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DB00418
DB09330
536
985
[ "DDInter1650", "DDInter1352" ]
Secobarbital
Osimertinib
Secobarbital (marketed by Eli Lilly and Company under the brand names Seconal and Tuinal) is a barbiturate derivative drug with anaesthetic, anticonvulsant, sedative and hypnotic properties. It is commonly known as quinalbarbitone in the United Kingdom.
Osimertinib is an oral, third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI) drug developed by AstraZeneca Pharmaceuticals.[A7926,L43453] Its use is indicated for the treatment of metastatic non-small cell lung cancer (NSCLC) in cases where tumour EGFR expression is positive for the T790M mutation as detected by FDA-approved testing and which has progressed following therapy with a first-generation EGFR tyrosine kinase inhibitor. Approximately 10% of patients with NSCLC have a rapid and clinically effective response to EGFR-TKIs due to the presence of specific activating EGFR mutations within the tumour cells. More specifically, deletions around the LREA motif in exon 19 and exon 21 L858R point mutations are correlated with response to therapy. Development of third-generation EGFR-TKIs, such as osimertinib, has been in response to altered tumour resistance patterns following treatment and toxic side effects that impact patient quality of life. Treatment with first-generation EGFR-TKIs (gefitinib and erlotinib) has been associated with the development of resistance through activating mutations in the EGFR gene. Second-generation EGFR-TKIs (afatinib and dacomitinib) were then developed to be more potent inhibitors, although their use is associated with increased toxicity through nonspecific targeting of wild-type EGFR. In contrast, third-generation inhibitors are specific for the gate-keeper T790M mutations which increases ATP binding activity to EGFR and result in poor prognosis for late-stage disease. Furthermore, osimertinib has been shown to spare wild-type EGFR during therapy, thereby reducing non-specific binding and limiting toxicity.[A7926,A7927,A7931]
Moderate
1
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[ [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Secobarbital", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Osimertinib" ] ], [ [ "Secobarbital", "{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}", "Osimertinib" ] ], [ [ "Secobarbital", "{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}", "Osimertinib" ] ], [ [ "Secobarbital", "{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}", "Osimertinib" ] ], [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Secobarbital", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Secobarbital", "{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}", "Osimertinib" ] ], [ [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Butalbital" ], [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Secobarbital", "{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}", "Osimertinib" ] ] ]
Secobarbital may cause a minor interaction that can limit clinical effects when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Osimertinib Secobarbital 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 Osimertinib Secobarbital 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 Osimertinib Secobarbital 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 Osimertinib Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Secobarbital may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Secobarbital 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 Osimertinib Secobarbital (Compound) resembles Butalbital (Compound) and Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Secobarbital 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 Osimertinib
DB01215
DB09420
1,418
1,074
[ "DDInter677", "DDInter953" ]
Estazolam
Iodide I-123
A benzodiazepine with anticonvulsant, hypnotic, and muscle relaxant properties. It has been shown in some cases to be more potent than diazepam or nitrazepam.
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
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[ [ [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Estazolam", "{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}", "Iodide I-123" ] ], [ [ "Estazolam", "{u} (Compound) resembles {v} (Compound)", "Clobazam" ], [ "Clobazam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Estazolam", "{u} (Compound) resembles {v} (Compound)", "Alprazolam" ], [ "Alprazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Estazolam", "{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}", "Iodide I-123" ] ], [ [ "Estazolam", "{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}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levocetirizine" ], [ "Levocetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Estazolam", "{u} (Compound) resembles {v} (Compound)", "Clobazam" ], [ "Clobazam", "{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}", "Iodide I-123" ] ], [ [ "Estazolam", "{u} (Compound) resembles {v} (Compound)", "Alprazolam" ], [ "Alprazolam", "{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}", "Iodide I-123" ] ], [ [ "Estazolam", "{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}", "Levocetirizine" ], [ "Levocetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ] ]
Estazolam 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 Iodide I-123 Estazolam (Compound) resembles Clobazam (Compound) and Clobazam may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Estazolam (Compound) resembles Alprazolam (Compound) and Alprazolam may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Estazolam 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 Iodide I-123 Estazolam 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 Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Estazolam may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Levocetirizine and Levocetirizine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Estazolam (Compound) resembles Clobazam (Compound) and Clobazam 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 Iodide I-123 Estazolam (Compound) resembles Alprazolam (Compound) and Alprazolam 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 Iodide I-123 Estazolam 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 Levocetirizine and Levocetirizine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123
DB00334
DB01254
867
1,213
[ "DDInter1326", "DDInter484" ]
Olanzapine
Dasatinib
Olanzapine is a thienobenzodiazepine classified as an atypical or second-generation antipsychotic agent. The second-generation antipsychotics were introduced in the 90s and quickly gained traction due to their impressive efficacy, reduced risk for extrapyramidal side effects and reduced susceptibility to drug-drug interactions. Olanzapine very closely resembles [clozapine] and only differs by two additional methyl groups and the absence of a chloride moiety. It was discovered by scientists at Eli Lilly and approved to be marketed in the US in 1996.
Dasatinib is an orally available multikinase inhibitor indicated for the treatment of Philadelphia chromosome (Ph)-positive leukemias.[A2224,L45171] Ph is a chromosomal abnormality found in patients with chronic myelogenous leukemia (CML) and acute lymphocytic leukemia (ALL), where the ABL tyrosine kinase and the breakpoint cluster region (BCR) gene transcribe the chimeric protein BCR-ABL. BCR-ABL is associated with the uncontrolled activity of the ABL tyrosine kinase and is involved in the pathogenesis of CML and 15-30% of ALL cases.[A11377,A33432] Dasatinib also inhibits a spectrum of kinases involved in cancer, including several SRC-family kinases. Unlike [imatinib], another tyrosine kinase used for the treatment of CML and Ph-positive ALL, dasatinib inhibits the active and inactive conformations of the ABL kinase domain.[A2226,A11377] Also, mutations in the kinase domain of BCR-ABL may lead to relapse during imatinib treatment. Since dasatinib does not interact with some of the residues involved in those mutations, the use of this drug represents a therapeutic alternative for patients with cancers that have developed imatinib-resistance. The use of dasatinib was first approved by the FDA in 2006.[L45171,L45186]
Moderate
1
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[ [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ] ], [ [ "Olanzapine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Dasatinib" ] ], [ [ "Olanzapine", "{u} (Compound) upregulates {v} (Gene)", "ADCK3" ], [ "ADCK3", "{u} (Gene) is upregulated by {v} (Compound)", "Dasatinib" ] ], [ [ "Olanzapine", "{u} (Compound) downregulates {v} (Gene)", "SLC35F2" ], [ "SLC35F2", "{u} (Gene) is downregulated by {v} (Compound)", "Dasatinib" ] ], [ [ "Olanzapine", "{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}", "Dasatinib" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Granisetron" ], [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abarelix" ], [ "Abarelix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ] ], [ [ "Olanzapine", "{u} (Compound) resembles {v} (Compound)", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ] ], [ [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Halofantrine" ], [ "Halofantrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ] ] ]
Olanzapine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Dasatinib (Compound) Olanzapine (Compound) upregulates ADCK3 (Gene) and ADCK3 (Gene) is upregulated by Dasatinib (Compound) Olanzapine (Compound) downregulates SLC35F2 (Gene) and SLC35F2 (Gene) is downregulated by Dasatinib (Compound) Olanzapine 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 Dasatinib Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Granisetron and Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Abarelix and Abarelix may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib Olanzapine (Compound) resembles Quetiapine (Compound) and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Halofantrine and Halofantrine may lead to a major life threatening interaction when taken with Dasatinib
DB11978
DB12941
124
466
[ "DDInter822", "DDInter481" ]
Glasdegib
Darolutamide
Glasdegib, also known as PF-04449913, is a small-molecule hedgehog signaling inhibitor selected under the group of benzimidazoles. In early research, benzimidazoles attracted large interest as they represented a class of inhibitors with low molecular weight, potent inhibitory activity, and lacking unstable functionality. The great lipophilicity of this group of compounds brought interest to further modification. This analysis concluded that the presence of p-cyano ureas presented good physicochemical and pharmacokinetic properties from which glasdegib was developed. Glasdegib was developed by Pfizer Inc and approved on November 21, 2018 by the FDA for the treatment of Acute Myeloid Leukemia (AML). Glasdegib targets cancerous cells by inhibiting the sonic hedgehog receptor smoothened (SMO), a transmembrane protein involved in the Hedgehog (Hh) signaling cascade. Aberrant of Hh signaling is one
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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[ [ [ "Glasdegib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Glasdegib", "{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" ] ], [ [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Glasdegib", "{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" ] ], [ [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Troleandomycin" ], [ "Troleandomycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Glasdegib", "{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}", "Darolutamide" ] ], [ [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Eslicarbazepine" ], [ "Eslicarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Glasdegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tazemetostat" ], [ "Tazemetostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ] ]
Glasdegib may lead to a major life threatening interaction when taken with Voriconazole and Voriconazole may cause a minor interaction that can limit clinical effects when taken with Darolutamide Glasdegib 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 Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a minor interaction that can limit clinical effects when taken with Darolutamide Glasdegib 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 Glasdegib may lead to a major life threatening interaction when taken with Troleandomycin and Troleandomycin may cause a minor interaction that can limit clinical effects when taken with Darolutamide Glasdegib 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 Darolutamide Glasdegib may lead to a major life threatening interaction when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Glasdegib may lead to a major life threatening interaction when taken with Eslicarbazepine and Eslicarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Glasdegib may cause a moderate interaction that could exacerbate diseases when taken with Tazemetostat and Tazemetostat may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide
DB00604
DB04843
1,425
1,511
[ "DDInter385", "DDInter1149" ]
Cisapride
Mepenzolate
In many countries (including Canada) cisapride has been either withdrawn or has had its indications limited due to reports about long QT syndrome due to cisapride, which predisposes to arrhythmias. The FDA issued a warning letter regarding this risk to health care professionals and patients.
Mepenzolate is a post-ganglionic parasympathetic inhibitor. It decreases gastric acid and pepsin secretion and suppresses spontaneous contractions of the colon. Mepenzolate diminishes gastric acid and pepsin secretion. Mepenzolate also suppresses spontaneous contractions of the colon. Pharmacologically, it is a post-ganglionic parasympathetic inhibitor. It has not been shown to be effective in contributing to the healing of peptic ulcer, decreasing the rate of recurrence, or preventing complications.
Moderate
1
[ [ [ 1425, 24, 1511 ] ], [ [ 1425, 25, 675 ], [ 675, 24, 1511 ] ], [ [ 1425, 24, 1192 ], [ 1192, 24, 1511 ] ], [ [ 1425, 25, 1605 ], [ 1605, 23, 1511 ] ], [ [ 1425, 64, 811 ], [ 811, 23, 1511 ] ], [ [ 1425, 62, 475 ], [ 475, 24, 1511 ] ], [ [ 1425, 64, 17 ], [ 17, 24, 1511 ] ], [ [ 1425, 25, 924 ], [ 924, 63, 1511 ] ], [ [ 1425, 63, 19 ], [ 19, 24, 1511 ] ], [ [ 1425, 40, 1311 ], [ 1311, 24, 1511 ] ] ]
[ [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glycopyrronium" ], [ "Glycopyrronium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Indapamide" ], [ "Indapamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mepenzolate" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Metolazone" ], [ "Metolazone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mepenzolate" ] ], [ [ "Cisapride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Sotalol" ], [ "Sotalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Cisapride", "{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}", "Mepenzolate" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Cisapride", "{u} (Compound) resembles {v} (Compound)", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ] ]
Cisapride may lead to a major life threatening interaction when taken with Dextropropoxyphene and Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Glycopyrronium and Glycopyrronium may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate Cisapride may lead to a major life threatening interaction when taken with Indapamide and Indapamide may cause a minor interaction that can limit clinical effects when taken with Mepenzolate Cisapride may lead to a major life threatening interaction when taken with Metolazone and Metolazone may cause a minor interaction that can limit clinical effects when taken with Mepenzolate Cisapride may cause a minor interaction that can limit clinical effects when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate Cisapride may lead to a major life threatening interaction when taken with Sotalol and Sotalol may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate Cisapride 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 Mepenzolate Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine and Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate Cisapride (Compound) resembles Metoclopramide (Compound) and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate
DB06210
DB14520
72
1,229
[ "DDInter631", "DDInter1785" ]
Eltrombopag
Tetraferric tricitrate decahydrate
Eltrombopag is used to treat low blood platelet counts in adults with chronic immune (idiopathic) thrombocytopenia (ITP), when certain other medicines, or surgery to remove the spleen, have not worked well enough. ITP is a condition that may cause unusual bruising or bleeding due to an abnormally low number of platelets in the blood. Eltrombopag has also been recently approved (late 2012) for the treatment of thrombocytopenia (low blood platelet counts) in patients with chronic hepatitis C to allow them to initiate and maintain interferon-based therapy.
Tetraferric tricitrate decahydrate is an iron containing phosphate binder used to treat hyperphosphatemia and iron deficiency anemia in adults with chronic kidney disease. Tetraferric tricitrate decahydrate was granted FDA approval on 5 September 2014.
Moderate
1
[ [ [ 72, 24, 1229 ] ], [ [ 72, 24, 1292 ], [ 1292, 24, 1229 ] ], [ [ 72, 24, 627 ], [ 627, 25, 1229 ] ], [ [ 72, 24, 1292 ], [ 1292, 64, 955 ], [ 955, 23, 1229 ] ], [ [ 72, 6, 3486 ], [ 3486, 45, 955 ], [ 955, 23, 1229 ] ], [ [ 72, 6, 3486 ], [ 3486, 45, 542 ], [ 542, 24, 1229 ] ], [ [ 72, 24, 1114 ], [ 1114, 62, 955 ], [ 955, 23, 1229 ] ], [ [ 72, 6, 15705 ], [ 15705, 45, 1459 ], [ 1459, 25, 1229 ] ], [ [ 72, 24, 1114 ], [ 1114, 63, 1104 ], [ 1104, 24, 1229 ] ], [ [ 72, 63, 1596 ], [ 1596, 62, 955 ], [ 955, 23, 1229 ] ] ]
[ [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deferiprone" ], [ "Deferiprone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bictegravir" ], [ "Bictegravir", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deferiprone" ], [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Levothyroxine" ], [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zinc sulfate" ], [ "Zinc sulfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} (Compound) binds {v} (Gene)", "UGT1A1" ], [ "UGT1A1", "{u} (Gene) is bound by {v} (Compound)", "Dolutegravir" ], [ "Dolutegravir", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zinc sulfate" ], [ "Zinc sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiludronic acid" ], [ "Tiludronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetraferric tricitrate decahydrate" ] ], [ [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iron" ], [ "Iron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetraferric tricitrate decahydrate" ] ] ]
Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Deferiprone and Deferiprone may cause a moderate interaction that could exacerbate diseases when taken with Tetraferric tricitrate decahydrate Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Bictegravir and Bictegravir may lead to a major life threatening interaction when taken with Tetraferric tricitrate decahydrate Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Deferiprone and Deferiprone may lead to a major life threatening interaction when taken with Mycophenolate mofetil and Mycophenolate mofetil may cause a minor interaction that can limit clinical effects when taken with Tetraferric tricitrate decahydrate Eltrombopag (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Mycophenolate mofetil (Compound) and Mycophenolate mofetil may cause a minor interaction that can limit clinical effects when taken with Tetraferric tricitrate decahydrate Eltrombopag (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Levothyroxine (Compound) and Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Tetraferric tricitrate decahydrate Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Zinc sulfate and Zinc sulfate may cause a minor interaction that can limit clinical effects when taken with Mycophenolate mofetil and Mycophenolate mofetil may cause a minor interaction that can limit clinical effects when taken with Tetraferric tricitrate decahydrate Eltrombopag (Compound) binds UGT1A1 (Gene) and UGT1A1 (Gene) is bound by Dolutegravir (Compound) and Dolutegravir may lead to a major life threatening interaction when taken with Tetraferric tricitrate decahydrate Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Zinc sulfate and Zinc sulfate may cause a moderate interaction that could exacerbate diseases when taken with Tiludronic acid and Tiludronic acid may cause a moderate interaction that could exacerbate diseases when taken with Tetraferric tricitrate decahydrate Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Iron and Iron may cause a minor interaction that can limit clinical effects when taken with Mycophenolate mofetil and Mycophenolate mofetil may cause a minor interaction that can limit clinical effects when taken with Tetraferric tricitrate decahydrate
DB00196
DB00393
600
854
[ "DDInter743", "DDInter1295" ]
Fluconazole
Nimodipine
Fluconazole, commonly known as _Diflucan_, is an antifungal drug used for the treatment of both systemic and superficial fungal infections in a variety of tissues. It was initially approved by the FDA in 1990. This drug is an _azole_ antifungal, in the same drug family as [ketoconazole] and [itraconazole]. Fluconazole has many advantages over the other antifungal drugs including the option of oral administration. The side effect profile of this drug is minimal. It has been demonstrated as an efficacious treatment for vaginal yeast infections in one single dose.
