{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}", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{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}", "Fosphenytoin" ] ], [ [ "Hydrocortisone", "{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}", "Fosphenytoin" ] ] ]
Hydrocortisone may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil (Compound) resembles Fosphenytoin (Compound) Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Fosphenytoin (Compound) Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone and Phenylbutazone (Compound) resembles Fosphenytoin (Compound) Hydrocortisone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Fosphenytoin (Compound) Hydrocortisone (Compound) causes Affect lability (Side Effect) and Affect lability (Side Effect) is caused by Fosphenytoin (Compound) Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Fosphenytoin Hydrocortisone 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 Fosphenytoin Hydrocortisone 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 Fosphenytoin Hydrocortisone 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 Fosphenytoin
DB00544
DB00999
970
504
[ "DDInter757", "DDInter883" ]
Fluorouracil
Hydrochlorothiazide
A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the thymidylate synthetase conversion of deoxyuridylic acid to thymidylic acid.
Hydrochlorothiazide is the most commonly prescribed thiazide diuretic. It is indicated to treat edema and hypertension.[A185138,L8447,L8450] Hydrochlorothiazide use is common but declining in favour of angiotensin converting enzyme inhibitors. Many combination products are available containing hydrochlorothiazide and angiotensin converting enzyme inhibitors[L8390,L8423] or angiotensin II receptor blockers.[L7426,L7459] Hydrochlorothiazide was granted FDA approval on 12 February 1959.
Moderate
1
[ [ [ 970, 24, 504 ] ], [ [ 970, 24, 178 ], [ 178, 1, 504 ] ], [ [ 970, 63, 323 ], [ 323, 40, 504 ] ], [ [ 970, 24, 359 ], [ 359, 40, 504 ] ], [ [ 970, 21, 28658 ], [ 28658, 60, 504 ] ], [ [ 970, 25, 126 ], [ 126, 23, 504 ] ], [ [ 970, 24, 663 ], [ 663, 24, 504 ] ], [ [ 970, 63, 1648 ], [ 1648, 24, 504 ] ], [ [ 970, 24, 60 ], [ 60, 63, 504 ] ], [ [ 970, 24, 178 ], [ 178, 1, 323 ], [ 323, 40, 504 ] ] ]
[ [ [ "Fluorouracil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polythiazide" ], [ "Polythiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bendroflumethiazide" ], [ "Bendroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{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}", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{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}", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{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}", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ] ], [ [ "Fluorouracil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polythiazide" ], [ "Polythiazide", "{u} (Compound) resembles {v} (Compound)", "Bendroflumethiazide" ], [ "Bendroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ] ] ]
Fluorouracil may cause a moderate interaction that could exacerbate diseases when taken with Polythiazide and Polythiazide (Compound) resembles Hydrochlorothiazide (Compound) Fluorouracil may cause a moderate interaction that could exacerbate diseases when taken with Bendroflumethiazide and Bendroflumethiazide (Compound) resembles Hydrochlorothiazide (Compound) Fluorouracil may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide (Compound) resembles Hydrochlorothiazide (Compound) Fluorouracil (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Hydrochlorothiazide (Compound) Fluorouracil 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 Hydrochlorothiazide Fluorouracil 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 Hydrochlorothiazide Fluorouracil 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 Hydrochlorothiazide Fluorouracil may cause a moderate interaction that could exacerbate diseases when taken with Capecitabine and Capecitabine may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide Fluorouracil may cause a moderate interaction that could exacerbate diseases when taken with Polythiazide and Polythiazide (Compound) resembles Bendroflumethiazide (Compound) and Bendroflumethiazide (Compound) resembles Hydrochlorothiazide (Compound)
DB00912
DB01138
473
804
[ "DDInter1581", "DDInter1726" ]
Repaglinide
Sulfinpyrazone
Repaglinide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It belongs to the meglitinide class of short-acting insulin secretagogues, which act by binding to β cells of the pancreas to stimulate insulin release. Repaglinide induces an early insulin response to meals decreasing postprandial blood glucose levels. It should only be taken with meals and meal-time doses should be skipped with any skipped meal. Approximately one month of therapy is required before a decrease in fasting blood glucose is seen. Meglitnides may have a neutral effect on weight or cause a slight increase in weight. The average weight gain caused by meglitinides appears to be lower than that caused by sulfonylureas and insulin and appears to occur only in those naïve to oral antidiabetic agents. Due to their mechanism of action, meglitinides may cause hypoglycemia
A uricosuric drug that is used to reduce the serum urate levels in gout therapy. It lacks anti-inflammatory, analgesic, and diuretic properties.
Moderate
1
[ [ [ 473, 24, 804 ] ], [ [ 473, 63, 998 ], [ 998, 1, 804 ] ], [ [ 473, 6, 3486 ], [ 3486, 45, 804 ] ], [ [ 473, 63, 168 ], [ 168, 23, 804 ] ], [ [ 473, 63, 629 ], [ 629, 24, 804 ] ], [ [ 473, 24, 1476 ], [ 1476, 63, 804 ] ], [ [ 473, 24, 1479 ], [ 1479, 24, 804 ] ], [ [ 473, 24, 4 ], [ 4, 64, 804 ] ], [ [ 473, 63, 998 ], [ 998, 6, 8374 ], [ 8374, 45, 804 ] ], [ [ 473, 6, 3486 ], [ 3486, 45, 634 ], [ 634, 1, 804 ] ] ]
[ [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} (Compound) resembles {v} (Compound)", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{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}", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{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}", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{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}", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Sulfinpyrazone" ] ], [ [ "Repaglinide", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Clotrimazole" ], [ "Clotrimazole", "{u} (Compound) resembles {v} (Compound)", "Sulfinpyrazone" ] ] ]
Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone and Phenylbutazone (Compound) resembles Sulfinpyrazone (Compound) Repaglinide (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Sulfinpyrazone (Compound) Repaglinide 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 Sulfinpyrazone Repaglinide 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 Sulfinpyrazone Repaglinide 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 Sulfinpyrazone Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Sulfinpyrazone Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Sulfinpyrazone Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone and Phenylbutazone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Sulfinpyrazone (Compound) Repaglinide (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Clotrimazole (Compound) and Clotrimazole (Compound) resembles Sulfinpyrazone (Compound)
DB05679
DB10316
1,683
334
[ "DDInter1907", "DDInter1248" ]
Ustekinumab
Mumps virus strain B level jeryl lynn live antigen
Ustekinumab is a human immunoglobulin (Ig) G1 kappa monoclonal antibody directed against interleukin(IL)-12 and IL-23, which are cytokines that are involved in immune and inflammatory responses. It was generated via recombinant human IL-12 immunization of human Ig (hu-Ig) transgenic mice. It is a targeted biologic disease-modifying anti-rheumatic drug (bDMARDs) that is used in the management of various inflammatory conditions that involve the activation of IL-12 and IL-23 signalling pathways. The therapeutic use of the drug started in Canada, the US, and Europe since 2009 when it was first approved for the treatment of adult patients with moderate to severe plaque psoriasis and active psoriatic arthritis, alone or in combination with [methotrexate]. In September 2016, ustekinumab was additionally approved for the management of moderate to severe Crohn's disease
Mumps virus strain B level jeryl lynn live antigen is a live attenuated virus vaccine for subcutenous injection. It is an active immunization against mumps, which is a common childhood disease.
Major
2
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[ [ [ "Ustekinumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{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}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{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}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{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}", "Mumps virus strain B level jeryl lynn live antigen" ] ], [ [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{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}", "Mumps virus strain B level jeryl lynn live antigen" ] ] ]
Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide and Tetracosactide may cause a moderate interaction that could exacerbate diseases when taken with Mumps virus strain B level jeryl lynn live antigen Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen Ustekinumab 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 Mumps virus strain B level jeryl lynn live antigen Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Durvalumab and Durvalumab may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen Ustekinumab 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 Mumps virus strain B level jeryl lynn live antigen Ustekinumab may lead to a major life threatening interaction when taken with Golimumab and Golimumab may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen Ustekinumab may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide and Tetracosactide 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 Mumps virus strain B level jeryl lynn live antigen Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib 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 Mumps virus strain B level jeryl lynn live antigen
DB00055
DB04896
834
901
[ "DDInter605", "DDInter1220" ]
Drotrecogin alfa
Milnacipran
Drotrecogin alfa is activated human protein C that is synthesized by recombinant DNA technology. It is a glycoprotein of approximately 55 kilodalton molecular weight, consisting of a heavy chain and a light chain linked by a disulfide bond. Drotrecogin alfa was withdrawn from the market after a major study indicated that it was not effective in improving outcomes in patients with sepsis.
Milnacipran is a selective serotonin and norepinephrine reuptake inhibitor (SNRI) and like many agents in this category was originally developed for and continues to be approved and indicated for the treatment of depression [F3928, F3934, A175786, A175951]. Furthermore, in 2009 the US FDA approved milnacipran for the additional indication of treating fibromyalgia , although other regional regulatory authorities like the EMA, among others, have not yet approved the agent for such treatment, citing lack of robust evidence of efficacy, insufficient demonstration of maintenance of effect, and other concerns [F3928, F3934]. Nevertheless, milnacipran demonstrates a somewhat unique characteristic among SNRIs to elicit a relatively balanced reuptake inhibition of both serotonin and noradrenaline, with a somewhat increased preference for noradrenaline reuptake inhibition - which is potentially a point of interest given the plausible proposal that noradrenaline plays an important role in the mitigation of pain signals in the descending inhibitory pain pathways in the brain and spinal cord [A175759, A175843, A175846]. Moreover, recent research has shown that the levorotatory enantiomer of milnacipran, levomilnacipran, may have the capacity to inhibit the activity of beta-site amyloid precursor protein cleaving enzyme-1 (BACE-1), which has investigationally been associated with β-amyloid plaque formation - making the agent a possible course of treatment for Alzheimer's disease .
Moderate
1
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[ [ [ "Drotrecogin alfa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} (Compound) resembles {v} (Compound)", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ], [ "Acalabrutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{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}", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Abciximab" ], [ "Abciximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} (Compound) resembles {v} (Compound)", "Meperidine" ], [ "Meperidine", "{u} (Compound) resembles {v} (Compound)", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ], [ "Acalabrutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} (Compound) resembles {v} (Compound)", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Prasugrel" ], [ "Prasugrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} (Compound) resembles {v} (Compound)", "Milnacipran" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Abciximab" ], [ "Abciximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} (Compound) resembles {v} (Compound)", "Milnacipran" ] ] ]
Drotrecogin alfa may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran (Compound) resembles Milnacipran (Compound) Drotrecogin alfa may lead to a major life threatening interaction when taken with Acalabrutinib and Acalabrutinib may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Drotrecogin alfa 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 Milnacipran Drotrecogin alfa may lead to a major life threatening interaction when taken with Abciximab and Abciximab may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran Drotrecogin alfa may cause a moderate interaction that could exacerbate diseases when taken with Fenfluramine and Fenfluramine may lead to a major life threatening interaction when taken with Milnacipran Drotrecogin alfa may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran (Compound) resembles Meperidine (Compound) and Meperidine (Compound) resembles Milnacipran (Compound) Drotrecogin alfa may lead to a major life threatening interaction when taken with Acalabrutinib and Acalabrutinib may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran (Compound) resembles Milnacipran (Compound) Drotrecogin alfa may lead to a major life threatening interaction when taken with Prasugrel and Prasugrel may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran (Compound) resembles Milnacipran (Compound) Drotrecogin alfa may lead to a major life threatening interaction when taken with Abciximab and Abciximab may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran (Compound) resembles Milnacipran (Compound)
DB00877
DB06589
629
1,250
[ "DDInter1678", "DDInter1400" ]
Sirolimus
Pazopanib
Sirolimus, also known as rapamycin, is a macrocyclic lactone antibiotic produced by bacteria _Streptomyces hygroscopicus_, which was isolated from the soil of the Vai Atari region of Rapa Nui (Easter Island). It was first isolated and identified as an antifungal agent with potent anticandida activity; however, after its potent antitumor and immunosuppressive activities were later discovered, it was extensively investigated as an immunosuppressive and antitumour agent. Its primary mechanism of action is the inhibition of the mammalian target of rapamycin (mTOR), which is a serine/threonine-specific protein kinase that regulates cell growth, proliferation, and survival. mTOR is an important therapeutic target for various diseases, as it was shown to regulate longevity and maintain normal glucose homeostasis. Targeting mTOR received more attention especially in cancer, as mTOR signalling pathways are constitutively activated in
Pazopanib is a small molecule inhibitor of multiple protein tyrosine kinases with potential antineoplastic activity. It is developed by GlaxoSmithKline and was FDA approved on October 19, 2009.
Moderate
1
[ [ [ 629, 24, 1250 ] ], [ [ 629, 7, 10365 ], [ 10365, 45, 1250 ] ], [ [ 629, 6, 15333 ], [ 15333, 45, 1250 ] ], [ [ 629, 7, 3553 ], [ 3553, 46, 1250 ] ], [ [ 629, 18, 4590 ], [ 4590, 46, 1250 ] ], [ [ 629, 54, 19212 ], [ 19212, 15, 1250 ] ], [ [ 629, 7, 2493 ], [ 2493, 57, 1250 ] ], [ [ 629, 21, 29203 ], [ 29203, 60, 1250 ] ], [ [ 629, 63, 307 ], [ 307, 23, 1250 ] ], [ [ 629, 23, 907 ], [ 907, 62, 1250 ] ] ]
[ [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Sirolimus", "{u} (Compound) upregulates {v} (Gene)", "STK10" ], [ "STK10", "{u} (Gene) is bound by {v} (Compound)", "Pazopanib" ] ], [ [ "Sirolimus", "{u} (Compound) binds {v} (Gene)", "SLCO1B1" ], [ "SLCO1B1", "{u} (Gene) is bound by {v} (Compound)", "Pazopanib" ] ], [ [ "Sirolimus", "{u} (Compound) upregulates {v} (Gene)", "CRIP1" ], [ "CRIP1", "{u} (Gene) is upregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Sirolimus", "{u} (Compound) downregulates {v} (Gene)", "RCHY1" ], [ "RCHY1", "{u} (Gene) is upregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Sirolimus", "{u} (Compound) is included by {v} (Pharmacologic Class)", "Protein Kinase Inhibitors" ], [ "Protein Kinase Inhibitors", "{u} (Pharmacologic Class) includes {v} (Compound)", "Pazopanib" ] ], [ [ "Sirolimus", "{u} (Compound) upregulates {v} (Gene)", "HIST2H2BE" ], [ "HIST2H2BE", "{u} (Gene) is downregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Sirolimus", "{u} (Compound) causes {v} (Side Effect)", "Aspartate aminotransferase increased" ], [ "Aspartate aminotransferase increased", "{u} (Side Effect) is caused by {v} (Compound)", "Pazopanib" ] ], [ [ "Sirolimus", "{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}", "Pazopanib" ] ], [ [ "Sirolimus", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pazopanib" ] ] ]
Sirolimus (Compound) upregulates STK10 (Gene) and STK10 (Gene) is bound by Pazopanib (Compound) Sirolimus (Compound) binds SLCO1B1 (Gene) and SLCO1B1 (Gene) is bound by Pazopanib (Compound) Sirolimus (Compound) upregulates CRIP1 (Gene) and CRIP1 (Gene) is upregulated by Pazopanib (Compound) Sirolimus (Compound) downregulates RCHY1 (Gene) and RCHY1 (Gene) is upregulated by Pazopanib (Compound) Sirolimus (Compound) is included by Protein Kinase Inhibitors (Pharmacologic Class) and Protein Kinase Inhibitors (Pharmacologic Class) includes Pazopanib (Compound) Sirolimus (Compound) upregulates HIST2H2BE (Gene) and HIST2H2BE (Gene) is downregulated by Pazopanib (Compound) Sirolimus (Compound) causes Aspartate aminotransferase increased (Side Effect) and Aspartate aminotransferase increased (Side Effect) is caused by Pazopanib (Compound) Sirolimus 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 Pazopanib Sirolimus may cause a minor interaction that can limit clinical effects when taken with Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Pazopanib
DB00881
DB09154
954
1,475
[ "DDInter1554", "DDInter1686" ]
Quinapril
Sodium citrate
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.