Nimodipine is a 1,4-dihydropyridine calcium channel blocker. It acts primarily on vascular smooth muscle cells by stabilizing voltage-gated L-type calcium channels in their inactive conformation. By inhibiting the influx of calcium in smooth muscle cells, nimodipine prevents calcium-dependent smooth muscle contraction and subsequent vasoconstriction. Compared to other calcium channel blocking agents, nimodipine exhibits greater effects on cerebral circulation than on peripheral circulation. Nimodipine is used to as an adjunct to improve the neurologic outcome following subarachnoid hemorrhage from ruptured intracranial aneurysm.
Moderate
1
[ [ [ 600, 24, 854 ] ], [ [ 600, 24, 84 ], [ 84, 40, 854 ] ], [ [ 600, 6, 8374 ], [ 8374, 45, 854 ] ], [ [ 600, 21, 28936 ], [ 28936, 60, 854 ] ], [ [ 600, 24, 578 ], [ 578, 62, 854 ] ], [ [ 600, 25, 478 ], [ 478, 63, 854 ] ], [ [ 600, 24, 723 ], [ 723, 63, 854 ] ], [ [ 600, 23, 1101 ], [ 1101, 24, 854 ] ], [ [ 600, 24, 1010 ], [ 1010, 24, 854 ] ], [ [ 600, 23, 609 ], [ 609, 64, 854 ] ] ]
[ [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nimodipine" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nisoldipine" ], [ "Nisoldipine", "{u} (Compound) resembles {v} (Compound)", "Nimodipine" ] ], [ [ "Fluconazole", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Nimodipine" ] ], [ [ "Fluconazole", "{u} (Compound) causes {v} (Side Effect)", "Hyperhidrosis" ], [ "Hyperhidrosis", "{u} (Side Effect) is caused by {v} (Compound)", "Nimodipine" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nimodipine" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nimodipine" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nimodipine" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nimodipine" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nimodipine" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Nimodipine" ] ] ]
Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Nisoldipine and Nisoldipine (Compound) resembles Nimodipine (Compound) Fluconazole (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Nimodipine (Compound) Fluconazole (Compound) causes Hyperhidrosis (Side Effect) and Hyperhidrosis (Side Effect) is caused by Nimodipine (Compound) Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a minor interaction that can limit clinical effects when taken with Nimodipine Fluconazole may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Nimodipine Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant and Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Nimodipine Fluconazole may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Nimodipine Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Mefloquine and Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Nimodipine Fluconazole may cause a minor interaction that can limit clinical effects when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Nimodipine
DB00675
DB05294
888
1,069
[ "DDInter1744", "DDInter1917" ]
Tamoxifen
Vandetanib
Tamoxifen is a non-steroidal antiestrogen used to treat estrogen receptor positive breast cancers as well as prevent the incidence of breast cancer in high risk populations.[A1025,L7799,L7802] Tamoxifen is used alone or as an adjuvant in these treatments.[L7799,L7802] Tamoxifen may no longer be the preferred treatment for these types of cancers as patients generally have better survival, side effect profiles, and compliance with [anastrozole]. Tamoxifen was granted FDA approval on 30 December 1977.
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
[ [ [ 888, 25, 1069 ] ], [ [ 888, 6, 7526 ], [ 7526, 45, 1069 ] ], [ [ 888, 7, 2065 ], [ 2065, 45, 1069 ] ], [ [ 888, 21, 29343 ], [ 29343, 60, 1069 ] ], [ [ 888, 23, 1135 ], [ 1135, 62, 1069 ] ], [ [ 888, 23, 1247 ], [ 1247, 23, 1069 ] ], [ [ 888, 24, 659 ], [ 659, 63, 1069 ] ], [ [ 888, 63, 362 ], [ 362, 24, 1069 ] ], [ [ 888, 24, 688 ], [ 688, 24, 1069 ] ], [ [ 888, 25, 770 ], [ 770, 24, 1069 ] ] ]
[ [ [ "Tamoxifen", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ] ], [ [ "Tamoxifen", "{u} (Compound) binds {v} (Gene)", "FMO1" ], [ "FMO1", "{u} (Gene) is bound by {v} (Compound)", "Vandetanib" ] ], [ [ "Tamoxifen", "{u} (Compound) upregulates {v} (Gene)", "SRC" ], [ "SRC", "{u} (Gene) is bound by {v} (Compound)", "Vandetanib" ] ], [ [ "Tamoxifen", "{u} (Compound) causes {v} (Side Effect)", "Blood creatinine increased" ], [ "Blood creatinine increased", "{u} (Side Effect) is caused by {v} (Compound)", "Vandetanib" ] ], [ [ "Tamoxifen", "{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}", "Vandetanib" ] ], [ [ "Tamoxifen", "{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}", "Vandetanib" ] ], [ [ "Tamoxifen", "{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" ] ], [ [ "Tamoxifen", "{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}", "Vandetanib" ] ], [ [ "Tamoxifen", "{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" ] ], [ [ "Tamoxifen", "{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}", "Vandetanib" ] ] ]
Tamoxifen (Compound) binds FMO1 (Gene) and FMO1 (Gene) is bound by Vandetanib (Compound) Tamoxifen (Compound) upregulates SRC (Gene) and SRC (Gene) is bound by Vandetanib (Compound) Tamoxifen (Compound) causes Blood creatinine increased (Side Effect) and Blood creatinine increased (Side Effect) is caused by Vandetanib (Compound) Tamoxifen 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 Vandetanib Tamoxifen 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 Vandetanib Tamoxifen 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 Tamoxifen 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 Vandetanib Tamoxifen 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 Tamoxifen 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 Vandetanib
DB01069
DB08883
401
1,597
[ "DDInter1533", "DDInter1428" ]
Promethazine
Perampanel
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]
Perampanel is a noncompetitive AMPA glutamate receptor antagonist. It is marketed under the name Fycompa™ and is indicated as an adjunct in patients over 12 years old for the treatment of partial-onset seizures that may or may not occur with generalized seizures. The FDA label includes an important black-boxed warning of serious or life-threatening behavioral and psychiatric reactions in patients taking Fycompa™.
Moderate
1
[ [ [ 401, 24, 1597 ] ], [ [ 401, 24, 609 ], [ 609, 23, 1597 ] ], [ [ 401, 63, 100 ], [ 100, 24, 1597 ] ], [ [ 401, 24, 649 ], [ 649, 24, 1597 ] ], [ [ 401, 25, 868 ], [ 868, 24, 1597 ] ], [ [ 401, 24, 407 ], [ 407, 63, 1597 ] ], [ [ 401, 25, 982 ], [ 982, 63, 1597 ] ], [ [ 401, 24, 609 ], [ 609, 25, 868 ], [ 868, 24, 1597 ] ], [ [ 401, 63, 100 ], [ 100, 24, 649 ], [ 649, 24, 1597 ] ], [ [ 401, 24, 649 ], [ 649, 63, 100 ], [ 100, 24, 1597 ] ] ]
[ [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perampanel" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Perampanel" ] ], [ [ "Promethazine", "{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}", "Perampanel" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perampanel" ] ], [ [ "Promethazine", "{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}", "Perampanel" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perampanel" ] ], [ [ "Promethazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perampanel" ] ], [ [ "Promethazine", "{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}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perampanel" ] ], [ [ "Promethazine", "{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}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perampanel" ] ], [ [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brompheniramine" ], [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perampanel" ] ] ]
Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a minor interaction that can limit clinical effects when taken with Perampanel Promethazine 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 Perampanel Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Perampanel Promethazine 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 Perampanel Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Perampanel Promethazine may lead to a major life threatening interaction when taken with Ivosidenib and Ivosidenib may cause a moderate interaction that could exacerbate diseases when taken with Perampanel Promethazine 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 Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Perampanel Promethazine 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 Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Perampanel Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Brompheniramine and Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Perampanel
DB00992
DB05294
842
1,069
[ "DDInter1182", "DDInter1917" ]
Methyl aminolevulinate (topical)
Vandetanib
Methyl 5-aminolevulinate is the methyl ester of 5-aminolevulinic acid. A prodrug, it is metabolised to protoporphyrin IX, a photosensitizer, and is used in the photodynamic treatment of non-melanoma skin cancer (including basal cell carcinoma). Topical application (often as the hydrochloride salt) results in an accumulation of protoporphyrin IX in the skin lesions to which the cream has been applied. Subsequent illumination with red light results in the generation of toxic singlet oxygen that destroys cell membranes and thereby kills the tumour cells. It has a role as an antineoplastic agent, a photosensitizing agent, a prodrug and a dermatologic drug. It is functionally related to a 5-aminolevulinic acid.
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.
Moderate
1
[ [ [ 842, 24, 1069 ] ], [ [ 842, 63, 1195 ], [ 1195, 40, 1069 ] ], [ [ 842, 21, 28719 ], [ 28719, 60, 1069 ] ], [ [ 842, 24, 1247 ], [ 1247, 23, 1069 ] ], [ [ 842, 24, 866 ], [ 866, 24, 1069 ] ], [ [ 842, 24, 1040 ], [ 1040, 63, 1069 ] ], [ [ 842, 63, 612 ], [ 612, 24, 1069 ] ], [ [ 842, 24, 945 ], [ 945, 25, 1069 ] ], [ [ 842, 24, 868 ], [ 868, 64, 1069 ] ], [ [ 842, 63, 1622 ], [ 1622, 25, 1069 ] ] ]
[ [ [ "Methyl aminolevulinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erlotinib" ], [ "Erlotinib", "{u} (Compound) resembles {v} (Compound)", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{u} (Compound) causes {v} (Side Effect)", "Pain" ], [ "Pain", "{u} (Side Effect) is caused by {v} (Compound)", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{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}", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobimetinib" ], [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{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}", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{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}", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{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}", "Vandetanib" ] ], [ [ "Methyl aminolevulinate", "{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}", "Vandetanib" ] ] ]
Methyl aminolevulinate may cause a moderate interaction that could exacerbate diseases when taken with Vandetanib Methyl aminolevulinate may cause a moderate interaction that could exacerbate diseases when taken with Erlotinib and Erlotinib (Compound) resembles Vandetanib (Compound) Methyl aminolevulinate (Compound) causes Pain (Side Effect) and Pain (Side Effect) is caused by Vandetanib (Compound) Methyl aminolevulinate 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 Vandetanib Methyl aminolevulinate may cause a moderate interaction that could exacerbate diseases when taken with Cobimetinib and Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Vandetanib Methyl aminolevulinate 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 Vandetanib Methyl aminolevulinate 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 Vandetanib Methyl aminolevulinate may cause a moderate interaction that could exacerbate diseases when taken with Sparfloxacin and Sparfloxacin may lead to a major life threatening interaction when taken with Vandetanib Methyl aminolevulinate 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 Vandetanib Methyl aminolevulinate 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 Vandetanib
DB00242
DB08895
1,064
976
[ "DDInter392", "DDInter1825" ]
Cladribine
Tofacitinib
An antineoplastic agent used in the treatment of lymphoproliferative diseases including hairy-cell leukemia.
Tofacitinib is an inhibitor of Janus kinases, a group of intracellular enzymes involved in signalling pathways that affect hematopoiesis and immune cell function. It is approved by the FDA for treatment of moderate to severe rheumatoid arthritis that responds inadequately to methotrexate or in those who are intolerant to methotrexate. Besides rheumatoid arthritis, tofacitinib has also been studied in clinical trials for the prevention of organ transplant rejection, and is currently under investigation for the treatment of psoriasis. Known adverse effects include nausea and headache as well as more serious immunologic and hematological adverse effects. Tofacitinib is marketed under the brand name Xeljanz by Pfizer.
Major
2
[ [ [ 1064, 25, 976 ] ], [ [ 1064, 63, 1461 ], [ 1461, 23, 976 ] ], [ [ 1064, 24, 1017 ], [ 1017, 63, 976 ] ], [ [ 1064, 25, 998 ], [ 998, 24, 976 ] ], [ [ 1064, 25, 810 ], [ 810, 63, 976 ] ], [ [ 1064, 25, 652 ], [ 652, 64, 976 ] ], [ [ 1064, 25, 1011 ], [ 1011, 25, 976 ] ], [ [ 1064, 64, 1184 ], [ 1184, 25, 976 ] ], [ [ 1064, 24, 362 ], [ 362, 25, 976 ] ], [ [ 1064, 36, 1083 ], [ 1083, 25, 976 ] ] ]
[ [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Cladribine", "{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}", "Tofacitinib" ] ], [ [ "Cladribine", "{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}", "Tofacitinib" ] ], [ [ "Cladribine", "{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}", "Tofacitinib" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction 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}", "Tofacitinib" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexucabtagene autoleucel" ], [ "Brexucabtagene autoleucel", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Cladribine", "{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}", "Tofacitinib" ] ], [ [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Cladribine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Trifluridine" ], [ "Trifluridine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ] ]
Cladribine 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 Tofacitinib Cladribine 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 Tofacitinib Cladribine 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 Tofacitinib Cladribine may lead to a major life threatening interaction when taken with Strontium chloride Sr-89 and Strontium chloride Sr-89 may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Cladribine may lead to a major life threatening interaction when taken with Brexucabtagene autoleucel and Brexucabtagene autoleucel may lead to a major life threatening interaction when taken with Tofacitinib Cladribine 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 Tofacitinib Cladribine may lead to a major life threatening interaction when taken with Anakinra and Anakinra may lead to a major life threatening interaction when taken with Tofacitinib Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin may lead to a major life threatening interaction when taken with Tofacitinib Cladribine (Compound) resembles Trifluridine (Compound) and Cladribine may lead to a major life threatening interaction when taken with Trifluridine and Trifluridine may lead to a major life threatening interaction when taken with Tofacitinib
DB00727
DB00782
685
1,123
[ "DDInter1304", "DDInter1535" ]
Nitroglycerin
Propantheline
Nitroglycerin, also known as glyceryl trinitrate, is an organic nitrate and a vasodilating agent that was first discovered in 1847. Originally used to dynamite, its antianginal effects were identified in the late 1860s after it produced headaches in factory workers while workers with angina pectoris or heart failure experienced relief from chest pain.[A180166,A180172] Its use as a treatment for angina dates back to 1879 and is still used to treat and prevent angina. Nitroglycerin causes vasodilation in both arteries and veins. Nitroglycerin is used in a variety of different conditions, including angina pectoris due to coronary artery disease,[L7102,L7141,L38369,L42320] peri-operative hypertension, congestive heart failure, and chronic anal fissure. It is also used to induce intraoperative hypotension.
A muscarinic antagonist used as an antispasmodic, in rhinitis, in urinary incontinence, and in the treatment of ulcers. At high doses it has nicotinic effects resulting in neuromuscular blocking.
Minor
0
[ [ [ 685, 23, 1123 ] ], [ [ 685, 21, 28681 ], [ 28681, 60, 1123 ] ], [ [ 685, 23, 537 ], [ 537, 63, 1123 ] ], [ [ 685, 63, 999 ], [ 999, 24, 1123 ] ], [ [ 685, 23, 1442 ], [ 1442, 24, 1123 ] ], [ [ 685, 24, 1376 ], [ 1376, 63, 1123 ] ], [ [ 685, 62, 85 ], [ 85, 24, 1123 ] ], [ [ 685, 21, 28681 ], [ 28681, 60, 359 ], [ 359, 62, 1123 ] ], [ [ 685, 21, 28705 ], [ 28705, 60, 474 ], [ 474, 23, 1123 ] ], [ [ 685, 23, 537 ], [ 537, 21, 28898 ], [ 28898, 60, 1123 ] ] ]
[ [ [ "Nitroglycerin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Propantheline" ] ], [ [ "Nitroglycerin", "{u} (Compound) causes {v} (Side Effect)", "Hypersensitivity" ], [ "Hypersensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Propantheline" ] ], [ [ "Nitroglycerin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propantheline" ] ], [ [ "Nitroglycerin", "{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}", "Propantheline" ] ], [ [ "Nitroglycerin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Scopolamine" ], [ "Scopolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propantheline" ] ], [ [ "Nitroglycerin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propantheline" ] ], [ [ "Nitroglycerin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Atropine" ], [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propantheline" ] ], [ [ "Nitroglycerin", "{u} (Compound) causes {v} (Side Effect)", "Hypersensitivity" ], [ "Hypersensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Chlorothiazide" ], [ "Chlorothiazide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Propantheline" ] ], [ [ "Nitroglycerin", "{u} (Compound) causes {v} (Side Effect)", "Drowsiness" ], [ "Drowsiness", "{u} (Side Effect) is caused by {v} (Compound)", "Acetaminophen" ], [ "Acetaminophen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Propantheline" ] ], [ [ "Nitroglycerin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} (Compound) causes {v} (Side Effect)", "Constipation" ], [ "Constipation", "{u} (Side Effect) is caused by {v} (Compound)", "Propantheline" ] ] ]
Nitroglycerin (Compound) causes Hypersensitivity (Side Effect) and Hypersensitivity (Side Effect) is caused by Propantheline (Compound) Nitroglycerin may cause a minor interaction that can limit clinical effects when taken with Cyclizine and Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Propantheline Nitroglycerin 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 Propantheline Nitroglycerin may cause a minor interaction that can limit clinical effects when taken with Scopolamine and Scopolamine may cause a moderate interaction that could exacerbate diseases when taken with Propantheline Nitroglycerin may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Propantheline Nitroglycerin may cause a minor interaction that can limit clinical effects when taken with Atropine and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Propantheline Nitroglycerin (Compound) causes Hypersensitivity (Side Effect) and Hypersensitivity (Side Effect) is caused by Chlorothiazide (Compound) and Chlorothiazide may cause a minor interaction that can limit clinical effects when taken with Propantheline Nitroglycerin (Compound) causes Drowsiness (Side Effect) and Drowsiness (Side Effect) is caused by Acetaminophen (Compound) and Acetaminophen may cause a minor interaction that can limit clinical effects when taken with Propantheline Nitroglycerin may cause a minor interaction that can limit clinical effects when taken with Cyclizine and Cyclizine (Compound) causes Constipation (Side Effect) and Constipation (Side Effect) is caused by Propantheline (Compound)
DB00661
DB11967
122
710
[ "DDInter1928", "DDInter210" ]
Verapamil
Binimetinib
Verapamil is a phenylalkylamine calcium channel blocker used in the treatment of high blood pressure, heart arrhythmias, and angina, and was the first calcium channel antagonist to be introduced into therapy in the early 1960s. It is a member of the non-dihydropyridine class of calcium channel blockers, which includes drugs like [diltiazem] and [flunarizine], but is chemically unrelated to other cardioactive medications. Verapamil is administered as a racemic mixture containing equal amounts of the S- and R-enantiomer, each of which is pharmacologically distinct - the S-enantiomer carries approximately 20-fold greater potency than the R-enantiomer, but is metabolized at a higher rate.
Binimetinib, also known as _Mektovi_, is a potent and selective oral mitogen-activated protein kinase 1/2 (MEK 1/2) inhibitor which is combined with [Encorafenib].[A34275,L3335] On June 27, 2018, the Food and Drug Administration approved the combination of [Encorafenib] and binimetinib (BRAFTOVI and MEKTOVI, from Array BioPharma Inc.) in combination for patients with unresectable or metastatic melanoma with the BRAF V600E or V600K mutations, as detected by an FDA-approved test.
Moderate
1
[ [ [ 122, 24, 710 ] ], [ [ 122, 24, 1593 ], [ 1593, 24, 710 ] ], [ [ 122, 63, 883 ], [ 883, 24, 710 ] ], [ [ 122, 25, 1406 ], [ 1406, 24, 710 ] ], [ [ 122, 24, 1619 ], [ 1619, 63, 710 ] ], [ [ 122, 23, 466 ], [ 466, 63, 710 ] ], [ [ 122, 23, 868 ], [ 868, 24, 710 ] ], [ [ 122, 64, 467 ], [ 467, 24, 710 ] ], [ [ 122, 62, 1512 ], [ 1512, 24, 710 ] ], [ [ 122, 25, 405 ], [ 405, 25, 710 ] ] ]
[ [ [ "Verapamil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Binimetinib" ] ], [ [ "Verapamil", "{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}", "Binimetinib" ] ], [ [ "Verapamil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gefitinib" ], [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Binimetinib" ] ], [ [ "Verapamil", "{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}", "Binimetinib" ] ], [ [ "Verapamil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Binimetinib" ] ], [ [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Binimetinib" ] ], [ [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Binimetinib" ] ], [ [ "Verapamil", "{u} may lead to a major life threatening interaction when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Binimetinib" ] ], [ [ "Verapamil", "{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}", "Binimetinib" ] ], [ [ "Verapamil", "{u} may lead to a major life threatening interaction when taken with {v}", "Acalabrutinib" ], [ "Acalabrutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Binimetinib" ] ] ]
Verapamil 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 Binimetinib Verapamil may cause a moderate interaction that could exacerbate diseases when taken with Gefitinib and Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Binimetinib Verapamil 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 Binimetinib Verapamil may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Binimetinib Verapamil may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Binimetinib Verapamil may cause a minor interaction that can limit clinical effects when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Binimetinib Verapamil may lead to a major life threatening interaction when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Binimetinib Verapamil 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 Binimetinib Verapamil may lead to a major life threatening interaction when taken with Acalabrutinib and Acalabrutinib may lead to a major life threatening interaction when taken with Binimetinib
DB00019
DB00848
1,257
281
[ "DDInter1405", "DDInter1044" ]
Pegfilgrastim
Levamisole
Pegfilgrastim is a PEGylated form of the recombinant human granulocyte colony-stimulating factor (G-CSF) analogue, [filgrastim]. The drug is approved for use to decrease the incidence of infection, as manifested by febrile neutropenia, in susceptible patients with with non-myeloid cancer receiving myelosuppressive anti-cancer treatment. Although the risk of developing febrile neutropenia is less than 20% in many readily used chemotherapy regimens, infections pose risks of hospitalization and mortalities. Due to the relatively short circulating half-life of filgrastim, a 20 kDa PEG moiety was covalently conjugated to the N-terminus of filgrastim (at the methionine residue) to develop longer-acting pegfilgrastim.[A29,A187607] Due to a longer half-life and slower elimination rate than filgrastim
Levamisole is an antihelminthic drug that was commonly used for the treatment of parasitic, viral, and bacterial infections. It was manufactured by _Janssen_ and first used in 1969 as an agent to treat worm infestations Levamisole was approved by the FDA in 1990 as an adjuvant treatment for colon cancer. Prior to this, levamisole was used as an antirheumatic therapy in the 1970s and 1980s for patients with rheumatoid arthritis. Because of its immunomodulatory effects, this drug has been studied in the treatment of various immune-mediated diseases, with some studies showing positive results. This drug has also been used in combination with other drugs for the treatment of various cancers. [A178117, A178123] Levamisole was withdrawn from the American market in 2000 due to its ability to cause serious adverse effects, including agranulocytosis. Interestingly, levamisole has been found as an adulterant in cocaine and can lead to a variety of adverse effects in individuals using this drug.
Moderate
1
[ [ [ 1257, 24, 281 ] ], [ [ 1257, 24, 599 ], [ 599, 24, 281 ] ], [ [ 1257, 24, 4 ], [ 4, 63, 281 ] ], [ [ 1257, 25, 1064 ], [ 1064, 25, 281 ] ], [ [ 1257, 24, 599 ], [ 599, 24, 1683 ], [ 1683, 63, 281 ] ], [ [ 1257, 24, 4 ], [ 4, 63, 599 ], [ 599, 24, 281 ] ], [ [ 1257, 24, 367 ], [ 367, 24, 599 ], [ 599, 24, 281 ] ], [ [ 1257, 25, 1064 ], [ 1064, 64, 599 ], [ 599, 24, 281 ] ], [ [ 1257, 24, 1362 ], [ 1362, 63, 1683 ], [ 1683, 63, 281 ] ], [ [ 1257, 25, 1064 ], [ 1064, 25, 1683 ], [ 1683, 63, 281 ] ] ]
[ [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{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}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{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}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{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}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{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}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{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}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon alfacon-1" ], [ "Interferon alfacon-1", "{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}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{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}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{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" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamisole" ] ], [ [ "Pegfilgrastim", "{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}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamisole" ] ] ]
Pegfilgrastim 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 Levamisole Pegfilgrastim 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 Levamisole Pegfilgrastim 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 Levamisole Pegfilgrastim 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 Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Levamisole Pegfilgrastim 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 Alemtuzumab and Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Levamisole Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Interferon alfacon-1 and Interferon alfacon-1 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 Levamisole Pegfilgrastim 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 Alemtuzumab and Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Levamisole Pegfilgrastim 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 and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Levamisole Pegfilgrastim 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 Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Levamisole
DB00420
DB09043
508
135
[ "DDInter1532", "DDInter36" ]
Promazine
Albiglutide
A phenothiazine with actions similar to chlorpromazine but with less antipsychotic activity. It is primarily used in short-term treatment of disturbed behavior and as an antiemetic. It is currently not approved for use in the United States.
Albiglutide is a glucagon-like peptide-1 agonist (GLP-1) biologic drug indicated in the treatment of type 2 diabetes. It is marketed under the brands Eperzan and Tanzeum by GSK (GlaxoSmithKline). It is a dipeptidyl peptidase-4-resistant glucagon-like peptide-1 dimer fused to human albumin. Albiglutide was approved on April 15, 2014 by the FDA.
Moderate
1
[ [ [ 508, 24, 135 ] ], [ [ 508, 63, 1647 ], [ 1647, 23, 135 ] ], [ [ 508, 24, 870 ], [ 870, 24, 135 ] ], [ [ 508, 63, 176 ], [ 176, 24, 135 ] ], [ [ 508, 1, 820 ], [ 820, 24, 135 ] ], [ [ 508, 40, 1630 ], [ 1630, 24, 135 ] ], [ [ 508, 24, 1296 ], [ 1296, 63, 135 ] ], [ [ 508, 35, 401 ], [ 401, 24, 135 ] ], [ [ 508, 25, 1154 ], [ 1154, 24, 135 ] ], [ [ 508, 62, 417 ], [ 417, 24, 135 ] ] ]
[ [ [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Albiglutide" ] ], [ [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acarbose" ], [ "Acarbose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Albiglutide" ] ], [ [ "Promazine", "{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}", "Albiglutide" ] ], [ [ "Promazine", "{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}", "Albiglutide" ] ], [ [ "Promazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Albiglutide" ] ], [ [ "Promazine", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ], [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Albiglutide" ] ], [ [ "Promazine", "{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}", "Albiglutide" ] ], [ [ "Promazine", "{u} (Compound) resembles {v} (Compound) and {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}", "Albiglutide" ] ], [ [ "Promazine", "{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}", "Albiglutide" ] ], [ [ "Promazine", "{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}", "Albiglutide" ] ] ]
Promazine may cause a moderate interaction that could exacerbate diseases when taken with Acarbose and Acarbose may cause a minor interaction that can limit clinical effects when taken with Albiglutide Promazine 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 Albiglutide Promazine 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 Albiglutide Promazine (Compound) resembles Alimemazine (Compound) and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Albiglutide Promazine (Compound) resembles Perphenazine (Compound) and Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Albiglutide Promazine 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 Albiglutide Promazine (Compound) resembles Promethazine (Compound) and Promazine 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 Albiglutide Promazine 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 Albiglutide Promazine 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 Albiglutide
DB00332
DB11160
1,089
337
[ "DDInter970", "DDInter1459" ]
Ipratropium
Phenyltoloxamine
Ipratropium is a quaternary ammonium derivative of [atropine] that acts as an anticholinergic agent. It is commonly administered through inhalation which allows producing a local effect without presenting a significant systemic absorption. Ipratropium as a therapeutic agent was developed by Boehringer Ingelheim and its first monotherapy product was FDA approved in 1986, while the combination product of ipratropium and [albuterol] was approved in 1996.[L5894, L5891]
Phenyltoloxamine is an antihistamine drug with sedative and analgesic effects. It is a H1 receptor blocker and a member of the ethanolamine class of antihistaminergic drugs. It is available in combination products that also contain other analgesics and antitussives such as acetaminophen. Phenyltoloxamine citrate is the more common salt form that acts as an active ingredient in pharmaceutical products and promotes hay fever relief via reversing the effects of histamine. Phenyltoloxamine acts as an adjuvant analgesic, which augments the analgesic effect of acetaminophen. It also potentiates the effects of other drugs, such as codeine and codeine derivatives. Although phenyltoloxamine's ability to potentiate the effects of analgesics may be explained in part by its chemical nature as a first-generation H1 antihistamine that is capable of crossing the blood-brain barrier and causing tranquilizing effects at CNS histamine receptors, many of the drug's specific pharmacokinetics are not readily available - perhaps also because many early (phenyltoloxamine was involved in studies as early as the 1950s) first-generation antihistamines were not optimally investigated . Nevertheless, phenyltoloxamine is used to a fairly limited extent in contemporary medicine, with only very few products involving it as an active ingredient.
Moderate
1
[ [ [ 1089, 24, 337 ] ], [ [ 1089, 24, 820 ], [ 820, 24, 337 ] ], [ [ 1089, 35, 19 ], [ 19, 24, 337 ] ], [ [ 1089, 63, 701 ], [ 701, 24, 337 ] ], [ [ 1089, 24, 820 ], [ 820, 23, 771 ], [ 771, 62, 337 ] ], [ [ 1089, 24, 999 ], [ 999, 63, 1594 ], [ 1594, 24, 337 ] ], [ [ 1089, 24, 1594 ], [ 1594, 24, 820 ], [ 820, 24, 337 ] ], [ [ 1089, 35, 19 ], [ 19, 24, 820 ], [ 820, 24, 337 ] ], [ [ 1089, 63, 701 ], [ 701, 23, 771 ], [ 771, 62, 337 ] ], [ [ 1089, 24, 1264 ], [ 1264, 35, 820 ], [ 820, 24, 337 ] ] ]
[ [ [ "Ipratropium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{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}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{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}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{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}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{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}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Ipratropium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} (Compound) resembles {v} (Compound) and {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}", "Phenyltoloxamine" ] ] ]
Ipratropium 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 Phenyltoloxamine Ipratropium (Compound) resembles Hyoscyamine (Compound) and Ipratropium may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine and Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine Ipratropium 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 Phenyltoloxamine Ipratropium 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 Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Phenyltoloxamine Ipratropium 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 Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine Ipratropium may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine Ipratropium (Compound) resembles Hyoscyamine (Compound) and Ipratropium may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine and Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine Ipratropium may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a minor interaction that can limit clinical effects when taken with Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Phenyltoloxamine Ipratropium may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin (Compound) resembles Alimemazine (Compound) and Doxepin 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 Phenyltoloxamine
DB01222
DB14730
617
1,412
[ "DDInter246", "DDInter264" ]
Budesonide
Calaspargase pegol
Budesonide is a glucocorticoid that is a mix of the 22R and 22S epimer used to treat inflammatory conditions of the lungs and intestines such as asthma, COPD, Crohn's disease, and ulcerative colitis.[A188529,A188532] Budesonide was granted FDA approval on 14 February 1994. It is also available in a combination product with [formoterol].