Sodium citrate is the sodium salt of citric acid. It is white, crystalline powder or white, granular crystals, slightly deliquescent in moist air, freely soluble in water, practically insoluble in alcohol. Like citric acid, it has a sour taste. From the medical point of view, it is used as alkalinizing agent. It works by neutralizing excess acid in the blood and urine. It has been indicated for the treatment of metabolic acidosis.
Minor
0
[ [ [ 954, 23, 1475 ] ], [ [ 954, 40, 610 ], [ 610, 23, 1475 ] ], [ [ 954, 24, 1411 ], [ 1411, 23, 1475 ] ], [ [ 954, 63, 590 ], [ 590, 23, 1475 ] ], [ [ 954, 24, 428 ], [ 428, 63, 1475 ] ], [ [ 954, 24, 1096 ], [ 1096, 24, 1475 ] ], [ [ 954, 63, 964 ], [ 964, 24, 1475 ] ], [ [ 954, 23, 115 ], [ 115, 25, 1475 ] ], [ [ 954, 40, 610 ], [ 610, 1, 1603 ], [ 1603, 23, 1475 ] ], [ [ 954, 40, 664 ], [ 664, 40, 610 ], [ 610, 23, 1475 ] ] ]
[ [ [ "Quinapril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetohexamide" ], [ "Acetohexamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ], [ "Ferrous fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxycycline" ], [ "Doxycycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aluminum hydroxide" ], [ "Aluminum hydroxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} (Compound) resembles {v} (Compound)", "Captopril" ], [ "Captopril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ], [ [ "Quinapril", "{u} (Compound) resembles {v} (Compound)", "Perindopril" ], [ "Perindopril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium citrate" ] ] ]
Quinapril (Compound) resembles Enalapril (Compound) and Enalapril may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Acetohexamide and Acetohexamide may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate and Ferrous fumarate may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Doxycycline and Doxycycline may cause a moderate interaction that could exacerbate diseases when taken with Sodium citrate Quinapril may cause a minor interaction that can limit clinical effects when taken with Aluminum hydroxide and Aluminum hydroxide may lead to a major life threatening interaction when taken with Sodium citrate Quinapril (Compound) resembles Enalapril (Compound) and Enalapril (Compound) resembles Captopril (Compound) and Captopril may cause a minor interaction that can limit clinical effects when taken with Sodium citrate Quinapril (Compound) resembles Perindopril (Compound) and Perindopril (Compound) resembles Enalapril (Compound) and Enalapril may cause a minor interaction that can limit clinical effects when taken with Sodium citrate
DB00363
DB08904
695
375
[ "DDInter419", "DDInter342" ]
Clozapine
Certolizumab pegol
Clozapine is a tricyclic dibenzodiazepine, classified as an atypical antipsychotic agent. Clozapine displays affinity to various neuroreceptors with a particularly low affinity to the dopamine receptors, thus breaking the mold of first-generation antipsychotics and deeming it "atypical".. This low affinity to dopamine receptors results in fewer extrapyramidal side effects, especially tardive dyskinesia. However, its promiscuity toward the muscarinic and adrenergic receptors can result in other side effects, notably gastrointestinal hypomotility and orthostatic hypotension. [L905,A215552]. Despite its effectiveness in treating both positive and negative symptoms of schizophrenia, clozapine was briefly removed from the market in various jurisdictions in 1970 due to severe agranulocytosis.[A256713,A256718] However, continued evidence of its effectiveness led to clozapine's eventual reintroduction, although
Certolizumab pegol is a pegylated monoclonal antibody against the tumor necrosis factor-alpha (TNF-alpha). It is formed with a humanized Fab fragment of 50 kDa, from an IgG 1 isotype, fused to a 40 kDa polyethylene glycol moiety replacing the Fc antibody region. The absence of the Fc region was ideated to prevent complement fixation and antibody-mediated cytotoxicity as well as to markedly increase its half-life. Certolizumab does not require glycosylation for active function and hence, its production is significantly more affordable when compared to other existing TNF-alpha therapies as it can be done directly in bacterial hosts such as _E. coli_. It was developed and manufactured by UCB Pharma, first FDA approved in 2008 and updated for a new indication on March 28, 2019.
Major
2
[ [ [ 695, 25, 375 ] ], [ [ 695, 25, 1593 ], [ 1593, 24, 375 ] ], [ [ 695, 64, 10 ], [ 10, 24, 375 ] ], [ [ 695, 24, 303 ], [ 303, 24, 375 ] ], [ [ 695, 1, 902 ], [ 902, 24, 375 ] ], [ [ 695, 40, 1565 ], [ 1565, 24, 375 ] ], [ [ 695, 23, 112 ], [ 112, 24, 375 ] ], [ [ 695, 64, 552 ], [ 552, 25, 375 ] ], [ [ 695, 25, 63 ], [ 63, 25, 375 ] ], [ [ 695, 25, 1480 ], [ 1480, 64, 375 ] ] ]
[ [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{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}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ], [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{u} (Compound) resembles {v} (Compound)", "Clobazam" ], [ "Clobazam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{u} (Compound) resembles {v} (Compound)", "Clonazepam" ], [ "Clonazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{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}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Carmustine" ], [ "Carmustine", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ], [ [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ixazomib" ], [ "Ixazomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ] ]
Clozapine 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 Certolizumab pegol Clozapine may lead to a major life threatening interaction when taken with Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Clozapine may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate and Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Clozapine (Compound) resembles Clobazam (Compound) and Clobazam may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Clozapine (Compound) resembles Clonazepam (Compound) and Clonazepam may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Clozapine 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 Certolizumab pegol Clozapine may lead to a major life threatening interaction when taken with Carmustine and Carmustine may lead to a major life threatening interaction when taken with Certolizumab pegol Clozapine may lead to a major life threatening interaction when taken with Teniposide and Teniposide may lead to a major life threatening interaction when taken with Certolizumab pegol Clozapine may lead to a major life threatening interaction when taken with Ixazomib and Ixazomib may lead to a major life threatening interaction when taken with Certolizumab pegol
DB01240
DB06209
885
256
[ "DDInter657", "DDInter1508" ]
Epoprostenol
Prasugrel
A prostaglandin that is a powerful vasodilator and inhibits platelet aggregation. It is biosynthesized enzymatically from prostaglandin endoperoxides in human vascular tissue. The sodium salt has been also used to treat primary pulmonary hypertension.
Prasugrel, a thienopyridine derivative, is a platelet activation and aggregation inhibitor structurally and pharmacologically related to clopidogrel and ticlopidine. Similar to clopidogrel, prasugrel is a prodrug that requires enzymatic transformation in the liver to its active metabolite, R-138727. R-138727 irreversibly binds to P2Y12 type ADP receptors on platelets thus preventing activation of the GPIIb/IIIa receptor complex. As a result, inhibition of ADP-mediated platelet activation and aggregation occurs. Prasugrel was developed by Daiichi Sankyo Co. and is currently marketed in the United States and Canada in cooperation with Eli Lilly and Company for acute coronary syndromes planned for percutaneous coronary intervention (PCI). FDA approved in 2009.
Moderate
1
[ [ [ 885, 24, 256 ] ], [ [ 885, 6, 17955 ], [ 17955, 45, 256 ] ], [ [ 885, 21, 28681 ], [ 28681, 60, 256 ] ], [ [ 885, 23, 944 ], [ 944, 62, 256 ] ], [ [ 885, 63, 1161 ], [ 1161, 23, 256 ] ], [ [ 885, 24, 901 ], [ 901, 24, 256 ] ], [ [ 885, 24, 1427 ], [ 1427, 63, 256 ] ], [ [ 885, 63, 1461 ], [ 1461, 24, 256 ] ], [ [ 885, 40, 1061 ], [ 1061, 24, 256 ] ], [ [ 885, 63, 1317 ], [ 1317, 25, 256 ] ] ]
[ [ [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ] ], [ [ "Epoprostenol", "{u} (Compound) binds {v} (Gene)", "P2RY12" ], [ "P2RY12", "{u} (Gene) is bound by {v} (Compound)", "Prasugrel" ] ], [ [ "Epoprostenol", "{u} (Compound) causes {v} (Side Effect)", "Hypersensitivity" ], [ "Hypersensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Prasugrel" ] ], [ [ "Epoprostenol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chamomile" ], [ "Chamomile", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prasugrel" ] ], [ [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Selegiline" ], [ "Selegiline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prasugrel" ] ], [ [ "Epoprostenol", "{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}", "Prasugrel" ] ], [ [ "Epoprostenol", "{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}", "Prasugrel" ] ], [ [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ] ], [ [ "Epoprostenol", "{u} (Compound) resembles {v} (Compound)", "Treprostinil" ], [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ] ], [ [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dipyridamole" ], [ "Dipyridamole", "{u} may lead to a major life threatening interaction when taken with {v}", "Prasugrel" ] ] ]
Epoprostenol (Compound) binds P2RY12 (Gene) and P2RY12 (Gene) is bound by Prasugrel (Compound) Epoprostenol (Compound) causes Hypersensitivity (Side Effect) and Hypersensitivity (Side Effect) is caused by Prasugrel (Compound) Epoprostenol may cause a minor interaction that can limit clinical effects when taken with Chamomile and Chamomile may cause a minor interaction that can limit clinical effects when taken with Prasugrel Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Selegiline and Selegiline may cause a minor interaction that can limit clinical effects when taken with Prasugrel Epoprostenol 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 Prasugrel Epoprostenol 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 Prasugrel Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel Epoprostenol (Compound) resembles Treprostinil (Compound) and Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Dipyridamole and Dipyridamole may lead to a major life threatening interaction when taken with Prasugrel
DB00836
DB08903
543
996
[ "DDInter1088", "DDInter170" ]
Loperamide
Bedaquiline
Loperamide is an anti-diarrheal agent that is available as various over-the-counter products for treating diarrhea. The drug was first synthesized in 1969 and used medically in 1976. It is a highly lipophilic synthetic phenylpiperidine opioid that is structurally similar to opiate receptor agonists such as [diphenoxylate] and [haloperidol]. Due to pharmacological properties, loperamide has been misused and abused to self-manage opioid withdrawal symptoms and to induce euphoria.[A251610, A251625] However, loperamide is associated with a risk for experiencing a range of adverse effects, often life-threatening, if taking for non-therapeutic reasons or at doses higher than the recommended dose.
Bedaquiline is a bactericidal antimycobacterial drug belonging to the class of diarylquinoline. The quinolinic central heterocyclic nucleus with alcohol and amine side chains is responsible for bedaquiline-mediated antimycobacterial activity. Although it is closely related to fluoroquinolones, bedaquiline does not affect DNA gyrase; instead, bedaquiline inhibits the c subunit of ATP synthase responsible for synthesizing ATP. Consequently, bedaquiline can be used to treat mycobacterial infection, particularly tuberculosis (TB). Although the current standard of TB treatment of anti-TB drugs for 2 months, including 2 key drugs [isoniazid] and [rifampin], is highly effective, the emergence of multidrug-resistant TB (MDR-TB) to [isoniazid] and [rifampin] has substantially worsened patients outcome. Bedaquiline was approved by the FDA on December 28, 2012, to treat pulmonary MDR-TB, following favorable results in multiple pre-clinical and clinical studies.[A261856,A261861] It is the first drug that was approved in the last 40 years by the FDA for TB unresponsive to current treatments on the market. Currently, bedaquiline is the last-line anti-TB drug and must only be used in an appropriate combination regimen.[L48506,A261866]
Moderate
1
[ [ [ 543, 24, 996 ] ], [ [ 543, 40, 649 ], [ 649, 1, 996 ] ], [ [ 543, 24, 1376 ], [ 1376, 1, 996 ] ], [ [ 543, 24, 358 ], [ 358, 40, 996 ] ], [ [ 543, 6, 8374 ], [ 8374, 45, 996 ] ], [ [ 543, 21, 28762 ], [ 28762, 60, 996 ] ], [ [ 543, 24, 112 ], [ 112, 23, 996 ] ], [ [ 543, 24, 144 ], [ 144, 63, 996 ] ], [ [ 543, 25, 760 ], [ 760, 63, 996 ] ], [ [ 543, 24, 688 ], [ 688, 24, 996 ] ] ]
[ [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Loperamide", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Bedaquiline" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound)", "Bedaquiline" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ], [ "Orphenadrine", "{u} (Compound) resembles {v} (Compound)", "Bedaquiline" ] ], [ [ "Loperamide", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Bedaquiline" ] ], [ [ "Loperamide", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Bedaquiline" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bedaquiline" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ], [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Loperamide", "{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}", "Bedaquiline" ] ], [ [ "Loperamide", "{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}", "Bedaquiline" ] ] ]
Loperamide (Compound) resembles Clofedanol (Compound) and Clofedanol (Compound) resembles Bedaquiline (Compound) Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) resembles Bedaquiline (Compound) Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine and Orphenadrine (Compound) resembles Bedaquiline (Compound) Loperamide (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Bedaquiline (Compound) Loperamide (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Bedaquiline (Compound) Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Bedaquiline Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol and Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Loperamide 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 Bedaquiline Loperamide 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 Bedaquiline
DB00364
DB01136
417
772
[ "DDInter1717", "DDInter305" ]
Sucralfate
Carvedilol
Sucralfate is a medication that is widely used to prevent and treat a number of diseases in the gastrointestinal tract such as duodenal ulcers [FDA label], gastro-esophageal reflux disease (GERD), gastritis, peptic ulcer disease, stress ulcer, in addition to dyspepsia. It is considered a _cytoprotective agent_, protecting cells in the gastrointestinal tract from damage caused by agents such as gastric acid, bile salts, alcohol, and acetylsalicylic acid (aspirin), among other substances [A177655, F4519]. Sucralfate has been shown to be a well-tolerated and safe drug. It is sold under many brands and is available in both tablet and suspension forms. It was approved by the FDA 1982 in tablet form, and in 1994 for the suspension form [L6073, L6076].
Carvedilol is a racemic mixture where the S(-) enantiomer is both a beta and alpha-1 adrenoceptor blocker, and the R(+) enantiomer is an alpha-1 adrenoceptor blocker.[L7889,L7892] It is currently used to treat heart failure, left ventricular dysfunction, and hypertension.[L7889,L7892] The dual action of carvedilol is advantageous in combination therapies as moderate doses of 2 drugs have a decreased incidence of adverse effects compared to high dose monotherapy in the treatment of moderate hypertension. Carvedilol was granted FDA approval on 14 September 1995.
Minor
0
[ [ [ 417, 23, 772 ] ], [ [ 417, 21, 30077 ], [ 30077, 60, 772 ] ], [ [ 417, 23, 542 ], [ 542, 23, 772 ] ], [ [ 417, 62, 1152 ], [ 1152, 23, 772 ] ], [ [ 417, 24, 286 ], [ 286, 62, 772 ] ], [ [ 417, 62, 702 ], [ 702, 24, 772 ] ], [ [ 417, 24, 1296 ], [ 1296, 63, 772 ] ], [ [ 417, 23, 104 ], [ 104, 24, 772 ] ], [ [ 417, 24, 473 ], [ 473, 24, 772 ] ], [ [ 417, 23, 820 ], [ 820, 63, 772 ] ] ]
[ [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Carvedilol" ] ], [ [ "Sucralfate", "{u} (Compound) causes {v} (Side Effect)", "Fluid overload" ], [ "Fluid overload", "{u} (Side Effect) is caused by {v} (Compound)", "Carvedilol" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levothyroxine" ], [ "Levothyroxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Carvedilol" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Liothyronine" ], [ "Liothyronine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Carvedilol" ] ], [ [ "Sucralfate", "{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}", "Carvedilol" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carvedilol" ] ], [ [ "Sucralfate", "{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}", "Carvedilol" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carvedilol" ] ], [ [ "Sucralfate", "{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}", "Carvedilol" ] ], [ [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carvedilol" ] ] ]
Sucralfate (Compound) causes Fluid overload (Side Effect) and Fluid overload (Side Effect) is caused by Carvedilol (Compound) Sucralfate may cause a minor interaction that can limit clinical effects when taken with Levothyroxine and Levothyroxine may cause a minor interaction that can limit clinical effects when taken with Carvedilol Sucralfate may cause a minor interaction that can limit clinical effects when taken with Liothyronine and Liothyronine may cause a minor interaction that can limit clinical effects when taken with Carvedilol Sucralfate 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 Carvedilol Sucralfate may cause a minor interaction that can limit clinical effects when taken with Anagrelide and Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Carvedilol Sucralfate 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 Carvedilol Sucralfate may cause a minor interaction that can limit clinical effects when taken with Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Carvedilol Sucralfate 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 Carvedilol Sucralfate may cause a minor interaction that can limit clinical effects when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Carvedilol
DB01592
DB06723
1,596
115
[ "DDInter975", "DDInter58" ]
Iron
Aluminum hydroxide
A metallic element found in certain minerals, in nearly all soils, and in mineral waters. It is an essential constituent of hemoglobin, cytochrome, and other components of respiratory enzyme systems. Its chief functions are in the transport of oxygen to tissue (hemoglobin) and in cellular oxidation mechanisms. Depletion of iron stores may result in iron-deficiency anemia. Iron is used to build up the blood in anemia.
Aluminum hydroxide is an inorganic salt used as an antacid. It is a basic compound that acts by neutralizing hydrochloric acid in gastric secretions. Subsequent increases in pH may inhibit the action of pepsin. An increase in bicarbonate ions and prostaglandins may also confer cytoprotective effects.
Moderate
1
[ [ [ 1596, 24, 115 ] ], [ [ 1596, 21, 28872 ], [ 28872, 60, 115 ] ], [ [ 1596, 63, 1191 ], [ 1191, 23, 115 ] ], [ [ 1596, 62, 752 ], [ 752, 23, 115 ] ], [ [ 1596, 63, 1176 ], [ 1176, 24, 115 ] ], [ [ 1596, 62, 955 ], [ 955, 24, 115 ] ], [ [ 1596, 24, 133 ], [ 133, 63, 115 ] ], [ [ 1596, 24, 72 ], [ 72, 24, 115 ] ], [ [ 1596, 25, 627 ], [ 627, 64, 115 ] ], [ [ 1596, 24, 1436 ], [ 1436, 64, 115 ] ] ]
[ [ [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Iron", "{u} (Compound) causes {v} (Side Effect)", "Extravasation" ], [ "Extravasation", "{u} (Side Effect) is caused by {v} (Compound)", "Aluminum hydroxide" ] ], [ [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levodopa" ], [ "Levodopa", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Iron", "{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}", "Aluminum hydroxide" ] ], [ [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Iron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Baloxavir marboxil" ], [ "Baloxavir marboxil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ], [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Iron", "{u} may lead to a major life threatening interaction when taken with {v}", "Bictegravir" ], [ "Bictegravir", "{u} may lead to a major life threatening interaction when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Patiromer" ], [ "Patiromer", "{u} may lead to a major life threatening interaction when taken with {v}", "Aluminum hydroxide" ] ] ]
Iron (Compound) causes Extravasation (Side Effect) and Extravasation (Side Effect) is caused by Aluminum hydroxide (Compound) Iron may cause a moderate interaction that could exacerbate diseases when taken with Levodopa and Levodopa may cause a minor interaction that can limit clinical effects when taken with Aluminum hydroxide Iron 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 Aluminum hydroxide Iron may cause a moderate interaction that could exacerbate diseases when taken with Moxifloxacin and Moxifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide Iron may cause a minor interaction that can limit clinical effects when taken with Mycophenolate mofetil and Mycophenolate mofetil may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide Iron may cause a moderate interaction that could exacerbate diseases when taken with Baloxavir marboxil and Baloxavir marboxil may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide Iron may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag and Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide Iron may lead to a major life threatening interaction when taken with Bictegravir and Bictegravir may lead to a major life threatening interaction when taken with Aluminum hydroxide Iron may cause a moderate interaction that could exacerbate diseases when taken with Patiromer and Patiromer may lead to a major life threatening interaction when taken with Aluminum hydroxide
DB00775
DB06754
1,226
707
[ "DDInter1818", "DDInter471" ]
Tirofiban
Danaparoid
Tirofiban prevents the blood from clotting during episodes of chest pain or a heart attack, or while the patient is undergoing a procedure to treat a blocked coronary artery. It is a non-peptide reversible antagonist of the platelet glycoprotein (GP) IIb/IIIa receptor, and inhibits platelet aggregation.
Danaparoid is a low-molecular-weight heparinoid with an average molecular weight of 5500 Daltons consisting of a mixture of glycosaminoglycans . The active constituents are heparan, dermatan and , and they are isolated from the porcine intestinal mucosa [FDA Label]. Danaparoid possesses a potent antithrombic activity that works by inhibiting activated factor X (Factor Xa) and activated factor II (Factor IIa). It is chemically distinct from heparin by containing different protein binding properties, thus has lower cross-reactivity in heparin-intolerant patients. Danaproid is used in the treatment of heparin-induced thrombocytopenia (HIT) as an off-label indication and prevention of post-operative deep venous thrombosis (DVT). While it was initially approved by the FDA as Orgaran™, danaparoid was withdrawn by Organon International on August 14, 2002, due to a shortage in drug substance by the manufacturer. The use of Orgaran™ was discontinued in the United States however it is available in several other countries including European countries and Japan. Danaparoid sodium is the common salt form in therapeutic preparations and is typically administered subcutaneously.
Major
2
[ [ [ 1226, 25, 707 ] ], [ [ 1226, 23, 944 ], [ 944, 62, 707 ] ], [ [ 1226, 24, 1496 ], [ 1496, 63, 707 ] ], [ [ 1226, 24, 901 ], [ 901, 24, 707 ] ], [ [ 1226, 63, 612 ], [ 612, 24, 707 ] ], [ [ 1226, 25, 235 ], [ 235, 64, 707 ] ], [ [ 1226, 64, 1172 ], [ 1172, 25, 707 ] ], [ [ 1226, 24, 935 ], [ 935, 25, 707 ] ], [ [ 1226, 25, 1213 ], [ 1213, 25, 707 ] ], [ [ 1226, 63, 598 ], [ 598, 25, 707 ] ] ]
[ [ [ "Tirofiban", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Tirofiban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chamomile" ], [ "Chamomile", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Danaparoid" ] ], [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nintedanib" ], [ "Nintedanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Danaparoid" ] ], [ [ "Tirofiban", "{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}", "Danaparoid" ] ], [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Verteporfin" ], [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Danaparoid" ] ], [ [ "Tirofiban", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ], [ "Desirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Tirofiban", "{u} may lead to a major life threatening interaction when taken with {v}", "Ibritumomab tiuxetan" ], [ "Ibritumomab tiuxetan", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketoprofen" ], [ "Ketoprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Tirofiban", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabumetone" ], [ "Nabumetone", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ] ]
Tirofiban may cause a minor interaction that can limit clinical effects when taken with Chamomile and Chamomile may cause a minor interaction that can limit clinical effects when taken with Danaparoid Tirofiban may cause a moderate interaction that could exacerbate diseases when taken with Nintedanib and Nintedanib may cause a moderate interaction that could exacerbate diseases when taken with Danaparoid Tirofiban 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 Danaparoid Tirofiban may cause a moderate interaction that could exacerbate diseases when taken with Verteporfin and Verteporfin may cause a moderate interaction that could exacerbate diseases when taken with Danaparoid Tirofiban may lead to a major life threatening interaction when taken with Desirudin and Desirudin may lead to a major life threatening interaction when taken with Danaparoid Tirofiban may lead to a major life threatening interaction when taken with Ibritumomab tiuxetan and Ibritumomab tiuxetan may lead to a major life threatening interaction when taken with Danaparoid Tirofiban may cause a moderate interaction that could exacerbate diseases when taken with Ketoprofen and Ketoprofen may lead to a major life threatening interaction when taken with Danaparoid Tirofiban may lead to a major life threatening interaction when taken with Dasatinib and Dasatinib may lead to a major life threatening interaction when taken with Danaparoid Tirofiban may cause a moderate interaction that could exacerbate diseases when taken with Nabumetone and Nabumetone may lead to a major life threatening interaction when taken with Danaparoid
DB06273
DB08908
980
713
[ "DDInter1824", "DDInter564" ]
Tocilizumab
Dimethyl fumarate
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. Tociliz
Dimethyl fumarate is an agent indicated for the treatment of relapsing forms of multiple sclerosis.[A253942,L43752] The mechanism of action of dimethyl fumarate in multiple sclerosis is not well understood. It is thought to involve dimethyl fumarate degradation to its active metabolite monomethyl fumarate (MMF) then MMF up-regulates the Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) pathway that is activated in response to oxidative stress. Dimethyl fumarate is marketed under the brand name Tecfidera, and it was the third oral disease-modifying agent for multiple sclerosis approved by the FDA, following [fingolimod] and [teriflunomide]. Prior to its FDA approval, dimethyl fumarate had been used in Germany for treatment of psoriasis.
Moderate
1
[ [ [ 980, 24, 713 ] ], [ [ 980, 24, 996 ], [ 996, 24, 713 ] ], [ [ 980, 63, 4 ], [ 4, 24, 713 ] ], [ [ 980, 64, 1394 ], [ 1394, 24, 713 ] ], [ [ 980, 24, 270 ], [ 270, 63, 713 ] ], [ [ 980, 25, 259 ], [ 259, 24, 713 ] ], [ [ 980, 25, 976 ], [ 976, 25, 713 ] ], [ [ 980, 25, 779 ], [ 779, 64, 713 ] ], [ [ 980, 64, 1377 ], [ 1377, 25, 713 ] ], [ [ 980, 24, 287 ], [ 287, 64, 713 ] ] ]
[ [ [ "Tocilizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{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}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{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}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rituximab" ], [ "Rituximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{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}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{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}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{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}", "Dimethyl fumarate" ] ], [ [ "Tocilizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diroximel fumarate" ], [ "Diroximel fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Dimethyl fumarate" ] ] ]
Tocilizumab 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 Dimethyl fumarate Tocilizumab 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 Dimethyl fumarate Tocilizumab may lead to a major life threatening interaction when taken with Rituximab and Rituximab may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate Tocilizumab may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate Tocilizumab 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 Dimethyl fumarate Tocilizumab may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Dimethyl fumarate Tocilizumab 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 Dimethyl fumarate Tocilizumab 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 Dimethyl fumarate Tocilizumab may cause a moderate interaction that could exacerbate diseases when taken with Diroximel fumarate and Diroximel fumarate may lead to a major life threatening interaction when taken with Dimethyl fumarate
DB09420
DB11119
1,074
120
[ "DDInter953", "DDInter1689" ]
Iodide I-123
Sodium iodide
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.
Sodium iodide is a water-soluble ionic compound with a crystal lattice. Sodium iodide is a source of iodine and can be administered as a supplement for total parenteral nutrition but is more commonly used in veterinary medicine. Radiolabelled compound, , is used as a diagnostic tool to evaluate thyroid function and morphology.
Moderate
1
[ [ [ 1074, 24, 120 ] ], [ [ 1074, 63, 1486 ], [ 1486, 24, 116 ], [ 116, 24, 120 ] ], [ [ 1074, 24, 1434 ], [ 1434, 63, 116 ], [ 116, 24, 120 ] ], [ [ 1074, 63, 278 ], [ 278, 63, 116 ], [ 116, 24, 120 ] ], [ [ 1074, 63, 33 ], [ 33, 25, 116 ], [ 116, 24, 120 ] ] ]
[ [ [ "Iodide I-123", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium iodide" ] ], [ [ "Iodide I-123", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ], [ "Iodide I-131", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium iodide" ] ], [ [ "Iodide I-123", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benznidazole" ], [ "Benznidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ], [ "Iodide I-131", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium iodide" ] ], [ [ "Iodide I-123", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopodic acid" ], [ "Iopodic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ], [ "Iodide I-131", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium iodide" ] ], [ [ "Iodide I-123", "{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}", "Iodide I-131" ], [ "Iodide I-131", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium iodide" ] ] ]
Iodide I-123 may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 and Iodide I-131 may cause a moderate interaction that could exacerbate diseases when taken with Sodium iodide Iodide I-123 may cause a moderate interaction that could exacerbate diseases when taken with Benznidazole and Benznidazole may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 and Iodide I-131 may cause a moderate interaction that could exacerbate diseases when taken with Sodium iodide Iodide I-123 may cause a moderate interaction that could exacerbate diseases when taken with Iopodic acid and Iopodic acid may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 and Iodide I-131 may cause a moderate interaction that could exacerbate diseases when taken with Sodium iodide Iodide I-123 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 Iodide I-131 and Iodide I-131 may cause a moderate interaction that could exacerbate diseases when taken with Sodium iodide
DB00342
DB00346
1,181
472
[ "DDInter1770", "DDInter44" ]
Terfenadine
Alfuzosin
In the U.S., Terfenadine was superseded by fexofenadine in the 1990s due to the risk of cardiac arrhythmia caused by QT interval prolongation.
Benign prostatic hyperplasia (BPH) refers to a benign growth or hyperplasia of the prostate and leads to lower urinary tract symptoms in men, such as urgency, frequency and changes to urine flow. The prevalence of BPH is as high as 50%-60% for males in their 60's, and this prevalence increases to 80%-90% of those over 70. Alfuzosin is an alpha-1 adrenergic blocker used in the symptomatic treatment of BPH that works by relaxing the muscles in the prostate and bladder neck. It was initially approved by the FDA in 2003 and is marketed by several pharmaceutical companies.
Moderate
1
[ [ [ 1181, 24, 472 ] ], [ [ 1181, 25, 752 ], [ 752, 62, 472 ] ], [ [ 1181, 23, 112 ], [ 112, 62, 472 ] ], [ [ 1181, 24, 1151 ], [ 1151, 63, 472 ] ], [ [ 1181, 25, 1424 ], [ 1424, 63, 472 ] ], [ [ 1181, 64, 600 ], [ 600, 24, 472 ] ], [ [ 1181, 63, 521 ], [ 521, 24, 472 ] ], [ [ 1181, 25, 609 ], [ 609, 64, 472 ] ], [ [ 1181, 24, 985 ], [ 985, 64, 472 ] ], [ [ 1181, 64, 702 ], [ 702, 25, 472 ] ] ]
[ [ [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alfuzosin" ] ], [ [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Alfuzosin" ] ], [ [ "Terfenadine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Alfuzosin" ] ], [ [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alfuzosin" ] ], [ [ "Terfenadine", "{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}", "Alfuzosin" ] ], [ [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alfuzosin" ] ], [ [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alfuzosin" ] ], [ [ "Terfenadine", "{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}", "Alfuzosin" ] ], [ [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Alfuzosin" ] ], [ [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Alfuzosin" ] ] ]
Terfenadine may lead to a major life threatening interaction when taken with Cimetidine and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Alfuzosin Terfenadine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Alfuzosin Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Alfuzosin Terfenadine 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 Alfuzosin Terfenadine may lead to a major life threatening interaction when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Alfuzosin Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Alfuzosin Terfenadine 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 Alfuzosin Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib and Osimertinib may lead to a major life threatening interaction when taken with Alfuzosin Terfenadine may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Alfuzosin
DB00242
DB09122
1,064
1,613
[ "DDInter392", "DDInter1409" ]
Cladribine
Peginterferon beta-1a
An antineoplastic agent used in the treatment of lymphoproliferative diseases including hairy-cell leukemia.
Multiple Sclerosis (MS) is a chronic and inflammatory autoimmune disease of the central nervous system, disrupting communication between the brain and other parts of the body. Most patients diagnosed with this illness experience their initial disease symptoms between the age of 20 to 40, often the most productive years of life. Symptoms may include but are not limited to fatigue, gait changes, bowel or bladder dysfunction, abnormal muscle twitching, vision disturbance, and depressing or mood swings. MS is one of the most common causes of neurological disability in young adults and is found to occur more frequently in women than in men.[A176474,L5792] Peginterferon beta-1a is an interferon therapy used for the management of relapsing forms of MS. It was originally approved by the FDA in 2014 for subcutaneous use, and was approved for intramuscular use in January 2021. Currently, it is the only approved pegylated interferon for the management of MS with an proven ability to reduce relapses and delay the progression of disability resulting from MS.