Asparaginase is an important agent used to treat acute lymphoblastic leukemia (ALL) . Asparagine is incorporated into most proteins, and the synthesis of proteins is stopped when asparagine is absent, which inhibits RNA and DNA synthesis, resulting in a halt in cellular proliferation. This forms the basis of asparaginase treatment in ALL , , . Calaspargase pegol, also known as _asparlas_, is an asparagine specific enzyme which is indicated as a part of a multi-agent chemotherapy regimen for the treatment of ALL . The asparagine specific enzyme is derived from Escherichia coli, as a conjugate of L-asparaginase (L-asparagine amidohydrolase) and monomethoxypolyethylene glycol (mPEG) with a succinimidyl carbonate (SC) linker to create a stable molecule which increases the half-life and decreases the dosing frequency [FDA label], . Calaspargase pegol, by _Shire_ pharmaceuticals, was approved by the FDA on December 20, 2018 for acute lymphoblastic anemia (ALL) .
Moderate
1
[ [ [ 617, 24, 1412 ] ], [ [ 617, 24, 1439 ], [ 1439, 24, 1412 ] ], [ [ 617, 63, 1274 ], [ 1274, 24, 1412 ] ], [ [ 617, 40, 251 ], [ 251, 24, 1412 ] ], [ [ 617, 64, 581 ], [ 581, 24, 1412 ] ], [ [ 617, 25, 384 ], [ 384, 24, 1412 ] ], [ [ 617, 64, 1377 ], [ 1377, 25, 1412 ] ], [ [ 617, 25, 1510 ], [ 1510, 25, 1412 ] ], [ [ 617, 24, 1439 ], [ 1439, 25, 792 ], [ 792, 24, 1412 ] ], [ [ 617, 24, 159 ], [ 159, 63, 792 ], [ 792, 24, 1412 ] ] ]
[ [ [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ipilimumab" ], [ "Ipilimumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{u} (Compound) resembles {v} (Compound)", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{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}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{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}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{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}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{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}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ipilimumab" ], [ "Ipilimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rivaroxaban" ], [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ] ], [ [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rivaroxaban" ], [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calaspargase pegol" ] ] ]
Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Ipilimumab and Ipilimumab may cause a moderate interaction that could exacerbate diseases when taken with Calaspargase pegol Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Calaspargase pegol Budesonide (Compound) resembles Betamethasone (Compound) and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Calaspargase pegol Budesonide 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 Calaspargase pegol Budesonide 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 Calaspargase pegol Budesonide 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 Calaspargase pegol Budesonide 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 Calaspargase pegol Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Ipilimumab and Ipilimumab may lead to a major life threatening interaction when taken with Rivaroxaban and Rivaroxaban may cause a moderate interaction that could exacerbate diseases when taken with Calaspargase pegol Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Rivaroxaban and Rivaroxaban may cause a moderate interaction that could exacerbate diseases when taken with Calaspargase pegol
DB01234
DB11613
1,220
1,519
[ "DDInter513", "DDInter1924" ]
Dexamethasone
Velpatasvir
Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like [hydrocortisone] and [prednisolone]. Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.
Velpatasvir is a Direct-Acting Antiviral (DAA) medication used as part of combination therapy to treat chronic Hepatitis C, an infectious liver disease caused by infection with Hepatitis C Virus (HCV). HCV is a single-stranded RNA virus that is categorized into nine distinct genotypes, with genotype 1 being the most common in the United States, and affecting 72% of all chronic HCV patients . Velpatasvir acts as a defective substrate for NS5A (Non-Structural Protein 5A), a non-enzymatic viral protein that plays a key role in Hepatitis C Virus replication, assembly, and modulation of host immune responses . Treatment options for chronic Hepatitis C have advanced significantly since 2011, with the development of Direct Acting Antivirals (DAAs) such as velpatasvir. Notably, velpatasvir has a significantly higher barrier to resistance than the first generation NS5A inhibitors, such as and , making it a highly potent and reliable alternative for treatment of chronic Hepatitis C . In a joint recommendation published in 2016, the American Association for the Study of Liver Diseases (AASLD) and the Infectious Diseases Society of America (IDSA) recommend Velpatasvir as first line therapy in combination with sofosbuvir for all six genotypes of Hepatitis C . Velpatasvir is currently only available within a fixed dose combination product as Epclusa with , another direct acting antiviral. Goals of therapy for Epclusa include the intent to cure, or achieve a sustained virologic response (SVR), after 12 weeks of daily therapy. SVR and eradication of HCV infection is associated with significant long-term health benefits including reduced liver-related damage, improved quality of life, reduced incidence of Hepatocellular Carcinoma, and reduced all-cause mortality and risk of requiring a liver transplant . Since June 2016, Velpatasvir has been available as a fixed dose combination product with , as the commercially available product Epclusa. Epclusa is the first combination HCV product indicated for the treatment of all genotypes of Hepatitis C with or without cirrhosis. It is also currently the most potent HCV antiviral medication on the market with a sustained virologic response (SVR) after 12 weeks of therapy of 93-99% depending on genotype and level of cirrhosis and a high barrier to resistance . Both Canadian and American guidelines list Epclusa as a first line recommendation for all genotypes of HCV [L852, A19626].
Major
2
[ [ [ 1220, 25, 1519 ] ], [ [ 1220, 24, 1135 ], [ 1135, 23, 1519 ] ], [ [ 1220, 25, 594 ], [ 594, 24, 1519 ] ], [ [ 1220, 23, 1384 ], [ 1384, 24, 1519 ] ], [ [ 1220, 24, 384 ], [ 384, 24, 1519 ] ], [ [ 1220, 24, 351 ], [ 351, 63, 1519 ] ], [ [ 1220, 24, 1040 ], [ 1040, 25, 1519 ] ], [ [ 1220, 24, 1135 ], [ 1135, 62, 1374 ], [ 1374, 24, 1519 ] ], [ [ 1220, 25, 594 ], [ 594, 63, 1374 ], [ 1374, 24, 1519 ] ], [ [ 1220, 23, 1384 ], [ 1384, 63, 594 ], [ 594, 24, 1519 ] ] ]
[ [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magaldrate" ], [ "Magaldrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{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}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Velpatasvir" ] ], [ [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magaldrate" ], [ "Magaldrate", "{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}", "Velpatasvir" ] ] ]
Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Velpatasvir Dexamethasone may lead to a major life threatening interaction when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Velpatasvir Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Magaldrate and Magaldrate may cause a moderate interaction that could exacerbate diseases when taken with Velpatasvir Dexamethasone 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 Velpatasvir Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Velpatasvir Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may lead to a major life threatening interaction when taken with Velpatasvir Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Abiraterone and Abiraterone may cause a moderate interaction that could exacerbate diseases when taken with Velpatasvir Dexamethasone may lead to a major life threatening interaction when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone and Abiraterone may cause a moderate interaction that could exacerbate diseases when taken with Velpatasvir Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Magaldrate and Magaldrate 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 Velpatasvir
DB00046
DB13873
1,179
1,534
[ "DDInter940", "DDInter719" ]
Insulin lispro
Fenofibric acid
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
Fenofibric acid is a lipid-lowering agent that is used in severe hypertriglyceridemia, primary hyperlipidemia, and mixed dyslipidemia. It works to decrease elevated low-density lipoprotein cholesterol, total cholesterol, triglycerides, apolipoprotein B, while increasing high-density lipoprotein cholesterol.[A32038,L12855] Due to its high hydrophilicity and poor absorption profile, prodrug ,[fenofibrate], and other conjugated compounds of fenofibric acid, such as choline fenofibrate, have been developed for improved solubility, gastrointestinal absorption, and bioavailability, and more convenient administration.[A32038,A193362]
Moderate
1
[ [ [ 1179, 24, 1534 ] ], [ [ 1179, 24, 959 ], [ 959, 24, 1534 ] ], [ [ 1179, 63, 305 ], [ 305, 24, 1534 ] ], [ [ 1179, 24, 959 ], [ 959, 63, 1685 ], [ 1685, 24, 1534 ] ], [ [ 1179, 63, 305 ], [ 305, 24, 267 ], [ 267, 24, 1534 ] ], [ [ 1179, 24, 1560 ], [ 1560, 24, 267 ], [ 267, 24, 1534 ] ], [ [ 1179, 24, 1411 ], [ 1411, 1, 959 ], [ 959, 24, 1534 ] ], [ [ 1179, 24, 245 ], [ 245, 40, 959 ], [ 959, 24, 1534 ] ], [ [ 1179, 24, 590 ], [ 590, 24, 1377 ], [ 1377, 25, 1534 ] ], [ [ 1179, 24, 959 ], [ 959, 63, 126 ], [ 126, 25, 1534 ] ] ]
[ [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenofibric acid" ] ], [ [ "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}", "Fenofibric acid" ] ], [ [ "Insulin lispro", "{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}", "Fenofibric acid" ] ], [ [ "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}", "Insulin human" ], [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenofibric acid" ] ], [ [ "Insulin lispro", "{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}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenofibric acid" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenofibric acid" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} (Compound) resembles {v} (Compound)", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenofibric acid" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} (Compound) resembles {v} (Compound)", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenofibric acid" ] ], [ [ "Insulin lispro", "{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}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenofibric acid" ] ], [ [ "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}", "Warfarin" ], [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenofibric acid" ] ] ]
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 Fenofibric acid Insulin lispro 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 Fenofibric acid 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 Insulin human and Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Fenofibric acid Insulin lispro 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 Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Fenofibric acid Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Fenofibric acid Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide (Compound) resembles Glipizide (Compound) and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Fenofibric acid Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride (Compound) resembles Glipizide (Compound) and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Fenofibric acid Insulin lispro 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 Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Fenofibric acid 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 Warfarin and Warfarin may lead to a major life threatening interaction when taken with Fenofibric acid
DB00350
DB01240
1,214
885
[ "DDInter1226", "DDInter657" ]
Minoxidil
Epoprostenol
A potent direct-acting peripheral vasodilator (vasodilator agents) that reduces peripheral resistance and produces a fall in blood pressure.
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.
Moderate
1
[ [ [ 1214, 24, 885 ] ], [ [ 1214, 24, 1061 ], [ 1061, 1, 885 ] ], [ [ 1214, 23, 402 ], [ 402, 23, 885 ] ], [ [ 1214, 24, 1450 ], [ 1450, 63, 885 ] ], [ [ 1214, 24, 1005 ], [ 1005, 24, 885 ] ], [ [ 1214, 64, 1000 ], [ 1000, 24, 885 ] ], [ [ 1214, 25, 1150 ], [ 1150, 24, 885 ] ], [ [ 1214, 63, 1648 ], [ 1648, 24, 885 ] ], [ [ 1214, 25, 876 ], [ 876, 25, 885 ] ], [ [ 1214, 24, 1061 ], [ 1061, 24, 642 ], [ 642, 24, 885 ] ] ]
[ [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} (Compound) resembles {v} (Compound)", "Epoprostenol" ] ], [ [ "Minoxidil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tadalafil" ], [ "Tadalafil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Epoprostenol" ] ], [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ], [ "Empagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Minoxidil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vardenafil" ], [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Minoxidil", "{u} may lead to a major life threatening interaction when taken with {v}", "Guanadrel" ], [ "Guanadrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Minoxidil", "{u} may lead to a major life threatening interaction when taken with {v}", "Guanethidine" ], [ "Guanethidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ], [ [ "Minoxidil", "{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}", "Epoprostenol" ] ], [ [ "Minoxidil", "{u} may lead to a major life threatening interaction when taken with {v}", "Tizanidine" ], [ "Tizanidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Epoprostenol" ] ], [ [ "Minoxidil", "{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}", "Alprostadil" ], [ "Alprostadil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ] ] ]
Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil (Compound) resembles Epoprostenol (Compound) Minoxidil may cause a minor interaction that can limit clinical effects when taken with Tadalafil and Tadalafil may cause a minor interaction that can limit clinical effects when taken with Epoprostenol Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin and Empagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol Minoxidil may cause a moderate interaction that could exacerbate diseases when taken with Vardenafil and Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol Minoxidil may lead to a major life threatening interaction when taken with Guanadrel and Guanadrel may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol Minoxidil may lead to a major life threatening interaction when taken with Guanethidine and Guanethidine may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol Minoxidil 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 Epoprostenol Minoxidil may lead to a major life threatening interaction when taken with Tizanidine and Tizanidine may lead to a major life threatening interaction when taken with Epoprostenol Minoxidil 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 Alprostadil and Alprostadil may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol
DB01309
DB01403
1,254
9
[ "DDInter933", "DDInter1175" ]
Insulin glulisine
Methotrimeprazine
Insulin glulisine is a short-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Insulin is typically prescribed for the management of diabetes mellitus to mimic the activity of endogenously produced human insulin, a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism. Insulin is released from the pancreas following a meal to promote the uptake of glucose from the blood into internal organs and tissues such as the liver, fat cells, and skeletal muscle. Absorption of glucose into cells allows for its transformation into glycogen or fat for storage. Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis 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
A phenothiazine with pharmacological activity similar to that of both chlorpromazine and promethazine. It has the histamine-antagonist properties of the antihistamines together with central nervous system effects resembling those of chlorpromazine. (From Martindale, The Extra Pharmacopoeia, 30th ed, p604)
Moderate
1
[ [ [ 1254, 24, 9 ] ], [ [ 1254, 63, 1178 ], [ 1178, 40, 9 ] ], [ [ 1254, 63, 401 ], [ 401, 24, 9 ] ], [ [ 1254, 63, 1630 ], [ 1630, 1, 9 ] ], [ [ 1254, 63, 417 ], [ 417, 23, 9 ] ], [ [ 1254, 24, 5 ], [ 5, 63, 9 ] ], [ [ 1254, 24, 22 ], [ 22, 24, 9 ] ], [ [ 1254, 62, 274 ], [ 274, 24, 9 ] ], [ [ 1254, 24, 1154 ], [ 1154, 64, 9 ] ], [ [ 1254, 62, 1621 ], [ 1621, 25, 9 ] ] ]
[ [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trifluoperazine" ], [ "Trifluoperazine", "{u} (Compound) resembles {v} (Compound)", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{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}", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ], [ "Perphenazine", "{u} (Compound) resembles {v} (Compound)", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{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}", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{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}", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{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}", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{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}", "Methotrimeprazine" ] ], [ [ "Insulin glulisine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Potassium chloride" ], [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Methotrimeprazine" ] ] ]
Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Trifluoperazine and Trifluoperazine (Compound) resembles Methotrimeprazine (Compound) Insulin glulisine 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 Methotrimeprazine Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine and Perphenazine (Compound) resembles Methotrimeprazine (Compound) Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Sucralfate and Sucralfate may cause a minor interaction that can limit clinical effects when taken with Methotrimeprazine Insulin glulisine 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 Methotrimeprazine Insulin glulisine 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 Methotrimeprazine Insulin glulisine 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 Methotrimeprazine Insulin glulisine 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 Methotrimeprazine Insulin glulisine may cause a minor interaction that can limit clinical effects when taken with Potassium chloride and Potassium chloride may lead to a major life threatening interaction when taken with Methotrimeprazine
DB00673
DB00705
723
441
[ "DDInter112", "DDInter496" ]
Aprepitant
Delavirdine
Aprepitant, an antiemetic, is a substance P/neurokinin 1 (NK1) receptor antagonist which, in combination with other antiemetic agents, is indicated for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy. Aprepitant is a selective high-affinity antagonist of human substance P/neurokinin 1 (NK1) receptors. Aprepitant has little or no affinity for serotonin (5-HT3), dopamine, and corticosteroid receptors, the targets of existing therapies for chemotherapy-induced nausea and vomiting (CI NV).