Moderate
1
[ [ [ 1064, 24, 1613 ] ], [ [ 1064, 25, 975 ], [ 975, 63, 1613 ] ], [ [ 1064, 64, 168 ], [ 168, 24, 1613 ] ], [ [ 1064, 25, 208 ], [ 208, 24, 1613 ] ], [ [ 1064, 24, 362 ], [ 362, 24, 1613 ] ], [ [ 1064, 37, 1224 ], [ 1224, 24, 1613 ] ], [ [ 1064, 24, 971 ], [ 971, 63, 1613 ] ], [ [ 1064, 25, 1377 ], [ 1377, 25, 1613 ] ], [ [ 1064, 64, 1066 ], [ 1066, 25, 1613 ] ], [ [ 1064, 25, 975 ], [ 975, 64, 600 ], [ 600, 24, 1613 ] ] ]
[ [ [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ], [ "Lurbinectedin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Mephenytoin" ], [ "Mephenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{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}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{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}", "Cytarabine" ], [ "Cytarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{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}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{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}", "Peginterferon beta-1a" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ], [ "Lurbinectedin", "{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}", "Peginterferon beta-1a" ] ] ]
Cladribine may lead to a major life threatening interaction when taken with Lurbinectedin and Lurbinectedin may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Cladribine may lead to a major life threatening interaction when taken with Bortezomib and Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Cladribine may lead to a major life threatening interaction when taken with Mephenytoin and Mephenytoin may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Cladribine 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 Peginterferon beta-1a Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cladribine may lead to a major life threatening interaction when taken with Cytarabine and Cytarabine may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a Cladribine 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 Peginterferon beta-1a Cladribine 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 Peginterferon beta-1a Cladribine may lead to a major life threatening interaction when taken with Lurbinectedin and Lurbinectedin 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 Peginterferon beta-1a
DB00902
DB00924
104
1,405
[ "DDInter1168", "DDInter454" ]
Methdilazine
Cyclobenzaprine
Methdilazine is a phenothiazine compound with antihistaminic activity. It is used in the treatment of various dermatoses to relieve pruritus.
Cyclobenzaprine, a centrally-acting muscle relaxant, was first synthesized in 1961 and has been available for human use since 1977. It was initially studied for use as antidepressant given its structural similarity to tricyclic antidepressants - it differs from [Amitriptyline] by only a single double bond.[A185039,A184982] Since its approval, it has remained relatively popular as an adjunctive, short-term treatment for acute skeletal muscle spasms secondary to musculoskeletal injury.
Moderate
1
[ [ [ 104, 24, 1405 ] ], [ [ 104, 1, 293 ], [ 293, 1, 1405 ] ], [ [ 104, 63, 1302 ], [ 1302, 1, 1405 ] ], [ [ 104, 24, 358 ], [ 358, 1, 1405 ] ], [ [ 104, 24, 401 ], [ 401, 63, 1405 ] ], [ [ 104, 40, 820 ], [ 820, 63, 1405 ] ], [ [ 104, 40, 11233 ], [ 11233, 1, 1405 ] ], [ [ 104, 74, 1164 ], [ 1164, 1, 1405 ] ], [ [ 104, 24, 1264 ], [ 1264, 64, 1405 ] ], [ [ 104, 63, 1507 ], [ 1507, 24, 1405 ] ] ]
[ [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Imipramine" ], [ "Imipramine", "{u} (Compound) resembles {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Protriptyline" ], [ "Protriptyline", "{u} (Compound) resembles {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ], [ "Orphenadrine", "{u} (Compound) resembles {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{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}", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Dimetacrine" ], [ "Dimetacrine", "{u} (Compound) resembles {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{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}", "Cyclobenzaprine" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dicyclomine" ], [ "Dicyclomine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ] ] ]
Methdilazine (Compound) resembles Imipramine (Compound) and Imipramine (Compound) resembles Cyclobenzaprine (Compound) Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Protriptyline and Protriptyline (Compound) resembles Cyclobenzaprine (Compound) Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine and Orphenadrine (Compound) resembles Cyclobenzaprine (Compound) Methdilazine 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 Cyclobenzaprine Methdilazine (Compound) resembles Alimemazine (Compound) and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine Methdilazine (Compound) resembles Dimetacrine (Compound) and Dimetacrine (Compound) resembles Cyclobenzaprine (Compound) Methdilazine (Compound) resembles Trimipramine (Compound) and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine (Compound) resembles Cyclobenzaprine (Compound) Methdilazine 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 Cyclobenzaprine Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Dicyclomine and Dicyclomine may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine
DB00836
DB01268
543
1,151
[ "DDInter1088", "DDInter1731" ]
Loperamide
Sunitinib
Loperamide is an anti-diarrheal agent that is available as various over-the-counter products for treating diarrhea. The drug was first synthesized in 1969 and used medically in 1976. It is a highly lipophilic synthetic phenylpiperidine opioid that is structurally similar to opiate receptor agonists such as [diphenoxylate] and [haloperidol]. Due to pharmacological properties, loperamide has been misused and abused to self-manage opioid withdrawal symptoms and to induce euphoria.[A251610, A251625] However, loperamide is associated with a risk for experiencing a range of adverse effects, often life-threatening, if taking for non-therapeutic reasons or at doses higher than the recommended dose.
Sunitinib is a small-molecule multi-targeted receptor tyrosine kinase (RTK) inhibitor. On January 26, 2006, the agent was formally approved by the US FDA for the indications of treating renal cell carcinoma (RCC) and imatinib-resistant gastrointestinal stromal tumor (GIST). For these purposes, sunitinib is generally available as an orally administered formulation. Sunitinib inhibits cellular signaling by targeting multiple RTKs. These include all platelet-derived growth factor receptors (PDGF-R) and vascular endothelial growth factor receptors (VEGF-R). Sunitinib also inhibits KIT (CD117), the RTK that drives the majority of GISTs. In addition, sunitinib inhibits other RTKs including RET, CSF-1R, and flt3.
Moderate
1
[ [ [ 543, 24, 1151 ] ], [ [ 543, 6, 4973 ], [ 4973, 45, 1151 ] ], [ [ 543, 7, 9650 ], [ 9650, 46, 1151 ] ], [ [ 543, 18, 6317 ], [ 6317, 57, 1151 ] ], [ [ 543, 21, 28680 ], [ 28680, 60, 1151 ] ], [ [ 543, 24, 112 ], [ 112, 23, 1151 ] ], [ [ 543, 64, 1091 ], [ 1091, 24, 1151 ] ], [ [ 543, 24, 1250 ], [ 1250, 63, 1151 ] ], [ [ 543, 24, 413 ], [ 413, 24, 1151 ] ], [ [ 543, 63, 472 ], [ 472, 24, 1151 ] ] ]
[ [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Loperamide", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Sunitinib" ] ], [ [ "Loperamide", "{u} (Compound) upregulates {v} (Gene)", "HMGCS1" ], [ "HMGCS1", "{u} (Gene) is upregulated by {v} (Compound)", "Sunitinib" ] ], [ [ "Loperamide", "{u} (Compound) downregulates {v} (Gene)", "MRPL12" ], [ "MRPL12", "{u} (Gene) is downregulated by {v} (Compound)", "Sunitinib" ] ], [ [ "Loperamide", "{u} (Compound) causes {v} (Side Effect)", "Rash" ], [ "Rash", "{u} (Side Effect) is caused by {v} (Compound)", "Sunitinib" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sunitinib" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Maprotiline" ], [ "Maprotiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alfuzosin" ], [ "Alfuzosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ] ]
Loperamide (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Sunitinib (Compound) Loperamide (Compound) upregulates HMGCS1 (Gene) and HMGCS1 (Gene) is upregulated by Sunitinib (Compound) Loperamide (Compound) downregulates MRPL12 (Gene) and MRPL12 (Gene) is downregulated by Sunitinib (Compound) Loperamide (Compound) causes Rash (Side Effect) and Rash (Side Effect) is caused by Sunitinib (Compound) Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Sunitinib Loperamide may lead to a major life threatening interaction when taken with Amprenavir and Amprenavir may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Maprotiline and Maprotiline may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Alfuzosin and Alfuzosin may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib
DB06288
DB09268
607
1,662
[ "DDInter77", "DDInter1464" ]
Amisulpride
Picosulfuric acid
Amisulpride is a benzamide derivative and a dopamine receptor antagonist that selectively works on dopamine D2 and D3 receptors. As an antipsychotic agent, amisulpride alleviates both positive and negative symptoms of schizophrenia, and it exhibits antidepressant properties in patients with psychiatric disorders, dysthymia, and major depression. Amisulpride predominantly works in the limbic system, which explains its relatively lower risk of extrapyramidal adverse effects compared to other atypical antipsychotic agents.[A6752, L32764] Oral tablets of amisulpride is used in European countries as a treatment for acute and chronic schizophrenic disorders, as well as secondary negative symptoms in mental health disorders such as affective disorders, depressive mood, and mental retardation. Amisulpride is also used as an antiemetic agent. In the US, the intravenous formulation of amisulpride is used to treat and prevent postoperative nausea
Picosulfuric acid is found in laxative products. Sodium picosulfate is a used to treat constipation or induce colon cleansing to prepare the large bowels before colonoscopy or surgery. The combination product containing sodium picosulfate and magnesium citrate was introduced to the Canadian market in 2005 and has been used in European countries for many years.
Moderate
1
[ [ [ 607, 24, 1662 ] ], [ [ 607, 25, 484 ], [ 484, 63, 1662 ] ], [ [ 607, 25, 1618 ], [ 1618, 24, 1662 ] ], [ [ 607, 64, 1342 ], [ 1342, 24, 1662 ] ], [ [ 607, 63, 770 ], [ 770, 24, 1662 ] ], [ [ 607, 62, 112 ], [ 112, 24, 1662 ] ], [ [ 607, 75, 1311 ], [ 1311, 24, 1662 ] ], [ [ 607, 24, 1019 ], [ 1019, 63, 1662 ] ], [ [ 607, 25, 39 ], [ 39, 25, 1662 ] ], [ [ 607, 64, 1181 ], [ 1181, 25, 1662 ] ] ]
[ [ [ "Amisulpride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{u} may lead to a major life threatening interaction when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{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}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{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}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{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}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{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}", "Picosulfuric acid" ] ], [ [ "Amisulpride", "{u} may lead to a major life threatening interaction when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Picosulfuric acid" ] ] ]
Amisulpride may lead to a major life threatening interaction when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid Amisulpride may lead to a major life threatening interaction when taken with Cabozantinib and Cabozantinib may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid Amisulpride 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 Picosulfuric acid Amisulpride 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 Picosulfuric acid Amisulpride 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 Picosulfuric acid Amisulpride (Compound) resembles Metoclopramide (Compound) and Amisulpride may lead to a major life threatening interaction when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid Amisulpride may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid Amisulpride 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 Picosulfuric acid Amisulpride may lead to a major life threatening interaction when taken with Terfenadine and Terfenadine may lead to a major life threatening interaction when taken with Picosulfuric acid
DB00927
DB06788
1,559
1,616
[ "DDInter712", "DDInter864" ]
Famotidine
Histrelin
Famotidine is a competitive histamine-2 (H<sub>2</sub>) receptor antagonist that works to inhibit gastric acid secretion. It is commonly used in gastrointestinal conditions related to acid secretion, such as gastric ulcers and gastroesophageal reflux disease (GERD), in adults and children. Compared to other H<sub>2</sub> receptor antagonists, famotidine displays high selectivity towards this receptor; in a study consisting of healthy volunteers and patients with acid hypersecretory disease, famotidine was about 20 to 50 times more potent at inhibiting gastric acid secretion than [cimetidine] and eight times more potent than [ranitidine] on a weight basis. Famotidine is used in various over-the-counter and off-label uses. While oral formulations of famotidine are more commonly used, the intravenous solution of the drug is available for use in hospital settings.
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
[ [ [ 1559, 24, 1616 ] ], [ [ 1559, 62, 112 ], [ 112, 23, 1616 ] ], [ [ 1559, 23, 1247 ], [ 1247, 23, 1616 ] ], [ [ 1559, 63, 1664 ], [ 1664, 24, 1616 ] ], [ [ 1559, 24, 623 ], [ 623, 24, 1616 ] ], [ [ 1559, 24, 927 ], [ 927, 63, 1616 ] ], [ [ 1559, 25, 1250 ], [ 1250, 24, 1616 ] ], [ [ 1559, 25, 786 ], [ 786, 63, 1616 ] ], [ [ 1559, 23, 286 ], [ 286, 63, 1616 ] ], [ [ 1559, 64, 876 ], [ 876, 24, 1616 ] ] ]
[ [ [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Famotidine", "{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" ] ], [ [ "Famotidine", "{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}", "Histrelin" ] ], [ [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ], [ "Risperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Famotidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Famotidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilpivirine" ], [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Famotidine", "{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}", "Histrelin" ] ], [ [ "Famotidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tizanidine" ], [ "Tizanidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ] ]
Famotidine 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 Famotidine 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 Histrelin Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Risperidone and Risperidone may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Quetiapine and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Famotidine may lead to a major life threatening interaction when taken with Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Famotidine may lead to a major life threatening interaction when taken with Rilpivirine and Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Famotidine 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 Histrelin Famotidine may lead to a major life threatening interaction when taken with Tizanidine and Tizanidine may cause a moderate interaction that could exacerbate diseases when taken with Histrelin
DB00023
DB00900
305
45
[ "DDInter127", "DDInter544" ]
Asparaginase Escherichia coli
Didanosine
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 dideoxynucleoside compound in which the 3&#39;-hydroxy group on the sugar moiety has been replaced by a hydrogen. This modification prevents the formation of phosphodiester linkages which are needed for the completion of nucleic acid chains. Didanosine is a potent inhibitor of HIV replication, acting as a chain-terminator of viral DNA by binding to reverse transcriptase; ddI is then metabolized to dideoxyadenosine triphosphate, its putative active metabolite.
Moderate
1
[ [ [ 305, 24, 45 ] ], [ [ 305, 24, 1620 ], [ 1620, 23, 45 ] ], [ [ 305, 24, 1669 ], [ 1669, 62, 45 ] ], [ [ 305, 24, 1142 ], [ 1142, 63, 45 ] ], [ [ 305, 63, 491 ], [ 491, 24, 45 ] ], [ [ 305, 24, 482 ], [ 482, 24, 45 ] ], [ [ 305, 64, 1057 ], [ 1057, 24, 45 ] ], [ [ 305, 25, 770 ], [ 770, 63, 45 ] ], [ [ 305, 25, 581 ], [ 581, 24, 45 ] ], [ [ 305, 25, 1101 ], [ 1101, 25, 45 ] ] ]
[ [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracycline" ], [ "Tetracycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Didanosine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Minocycline" ], [ "Minocycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Didanosine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orlistat" ], [ "Orlistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2a" ], [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Didanosine" ] ], [ [ "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}", "Didanosine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ], [ [ "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}", "Didanosine" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Didanosine" ] ] ]
Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Tetracycline and Tetracycline may cause a minor interaction that can limit clinical effects when taken with Didanosine Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Minocycline and Minocycline may cause a minor interaction that can limit clinical effects when taken with Didanosine Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Orlistat and Orlistat may cause a moderate interaction that could exacerbate diseases when taken with Didanosine Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2a and Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Didanosine Asparaginase Escherichia coli 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 Didanosine 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 Didanosine Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Didanosine 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 Didanosine Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Didanosine
DB00468
DB01229
1,424
973
[ "DDInter1557", "DDInter1377" ]
Quinine
Paclitaxel
An alkaloid derived from the bark of the cinchona tree. It is used as an antimalarial drug, and is the active ingredient in extracts of the cinchona that have been used for that purpose since before 1633. Quinine is also a mild antipyretic and analgesic and has been used in common cold preparations for that purpose. It was used commonly and as a bitter and flavoring agent, and is still useful for the treatment of babesiosis. Quinine is also useful in some muscular disorders, especially nocturnal leg cramps and myotonia congenita, because of its direct effects on muscle membrane and sodium channels. The mechanisms of its antimalarial effects are not well understood.
Paclitaxel is a chemotherapeutic agent marketed under the brand name Taxol among others. Used as a treatment for various cancers, paclitaxel is a mitotic inhibitor that was first isolated in 1971 from the bark of the Pacific yew tree which contains endophytic fungi that synthesize paclitaxel. It is available as an intravenous solution for injection and the newer formulation contains albumin-bound paclitaxel marketed under the brand name Abraxane.
Moderate
1
[ [ [ 1424, 24, 973 ] ], [ [ 1424, 6, 7524 ], [ 7524, 45, 973 ] ], [ [ 1424, 21, 28827 ], [ 28827, 60, 973 ] ], [ [ 1424, 25, 945 ], [ 945, 23, 973 ] ], [ [ 1424, 24, 872 ], [ 872, 23, 973 ] ], [ [ 1424, 64, 1176 ], [ 1176, 23, 973 ] ], [ [ 1424, 23, 307 ], [ 307, 23, 973 ] ], [ [ 1424, 24, 214 ], [ 214, 63, 973 ] ], [ [ 1424, 25, 68 ], [ 68, 63, 973 ] ], [ [ 1424, 63, 362 ], [ 362, 24, 973 ] ] ]
[ [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Quinine", "{u} (Compound) binds {v} (Gene)", "CYP3A5" ], [ "CYP3A5", "{u} (Gene) is bound by {v} (Compound)", "Paclitaxel" ] ], [ [ "Quinine", "{u} (Compound) causes {v} (Side Effect)", "Orthostatic hypotension" ], [ "Orthostatic hypotension", "{u} (Side Effect) is caused by {v} (Compound)", "Paclitaxel" ] ], [ [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paclitaxel" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ], [ "Gemifloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paclitaxel" ] ], [ [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paclitaxel" ] ], [ [ "Quinine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paclitaxel" ] ], [ [ "Quinine", "{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}", "Paclitaxel" ] ], [ [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ], [ "Troleandomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Quinine", "{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}", "Paclitaxel" ] ] ]
Quinine (Compound) binds CYP3A5 (Gene) and CYP3A5 (Gene) is bound by Paclitaxel (Compound) Quinine (Compound) causes Orthostatic hypotension (Side Effect) and Orthostatic hypotension (Side Effect) is caused by Paclitaxel (Compound) Quinine may lead to a major life threatening interaction when taken with Sparfloxacin and Sparfloxacin may cause a minor interaction that can limit clinical effects when taken with Paclitaxel Quinine may cause a moderate interaction that could exacerbate diseases when taken with Gemifloxacin and Gemifloxacin may cause a minor interaction that can limit clinical effects when taken with Paclitaxel Quinine may lead to a major life threatening interaction when taken with Moxifloxacin and Moxifloxacin may cause a minor interaction that can limit clinical effects when taken with Paclitaxel Quinine may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Paclitaxel Quinine 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 Paclitaxel Quinine may lead to a major life threatening interaction when taken with Troleandomycin and Troleandomycin may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Quinine 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 Paclitaxel
DB00491
DB00734
127
1,664
[ "DDInter1217", "DDInter1605" ]
Miglitol
Risperidone
Miglitol inhibits the breakdown complex carbohydrates into glucose. It is primarily used in diabetes mellitus type 2 for establishing greater glycemic control by preventing the digestion of carbohydrates (such as disaccharides, oligosaccharides, and polysaccharides) into monosaccharides which can be absorbed by the body. Miglitol should be taken at the start of a meal for maximal effect and the effect will depend on the amount of poly and oligosaccharides in the diet. Miglitol inhibits alpha-glucosidase, making less sugars available for digestion and reducing postprandial hyperglycemia. Unlike other drugs of the same class, miglitol is not metabolized and the unmetabolized drug is excreted by the kidneys.
Risperidone is a second-generation antipsychotic (SGA) medication used in the treatment of a number of mood and mental health conditions including schizophrenia and bipolar disorder. It is one of the most widely used SGAs. [Paliperidone], another commonly used SGA, is the primary active metabolite of risperidone (i.e. 9-hydroxyrisperidone). Schizophrenia and various mood disorders are thought to be caused by an excess of dopaminergic D2 and serotonergic 5-HT2A activity, resulting in overactivity of central mesolimbic pathways and mesocortical pathways, respectively. Risperidone is thought to reduce this overactivity through inhibition of dopaminergic D2 receptors and serotonergic 5-HT2A receptors in the brain. Risperidone binds with a very high affinity to 5-HT2A receptors, approximately 10-20 fold greater than the drug's binding affinity to D2 receptors, and carries lesser activity at several off-targets which may responsible for some of its undesirable effects.
Moderate
1
[ [ [ 127, 24, 1664 ] ], [ [ 127, 24, 924 ], [ 924, 40, 1664 ] ], [ [ 127, 21, 28787 ], [ 28787, 60, 1664 ] ], [ [ 127, 23, 1194 ], [ 1194, 62, 1664 ] ], [ [ 127, 24, 1616 ], [ 1616, 63, 1664 ] ], [ [ 127, 63, 1179 ], [ 1179, 24, 1664 ] ], [ [ 127, 24, 870 ], [ 870, 24, 1664 ] ], [ [ 127, 24, 1154 ], [ 1154, 64, 1664 ] ], [ [ 127, 24, 924 ], [ 924, 1, 519 ], [ 519, 40, 1664 ] ], [ [ 127, 24, 519 ], [ 519, 40, 924 ], [ 924, 40, 1664 ] ] ]
[ [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} (Compound) resembles {v} (Compound)", "Risperidone" ] ], [ [ "Miglitol", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Risperidone" ] ], [ [ "Miglitol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ranitidine" ], [ "Ranitidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Risperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ], [ "Histrelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Miglitol", "{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}", "Risperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Risperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} (Compound) resembles {v} (Compound)", "Paliperidone" ], [ "Paliperidone", "{u} (Compound) resembles {v} (Compound)", "Risperidone" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paliperidone" ], [ "Paliperidone", "{u} (Compound) resembles {v} (Compound)", "Iloperidone" ], [ "Iloperidone", "{u} (Compound) resembles {v} (Compound)", "Risperidone" ] ] ]
Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Iloperidone and Iloperidone (Compound) resembles Risperidone (Compound) Miglitol (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Risperidone (Compound) Miglitol may cause a minor interaction that can limit clinical effects when taken with Ranitidine and Ranitidine may cause a minor interaction that can limit clinical effects when taken with Risperidone Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Histrelin and Histrelin may cause a moderate interaction that could exacerbate diseases when taken with Risperidone Miglitol 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 Risperidone Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Risperidone Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide and Pasireotide may lead to a major life threatening interaction when taken with Risperidone Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Iloperidone and Iloperidone (Compound) resembles Paliperidone (Compound) and Paliperidone (Compound) resembles Risperidone (Compound) Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Paliperidone and Paliperidone (Compound) resembles Iloperidone (Compound) and Iloperidone (Compound) resembles Risperidone (Compound)
DB00370
DB06663
1,251
1,154
[ "DDInter1230", "DDInter1398" ]
Mirtazapine
Pasireotide
Mirtazapine is a tetracyclic _piperazino-azepine_ antidepressant agent that was initially approved for the treatment of major depressive disorder (MDD) in the Netherlands in 1994. This drug was first manufactured by Organon Inc., and received FDA approval in 1997 for the treatment of major depressive disorder.[T595, L6157] The effects of this drug may be observed as early as 1 week after beginning therapy.[A178144,L6160] In addition to its beneficial effects in depression, mirtazapine has been reported to be efficacious in the off-label management of various other conditions. It may improve the symptoms of neurological disorders, reverse weight loss caused by medical conditions, improve sleep, and prevent nausea and vomiting after surgery.
Pasireotide is a synthetic long-acting cyclic hexapeptide with somatostatin-like activity. It is marketed as a diaspartate salt called Signifor, which is used in the treatment of Cushing's disease.
Major
2
[ [ [ 1251, 25, 1154 ] ], [ [ 1251, 63, 1314 ], [ 1314, 40, 1154 ] ], [ [ 1251, 21, 28900 ], [ 28900, 60, 1154 ] ], [ [ 1251, 23, 112 ], [ 112, 23, 1154 ] ], [ [ 1251, 24, 1662 ], [ 1662, 63, 1154 ] ], [ [ 1251, 24, 480 ], [ 480, 24, 1154 ] ], [ [ 1251, 63, 1324 ], [ 1324, 24, 1154 ] ], [ [ 1251, 64, 702 ], [ 702, 25, 1154 ] ], [ [ 1251, 25, 1494 ], [ 1494, 25, 1154 ] ], [ [ 1251, 24, 322 ], [ 322, 25, 1154 ] ] ]
[ [ [ "Mirtazapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Mirtazapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desmopressin" ], [ "Desmopressin", "{u} (Compound) resembles {v} (Compound)", "Pasireotide" ] ], [ [ "Mirtazapine", "{u} (Compound) causes {v} (Side Effect)", "Abdominal pain" ], [ "Abdominal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Pasireotide" ] ], [ [ "Mirtazapine", "{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}", "Pasireotide" ] ], [ [ "Mirtazapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Mirtazapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Mirtazapine", "{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}", "Pasireotide" ] ], [ [ "Mirtazapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Mirtazapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Mirtazapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ] ]
Mirtazapine may cause a moderate interaction that could exacerbate diseases when taken with Desmopressin and Desmopressin (Compound) resembles Pasireotide (Compound) Mirtazapine (Compound) causes Abdominal pain (Side Effect) and Abdominal pain (Side Effect) is caused by Pasireotide (Compound) Mirtazapine 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 Pasireotide Mirtazapine may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid and Picosulfuric acid may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Mirtazapine may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Mirtazapine 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 Pasireotide Mirtazapine may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Pasireotide Mirtazapine may lead to a major life threatening interaction when taken with Palonosetron and Palonosetron may lead to a major life threatening interaction when taken with Pasireotide Mirtazapine may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may lead to a major life threatening interaction when taken with Pasireotide
DB00330
DB00444
238
63
[ "DDInter689", "DDInter1765" ]
Ethambutol
Teniposide
Ethambutol is a bacteriostatic agent indicated alongside medications such as [isoniazid], [rifampin], and [pyrazinamide] in the treatment of pulmonary tuberculosis. Ethambutol was first described in the literature in 1961. It was developed out of a need for therapies active against isoniazid resistant strains of _Mycobacterium tuberculosis_. Ethambutol was granted FDA approval on 6 November 1967.
Teniposide is a semisynthetic derivative of podophyllotoxin that exhibits antitumor activity. Teniposide inhibits DNA synthesis by forming a complex with topoisomerase II and DNA. This complex induces breaks in double stranded DNA and prevents repair by topoisomerase II binding. Accumulated breaks in DNA prevent cells from entering into the mitotic phase of the cell cycle, and lead to cell death. Teniposide acts primarily in the G2 and S phases of the cycle.
Moderate
1
[ [ [ 238, 24, 63 ] ], [ [ 238, 7, 10670 ], [ 10670, 46, 63 ] ], [ [ 238, 21, 28709 ], [ 28709, 60, 63 ] ], [ [ 238, 24, 147 ], [ 147, 62, 63 ] ], [ [ 238, 24, 14 ], [ 14, 63, 63 ] ], [ [ 238, 63, 10 ], [ 10, 24, 63 ] ], [ [ 238, 24, 134 ], [ 134, 24, 63 ] ], [ [ 238, 24, 375 ], [ 375, 64, 63 ] ], [ [ 238, 63, 581 ], [ 581, 25, 63 ] ], [ [ 238, 25, 1377 ], [ 1377, 64, 63 ] ] ]
[ [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ] ], [ [ "Ethambutol", "{u} (Compound) upregulates {v} (Gene)", "KLHL21" ], [ "KLHL21", "{u} (Gene) is upregulated by {v} (Compound)", "Teniposide" ] ], [ [ "Ethambutol", "{u} (Compound) causes {v} (Side Effect)", "Decreased appetite" ], [ "Decreased appetite", "{u} (Side Effect) is caused by {v} (Compound)", "Teniposide" ] ], [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Teniposide" ] ], [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rosuvastatin" ], [ "Rosuvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ] ], [ [ "Ethambutol", "{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}", "Teniposide" ] ], [ [ "Ethambutol", "{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}", "Teniposide" ] ], [ [ "Ethambutol", "{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}", "Teniposide" ] ], [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Teniposide" ] ], [ [ "Ethambutol", "{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}", "Teniposide" ] ] ]
Ethambutol (Compound) upregulates KLHL21 (Gene) and KLHL21 (Gene) is upregulated by Teniposide (Compound) Ethambutol (Compound) causes Decreased appetite (Side Effect) and Decreased appetite (Side Effect) is caused by Teniposide (Compound) Ethambutol may cause a moderate interaction that could exacerbate diseases when taken with Vinblastine and Vinblastine may cause a minor interaction that can limit clinical effects when taken with Teniposide Ethambutol may cause a moderate interaction that could exacerbate diseases when taken with Rosuvastatin and Rosuvastatin may cause a moderate interaction that could exacerbate diseases when taken with Teniposide Ethambutol 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 Teniposide Ethambutol 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 Teniposide Ethambutol 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 Teniposide Ethambutol may cause a moderate interaction that could exacerbate diseases when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Teniposide Ethambutol 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 Teniposide
DB06317
DB09570
1,626
1,480
[ "DDInter630", "DDInter1002" ]
Elotuzumab
Ixazomib
Elotuzumab is a humanized IgG1 (Immunoglobulin G) monoclonal antibody indicated in combination with lenalidomide and dexamethasone for the treatment of patients with multiple myeloma who have received one to three prior therapies. Elotuzumab targets SLAMF7, also known as Signaling Lymphocytic Activation Molecule Family member 7, a cell surface glycoprotein. Elotuzumab consists of the complementary determining regions (CDR) of the mouse antibody, MuLuc63, grafted onto human IgG1 heavy and kappa light chain frameworks. Elotuzumab is produced in NS0 cells by recombinant DNA technology. Elotuzumab has a theoretical mass of 148.1 kDa for the intact antibody. Elotuzumab was approved on November 30, 2015 by the U.S. Food and Drug Administration. Elotuzumab
Ixazomib a second generation proteasome inhibitor (PI) and the first oral PI approved by the FDA in November 2015 for multiple myeloma treatment in combination with 2 other therapies (lenalidomide and dexamethasone) for patients who have received at least 1 prior therapy. It was found to have similar efficacy to bortezomib (the first PI approved for multiple myeloma therapy) in the control of myeloma growth and prevention of bone loss. Ixazomib citrate is marketed by Takeda Pharmaceuticals under the brand name Ninlaro, which is a prodrug that becomes quickly converted to its active metabolite, ixazomib, after administration.