A potent, non-nucleoside reverse transcriptase inhibitor with activity specific for HIV-1.
Moderate
1
[ [ [ 723, 24, 441 ] ], [ [ 723, 6, 21998 ], [ 21998, 45, 441 ] ], [ [ 723, 21, 28709 ], [ 28709, 60, 441 ] ], [ [ 723, 63, 63 ], [ 63, 23, 441 ] ], [ [ 723, 23, 466 ], [ 466, 62, 441 ] ], [ [ 723, 24, 896 ], [ 896, 62, 441 ] ], [ [ 723, 24, 868 ], [ 868, 63, 441 ] ], [ [ 723, 63, 251 ], [ 251, 24, 441 ] ], [ [ 723, 62, 1101 ], [ 1101, 24, 441 ] ], [ [ 723, 24, 126 ], [ 126, 24, 441 ] ] ]
[ [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delavirdine" ] ], [ [ "Aprepitant", "{u} (Compound) binds {v} (Gene)", "CYP3A7-CYP3A51P" ], [ "CYP3A7-CYP3A51P", "{u} (Gene) is bound by {v} (Compound)", "Delavirdine" ] ], [ [ "Aprepitant", "{u} (Compound) causes {v} (Side Effect)", "Decreased appetite" ], [ "Decreased appetite", "{u} (Side Effect) is caused by {v} (Compound)", "Delavirdine" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delavirdine" ] ], [ [ "Aprepitant", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delavirdine" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etoposide" ], [ "Etoposide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delavirdine" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delavirdine" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delavirdine" ] ], [ [ "Aprepitant", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delavirdine" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delavirdine" ] ] ]
Aprepitant (Compound) binds CYP3A7-CYP3A51P (Gene) and CYP3A7-CYP3A51P (Gene) is bound by Delavirdine (Compound) Aprepitant (Compound) causes Decreased appetite (Side Effect) and Decreased appetite (Side Effect) is caused by Delavirdine (Compound) Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Teniposide and Teniposide may cause a minor interaction that can limit clinical effects when taken with Delavirdine Aprepitant may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Delavirdine Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Etoposide and Etoposide may cause a minor interaction that can limit clinical effects when taken with Delavirdine Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Delavirdine Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Delavirdine Aprepitant may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Delavirdine Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Delavirdine
DB06212
DB09039
165
1,670
[ "DDInter1833", "DDInter629" ]
Tolvaptan
Eliglustat
Tolvaptan is used to treat low blood sodium levels (hyponatremia) associated with various conditions like congestive heart failure, cirrhosis, and syndrome of inappropriate antidiuretic hormones (SIADH). FDA approved on May 19, 2009.
Eliglustat is a glucosylceramide synthase inhibitor used for the long-term treatment of type 1 Gaucher disease.[A3752,L41404] Gaucher disease is a rare genetic disorder characterized by the deficiency of acid β-glucosidase, an enzyme that converts glucosylceramide into glucose and ceramide. In patients with Gaucher disease, the accumulation of glucosylceramide leads to the formation of Gaucher cells that infiltrate the liver, spleen, bone marrow and other organs. This leads to complications such as anemia and thrombocytopenia.[L41404,A246384] By inhibiting glucosylceramide synthase, eliglustat reduces the accumulation of glucosylceramide. Eliglustat is mainly metabolized by CYP2D6. Patients selected for eliglustat treatment undergo an FDA-cleared genotyping test to establish if they are CYP2D6 extensive metabolizers (EMs), intermediate metabolizers (IMs), or poor metabolizers (PMs). The results of this test dictate eliglustat dosing recommendations for each type of patient. There are no dosing recommendations for CYP2D6 ultra-rapid or indeterminate metabolizers.[L41404,A7634] Eliglustat was approved by the FDA in August 2014 as an oral substrate reduction therapy for the first-line treatment of type 1 Gaucher disease.[L41404,A7634] Enzyme replacement continues to be the standard of care for the treatment of type 1 Gaucher disease ([imiglucerase], [velaglucerase alfa], [taliglucerase alfa]); however, oral substrate reduction therapies with favourable safety profiles, such as eliglustat, represent a treatment alternative.[A246389,A7634]
Moderate
1
[ [ [ 165, 24, 1670 ] ], [ [ 165, 23, 1135 ], [ 1135, 62, 1670 ] ], [ [ 165, 24, 1409 ], [ 1409, 24, 1670 ] ], [ [ 165, 63, 322 ], [ 322, 24, 1670 ] ], [ [ 165, 24, 1499 ], [ 1499, 63, 1670 ] ], [ [ 165, 40, 522 ], [ 522, 24, 1670 ] ], [ [ 165, 63, 86 ], [ 86, 25, 1670 ] ], [ [ 165, 40, 1080 ], [ 1080, 25, 1670 ] ], [ [ 165, 24, 283 ], [ 283, 64, 1670 ] ], [ [ 165, 25, 913 ], [ 913, 64, 1670 ] ] ]
[ [ [ "Tolvaptan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Tolvaptan", "{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}", "Eliglustat" ] ], [ [ "Tolvaptan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Tolvaptan", "{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}", "Eliglustat" ] ], [ [ "Tolvaptan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naldemedine" ], [ "Naldemedine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Tolvaptan", "{u} (Compound) resembles {v} (Compound)", "Zafirlukast" ], [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ] ], [ [ "Tolvaptan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ], [ "Miconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Eliglustat" ] ], [ [ "Tolvaptan", "{u} (Compound) resembles {v} (Compound)", "Conivaptan" ], [ "Conivaptan", "{u} may lead to a major life threatening interaction when taken with {v}", "Eliglustat" ] ], [ [ "Tolvaptan", "{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}", "Eliglustat" ] ], [ [ "Tolvaptan", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Eliglustat" ] ] ]
Tolvaptan 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 Eliglustat Tolvaptan may cause a moderate interaction that could exacerbate diseases when taken with Apixaban and Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat Tolvaptan 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 Eliglustat Tolvaptan may cause a moderate interaction that could exacerbate diseases when taken with Naldemedine and Naldemedine may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat Tolvaptan (Compound) resembles Zafirlukast (Compound) and Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat Tolvaptan may cause a moderate interaction that could exacerbate diseases when taken with Miconazole and Miconazole may lead to a major life threatening interaction when taken with Eliglustat Tolvaptan (Compound) resembles Conivaptan (Compound) and Conivaptan may lead to a major life threatening interaction when taken with Eliglustat Tolvaptan 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 Eliglustat Tolvaptan may lead to a major life threatening interaction when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Eliglustat
DB00065
DB00262
581
552
[ "DDInter923", "DDInter302" ]
Infliximab
Carmustine
Infliximab is a tumor necrosis factor (TNF-alpha or TNF-α) blocker and a chimeric monoclonal IgG1 antibody composed of human constant (75%) and murine variable (25%) regions. Infliximab is produced by a recombinant cell line cultured by continuous perfusion. Tumor necrosis factor-alpha (TNF-α) is a key proinflammatory cytokine involved in chronic inflammatory diseases. Its hyperactivity and enhanced signalling pathways can be observed in inflammatory diseases where it activates further pro-inflammatory cascades. By binding to both the soluble subunit and the membrane-bound precursor of TNF-α, infliximab disrupts the interaction of TNF-α with its receptors and may also cause lysis of cells that produce TNF-α. Infliximab was first approved by the FDA in 1998 under the market name Remicade as an intravenous injection. It is indicated for the treatment
A cell-cycle phase nonspecific alkylating antineoplastic agent. It is used in the treatment of brain tumors and various other malignant neoplasms. (From Martindale, The Extra Pharmacopoeia, 30th ed, p462) This substance may reasonably be anticipated to be a carcinogen according to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (From Merck Index, 11th ed)
Major
2
[ [ [ 581, 25, 552 ] ], [ [ 581, 25, 377 ], [ 377, 63, 552 ] ], [ [ 581, 24, 697 ], [ 697, 63, 552 ] ], [ [ 581, 64, 305 ], [ 305, 24, 552 ] ], [ [ 581, 63, 912 ], [ 912, 24, 552 ] ], [ [ 581, 24, 599 ], [ 599, 24, 552 ] ], [ [ 581, 23, 1461 ], [ 1461, 24, 552 ] ], [ [ 581, 25, 1624 ], [ 1624, 64, 552 ] ], [ [ 581, 25, 1064 ], [ 1064, 25, 552 ] ], [ [ 581, 64, 1057 ], [ 1057, 25, 552 ] ] ]
[ [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Carmustine" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Asparaginase Escherichia coli" ], [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon beta-1a" ], [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ] ], [ [ "Infliximab", "{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}", "Carmustine" ] ], [ [ "Infliximab", "{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}", "Carmustine" ] ], [ [ "Infliximab", "{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}", "Carmustine" ] ], [ [ "Infliximab", "{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}", "Carmustine" ] ], [ [ "Infliximab", "{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}", "Carmustine" ] ] ]
Infliximab may lead to a major life threatening interaction when taken with Mitomycin and Mitomycin may cause a moderate interaction that could exacerbate diseases when taken with Carmustine Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Carmustine Infliximab may lead to a major life threatening interaction when taken with Asparaginase Escherichia coli and Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Carmustine Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Interferon beta-1a and Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Carmustine Infliximab 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 Carmustine Infliximab 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 Carmustine Infliximab 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 Carmustine Infliximab 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 Carmustine Infliximab 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 Carmustine
DB09075
DB11793
498
738
[ "DDInter621", "DDInter1297" ]
Edoxaban
Niraparib
Edoxaban is a member of the Novel Oral Anti-Coagulants (NOACs) class of drugs, and is a rapidly acting, oral, selective factor Xa inhibitor. By inhibiting factor Xa, a key protein in the coagulation cascade, edoxaban prevents the stepwise amplification of protein factors needed to form blood clots. It is indicated to reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF) and for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5-10 days of initial therapy with a parenteral anticoagulant. Traditionally, warfarin, a vitamin K antagonist, was used for stroke prevention in these individuals but effective use of this drug is limited by it's delayed onset, narrow therapeutic window, need for regular monitoring and INR testing, and numerous drug-drug and
Niraparib is an orally active poly (ADP-ribose) polymerase (PARP) inhibitor. By blocking the enzymes responsible for DNA repair, niraparib induces cytotoxicity in cancer cells. Niraparib is selective towards PARP-1 and PARP-2. First approved by the FDA on March 27, 2017, niraparib is used to treat epithelial ovarian, fallopian tube, or primary peritoneal cancer. Niraparib was approved by the European Commission on November 16, 2017 and by Health Canada on June 27, 2019.
Moderate
1
[ [ [ 498, 24, 738 ] ], [ [ 498, 64, 1213 ], [ 1213, 24, 738 ] ], [ [ 498, 25, 1033 ], [ 1033, 63, 738 ] ], [ [ 498, 63, 759 ], [ 759, 24, 738 ] ], [ [ 498, 24, 214 ], [ 214, 63, 738 ] ], [ [ 498, 25, 1155 ], [ 1155, 24, 738 ] ], [ [ 498, 24, 1456 ], [ 1456, 24, 738 ] ], [ [ 498, 64, 1213 ], [ 1213, 63, 1253 ], [ 1253, 24, 738 ] ], [ [ 498, 25, 1033 ], [ 1033, 24, 466 ], [ 466, 63, 738 ] ], [ [ 498, 64, 1578 ], [ 1578, 25, 1213 ], [ 1213, 24, 738 ] ] ]
[ [ [ "Edoxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Edoxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ], [ "Primidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Edoxaban", "{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}", "Niraparib" ] ], [ [ "Edoxaban", "{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}", "Niraparib" ] ], [ [ "Edoxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palifermin" ], [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Edoxaban", "{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}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ] ]
Edoxaban may lead to a major life threatening interaction when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Edoxaban may lead to a major life threatening interaction when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Edoxaban may cause a moderate interaction that could exacerbate diseases when taken with Primidone and Primidone may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Edoxaban 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 Niraparib Edoxaban 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 Niraparib Edoxaban may cause a moderate interaction that could exacerbate diseases when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Edoxaban may lead to a major life threatening interaction when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Palifermin and Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Edoxaban may lead to a major life threatening interaction when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Edoxaban 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 Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib
DB01268
DB06288
1,151
607
[ "DDInter1731", "DDInter77" ]
Sunitinib
Amisulpride
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.
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 and vomiting in adults, either as monotherapy or in combination with another antiemetic agent of a different drug class. It is marketed under the brand name Barhemsys.
Major
2
[ [ [ 1151, 25, 607 ] ], [ [ 1151, 21, 28785 ], [ 28785, 60, 607 ] ], [ [ 1151, 62, 112 ], [ 112, 23, 607 ] ], [ [ 1151, 63, 1559 ], [ 1559, 24, 607 ] ], [ [ 1151, 24, 1383 ], [ 1383, 63, 607 ] ], [ [ 1151, 25, 351 ], [ 351, 64, 607 ] ], [ [ 1151, 63, 401 ], [ 401, 25, 607 ] ], [ [ 1151, 64, 1166 ], [ 1166, 25, 607 ] ], [ [ 1151, 24, 823 ], [ 823, 64, 607 ] ], [ [ 1151, 24, 1374 ], [ 1374, 25, 607 ] ] ]
[ [ [ "Sunitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Amisulpride" ] ], [ [ "Sunitinib", "{u} (Compound) causes {v} (Side Effect)", "Muscle spasms" ], [ "Muscle spasms", "{u} (Side Effect) is caused by {v} (Compound)", "Amisulpride" ] ], [ [ "Sunitinib", "{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}", "Amisulpride" ] ], [ [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amisulpride" ] ], [ [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ], [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amisulpride" ] ], [ [ "Sunitinib", "{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}", "Amisulpride" ] ], [ [ "Sunitinib", "{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}", "Amisulpride" ] ], [ [ "Sunitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dolasetron" ], [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Amisulpride" ] ], [ [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ], [ "Triclabendazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Amisulpride" ] ], [ [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may lead to a major life threatening interaction when taken with {v}", "Amisulpride" ] ] ]
Sunitinib (Compound) causes Muscle spasms (Side Effect) and Muscle spasms (Side Effect) is caused by Amisulpride (Compound) Sunitinib 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 Amisulpride Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Amisulpride Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate and Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Amisulpride Sunitinib 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 Amisulpride Sunitinib 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 Amisulpride Sunitinib may lead to a major life threatening interaction when taken with Dolasetron and Dolasetron may lead to a major life threatening interaction when taken with Amisulpride Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole and Triclabendazole may lead to a major life threatening interaction when taken with Amisulpride Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone and Abiraterone may lead to a major life threatening interaction when taken with Amisulpride
DB00065
DB00900
581
45
[ "DDInter923", "DDInter544" ]
Infliximab
Didanosine
Infliximab is a tumor necrosis factor (TNF-alpha or TNF-α) blocker and a chimeric monoclonal IgG1 antibody composed of human constant (75%) and murine variable (25%) regions. Infliximab is produced by a recombinant cell line cultured by continuous perfusion. Tumor necrosis factor-alpha (TNF-α) is a key proinflammatory cytokine involved in chronic inflammatory diseases. Its hyperactivity and enhanced signalling pathways can be observed in inflammatory diseases where it activates further pro-inflammatory cascades. By binding to both the soluble subunit and the membrane-bound precursor of TNF-α, infliximab disrupts the interaction of TNF-α with its receptors and may also cause lysis of cells that produce TNF-α. Infliximab was first approved by the FDA in 1998 under the market name Remicade as an intravenous injection. It is indicated for the treatment
A dideoxynucleoside compound in which the 3'-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
[ [ [ 581, 24, 45 ] ], [ [ 581, 25, 36 ], [ 36, 63, 45 ] ], [ [ 581, 63, 491 ], [ 491, 24, 45 ] ], [ [ 581, 25, 482 ], [ 482, 24, 45 ] ], [ [ 581, 24, 1593 ], [ 1593, 63, 45 ] ], [ [ 581, 64, 1057 ], [ 1057, 24, 45 ] ], [ [ 581, 24, 267 ], [ 267, 24, 45 ] ], [ [ 581, 25, 995 ], [ 995, 64, 45 ] ], [ [ 581, 25, 1101 ], [ 1101, 25, 45 ] ], [ [ 581, 25, 36 ], [ 36, 64, 1292 ], [ 1292, 63, 45 ] ] ]
[ [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Eribulin" ], [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ], [ [ "Infliximab", "{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" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ], [ [ "Infliximab", "{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" ] ], [ [ "Infliximab", "{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}", "Didanosine" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxyurea" ], [ "Hydroxyurea", "{u} may lead to a major life threatening interaction when taken with {v}", "Didanosine" ] ], [ [ "Infliximab", "{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" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Eribulin" ], [ "Eribulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ], [ "Deferiprone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ] ] ]
Infliximab may lead to a major life threatening interaction when taken with Eribulin and Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Didanosine Infliximab 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 Infliximab may lead to a major life threatening interaction when taken with Tioguanine and Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Didanosine Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Didanosine Infliximab 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 Infliximab 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 Didanosine Infliximab may lead to a major life threatening interaction when taken with Hydroxyurea and Hydroxyurea may lead to a major life threatening interaction when taken with Didanosine Infliximab 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 Infliximab may lead to a major life threatening interaction when taken with Eribulin and Eribulin may lead to a major life threatening interaction when taken with Deferiprone and Deferiprone may cause a moderate interaction that could exacerbate diseases when taken with Didanosine
DB00026
DB08871
1,184
36
[ "DDInter94", "DDInter666" ]
Anakinra
Eribulin
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 _
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 .
Moderate
1
[ [ [ 1184, 24, 36 ] ], [ [ 1184, 24, 221 ], [ 221, 63, 36 ] ], [ [ 1184, 24, 1463 ], [ 1463, 24, 36 ] ], [ [ 1184, 23, 1461 ], [ 1461, 24, 36 ] ], [ [ 1184, 25, 980 ], [ 980, 24, 36 ] ], [ [ 1184, 25, 1510 ], [ 1510, 64, 36 ] ], [ [ 1184, 24, 494 ], [ 494, 25, 36 ] ], [ [ 1184, 25, 1011 ], [ 1011, 25, 36 ] ], [ [ 1184, 24, 985 ], [ 985, 64, 36 ] ], [ [ 1184, 64, 1057 ], [ 1057, 25, 36 ] ] ]
[ [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ] ], [ [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Poliovirus type 1 antigen (formaldehyde inactivated)" ], [ "Poliovirus type 1 antigen (formaldehyde inactivated)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ] ], [ [ "Anakinra", "{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}", "Eribulin" ] ], [ [ "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}", "Eribulin" ] ], [ [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Tocilizumab" ], [ "Tocilizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ] ], [ [ "Anakinra", "{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}", "Eribulin" ] ], [ [ "Anakinra", "{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}", "Eribulin" ] ], [ [ "Anakinra", "{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}", "Eribulin" ] ], [ [ "Anakinra", "{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}", "Eribulin" ] ], [ [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Eribulin" ] ] ]
Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Poliovirus type 1 antigen (formaldehyde inactivated) and Poliovirus type 1 antigen (formaldehyde inactivated) may cause a moderate interaction that could exacerbate diseases when taken with Eribulin Anakinra 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 Eribulin 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 Eribulin Anakinra may lead to a major life threatening interaction when taken with Tocilizumab and Tocilizumab may cause a moderate interaction that could exacerbate diseases when taken with Eribulin Anakinra 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 Eribulin Anakinra 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 Eribulin Anakinra 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 Eribulin Anakinra 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 Eribulin Anakinra may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Eribulin
DB00445
DB12141
322
971
[ "DDInter655", "DDInter817" ]
Epirubicin
Gilteritinib
An anthracycline which is the 4'-epi-isomer of doxorubicin. The compound exerts its antitumor effects by interference with the synthesis and function of DNA.
Gilteritinib, also known as ASP2215, is a small molecule part of the FLT3 tyrosine kinase inhibitors that presented a greater selectivity and potency when compared with other agents from this group. It is a pyrazinecarboxamide derivative that showed high selectivity to FLT3 preventing the c-Kit -driven myelosuppression observed in other therapies. Gilteritinib was developed by Astellas Pharma and FDA approved on November 28, 2018. This drug was approved after being designed as an orphan drug with a fast track and priority review status.
Moderate
1
[ [ [ 322, 24, 971 ] ], [ [ 322, 23, 1247 ], [ 1247, 23, 971 ] ], [ [ 322, 24, 485 ], [ 485, 24, 971 ] ], [ [ 322, 24, 730 ], [ 730, 63, 971 ] ], [ [ 322, 63, 1100 ], [ 1100, 24, 971 ] ], [ [ 322, 35, 51 ], [ 51, 24, 971 ] ], [ [ 322, 64, 1064 ], [ 1064, 24, 971 ] ], [ [ 322, 23, 739 ], [ 739, 24, 971 ] ], [ [ 322, 25, 752 ], [ 752, 24, 971 ] ], [ [ 322, 25, 540 ], [ 540, 25, 971 ] ] ]
[ [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Epirubicin", "{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}", "Gilteritinib" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ], [ "Deutetrabenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venlafaxine" ], [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Epirubicin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Epirubicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Epirubicin", "{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}", "Gilteritinib" ] ] ]
Epirubicin 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 Gilteritinib Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine and Deutetrabenazine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Venlafaxine and Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Epirubicin (Compound) resembles Daunorubicin (Compound) and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Epirubicin may lead to a major life threatening interaction when taken with Cladribine and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Epirubicin may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin and Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Epirubicin may lead to a major life threatening interaction when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Epirubicin 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 Gilteritinib
DB00193
DB00501
534
752
[ "DDInter1841", "DDInter380" ]
Tramadol
Cimetidine
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
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.
Moderate
1
[ [ [ 534, 24, 752 ] ], [ [ 534, 6, 8374 ], [ 8374, 45, 752 ] ], [ [ 534, 21, 29134 ], [ 29134, 60, 752 ] ], [ [ 534, 23, 112 ], [ 112, 62, 752 ] ], [ [ 534, 24, 256 ], [ 256, 62, 752 ] ], [ [ 534, 25, 1166 ], [ 1166, 62, 752 ] ], [ [ 534, 24, 1424 ], [ 1424, 23, 752 ] ], [ [ 534, 1, 1100 ], [ 1100, 23, 752 ] ], [ [ 534, 24, 124 ], [ 124, 63, 752 ] ], [ [ 534, 25, 1487 ], [ 1487, 63, 752 ] ] ]
[ [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ] ], [ [ "Tramadol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Cimetidine" ] ], [ [ "Tramadol", "{u} (Compound) causes {v} (Side Effect)", "Flatulence" ], [ "Flatulence", "{u} (Side Effect) is caused by {v} (Compound)", "Cimetidine" ] ], [ [ "Tramadol", "{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}", "Cimetidine" ] ], [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ], [ "Prasugrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Dolasetron" ], [ "Dolasetron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ] ], [ [ "Tramadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ] ], [ [ "Tramadol", "{u} (Compound) resembles {v} (Compound)", "Venlafaxine" ], [ "Venlafaxine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ] ], [ [ "Tramadol", "{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}", "Cimetidine" ] ], [ [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ] ] ]
Tramadol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Cimetidine (Compound) Tramadol (Compound) causes Flatulence (Side Effect) and Flatulence (Side Effect) is caused by Cimetidine (Compound) Tramadol 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 Cimetidine Tramadol may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel and Prasugrel may cause a minor interaction that can limit clinical effects when taken with Cimetidine Tramadol may lead to a major life threatening interaction when taken with Dolasetron and Dolasetron may cause a minor interaction that can limit clinical effects when taken with Cimetidine Tramadol may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may cause a minor interaction that can limit clinical effects when taken with Cimetidine Tramadol (Compound) resembles Venlafaxine (Compound) and Venlafaxine may cause a minor interaction that can limit clinical effects when taken with Cimetidine Tramadol 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 Cimetidine Tramadol may lead to a major life threatening interaction when taken with Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine
DB00307
DB01097
1,101
1,377
[ "DDInter202", "DDInter1033" ]
Bexarotene
Leflunomide
Bexarotene (Targretin) is an antineoplastic agent indicated by the FDA for Cutaneous T cell lymphoma. It has been used off-label for lung cancer, breast cancer, and Kaposi's sarcoma.
Leflunomide is a pyrimidine synthesis inhibitor belonging to the DMARD (disease-modifying antirheumatic drug) class of drugs, which are chemically and pharmacologically very heterogeneous. Leflunomide was approved by FDA and in many other countries (e.g., Canada, Europe) in 1999.
Major
2
[ [ [ 1101, 25, 1377 ] ], [ [ 1101, 6, 6017 ], [ 6017, 45, 1377 ] ], [ [ 1101, 21, 30543 ], [ 30543, 60, 1377 ] ], [ [ 1101, 24, 949 ], [ 949, 63, 1377 ] ], [ [ 1101, 24, 563 ], [ 563, 24, 1377 ] ], [ [ 1101, 23, 597 ], [ 597, 24, 1377 ] ], [ [ 1101, 63, 245 ], [ 245, 24, 1377 ] ], [ [ 1101, 23, 655 ], [ 655, 63, 1377 ] ], [ [ 1101, 25, 1622 ], [ 1622, 25, 1377 ] ], [ [ 1101, 24, 1491 ], [ 1491, 64, 1377 ] ] ]
[ [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Bexarotene", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Leflunomide" ] ], [ [ "Bexarotene", "{u} (Compound) causes {v} (Side Effect)", "Skin nodule" ], [ "Skin nodule", "{u} (Side Effect) is caused by {v} (Compound)", "Leflunomide" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clostridium tetani toxoid antigen (formaldehyde inactivated)" ], [ "Clostridium tetani toxoid antigen (formaldehyde inactivated)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ganciclovir" ], [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ] ], [ [ "Bexarotene", "{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}", "Leflunomide" ] ], [ [ "Bexarotene", "{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}", "Leflunomide" ] ], [ [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Etravirine" ], [ "Etravirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ] ]
Bexarotene (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Leflunomide (Compound) Bexarotene (Compound) causes Skin nodule (Side Effect) and Skin nodule (Side Effect) is caused by Leflunomide (Compound) Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Clostridium tetani toxoid antigen (formaldehyde inactivated) and Clostridium tetani toxoid antigen (formaldehyde inactivated) may cause a moderate interaction that could exacerbate diseases when taken with Leflunomide Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Ganciclovir and Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Leflunomide Bexarotene 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 Leflunomide Bexarotene 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 Leflunomide Bexarotene may cause a minor interaction that can limit clinical effects when taken with Etravirine and Etravirine may cause a moderate interaction that could exacerbate diseases when taken with Leflunomide Bexarotene may lead to a major life threatening interaction when taken with Voriconazole and Voriconazole may lead to a major life threatening interaction when taken with Leflunomide Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin and Midostaurin may lead to a major life threatening interaction when taken with Leflunomide
DB00356
DB11186
1,315
1,609
[ "DDInter366", "DDInter1427" ]
Chlorzoxazone
Pentoxyverine
A centrally acting central muscle relaxant with sedative properties. It is claimed to inhibit muscle spasm by exerting an effect primarily at the level of the spinal cord and subcortical areas of the brain. (From Martindale, The Extra Pharmacopoea, 30th ed, p1202)
Pentoxyverine, also referred to as carbetapentane, is a non-opioid central acting antitussive with antimuscarinic, anticonvulsant , and local anesthetic properties. It is an active ingredient in over-the-counter cough suppressants in combination with guaifenesin and H1-receptor antagonists . Pentoxyverine acts on sigma-1 receptors, as well as kappa and mu-opioid receptors. The FDA withdrew the use of all oral gel drug products containing pentoxyverine citrate. Other forms of pentoxyverine citrate continue to be marketed.
Moderate
1
[ [ [ 1315, 24, 1609 ] ], [ [ 1315, 24, 649 ], [ 649, 24, 1609 ] ], [ [ 1315, 63, 701 ], [ 701, 24, 1609 ] ], [ [ 1315, 64, 475 ], [ 475, 24, 1609 ] ], [ [ 1315, 24, 649 ], [ 649, 63, 314 ], [ 314, 24, 1609 ] ], [ [ 1315, 24, 506 ], [ 506, 24, 314 ], [ 314, 24, 1609 ] ], [ [ 1315, 63, 701 ], [ 701, 24, 314 ], [ 314, 24, 1609 ] ], [ [ 1315, 64, 475 ], [ 475, 25, 314 ], [ 314, 24, 1609 ] ], [ [ 1315, 24, 407 ], [ 407, 64, 314 ], [ 314, 24, 1609 ] ], [ [ 1315, 6, 8717 ], [ 8717, 45, 697 ], [ 697, 24, 1609 ] ] ]
[ [ [ "Chlorzoxazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{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}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{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}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{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}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may lead to a major life threatening interaction when taken with {v}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Chlorzoxazone", "{u} (Compound) binds {v} (Gene)", "CYP2A6" ], [ "CYP2A6", "{u} (Gene) is bound by {v} (Compound)", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ] ]
Chlorzoxazone may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Chlorzoxazone 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 Pentoxyverine Chlorzoxazone 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 Pentoxyverine Chlorzoxazone may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Chlorzoxazone may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Chlorzoxazone 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 Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Chlorzoxazone may lead to a major life threatening interaction when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Chlorzoxazone may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may lead to a major life threatening interaction when taken with Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Chlorzoxazone (Compound) binds CYP2A6 (Gene) and CYP2A6 (Gene) is bound by Phenobarbital (Compound) and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine
DB00281
DB00683
608
1,382
[ "DDInter1066", "DDInter1212" ]
Lidocaine
Midazolam
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
Midazolam is a short-acting hypnotic-sedative drug with anxiolytic, muscle relaxant, anticonvulsant, sedative, hypnotic, and amnesic properties. It belongs to a class of drugs called _benzodiazepines_. This drug is unique from others in this class due to its rapid onset of effects and short duration of action. Midazolam is available by oral, rectal, intranasal, intramuscular (IM), and intravenous (IV) routes and has been used in various biomedical applications, including dentistry, cardiac surgery, and endoscopic procedures as pre-anesthetic medication, and as an adjunct to local anesthesia. This drug was initially approved by the US FDA in 1985, and has been approved for various indications since. In late 2018, the intramuscular preparation was approved by the FDA for the treatment of status epilepticus in adults. In May 2019, the nasal spray of midazolam was approved for the acute treatment of distinctive intermittent, stereotypic seizure episodes in patients 12 years of age and older. Midazolam is considered a schedule IV drug in the United States due to the low potential for abuse and low risk of dependence.