Moderate
1
[ [ [ 1626, 24, 1480 ] ], [ [ 1626, 24, 987 ], [ 987, 63, 1480 ] ], [ [ 1626, 63, 268 ], [ 268, 24, 1480 ] ], [ [ 1626, 24, 1136 ], [ 1136, 24, 1480 ] ], [ [ 1626, 25, 375 ], [ 375, 25, 1480 ] ], [ [ 1626, 25, 1624 ], [ 1624, 64, 1480 ] ], [ [ 1626, 64, 1377 ], [ 1377, 25, 1480 ] ], [ [ 1626, 24, 987 ], [ 987, 63, 310 ], [ 310, 24, 1480 ] ], [ [ 1626, 63, 268 ], [ 268, 24, 440 ], [ 440, 24, 1480 ] ], [ [ 1626, 63, 453 ], [ 453, 63, 268 ], [ 268, 24, 1480 ] ] ]
[ [ [ "Elotuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Elotuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ], [ "Vibrio cholerae CVD 103-HgR strain live antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Elotuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2b" ], [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Elotuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ], [ "Denosumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Elotuzumab", "{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}", "Ixazomib" ] ], [ [ "Elotuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ], [ "Rotavirus vaccine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ixazomib" ] ], [ [ "Elotuzumab", "{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}", "Ixazomib" ] ], [ [ "Elotuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ], [ "Vibrio cholerae CVD 103-HgR strain live antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Elotuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2b" ], [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Filgrastim" ], [ "Filgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ], [ [ "Elotuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ], [ "Linezolid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2b" ], [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ] ] ]
Elotuzumab may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen and Vibrio cholerae CVD 103-HgR strain live antigen may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib Elotuzumab may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2b and Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib Elotuzumab may cause a moderate interaction that could exacerbate diseases when taken with Denosumab and Denosumab may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib Elotuzumab 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 Ixazomib Elotuzumab may lead to a major life threatening interaction when taken with Rotavirus vaccine and Rotavirus vaccine may lead to a major life threatening interaction when taken with Ixazomib Elotuzumab 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 Ixazomib Elotuzumab may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen and Vibrio cholerae CVD 103-HgR strain live antigen may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib Elotuzumab may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2b and Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Filgrastim and Filgrastim may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib Elotuzumab may cause a moderate interaction that could exacerbate diseases when taken with Linezolid and Linezolid may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2b and Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib
DB00186
DB00295
905
475
[ "DDInter1092", "DDInter1244" ]
Lorazepam
Morphine
Lorazepam is a short-acting and rapidly cleared benzodiazepine used commonly as a sedative and anxiolytic. It was developed by DJ Richards, presented and marketed initially by Wyeth Pharmaceuticals in the USA in 1977. The first historic FDA label approval is reported in 1985 by the company Mutual Pharm.
Morphine, the main alkaloid of opium, was first obtained from poppy seeds in 1805. It is a potent analgesic, though its use is limited due to tolerance, withdrawal, and the risk of abuse. Morphine is still routinely used today, though there are a number of semi-synthetic opioids of varying strength such as [codeine], [fentanyl], [methadone], [hydrocodone], [hydromorphone], [meperidine], and [oxycodone]. Morphine was granted FDA approval in 1941.
Major
2
[ [ [ 905, 25, 475 ] ], [ [ 905, 6, 16538 ], [ 16538, 45, 475 ] ], [ [ 905, 21, 28784 ], [ 28784, 60, 475 ] ], [ [ 905, 24, 820 ], [ 820, 63, 475 ] ], [ [ 905, 24, 701 ], [ 701, 24, 475 ] ], [ [ 905, 40, 1382 ], [ 1382, 63, 475 ] ], [ [ 905, 63, 1648 ], [ 1648, 24, 475 ] ], [ [ 905, 40, 1418 ], [ 1418, 64, 475 ] ], [ [ 905, 40, 1174 ], [ 1174, 25, 475 ] ], [ [ 905, 24, 593 ], [ 593, 64, 475 ] ] ]
[ [ [ "Lorazepam", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ] ], [ [ "Lorazepam", "{u} (Compound) binds {v} (Gene)", "UGT2B15" ], [ "UGT2B15", "{u} (Gene) is bound by {v} (Compound)", "Morphine" ] ], [ [ "Lorazepam", "{u} (Compound) causes {v} (Side Effect)", "Thrombocytopenia" ], [ "Thrombocytopenia", "{u} (Side Effect) is caused by {v} (Compound)", "Morphine" ] ], [ [ "Lorazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ] ], [ [ "Lorazepam", "{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}", "Morphine" ] ], [ [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Midazolam" ], [ "Midazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ] ], [ [ "Lorazepam", "{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}", "Morphine" ] ], [ [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ], [ "Estazolam", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ] ], [ [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Temazepam" ], [ "Temazepam", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ] ], [ [ "Lorazepam", "{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}", "Morphine" ] ] ]
Lorazepam (Compound) binds UGT2B15 (Gene) and UGT2B15 (Gene) is bound by Morphine (Compound) Lorazepam (Compound) causes Thrombocytopenia (Side Effect) and Thrombocytopenia (Side Effect) is caused by Morphine (Compound) Lorazepam may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Morphine Lorazepam 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 Morphine Lorazepam (Compound) resembles Midazolam (Compound) and Midazolam may cause a moderate interaction that could exacerbate diseases when taken with Morphine Lorazepam 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 Morphine Lorazepam (Compound) resembles Estazolam (Compound) and Estazolam may lead to a major life threatening interaction when taken with Morphine Lorazepam (Compound) resembles Temazepam (Compound) and Temazepam may lead to a major life threatening interaction when taken with Morphine Lorazepam 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 Morphine
DB06754
DB09420
707
1,074
[ "DDInter471", "DDInter953" ]
Danaparoid
Iodide I-123
Danaparoid is a low-molecular-weight heparinoid with an average molecular weight of 5500 Daltons consisting of a mixture of glycosaminoglycans. The active constituents are heparan, dermatan and, and they are isolated from the porcine intestinal mucosa [FDA Label]. Danaparoid possesses a potent antithrombic activity that works by inhibiting activated factor X (Factor Xa) and activated factor II (Factor IIa). It is chemically distinct from heparin by containing different protein binding properties, thus has lower cross-reactivity in heparin-intolerant patients. Danaproid is used in the treatment of heparin-induced thrombocytopenia (HIT) as an off-label indication and prevention of post-operative deep venous thrombosis (DVT). While it was initially approved by the FDA as Orgaran™, danaparoid was withdrawn by Organon International on August
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
[ [ [ 707, 24, 1074 ] ], [ [ 707, 64, 500 ], [ 500, 24, 1074 ] ], [ [ 707, 24, 1004 ], [ 1004, 63, 1074 ] ], [ [ 707, 25, 1421 ], [ 1421, 63, 1074 ] ], [ [ 707, 25, 365 ], [ 365, 24, 1074 ] ], [ [ 707, 64, 500 ], [ 500, 24, 1004 ], [ 1004, 63, 1074 ] ], [ [ 707, 24, 1004 ], [ 1004, 63, 500 ], [ 500, 24, 1074 ] ], [ [ 707, 64, 126 ], [ 126, 64, 161 ], [ 161, 24, 1074 ] ], [ [ 707, 64, 553 ], [ 553, 25, 500 ], [ 500, 24, 1074 ] ], [ [ 707, 25, 1421 ], [ 1421, 64, 500 ], [ 500, 24, 1074 ] ] ]
[ [ [ "Danaparoid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Danaparoid", "{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}", "Iodide I-123" ] ], [ [ "Danaparoid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyl salicylate" ], [ "Phenyl salicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Danaparoid", "{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}", "Iodide I-123" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ], [ "Dalteparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Danaparoid", "{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}", "Phenyl salicylate" ], [ "Phenyl salicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Danaparoid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyl salicylate" ], [ "Phenyl salicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enoxaparin" ], [ "Enoxaparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sulfadiazine" ], [ "Sulfadiazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may lead to a major life threatening interaction when taken with {v}", "Enoxaparin" ], [ "Enoxaparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{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}", "Iodide I-123" ] ] ]
Danaparoid 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 Iodide I-123 Danaparoid may cause a moderate interaction that could exacerbate diseases when taken with Phenyl salicylate and Phenyl salicylate may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Danaparoid 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 Iodide I-123 Danaparoid may lead to a major life threatening interaction when taken with Dalteparin and Dalteparin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Danaparoid 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 Phenyl salicylate and Phenyl salicylate may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Danaparoid may cause a moderate interaction that could exacerbate diseases when taken with Phenyl salicylate and Phenyl salicylate may cause a moderate interaction that could exacerbate diseases when taken with Enoxaparin and Enoxaparin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Danaparoid may lead to a major life threatening interaction when taken with Warfarin and Warfarin may lead to a major life threatening interaction when taken with Sulfadiazine and Sulfadiazine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Danaparoid may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may lead to a major life threatening interaction when taken with Enoxaparin and Enoxaparin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Danaparoid may lead to a major life threatening interaction when taken with Betrixaban and Betrixaban 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 Iodide I-123
DB01197
DB06792
1,603
1,606
[ "DDInter292", "DDInter1023" ]
Captopril
Lanthanum carbonate
Captopril is a potent, competitive inhibitor of angiotensin-converting enzyme (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). Captopril may be used in the treatment of hypertension.
Lanthanum carbonate is a phosphate binder commonly used in clinical practice. It is marketed under the trade name _Fosrenol_ by Shire Pharmaceuticals. It is the largest of all pills filled in community pharmacies. Sometimes patients forget that Fosrenol is not swallowed whole, but instead should be chewed. This has led to severe choking. It is prescribed for treating high phosphate levels, mainly found in patients with chronic kidney disease. Lanthanum should be taken with meals and binds to phosphate in the diet, preventing phosphate absorption in the intestine.
Moderate
1
[ [ [ 1603, 24, 1606 ] ], [ [ 1603, 40, 610 ], [ 610, 24, 1606 ] ], [ [ 1603, 63, 1144 ], [ 1144, 63, 610 ], [ 610, 24, 1606 ] ], [ [ 1603, 40, 610 ], [ 610, 1, 664 ], [ 664, 24, 1606 ] ], [ [ 1603, 5, 11576 ], [ 11576, 44, 610 ], [ 610, 24, 1606 ] ], [ [ 1603, 40, 610 ], [ 610, 40, 743 ], [ 743, 24, 1606 ] ], [ [ 1603, 6, 4610 ], [ 4610, 45, 610 ], [ 610, 24, 1606 ] ], [ [ 1603, 63, 1144 ], [ 1144, 24, 772 ], [ 772, 24, 1606 ] ], [ [ 1603, 5, 11576 ], [ 11576, 49, 1252 ], [ 1252, 24, 1606 ] ], [ [ 1603, 6, 2488 ], [ 2488, 57, 610 ], [ 610, 24, 1606 ] ] ]
[ [ [ "Captopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{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}", "Enalapril" ], [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} (Compound) resembles {v} (Compound)", "Perindopril" ], [ "Perindopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{u} (Compound) treats {v} (Disease)", "coronary artery disease" ], [ "coronary artery disease", "{u} (Disease) is treated by {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} (Compound) resembles {v} (Compound)", "Lisinopril" ], [ "Lisinopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{u} (Compound) binds {v} (Gene)", "SLC15A1" ], [ "SLC15A1", "{u} (Gene) is bound by {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{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}", "Carvedilol" ], [ "Carvedilol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{u} (Compound) treats {v} (Disease)", "coronary artery disease" ], [ "coronary artery disease", "{u} (Disease) is palliated by {v} (Compound)", "Digoxin" ], [ "Digoxin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ], [ [ "Captopril", "{u} (Compound) binds {v} (Gene)", "MMP2" ], [ "MMP2", "{u} (Gene) is downregulated by {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ] ] ]
Captopril (Compound) resembles Enalapril (Compound) and Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate Captopril 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 Enalapril and Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate Captopril (Compound) resembles Enalapril (Compound) and Enalapril (Compound) resembles Perindopril (Compound) and Perindopril may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate Captopril (Compound) treats coronary artery disease (Disease) and coronary artery disease (Disease) is treated by Enalapril (Compound) and Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate Captopril (Compound) resembles Enalapril (Compound) and Enalapril (Compound) resembles Lisinopril (Compound) and Lisinopril may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate Captopril (Compound) binds SLC15A1 (Gene) and SLC15A1 (Gene) is bound by Enalapril (Compound) and Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate Captopril 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 Carvedilol and Carvedilol may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate Captopril (Compound) treats coronary artery disease (Disease) and coronary artery disease (Disease) is palliated by Digoxin (Compound) and Digoxin may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate Captopril (Compound) binds MMP2 (Gene) and MMP2 (Gene) is downregulated by Enalapril (Compound) and Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate
DB01157
DB08904
304
375
[ "DDInter1875", "DDInter342" ]
Trimetrexate
Certolizumab pegol
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.
Certolizumab pegol is a pegylated monoclonal antibody against the tumor necrosis factor-alpha (TNF-alpha). It is formed with a humanized Fab fragment of 50 kDa, from an IgG 1 isotype, fused to a 40 kDa polyethylene glycol moiety replacing the Fc antibody region. The absence of the Fc region was ideated to prevent complement fixation and antibody-mediated cytotoxicity as well as to markedly increase its half-life. Certolizumab does not require glycosylation for active function and hence, its production is significantly more affordable when compared to other existing TNF-alpha therapies as it can be done directly in bacterial hosts such as _E. coli_. It was developed and manufactured by UCB Pharma, first FDA approved in 2008 and updated for a new indication on March 28, 2019.
Major
2
[ [ [ 304, 25, 375 ] ], [ [ 304, 24, 200 ], [ 200, 63, 375 ] ], [ [ 304, 63, 66 ], [ 66, 24, 375 ] ], [ [ 304, 24, 1430 ], [ 1430, 24, 375 ] ], [ [ 304, 64, 1066 ], [ 1066, 25, 375 ] ], [ [ 304, 63, 563 ], [ 563, 25, 375 ] ], [ [ 304, 25, 1624 ], [ 1624, 64, 375 ] ], [ [ 304, 24, 248 ], [ 248, 25, 375 ] ], [ [ 304, 25, 1510 ], [ 1510, 25, 375 ] ], [ [ 304, 24, 384 ], [ 384, 64, 375 ] ] ]
[ [ [ "Trimetrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{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}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{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}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{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}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ganciclovir" ], [ "Ganciclovir", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ], [ "Rotavirus vaccine", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ], [ "Valganciclovir", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{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}", "Certolizumab pegol" ] ], [ [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ] ]
Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Trimetrexate 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 Certolizumab pegol Trimetrexate 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 Certolizumab pegol Trimetrexate 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 Certolizumab pegol Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Ganciclovir and Ganciclovir may lead to a major life threatening interaction when taken with Certolizumab pegol Trimetrexate may lead to a major life threatening interaction when taken with Rotavirus vaccine and Rotavirus vaccine may lead to a major life threatening interaction when taken with Certolizumab pegol Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Valganciclovir and Valganciclovir may lead to a major life threatening interaction when taken with Certolizumab pegol Trimetrexate 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 Certolizumab pegol Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may lead to a major life threatening interaction when taken with Certolizumab pegol
DB00399
DB00681
963
1,287
[ "DDInter1968", "DDInter85" ]
Zoledronic acid
Amphotericin B
Zoledronic acid, or CGP 42'446, is a third generation, nitrogen containing bisphosphonate similar to [ibandronic acid], [minodronic acid], and [risedronic acid]. Zoledronic acid is used to treat and prevent multiple forms of osteoporosis, hypercalcemia of malignancy, multiple myeloma, bone metastases from solid tumors, and Paget’s disease of bone.[L13712,L13715,L13721] Zoledronic acid was first described in the literature in 1994. Zoledronic acid was granted FDA approval on 20 August 2001.
Amphotericin B shows a high order of in vitro activity against many species of fungi. Histoplasma capsulatum, Coccidioides immitis, Candida species, Blastomyces dermatitidis, Rhodotorula, Cryptococcus neoformans, Sporothrix schenckii, Mucor mucedo, and Aspergillus fumigatus are all inhibited by concentrations of amphotericin B ranging from 0.03 to 1.0 mcg/mL in vitro. While Candida albicans is generally quite susceptible to amphotericin B, non-albicans species may be less susceptible. Pseudallescheria boydii and Fusarium sp. are often resistant to amphotericin B. The antibiotic is without effect on bacteria, rickettsiae, and viruses.