Moderate
1
[ [ [ 608, 24, 1382 ] ], [ [ 608, 24, 1216 ], [ 1216, 40, 1382 ] ], [ [ 608, 63, 905 ], [ 905, 40, 1382 ] ], [ [ 608, 6, 8374 ], [ 8374, 45, 1382 ] ], [ [ 608, 21, 28691 ], [ 28691, 60, 1382 ] ], [ [ 608, 23, 1220 ], [ 1220, 62, 1382 ] ], [ [ 608, 24, 1093 ], [ 1093, 63, 1382 ] ], [ [ 608, 24, 752 ], [ 752, 24, 1382 ] ], [ [ 608, 23, 1040 ], [ 1040, 63, 1382 ] ], [ [ 608, 62, 1324 ], [ 1324, 24, 1382 ] ] ]
[ [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midazolam" ] ], [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurazepam" ], [ "Flurazepam", "{u} (Compound) resembles {v} (Compound)", "Midazolam" ] ], [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorazepam" ], [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Midazolam" ] ], [ [ "Lidocaine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Midazolam" ] ], [ [ "Lidocaine", "{u} (Compound) causes {v} (Side Effect)", "Somnolence" ], [ "Somnolence", "{u} (Side Effect) is caused by {v} (Compound)", "Midazolam" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Midazolam" ] ], [ [ "Lidocaine", "{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}", "Midazolam" ] ], [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midazolam" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midazolam" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midazolam" ] ] ]
Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Flurazepam and Flurazepam (Compound) resembles Midazolam (Compound) Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Lorazepam and Lorazepam (Compound) resembles Midazolam (Compound) Lidocaine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Midazolam (Compound) Lidocaine (Compound) causes Somnolence (Side Effect) and Somnolence (Side Effect) is caused by Midazolam (Compound) Lidocaine may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Midazolam Lidocaine 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 Midazolam Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Midazolam Lidocaine may cause a minor interaction that can limit clinical effects when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Midazolam Lidocaine may cause a minor interaction that can limit clinical effects when taken with Troglitazone and Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Midazolam
DB00808
DB01169
1,605
57
[ "DDInter916", "DDInter120" ]
Indapamide
Arsenic trioxide
The most significant modifiable risk factor for cardiovascular disease and the most prominent contributor to all-cause mortality is hypertension. Characterized by an office blood pressure of ≥140/90, hypertension is pervasive and impacts an estimated 25% of adults globally. Treatment for hypertension should include a number of lifestyle changes (ie. reduced sodium intake) along with pharmacotherapy - it should be noted that treatment with several antihypertensive agents may be required in order to achieve blood pressure targets. Thiazide-like diuretics such as indapamide are a valuable tool for the treatment of hypertension and continue to grow in popularity, falling behind only ACE inhibitors in terms of prescription frequency. When compared to [hydrochlorothiazide] (another commonly prescribed diuretic), indapamide has been shown to be superior at lowering systolic blood pressure, reducing left ventricular mass index, lowering oxidative stress, inhibiting platelet aggregation, and reducing microalbuminuria associated with diabetes. Interestingly,
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.
Major
2
[ [ [ 1605, 25, 57 ] ], [ [ 1605, 6, 8374 ], [ 8374, 45, 57 ] ], [ [ 1605, 24, 603 ], [ 603, 63, 57 ] ], [ [ 1605, 24, 480 ], [ 480, 24, 57 ] ], [ [ 1605, 63, 355 ], [ 355, 24, 57 ] ], [ [ 1605, 40, 811 ], [ 811, 25, 57 ] ], [ [ 1605, 63, 167 ], [ 167, 25, 57 ] ], [ [ 1605, 64, 1425 ], [ 1425, 25, 57 ] ], [ [ 1605, 24, 1674 ], [ 1674, 25, 57 ] ], [ [ 1605, 24, 820 ], [ 820, 64, 57 ] ] ]
[ [ [ "Indapamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ] ], [ [ "Indapamide", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Arsenic trioxide" ] ], [ [ "Indapamide", "{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}", "Arsenic trioxide" ] ], [ [ "Indapamide", "{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}", "Arsenic trioxide" ] ], [ [ "Indapamide", "{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}", "Arsenic trioxide" ] ], [ [ "Indapamide", "{u} (Compound) resembles {v} (Compound)", "Metolazone" ], [ "Metolazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ] ], [ [ "Indapamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ] ], [ [ "Indapamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cisapride" ], [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ] ], [ [ "Indapamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ] ], [ [ "Indapamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ] ] ]
Indapamide (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Arsenic trioxide (Compound) Indapamide 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 Arsenic trioxide Indapamide 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 Arsenic trioxide Indapamide 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 Arsenic trioxide Indapamide (Compound) resembles Metolazone (Compound) and Metolazone may lead to a major life threatening interaction when taken with Arsenic trioxide Indapamide may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone may lead to a major life threatening interaction when taken with Arsenic trioxide Indapamide may lead to a major life threatening interaction when taken with Cisapride and Cisapride may lead to a major life threatening interaction when taken with Arsenic trioxide Indapamide may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may lead to a major life threatening interaction when taken with Arsenic trioxide Indapamide may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may lead to a major life threatening interaction when taken with Arsenic trioxide
DB01234
DB11986
1,220
484
[ "DDInter513", "DDInter648" ]
Dexamethasone
Entrectinib
Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like [hydrocortisone] and [prednisolone]. Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.
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.
Major
2
[ [ [ 1220, 25, 484 ] ], [ [ 1220, 23, 271 ], [ 271, 23, 484 ] ], [ [ 1220, 25, 466 ], [ 466, 62, 484 ] ], [ [ 1220, 24, 1135 ], [ 1135, 23, 484 ] ], [ [ 1220, 64, 1539 ], [ 1539, 24, 484 ] ], [ [ 1220, 62, 510 ], [ 510, 24, 484 ] ], [ [ 1220, 24, 1662 ], [ 1662, 24, 484 ] ], [ [ 1220, 63, 998 ], [ 998, 24, 484 ] ], [ [ 1220, 25, 180 ], [ 180, 63, 484 ] ], [ [ 1220, 24, 1412 ], [ 1412, 63, 484 ] ] ]
[ [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ] ], [ [ "Dexamethasone", "{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}", "Entrectinib" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ] ], [ [ "Dexamethasone", "{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}", "Entrectinib" ] ], [ [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Albendazole" ], [ "Albendazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Dexamethasone", "{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}", "Entrectinib" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Oliceridine" ], [ "Oliceridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ] ], [ [ "Dexamethasone", "{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}", "Entrectinib" ] ] ]
Dexamethasone 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 Entrectinib Dexamethasone may lead to a major life threatening interaction when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Entrectinib Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Entrectinib Dexamethasone 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 Entrectinib Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Albendazole and Albendazole may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Dexamethasone 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 Entrectinib Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone and Phenylbutazone may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Dexamethasone may lead to a major life threatening interaction when taken with Oliceridine and Oliceridine may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib Dexamethasone 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 Entrectinib
DB01577
DB09472
1,529
1,383
[ "DDInter1161", "DDInter1693" ]
Metamfetamine
Sodium sulfate
Metamfetamine (methamphetamine) is a psychostimulant and sympathomimetic drug, and a member of the amphetamine group of sympathomimetic amines. Methamphetamine can induce effects such as euphoria, increased alertness and energy, and enhanced self-esteem. It is a scheduled drug in most countries due to its high potential for addiction and abuse. The FDA withdrew its approval for the use of all parenteral drug products containing methamphetamine hydrochloride, a metamfetamine salt.
Sodium Sulfate Anhydrous is the anhydrous, sodium salt form of sulfuric acid. Sodium sulfate anhydrous disassociates in water to provide sodium ions and sulfate ions. Sodium ion is the principal cation of the extracellular fluid and plays a large part in the therapy of fluid and electrolyte disturbances. Sodium sulfate anhydrous is an electrolyte replenisher and is used in isosmotic solutions so that administration does not disturb normal electrolyte balance and does not lead to absorption or excretion of water and ions.
Moderate
1
[ [ [ 1529, 24, 1383 ] ], [ [ 1529, 75, 1466 ], [ 1466, 24, 1383 ] ], [ [ 1529, 63, 104 ], [ 104, 24, 1383 ] ], [ [ 1529, 1, 633 ], [ 633, 24, 1383 ] ], [ [ 1529, 64, 1039 ], [ 1039, 24, 1383 ] ], [ [ 1529, 40, 551 ], [ 551, 24, 1383 ] ], [ [ 1529, 24, 868 ], [ 868, 24, 1383 ] ], [ [ 1529, 24, 39 ], [ 39, 25, 1383 ] ], [ [ 1529, 75, 1466 ], [ 1466, 24, 1482 ], [ 1482, 23, 1383 ] ], [ [ 1529, 63, 104 ], [ 104, 40, 146 ], [ 146, 24, 1383 ] ] ]
[ [ [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{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}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{u} (Compound) resembles {v} (Compound)", "Lisdexamfetamine" ], [ "Lisdexamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{u} (Compound) resembles {v} (Compound)", "Phenelzine" ], [ "Phenelzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Digitoxin" ], [ "Digitoxin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium sulfate" ] ], [ [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Propiomazine" ], [ "Propiomazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium sulfate" ] ] ]
Metamfetamine (Compound) resembles Phenylpropanolamine (Compound) and Metamfetamine may lead to a major life threatening interaction when taken with Phenylpropanolamine and Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate Metamfetamine 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 Sodium sulfate Metamfetamine (Compound) resembles Lisdexamfetamine (Compound) and Lisdexamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate Metamfetamine may lead to a major life threatening interaction when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate Metamfetamine (Compound) resembles Phenelzine (Compound) and Phenelzine may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Panobinostat and Panobinostat may lead to a major life threatening interaction when taken with Sodium sulfate Metamfetamine (Compound) resembles Phenylpropanolamine (Compound) and Metamfetamine may lead to a major life threatening interaction when taken with Phenylpropanolamine and Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Digitoxin and Digitoxin may cause a minor interaction that can limit clinical effects when taken with Sodium sulfate Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine (Compound) resembles Propiomazine (Compound) and Propiomazine may cause a moderate interaction that could exacerbate diseases when taken with Sodium sulfate
DB00862
DB09020
1,005
28
[ "DDInter1918", "DDInter212" ]
Vardenafil
Bisacodyl
Vardenafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5) and an oral therapy for the treatment of erectile dysfunction.[L45563,L45568] During sexual stimulation, nitric oxide (NO) is released from nerve endings and endothelial cells in the corpus cavernosum, activating the enzyme guanylate cyclase and increasing the synthesis of cGMP in the smooth muscle cells of the corpus cavernosum. PDE5 inhibitors, such as vardenafil, inhibit the degradation of cGMP and allow increased blood flow into the penis, resulting in an erection.[A258303,L45563,L45568]. Compared to [sildenafil] and [tadalafil], vardenafil is a more potent inhibitor of PDE5; however, its selectivity for other PDE isoforms is lower than the one detected for tadalafil. The FDA approved the use of v
Bisacodyl, a diphenylmethane derivative, is a commonly used over the counter stimulant laxative for occasional constipation.[A233300,L13362] Both bisacodyl and [picosulfate] are metabolized to the same active metabolite bis-(p-hydroxyphenyl)-pyridyl-2-methane (BHPM).[A233290,A233300,A207700] Bisacodyl was patented on 25 September 1956 but has been used as a laxative since 1952.
Moderate
1
[ [ [ 1005, 24, 28 ] ], [ [ 1005, 21, 28666 ], [ 28666, 60, 28 ] ], [ [ 1005, 24, 823 ], [ 823, 63, 28 ] ], [ [ 1005, 25, 982 ], [ 982, 63, 28 ] ], [ [ 1005, 24, 1250 ], [ 1250, 24, 28 ] ], [ [ 1005, 25, 1593 ], [ 1593, 24, 28 ] ], [ [ 1005, 64, 702 ], [ 702, 24, 28 ] ], [ [ 1005, 63, 1557 ], [ 1557, 24, 28 ] ], [ [ 1005, 21, 28666 ], [ 28666, 60, 540 ], [ 540, 24, 28 ] ], [ [ 1005, 21, 28809 ], [ 28809, 60, 662 ], [ 662, 1, 28 ] ] ]
[ [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Vardenafil", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Bisacodyl" ] ], [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ], [ "Triclabendazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Vardenafil", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Vardenafil", "{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}", "Bisacodyl" ] ], [ [ "Vardenafil", "{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}", "Bisacodyl" ] ], [ [ "Vardenafil", "{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}", "Bisacodyl" ] ], [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Astemizole" ], [ "Astemizole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Vardenafil", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Dronedarone" ], [ "Dronedarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Vardenafil", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Carbinoxamine" ], [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound)", "Bisacodyl" ] ] ]
Vardenafil (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Bisacodyl (Compound) Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole and Triclabendazole may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl Vardenafil may lead to a major life threatening interaction when taken with Ivosidenib and Ivosidenib may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl Vardenafil 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 Bisacodyl Vardenafil 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 Bisacodyl Vardenafil 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 Bisacodyl Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Astemizole and Astemizole may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl Vardenafil (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Dronedarone (Compound) and Dronedarone may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl Vardenafil (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Carbinoxamine (Compound) and Carbinoxamine (Compound) resembles Bisacodyl (Compound)
DB01232
DB11363
1,327
1,276
[ "DDInter1640", "DDInter39" ]
Saquinavir
Alectinib
Saquinavir is an HIV-1 protease inhibitor used in combination with [ritonavir] and other antiretrovirals for the treatment of human immunodeficiency virus-1 (HIV-1) infection. In 1995 it became the first protease inhibitor approved by the FDA, followed shortly by ritonavir in 1996, and remains in clinical use today due to a relatively benign adverse effect profile as compared to other antiretroviral therapies. While its efficacy was initially limited by exceptionally poor oral bioavailability (approximately 4%), its current indications require the co-administration of ritonavir - a potent enzyme inhibitor - that increases the bioavailability and subsequent serum concentrations of saquinavir, thus dramatically improving antiviral activity.[A214382,L3450,L14351]
Alectinib is a second generation oral drug that selectively inhibits the activity of anaplastic lymphoma kinase (ALK) tyrosine kinase. It is specifically used in the treatment of non-small cell lung cancer (NSCLC) expressing the ALK-EML4 (echinoderm microtubule-associated protein-like 4) fusion protein that causes proliferation of NSCLC cells. Inhibition of ALK prevents phosphorylation and subsequent downstream activation of STAT3 and AKT resulting in reduced tumour cell viability. Approved under accelerated approval in 2015, alectinib is indicated for use in patients who have progressed on or were not tolerant of crizotinib, which is associated with the development of resistance.
Moderate
1
[ [ [ 1327, 24, 1276 ] ], [ [ 1327, 25, 1011 ], [ 1011, 24, 1276 ] ], [ [ 1327, 24, 850 ], [ 850, 24, 1276 ] ], [ [ 1327, 64, 1424 ], [ 1424, 24, 1276 ] ], [ [ 1327, 25, 1476 ], [ 1476, 63, 1276 ] ], [ [ 1327, 40, 833 ], [ 833, 24, 1276 ] ], [ [ 1327, 63, 770 ], [ 770, 24, 1276 ] ], [ [ 1327, 1, 915 ], [ 915, 24, 1276 ] ], [ [ 1327, 25, 1011 ], [ 1011, 64, 819 ], [ 819, 24, 1276 ] ], [ [ 1327, 24, 850 ], [ 850, 63, 305 ], [ 305, 24, 1276 ] ] ]
[ [ [ "Saquinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Saquinavir", "{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}", "Alectinib" ] ], [ [ "Saquinavir", "{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}", "Alectinib" ] ], [ [ "Saquinavir", "{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}", "Alectinib" ] ], [ [ "Saquinavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Saquinavir", "{u} (Compound) resembles {v} (Compound)", "Lopinavir" ], [ "Lopinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Saquinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Saquinavir", "{u} (Compound) resembles {v} (Compound)", "Atazanavir" ], [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Saquinavir", "{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}", "Acebutolol" ], [ "Acebutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ], [ [ "Saquinavir", "{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}", "Asparaginase Escherichia coli" ], [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ] ] ]
Saquinavir 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 Alectinib Saquinavir 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 Alectinib Saquinavir 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 Alectinib Saquinavir may lead to a major life threatening interaction when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Saquinavir (Compound) resembles Lopinavir (Compound) and Lopinavir may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Saquinavir may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Saquinavir (Compound) resembles Atazanavir (Compound) and Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Saquinavir 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 Acebutolol and Acebutolol may cause a moderate interaction that could exacerbate diseases when taken with Alectinib Saquinavir 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 Asparaginase Escherichia coli and Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Alectinib
DB01182
DB08868
371
1,011
[ "DDInter1534", "DDInter737" ]
Propafenone
Fingolimod
An antiarrhythmia agent that is particularly effective in ventricular arrhythmias. It also has weak beta-blocking activity. The drug is generally well tolerated.