Moderate
1
[ [ [ 963, 24, 1287 ] ], [ [ 963, 21, 28841 ], [ 28841, 60, 1287 ] ], [ [ 963, 24, 663 ], [ 663, 24, 1287 ] ], [ [ 963, 24, 50 ], [ 50, 63, 1287 ] ], [ [ 963, 40, 641 ], [ 641, 24, 1287 ] ], [ [ 963, 1, 1199 ], [ 1199, 63, 1287 ] ], [ [ 963, 25, 497 ], [ 497, 64, 1287 ] ], [ [ 963, 21, 28841 ], [ 28841, 60, 450 ], [ 450, 24, 1287 ] ], [ [ 963, 21, 29026 ], [ 29026, 60, 1622 ], [ 1622, 23, 1287 ] ], [ [ 963, 21, 29196 ], [ 29196, 60, 11554 ], [ 11554, 40, 1287 ] ] ]
[ [ [ "Zoledronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{u} (Compound) causes {v} (Side Effect)", "Bronchospasm" ], [ "Bronchospasm", "{u} (Side Effect) is caused by {v} (Compound)", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{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}", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{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}", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{u} (Compound) resembles {v} (Compound)", "Pamidronic acid" ], [ "Pamidronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{u} (Compound) resembles {v} (Compound)", "Ibandronate" ], [ "Ibandronate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{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}", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{u} (Compound) causes {v} (Side Effect)", "Bronchospasm" ], [ "Bronchospasm", "{u} (Side Effect) is caused by {v} (Compound)", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{u} (Compound) causes {v} (Side Effect)", "Bone pain" ], [ "Bone pain", "{u} (Side Effect) is caused by {v} (Compound)", "Voriconazole" ], [ "Voriconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amphotericin B" ] ], [ [ "Zoledronic acid", "{u} (Compound) causes {v} (Side Effect)", "Paraesthesia" ], [ "Paraesthesia", "{u} (Side Effect) is caused by {v} (Compound)", "Natamycin" ], [ "Natamycin", "{u} (Compound) resembles {v} (Compound)", "Amphotericin B" ] ] ]
Zoledronic acid (Compound) causes Bronchospasm (Side Effect) and Bronchospasm (Side Effect) is caused by Amphotericin B (Compound) Zoledronic acid 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 Amphotericin B Zoledronic acid 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 Amphotericin B Zoledronic acid (Compound) resembles Pamidronic acid (Compound) and Pamidronic acid may cause a moderate interaction that could exacerbate diseases when taken with Amphotericin B Zoledronic acid (Compound) resembles Ibandronate (Compound) and Ibandronate may cause a moderate interaction that could exacerbate diseases when taken with Amphotericin B Zoledronic acid 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 Amphotericin B Zoledronic acid (Compound) causes Bronchospasm (Side Effect) and Bronchospasm (Side Effect) is caused by Cyclophosphamide (Compound) and Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Amphotericin B Zoledronic acid (Compound) causes Bone pain (Side Effect) and Bone pain (Side Effect) is caused by Voriconazole (Compound) and Voriconazole may cause a minor interaction that can limit clinical effects when taken with Amphotericin B Zoledronic acid (Compound) causes Paraesthesia (Side Effect) and Paraesthesia (Side Effect) is caused by Natamycin (Compound) and Natamycin (Compound) resembles Amphotericin B (Compound)
DB00491
DB00988
127
817
[ "DDInter1217", "DDInter584" ]
Miglitol
Dopamine
Miglitol inhibits the breakdown complex carbohydrates into glucose. It is primarily used in diabetes mellitus type 2 for establishing greater glycemic control by preventing the digestion of carbohydrates (such as disaccharides, oligosaccharides, and polysaccharides) into monosaccharides which can be absorbed by the body. Miglitol should be taken at the start of a meal for maximal effect and the effect will depend on the amount of poly and oligosaccharides in the diet. Miglitol inhibits alpha-glucosidase, making less sugars available for digestion and reducing postprandial hyperglycemia. Unlike other drugs of the same class, miglitol is not metabolized and the unmetabolized drug is excreted by the kidneys.
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
[ [ [ 127, 24, 817 ] ], [ [ 127, 24, 532 ], [ 532, 1, 817 ] ], [ [ 127, 24, 1148 ], [ 1148, 63, 817 ] ], [ [ 127, 24, 874 ], [ 874, 40, 817 ] ], [ [ 127, 21, 28722 ], [ 28722, 60, 817 ] ], [ [ 127, 24, 1674 ], [ 1674, 24, 817 ] ], [ [ 127, 63, 73 ], [ 73, 24, 817 ] ], [ [ 127, 24, 532 ], [ 532, 40, 11484 ], [ 11484, 1, 817 ] ], [ [ 127, 24, 1148 ], [ 1148, 63, 532 ], [ 532, 1, 817 ] ], [ [ 127, 21, 28722 ], [ 28722, 60, 532 ], [ 532, 1, 817 ] ] ]
[ [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dopamine" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dobutamine" ], [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ], [ [ "Miglitol", "{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" ] ], [ [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epinephrine" ], [ "Epinephrine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ], [ [ "Miglitol", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Dopamine" ] ], [ [ "Miglitol", "{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" ] ], [ [ "Miglitol", "{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" ] ], [ [ "Miglitol", "{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" ] ], [ [ "Miglitol", "{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}", "Dobutamine" ], [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ], [ [ "Miglitol", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Dobutamine" ], [ "Dobutamine", "{u} (Compound) resembles {v} (Compound)", "Dopamine" ] ] ]
Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Dobutamine and Dobutamine (Compound) resembles Dopamine (Compound) Miglitol 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 Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Epinephrine and Epinephrine (Compound) resembles Dopamine (Compound) Miglitol (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Dopamine (Compound) Miglitol 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 Miglitol 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 Miglitol 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) Miglitol 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 Dobutamine and Dobutamine (Compound) resembles Dopamine (Compound) Miglitol (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Dobutamine (Compound) and Dobutamine (Compound) resembles Dopamine (Compound)
DB00095
DB06688
66
1,430
[ "DDInter623", "DDInter1677" ]
Efalizumab
Sipuleucel-T
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).
Sipuleucel-T is a personalized, autologous, cellular immunotherapy. Sipuleucel-T is a therapeutic cancer vaccine for prostate cancer. Sipuleucel-T selectively targets the prostate-specific antigen (PSA) known as prostatic acid phosphatase (PAP) that is expressed in around 95% of prostate cancers. It must be prepared specifically for each patient. In metastatic prostate cancer, it has extended survival by median 4.1 months (IMPACT Phase III trial data). Sipuleucel-T is marketed under the brand name Provenge by Dendreon Corporation. Sipuleucel-T was approved by the U.S. Food and Drug Administration (FDA) on April 29, 2010, to treat asymptomatic or minimally symptomatic metastatic Hormone-Refractory Prostate Cancer (HRPC). The treatment initially cost $93,000 at the time of FDA approval, but rose to over $100,000 in 2014.
Moderate
1
[ [ [ 66, 24, 1430 ] ], [ [ 66, 24, 175 ], [ 175, 24, 1430 ] ], [ [ 66, 25, 676 ], [ 676, 63, 1430 ] ], [ [ 66, 24, 310 ], [ 310, 63, 1430 ] ], [ [ 66, 63, 1394 ], [ 1394, 24, 1430 ] ], [ [ 66, 25, 1066 ], [ 1066, 24, 1430 ] ], [ [ 66, 25, 1064 ], [ 1064, 25, 1430 ] ], [ [ 66, 24, 175 ], [ 175, 25, 676 ], [ 676, 63, 1430 ] ], [ [ 66, 24, 51 ], [ 51, 24, 869 ], [ 869, 24, 1430 ] ], [ [ 66, 24, 869 ], [ 869, 63, 51 ], [ 51, 24, 1430 ] ] ]
[ [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rituximab" ], [ "Rituximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{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}", "Topotecan" ], [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ] ]
Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Efalizumab may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Rituximab and Rituximab may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Efalizumab may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Efalizumab may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Sipuleucel-T Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Efalizumab 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 Topotecan and Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T
DB00095
DB00290
66
329
[ "DDInter623", "DDInter219" ]
Efalizumab
Bleomycin
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).
A complex of related glycopeptide antibiotics from <i>Streptomyces verticillus</i> consisting of bleomycin A2 and B2 (B2 CAS # 9060-10-0). It inhibits DNA metabolism and is used as an antineoplastic, especially for solid tumors. Bleomycin A2 is used as the representative structure for Bleomycin.
Moderate
1
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[ [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bleomycin" ] ], [ [ "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}", "Bleomycin" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bleomycin" ] ], [ [ "Efalizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bleomycin" ] ], [ [ "Efalizumab", "{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}", "Bleomycin" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Bleomycin" ] ], [ [ "Efalizumab", "{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}", "Bleomycin" ] ], [ [ "Efalizumab", "{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}", "Bleomycin" ] ], [ [ "Efalizumab", "{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}", "Bleomycin" ] ], [ [ "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}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bleomycin" ] ] ]
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 Bleomycin Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Bleomycin Efalizumab may cause a minor interaction that can limit clinical effects when taken with Vitamin E and Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Bleomycin Efalizumab 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 Bleomycin Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Golimumab and Golimumab may lead to a major life threatening interaction when taken with Bleomycin Efalizumab 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 Bleomycin Efalizumab 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 Bleomycin Efalizumab 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 Bleomycin 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 Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Bleomycin
DB00344
DB01191
1,302
1,039
[ "DDInter1543", "DDInter518" ]
Protriptyline
Dexfenfluramine
Protriptyline hydrochloride is a dibenzocycloheptene-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, protriptyline does not affect mood or arousal, but may cause sedation. In depressed individuals, protriptyline 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 histamine H<sub>1</sub> receptors, alpha<sub>1</sub
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.
Major
2
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[ [ [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{u} (Compound) binds {v} (Gene)", "SLC6A4" ], [ "SLC6A4", "{u} (Gene) is bound by {v} (Compound)", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dacomitinib" ], [ "Dacomitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{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}", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terbinafine" ], [ "Terbinafine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{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}", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{u} (Compound) resembles {v} (Compound)", "Atomoxetine" ], [ "Atomoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ] ], [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ] ] ]
Protriptyline (Compound) binds SLC6A4 (Gene) and SLC6A4 (Gene) is bound by Dexfenfluramine (Compound) Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Dacomitinib and Dacomitinib may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Protriptyline 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 Dexfenfluramine Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Terbinafine and Terbinafine may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Protriptyline 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 Dexfenfluramine Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Protriptyline (Compound) resembles Atomoxetine (Compound) and Atomoxetine may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine Protriptyline may lead to a major life threatening interaction when taken with Sibutramine and Sibutramine may lead to a major life threatening interaction when taken with Dexfenfluramine Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Fenfluramine and Fenfluramine may lead to a major life threatening interaction when taken with Dexfenfluramine
DB00758
DB01175
1,347
318
[ "DDInter413", "DDInter672" ]
Clopidogrel
Escitalopram
Clopidogrel is a prodrug of a platelet inhibitor used to reduce the risk of myocardial infarction and stroke.[A180508,L7213] Clopidogrel is indicated to reduce the risk of myocardial infarction for patients with non-ST elevated acute coronary syndrome (ACS), patients with ST-elevated myocardial infarction, and in recent MI, stroke, or established peripheral arterial disease, It has been shown to be superior to [aspirin] in reducing cardiovascular outcomes in patients with cardiovascular disease and provides additional benefit to patients with acute coronary syndromes already taking aspirin. Clopidogrel was granted FDA approval on 17 November 1997.
Escitalopram is a selective serotonin re-uptake inhibitor (SSRI) and the S-enantiomer of racemic [citalopram]. It is used to restore serotonergic function in the treatment of depression and anxiety.[L8513,L8516,L8522] Escitalopram is approximately 150 times more potent than citalopram’s R-enantiomer and is responsible for the vast majority of citalopram’s clinical activity, with some evidence suggesting that the R-enantiomer of racemic citalopram actively dampens the activity of escitalopram rather than existing simply as an inactive enantiomer.[A39738,A185819] Amongst SSRIs, escitalopram exerts the highest degree of selectivity for the serotonin transporter (SERT) relative to other off-targets which may explain its lower rates of adverse effects as compared to other agents in this class. Escitalopram also differentiates itself from other SSRIs via allosteric action on its target - this may be the mechanism responsible for its observed superior efficacy and faster onset compared to other SSRIs.[A185825,A185726,A185822]
Moderate
1
[ [ [ 1347, 24, 318 ] ], [ [ 1347, 63, 1230 ], [ 1230, 1, 318 ] ], [ [ 1347, 6, 8374 ], [ 8374, 45, 318 ] ], [ [ 1347, 18, 11048 ], [ 11048, 57, 318 ] ], [ [ 1347, 21, 29276 ], [ 29276, 60, 318 ] ], [ [ 1347, 63, 168 ], [ 168, 23, 318 ] ], [ [ 1347, 62, 522 ], [ 522, 23, 318 ] ], [ [ 1347, 25, 760 ], [ 760, 62, 318 ] ], [ [ 1347, 64, 834 ], [ 834, 24, 318 ] ], [ [ 1347, 24, 714 ], [ 714, 24, 318 ] ] ]
[ [ [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Escitalopram" ] ], [ [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} (Compound) resembles {v} (Compound)", "Escitalopram" ] ], [ [ "Clopidogrel", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Escitalopram" ] ], [ [ "Clopidogrel", "{u} (Compound) downregulates {v} (Gene)", "VAT1" ], [ "VAT1", "{u} (Gene) is downregulated by {v} (Compound)", "Escitalopram" ] ], [ [ "Clopidogrel", "{u} (Compound) causes {v} (Side Effect)", "Haemoglobin" ], [ "Haemoglobin", "{u} (Side Effect) is caused by {v} (Compound)", "Escitalopram" ] ], [ [ "Clopidogrel", "{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}", "Escitalopram" ] ], [ [ "Clopidogrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zafirlukast" ], [ "Zafirlukast", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Escitalopram" ] ], [ [ "Clopidogrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Escitalopram" ] ], [ [ "Clopidogrel", "{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}", "Escitalopram" ] ], [ [ "Clopidogrel", "{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}", "Escitalopram" ] ] ]
Clopidogrel may cause a moderate interaction that could exacerbate diseases when taken with Citalopram and Citalopram (Compound) resembles Escitalopram (Compound) Clopidogrel (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Escitalopram (Compound) Clopidogrel (Compound) downregulates VAT1 (Gene) and VAT1 (Gene) is downregulated by Escitalopram (Compound) Clopidogrel (Compound) causes Haemoglobin (Side Effect) and Haemoglobin (Side Effect) is caused by Escitalopram (Compound) Clopidogrel 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 Escitalopram Clopidogrel may cause a minor interaction that can limit clinical effects when taken with Zafirlukast and Zafirlukast may cause a minor interaction that can limit clinical effects when taken with Escitalopram Clopidogrel may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may cause a minor interaction that can limit clinical effects when taken with Escitalopram Clopidogrel 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 Escitalopram Clopidogrel 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 Escitalopram
DB00476
DB01087
109
1,520
[ "DDInter608", "DDInter1520" ]
Duloxetine
Primaquine
Duloxetine is a dual serotonin and norepinephrine reuptake inhibitor.[label] It was originally discovered in 1993 and developed by Eli Lilly and Company as LY248686. Duloxetine first received approval from the FDA in August, 2004 as Cymbalta for the treatment of Major Depressive Disorder. It has since received approval for a variety of indications including the treatment of neuropathic pain, Generalized Anxiety disorder, osteoarthritis, and stress incontinence. Duloxetine continues to be investigated for the treatment of pain in cancer, surgery, and more.
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
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[ [ [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ] ], [ [ "Duloxetine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Primaquine" ] ], [ [ "Duloxetine", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Primaquine" ] ], [ [ "Duloxetine", "{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" ] ], [ [ "Duloxetine", "{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}", "Primaquine" ] ], [ [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ], [ "Osilodrostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Duloxetine", "{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}", "Primaquine" ] ], [ [ "Duloxetine", "{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}", "Primaquine" ] ], [ [ "Duloxetine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ] ]
Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine and Hydroxychloroquine may lead to a major life threatening interaction when taken with Primaquine Duloxetine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Primaquine (Compound) Duloxetine (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Primaquine (Compound) Duloxetine 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 Duloxetine 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 Primaquine Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat and Osilodrostat may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Duloxetine 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 Primaquine Duloxetine 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 Primaquine Duloxetine may cause a minor interaction that can limit clinical effects when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Primaquine
DB08885
DB11866
363
1,068
[ "DDInter33", "DDInter1618" ]
Aflibercept
Romosozumab
Aflibercept is a recombinant protein composed of the binding domains of two human vascular endothelial growth factor (VEGF) receptors, VEGFR1 and VEGFR2, fused with the Fc region of human immunoglobulin gamma 1 (IgG1). Structurally, Aflibercept is a dimeric glycoprotein with a protein molecular weight of 96.9 kilo Daltons (kDa). It contains approximately 15% glycosylation to give a total molecular weight of 115 kDa. All five putative N-glycosylation sites on each polypeptide chain predicted by the primary sequence can be occupied with carbohydrates and exhibit some degree of chain heterogeneity, including heterogeneity in terminal sialic acid residues, except at the single unsialylated site associated with the Fc domain.[A261281,A261286] Due to the 2 fused VEGFR, aflibercept has a higher affinity
Romosozumab is a humanized monoclonal antibody indicated for the treatment of osteoperosis in postmenopausal women at high risk of fracture and patients who have failed in other treatments or are intolerant to other osteoperosis therapies. Romosozumab prevents bone resorption and induces the formation of bone though it is associated with an increased risk of cardiac death, heart attack, and stroke in one study[L5921,L5924]. In a comparison study of post menopausal women with osteoporosis and a past fracture, romosozumab for 12 months followed by alendronic acid for 12 months was superior to alendronic acid alone for 24 months. Romosozumab also demonstrates a faster and larger increase in bone density than teriparatide. Romosozumab is marketed in the United States by Amgen under the brand name Evinity. Romosozumab was granted FDA approval on April 9,2019.
Moderate
1
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[ [ [ "Aflibercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{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}", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{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}", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{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}", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{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}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{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}", "Erlotinib" ], [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tuberculin purified protein derivative" ], [ "Tuberculin purified protein derivative", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ], [ [ "Aflibercept", "{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}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romosozumab" ] ] ]
Aflibercept 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 Vandetanib and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab Aflibercept 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 Vandetanib and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab Aflibercept may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may lead to a major life threatening interaction when taken with Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab Aflibercept 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 Vandetanib and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab Aflibercept 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 Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab Aflibercept 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 Erlotinib and Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab Aflibercept may cause a moderate interaction that could exacerbate diseases when taken with Tuberculin purified protein derivative and Tuberculin purified protein derivative may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab Aflibercept may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may lead to a major life threatening interaction when taken with Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab Aflibercept 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 Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Romosozumab
DB00851
DB09061
611
1,627
[ "DDInter463", "DDInter284" ]
Dacarbazine
Cannabidiol
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.
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
[ [ [ 611, 24, 1627 ] ], [ [ 611, 24, 384 ], [ 384, 23, 1627 ] ], [ [ 611, 63, 597 ], [ 597, 23, 1627 ] ], [ [ 611, 24, 1613 ], [ 1613, 63, 1627 ] ], [ [ 611, 24, 328 ], [ 328, 24, 1627 ] ], [ [ 611, 63, 267 ], [ 267, 24, 1627 ] ], [ [ 611, 64, 1648 ], [ 1648, 24, 1627 ] ], [ [ 611, 25, 770 ], [ 770, 24, 1627 ] ], [ [ 611, 25, 1510 ], [ 1510, 25, 1627 ] ], [ [ 611, 24, 384 ], [ 384, 63, 723 ], [ 723, 23, 1627 ] ] ]
[ [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Dacarbazine", "{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" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ], [ [ "Dacarbazine", "{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" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mercaptopurine" ], [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Dacarbazine", "{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" ] ], [ [ "Dacarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Dacarbazine", "{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}", "Cannabidiol" ] ], [ [ "Dacarbazine", "{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" ] ], [ [ "Dacarbazine", "{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" ] ] ]
Dacarbazine 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 Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a minor interaction that can limit clinical effects when taken with Cannabidiol Dacarbazine 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 Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Mercaptopurine and Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Dacarbazine 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 Dacarbazine may lead to a major life threatening interaction when taken with Aldesleukin and Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Dacarbazine 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 Cannabidiol Dacarbazine 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 Dacarbazine 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
DB08871
DB12834
36
148
[ "DDInter666", "DDInter1649" ]
Eribulin
Secnidazole
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.
Secnidazole is a second-generation 5-nitroimidazole antimicrobial agent. It is structurally related to other 5-nitroimidazoles, including and , but displays improved oral absorption and a longer terminal elimination half-life than other drugs in this class. Secnidazole is selective against many anaerobic Gram-positive and Gram-negative bacteria as well as protozoa. Once it enters bacteria and parasites, secnidazole is activated by bacterial or parasitic enzymes to form a radical anion, thereby damaging and killing the target pathogen. Secnidazole has been available in many other countries in Europe, Asia, South America, and Africa for decades.[A245503, A245508] In September 2017, FDA approved secnidazole under the market name Solosec for the treatment of trichomoniasis and bacterial vaginosis.
Moderate
1
[ [ [ 36, 24, 148 ] ], [ [ 36, 64, 1593 ], [ 1593, 24, 148 ] ], [ [ 36, 24, 1480 ], [ 1480, 24, 148 ] ], [ [ 36, 63, 1191 ], [ 1191, 24, 148 ] ], [ [ 36, 25, 1510 ], [ 1510, 24, 148 ] ], [ [ 36, 24, 1330 ], [ 1330, 63, 148 ] ], [ [ 36, 64, 1593 ], [ 1593, 24, 1480 ], [ 1480, 24, 148 ] ], [ [ 36, 24, 1480 ], [ 1480, 63, 1593 ], [ 1593, 24, 148 ] ], [ [ 36, 63, 1191 ], [ 1191, 24, 1593 ], [ 1593, 24, 148 ] ], [ [ 36, 63, 1554 ], [ 1554, 25, 1593 ], [ 1593, 24, 148 ] ] ]
[ [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secnidazole" ] ], [ [ "Eribulin", "{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}", "Secnidazole" ] ], [ [ "Eribulin", "{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}", "Secnidazole" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levodopa" ], [ "Levodopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secnidazole" ] ], [ [ "Eribulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secnidazole" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naxitamab" ], [ "Naxitamab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secnidazole" ] ], [ [ "Eribulin", "{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}", "Ixazomib" ], [ "Ixazomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secnidazole" ] ], [ [ "Eribulin", "{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}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secnidazole" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levodopa" ], [ "Levodopa", "{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}", "Secnidazole" ] ], [ [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Colchicine" ], [ "Colchicine", "{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}", "Secnidazole" ] ] ]
Eribulin 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 Secnidazole Eribulin 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 Secnidazole Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Levodopa and Levodopa may cause a moderate interaction that could exacerbate diseases when taken with Secnidazole Eribulin may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Secnidazole Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Naxitamab and Naxitamab may cause a moderate interaction that could exacerbate diseases when taken with Secnidazole Eribulin 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 Ixazomib and Ixazomib may cause a moderate interaction that could exacerbate diseases when taken with Secnidazole Eribulin 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 Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Secnidazole Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Levodopa and Levodopa 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 Secnidazole Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Colchicine and Colchicine 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 Secnidazole
DB00795
DB01249
50
258
[ "DDInter1725", "DDInter958" ]
Sulfasalazine
Iodixanol
Sulfasalazine is an anti-inflammatory drug structurally related to salicylates and other non-steroidal anti-inflammatory drugs. It is indicated for managing inflammatory diseases such as ulcerative colitis and rheumatoid arthritis (RA).[L39065, A255582] Metabolized by intestinal bacteria, sulfasalazine is broken down into [mesalazine] and [sulfapyridine], 2 compounds that carry out the main pharmacological activity of sulfasalazine. Sulfasalazine was first used in 1940 for rheumatic polyarthritis, and has been firmly established itself as one fo the most useful disease-modifying antirheumatic drug (DMARD). Compared to the first line treatment of RA like methotrexate, sulfasalazine is almost as efficacious as methotrexate although with slightly less tolerability. However, sulfasalazine has less teratogenic side effects and faster onset of action compared to conventional DMARD. Sulf
Iodixanol is a nonionic hydrophilic compound commonly used as a contrast agent during coronary angiography, particularly in individuals with renal dysfunction, as it is believed to be less toxic to the kidneys than most other intravascular contrast agents.
Major
2
[ [ [ 50, 25, 258 ] ], [ [ 50, 25, 497 ], [ 497, 1, 258 ] ], [ [ 50, 18, 5415 ], [ 5415, 46, 258 ] ], [ [ 50, 18, 6929 ], [ 6929, 57, 258 ] ], [ [ 50, 24, 1074 ], [ 1074, 63, 258 ] ], [ [ 50, 40, 712 ], [ 712, 64, 258 ] ], [ [ 50, 63, 1027 ], [ 1027, 25, 258 ] ], [ [ 50, 24, 935 ], [ 935, 25, 258 ] ], [ [ 50, 24, 1079 ], [ 1079, 64, 258 ] ], [ [ 50, 25, 629 ], [ 629, 25, 258 ] ] ]
[ [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} (Compound) resembles {v} (Compound)", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} (Compound) downregulates {v} (Gene)", "UBQLN2" ], [ "UBQLN2", "{u} (Gene) is upregulated by {v} (Compound)", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} (Compound) downregulates {v} (Gene)", "ITGAE" ], [ "ITGAE", "{u} (Gene) is downregulated by {v} (Compound)", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ], [ "Iodide I-123", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} (Compound) resembles {v} (Compound)", "Olsalazine" ], [ "Olsalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Piroxicam" ], [ "Piroxicam", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketoprofen" ], [ "Ketoprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telavancin" ], [ "Telavancin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ] ]
Sulfasalazine may lead to a major life threatening interaction when taken with Iohexol and Iohexol (Compound) resembles Iodixanol (Compound) Sulfasalazine (Compound) downregulates UBQLN2 (Gene) and UBQLN2 (Gene) is upregulated by Iodixanol (Compound) Sulfasalazine (Compound) downregulates ITGAE (Gene) and ITGAE (Gene) is downregulated by Iodixanol (Compound) Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 and Iodide I-123 may cause a moderate interaction that could exacerbate diseases when taken with Iodixanol Sulfasalazine (Compound) resembles Olsalazine (Compound) and Olsalazine may lead to a major life threatening interaction when taken with Iodixanol Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Piroxicam and Piroxicam may lead to a major life threatening interaction when taken with Iodixanol Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Ketoprofen and Ketoprofen may lead to a major life threatening interaction when taken with Iodixanol Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Telavancin and Telavancin may lead to a major life threatening interaction when taken with Iodixanol Sulfasalazine may lead to a major life threatening interaction when taken with Sirolimus and Sirolimus may lead to a major life threatening interaction when taken with Iodixanol
DB00046
DB01267
1,179
519
[ "DDInter940", "DDInter1381" ]
Insulin lispro
Paliperidone
Insulin lispro is a rapid-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Insulin is 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 among many other functions. 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
Paliperidone is the primary active metabolite of risperidone. The mechanism of action is unknown but it is likely to act via a similar pathway to risperidone. It has been proposed that the drug's therapeutic activity in schizophrenia is mediated through a combination of central dopamine Type 2 (D2) and serotonin Type 2 (5HT2A) receptor antagonism. Paliperidone is also active as an antagonist at alpha 1 and alpha 2 adrenergic receptors and H1 histaminergic receptors, which may explain some of the other effects of the drug. Paliperidone was approved by the FDA for treatment of schizophrenia on December 20, 2006. It is available as an extended-release tablet, a once-monthly intramuscular injection, an every-three-month intramuscular injection, and a twice-yearly gluteal injection.[L16168,L37744,L4137,L37749]
Moderate
1
[ [ [ 1179, 24, 519 ] ], [ [ 1179, 24, 1664 ], [ 1664, 1, 519 ] ], [ [ 1179, 24, 959 ], [ 959, 24, 519 ] ], [ [ 1179, 24, 135 ], [ 135, 63, 519 ] ], [ [ 1179, 63, 521 ], [ 521, 24, 519 ] ], [ [ 1179, 23, 274 ], [ 274, 24, 519 ] ], [ [ 1179, 24, 877 ], [ 877, 64, 519 ] ], [ [ 1179, 24, 1664 ], [ 1664, 1, 924 ], [ 924, 1, 519 ] ], [ [ 1179, 24, 924 ], [ 924, 40, 1664 ], [ 1664, 1, 519 ] ], [ [ 1179, 24, 959 ], [ 959, 63, 1664 ], [ 1664, 1, 519 ] ] ]
[ [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paliperidone" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ], [ "Risperidone", "{u} (Compound) resembles {v} (Compound)", "Paliperidone" ] ], [ [ "Insulin lispro", "{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}", "Paliperidone" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Albiglutide" ], [ "Albiglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paliperidone" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paliperidone" ] ], [ [ "Insulin lispro", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paliperidone" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Paliperidone" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ], [ "Risperidone", "{u} (Compound) resembles {v} (Compound)", "Iloperidone" ], [ "Iloperidone", "{u} (Compound) resembles {v} (Compound)", "Paliperidone" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} (Compound) resembles {v} (Compound)", "Risperidone" ], [ "Risperidone", "{u} (Compound) resembles {v} (Compound)", "Paliperidone" ] ], [ [ "Insulin lispro", "{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}", "Risperidone" ], [ "Risperidone", "{u} (Compound) resembles {v} (Compound)", "Paliperidone" ] ] ]
Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Risperidone and Risperidone (Compound) resembles Paliperidone (Compound) Insulin lispro 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 Paliperidone Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Albiglutide and Albiglutide may cause a moderate interaction that could exacerbate diseases when taken with Paliperidone Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Paliperidone Insulin lispro may cause a minor interaction that can limit clinical effects when taken with Phentolamine and Phentolamine may cause a moderate interaction that could exacerbate diseases when taken with Paliperidone Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Paliperidone Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Risperidone and Risperidone (Compound) resembles Iloperidone (Compound) and Iloperidone (Compound) resembles Paliperidone (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Iloperidone and Iloperidone (Compound) resembles Risperidone (Compound) and Risperidone (Compound) resembles Paliperidone (Compound) Insulin lispro 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 Risperidone and Risperidone (Compound) resembles Paliperidone (Compound)
DB00031
DB00712
20
1,274
[ "DDInter1764", "DDInter763" ]
Tenecteplase
Flurbiprofen
Tenecteplase is a tissue plasminogen activator (tPA) developed from modifications of natural human tPA complementary DNA (cDNA). It is a 527 amino acid with a substitution of threonine 103 with asparagine and substitution of asparagine 117 with glutamine within the kringle 1 domain, and a tetra-alanine substitution at amino acids 296-299 in the protease domain.
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
[ [ [ 20, 24, 1274 ] ], [ [ 20, 24, 935 ], [ 935, 63, 1274 ] ], [ [ 20, 23, 297 ], [ 297, 62, 1274 ] ], [ [ 20, 24, 529 ], [ 529, 24, 1274 ] ], [ [ 20, 25, 366 ], [ 366, 24, 1274 ] ], [ [ 20, 64, 942 ], [ 942, 24, 1274 ] ], [ [ 20, 25, 936 ], [ 936, 63, 1274 ] ], [ [ 20, 25, 365 ], [ 365, 64, 1274 ] ], [ [ 20, 24, 886 ], [ 886, 25, 1274 ] ], [ [ 20, 25, 553 ], [ 553, 25, 1274 ] ] ]
[ [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{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}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clove" ], [ "Clove", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ], [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Eptifibatide" ], [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Bivalirudin" ], [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Cangrelor" ], [ "Cangrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Dalteparin" ], [ "Dalteparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketorolac" ], [ "Ketorolac", "{u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ] ] ]
Tenecteplase 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 Flurbiprofen Tenecteplase may cause a minor interaction that can limit clinical effects when taken with Clove and Clove may cause a minor interaction that can limit clinical effects when taken with Flurbiprofen Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine and Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen Tenecteplase may lead to a major life threatening interaction when taken with Eptifibatide and Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen Tenecteplase may lead to a major life threatening interaction when taken with Bivalirudin and Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen Tenecteplase may lead to a major life threatening interaction when taken with Cangrelor and Cangrelor may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen Tenecteplase may lead to a major life threatening interaction when taken with Dalteparin and Dalteparin may lead to a major life threatening interaction when taken with Flurbiprofen Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Ketorolac and Ketorolac may lead to a major life threatening interaction when taken with Flurbiprofen Tenecteplase may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may lead to a major life threatening interaction when taken with Flurbiprofen