Multiple sclerosis, or MS, is a devastating inflammatory disease that often progresses and causes severe neurological, physical, and cognitive effects. Fingolimod is a sphingosine 1-phosphate receptor modulator for the treatment of relapsing-remitting multiple sclerosis. It was developed by Novartis and initially approved by the FDA in 2010. Fingolimod was also studied for the treatment of COVID-19, the disease caused by infection with the SARS-CoV-2 virus.[L12654,L12657]
Major
2
[ [ [ 371, 25, 1011 ] ], [ [ 371, 6, 12523 ], [ 12523, 45, 1011 ] ], [ [ 371, 21, 28892 ], [ 28892, 60, 1011 ] ], [ [ 371, 62, 112 ], [ 112, 23, 1011 ] ], [ [ 371, 24, 144 ], [ 144, 63, 1011 ] ], [ [ 371, 63, 752 ], [ 752, 24, 1011 ] ], [ [ 371, 24, 976 ], [ 976, 64, 1011 ] ], [ [ 371, 25, 1154 ], [ 1154, 25, 1011 ] ], [ [ 371, 40, 847 ], [ 847, 25, 1011 ] ], [ [ 371, 25, 1456 ], [ 1456, 64, 1011 ] ] ]
[ [ [ "Propafenone", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Propafenone", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Fingolimod" ] ], [ [ "Propafenone", "{u} (Compound) causes {v} (Side Effect)", "Cardiac arrest" ], [ "Cardiac arrest", "{u} (Side Effect) is caused by {v} (Compound)", "Fingolimod" ] ], [ [ "Propafenone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fingolimod" ] ], [ [ "Propafenone", "{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}", "Fingolimod" ] ], [ [ "Propafenone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Propafenone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Propafenone", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Propafenone", "{u} (Compound) resembles {v} (Compound)", "Atomoxetine" ], [ "Atomoxetine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Propafenone", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ] ]
Propafenone (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Fingolimod (Compound) Propafenone (Compound) causes Cardiac arrest (Side Effect) and Cardiac arrest (Side Effect) is caused by Fingolimod (Compound) Propafenone may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Fingolimod Propafenone 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 Fingolimod Propafenone may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Propafenone may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Fingolimod Propafenone may lead to a major life threatening interaction when taken with Pasireotide and Pasireotide may lead to a major life threatening interaction when taken with Fingolimod Propafenone (Compound) resembles Atomoxetine (Compound) and Atomoxetine may lead to a major life threatening interaction when taken with Fingolimod Propafenone may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may lead to a major life threatening interaction when taken with Fingolimod
DB00227
DB12130
1,463
1,017
[ "DDInter1098", "DDInter1094" ]
Lovastatin
Lorlatinib
Lovastatin, also known as the brand name product Mevacor, is a lipid-lowering drug and fungal metabolite derived synthetically from a fermentation product of _Aspergillus terreus_. Originally named Mevinolin, lovastatin belongs to the statin class of medications, which are used to lower the risk of cardiovascular disease and manage abnormal lipid levels by inhibiting the endogenous production of cholesterol in the liver. More specifically, statin medications competitively inhibit the enzyme hydroxymethylglutaryl-coenzyme A (HMG-CoA) Reductase, which catalyzes the conversion of HMG-CoA to mevalonic acid and is the third step in a sequence of metabolic reactions involved in the production of several compounds involved in lipid metabolism and transport including cholesterol, low-density lipoprotein (LDL) (sometimes referred to as "bad cholesterol"), and very low-density lipoprotein (VLDL). Prescribing of statin medications is considered
Lorlatinib is a third-generation ALK tyrosine kinase inhibitor (TKI) for patients with ALK-positive metastatic non-small cell lung cancer which was first approved by the US FDA in November of 2018. It was subsequently approved by the EMA in 2019 for the treatment of select patients with previously treated advanced ALK-positive non-small cell lung cancer, followed by an expanded approval in 2022 to include lorlatinib as a first-line treatment option in advanced ALK-positive NSCLC.
Moderate
1
[ [ [ 1463, 24, 1017 ] ], [ [ 1463, 24, 1101 ], [ 1101, 23, 1017 ] ], [ [ 1463, 24, 14 ], [ 14, 24, 1017 ] ], [ [ 1463, 63, 837 ], [ 837, 24, 1017 ] ], [ [ 1463, 24, 159 ], [ 159, 63, 1017 ] ], [ [ 1463, 35, 467 ], [ 467, 24, 1017 ] ], [ [ 1463, 64, 600 ], [ 600, 24, 1017 ] ], [ [ 1463, 24, 927 ], [ 927, 25, 1017 ] ], [ [ 1463, 24, 283 ], [ 283, 64, 1017 ] ], [ [ 1463, 25, 760 ], [ 760, 25, 1017 ] ] ]
[ [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lorlatinib" ] ], [ [ "Lovastatin", "{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}", "Lorlatinib" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pantoprazole" ], [ "Pantoprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Lovastatin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Lovastatin", "{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}", "Lorlatinib" ] ], [ [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ] ], [ [ "Lovastatin", "{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}", "Lorlatinib" ] ], [ [ "Lovastatin", "{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}", "Lorlatinib" ] ] ]
Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Lorlatinib Lovastatin 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 Lorlatinib Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Pantoprazole and Pantoprazole may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Lovastatin (Compound) resembles Simvastatin (Compound) and Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Lovastatin 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 Lorlatinib Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib and Encorafenib may lead to a major life threatening interaction when taken with Lorlatinib Lovastatin 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 Lorlatinib Lovastatin 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 Lorlatinib
DB00031
DB00407
20
202
[ "DDInter1764", "DDInter115" ]
Tenecteplase
Ardeparin
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.
Ardeparin, marketed under the US trade name Normiflo, is a low molecular weight heparin (LMWH) anticoagulant used for the prevention of postoperative venous thrombosis. Ardeparin is derived via peroxide degradation of heparin extracted from porcine intestinal mucosa. Its molecular weight ranges from 2000 to 15,000 with an average molecular weight of 5500 to 6500. Normiflo was withdrawn from the US market in March 2000.
Major
2
[ [ [ 20, 25, 202 ] ], [ [ 20, 24, 738 ], [ 738, 63, 202 ] ], [ [ 20, 24, 1595 ], [ 1595, 24, 202 ] ], [ [ 20, 25, 1564 ], [ 1564, 64, 202 ] ], [ [ 20, 25, 366 ], [ 366, 25, 202 ] ], [ [ 20, 24, 848 ], [ 848, 64, 202 ] ], [ [ 20, 24, 1061 ], [ 1061, 25, 202 ] ], [ [ 20, 64, 942 ], [ 942, 25, 202 ] ], [ [ 20, 25, 553 ], [ 553, 75, 202 ] ], [ [ 20, 24, 1274 ], [ 1274, 76, 202 ] ] ]
[ [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Ardeparin" ] ], [ [ "Tenecteplase", "{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}", "Ardeparin" ] ], [ [ "Tenecteplase", "{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}", "Ardeparin" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Defibrotide" ], [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ardeparin" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Eptifibatide" ], [ "Eptifibatide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ardeparin" ] ], [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ], [ "Ibuprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Ardeparin" ] ], [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} may lead to a major life threatening interaction when taken with {v}", "Ardeparin" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Bivalirudin" ], [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ardeparin" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Ardeparin" ] ], [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Ardeparin" ] ] ]
Tenecteplase 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 Ardeparin Tenecteplase 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 Ardeparin Tenecteplase may lead to a major life threatening interaction when taken with Defibrotide and Defibrotide may lead to a major life threatening interaction when taken with Ardeparin Tenecteplase may lead to a major life threatening interaction when taken with Eptifibatide and Eptifibatide may lead to a major life threatening interaction when taken with Ardeparin Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen and Ibuprofen may lead to a major life threatening interaction when taken with Ardeparin Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil may lead to a major life threatening interaction when taken with Ardeparin Tenecteplase may lead to a major life threatening interaction when taken with Bivalirudin and Bivalirudin may lead to a major life threatening interaction when taken with Ardeparin Tenecteplase may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux (Compound) resembles Ardeparin (Compound) and Fondaparinux may lead to a major life threatening interaction when taken with Ardeparin Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Ardeparin and Flurbiprofen may lead to a major life threatening interaction when taken with Ardeparin
DB05528
DB12010
1,070
214
[ "DDInter1228", "DDInter785" ]
Mipomersen
Fostamatinib
Mipomersen sodium, which was known as the investigational drug, isis-301012, is the salt form of a synthetic phosphorothioate oligonucleotide. Mipomersen sodium prevents the formation of apo B-100, resulting in a decrease in the levels of apolipoprotein B (apo B), low density lipoprotein (LDL), and total cholesterol. Mipomersen is indicated in patients with homozygous familial hypercholesterolemia as an adjunct to diet and other lipid-lowering medications. It is marketed under the brand name Kynamro in the United States, and the FDA label includes a black box warning of hepatoxicity. Specifically, elevations in the liver enzymes, i.e. transaminases, and in liver fat (hepatic steatosis) have been reported. Due to this serious risk of liver toxicity, mipomersen sodium is only available to patients under the restricted program called
Fostamatinib has been investigated for the treatment and basic science of Rheumatoid Arthritis and Immune Thrombocytopenic Purpura (ITP). It was approved on April 17, 2018, under the trade name Tavalisse for use in ITP [L2644, FDA Label]. Fostamatinib has also been granted orphan drug status by the FDA . Recently, fostamatinib has been identified as a potential therapeutic for controlling acute respiratory distress syndrome (ARDS) in patients with severe COVID-19 through its ability to modulate the SYK kinase.[A235008, A235013, A235018]
Major
2
[ [ [ 1070, 25, 214 ] ], [ [ 1070, 64, 866 ], [ 866, 24, 214 ] ], [ [ 1070, 25, 1250 ], [ 1250, 24, 214 ] ], [ [ 1070, 25, 159 ], [ 159, 63, 214 ] ], [ [ 1070, 64, 609 ], [ 609, 25, 214 ] ], [ [ 1070, 25, 1510 ], [ 1510, 25, 214 ] ], [ [ 1070, 64, 866 ], [ 866, 25, 976 ], [ 976, 24, 214 ] ], [ [ 1070, 25, 1250 ], [ 1250, 25, 976 ], [ 976, 24, 214 ] ], [ [ 1070, 64, 1324 ], [ 1324, 24, 976 ], [ 976, 24, 214 ] ], [ [ 1070, 64, 467 ], [ 467, 62, 1428 ], [ 1428, 24, 214 ] ] ]
[ [ [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostamatinib" ] ], [ [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ], [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Mipomersen", "{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}", "Fostamatinib" ] ], [ [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostamatinib" ] ], [ [ "Mipomersen", "{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}", "Fostamatinib" ] ], [ [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ], [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{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}", "Fostamatinib" ] ], [ [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isradipine" ], [ "Isradipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ] ]
Mipomersen may lead to a major life threatening interaction when taken with Cobimetinib and Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Mipomersen 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 Fostamatinib Mipomersen may lead to a major life threatening interaction when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Mipomersen may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Fostamatinib Mipomersen 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 Fostamatinib Mipomersen may lead to a major life threatening interaction when taken with Cobimetinib and Cobimetinib may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Mipomersen may lead to a major life threatening interaction when taken with Pazopanib and Pazopanib may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Mipomersen may lead to a major life threatening interaction when taken with Troglitazone and Troglitazone 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 Fostamatinib Mipomersen may lead to a major life threatening interaction when taken with Simvastatin and Simvastatin may cause a minor interaction that can limit clinical effects when taken with Isradipine and Isradipine may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib
DB01142
DB01215
1,264
1,418
[ "DDInter593", "DDInter677" ]
Doxepin
Estazolam
Doxepin is a psychotropic agent with antidepressant and anxiolytic properties. It is a tertiary amine that can be presented as (E) and (Z) stereoisomers with the (Z) stereoisomer corresponding to [cidoxepin]. Doxepin commonly produces a 5:1 (E):(Z) racemic mixture. In a strict sense, doxepin is not a tricyclic antidepressant but it is commonly associated with the class since it shares a lot of properties with members of the drug family including [amitriptyline], [clomipramine], [desipramine], [imipramine], [nortriptyline], [protriptyline] and [trimipramine]. Doxepin was developed by Pfizer and FDA approved in 1969 as an antidepressant. However, in 2010 it was approved for the treatment of insomnia. The latter
A benzodiazepine with anticonvulsant, hypnotic, and muscle relaxant properties. It has been shown in some cases to be more potent than diazepam or nitrazepam.
Moderate
1
[ [ [ 1264, 24, 1418 ] ], [ [ 1264, 63, 1216 ], [ 1216, 40, 1418 ] ], [ [ 1264, 24, 481 ], [ 481, 40, 1418 ] ], [ [ 1264, 63, 1119 ], [ 1119, 1, 1418 ] ], [ [ 1264, 6, 8374 ], [ 8374, 45, 1418 ] ], [ [ 1264, 21, 29064 ], [ 29064, 60, 1418 ] ], [ [ 1264, 24, 537 ], [ 537, 24, 1418 ] ], [ [ 1264, 25, 1593 ], [ 1593, 63, 1418 ] ], [ [ 1264, 63, 13 ], [ 13, 24, 1418 ] ], [ [ 1264, 24, 649 ], [ 649, 63, 1418 ] ] ]
[ [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estazolam" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurazepam" ], [ "Flurazepam", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quazepam" ], [ "Quazepam", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlordiazepoxide" ], [ "Chlordiazepoxide", "{u} (Compound) resembles {v} (Compound)", "Estazolam" ] ], [ [ "Doxepin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Estazolam" ] ], [ [ "Doxepin", "{u} (Compound) causes {v} (Side Effect)", "Neck pain" ], [ "Neck pain", "{u} (Side Effect) is caused by {v} (Compound)", "Estazolam" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estazolam" ] ], [ [ "Doxepin", "{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}", "Estazolam" ] ], [ [ "Doxepin", "{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}", "Estazolam" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estazolam" ] ] ]
Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Flurazepam and Flurazepam (Compound) resembles Estazolam (Compound) Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Quazepam and Quazepam (Compound) resembles Estazolam (Compound) Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Chlordiazepoxide and Chlordiazepoxide (Compound) resembles Estazolam (Compound) Doxepin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Estazolam (Compound) Doxepin (Compound) causes Neck pain (Side Effect) and Neck pain (Side Effect) is caused by Estazolam (Compound) Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Estazolam Doxepin 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 Estazolam Doxepin 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 Estazolam Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Estazolam
DB00808
DB13142
1,605
841
[ "DDInter916", "DDInter274" ]
Indapamide
Calcium glubionate anhydrous
The most significant modifiable risk factor for cardiovascular disease and the most prominent contributor to all-cause mortality is hypertension. Characterized by an office blood pressure of ≥140/90, hypertension is pervasive and impacts an estimated 25% of adults globally. Treatment for hypertension should include a number of lifestyle changes (ie. reduced sodium intake) along with pharmacotherapy - it should be noted that treatment with several antihypertensive agents may be required in order to achieve blood pressure targets. Thiazide-like diuretics such as indapamide are a valuable tool for the treatment of hypertension and continue to grow in popularity, falling behind only ACE inhibitors in terms of prescription frequency. When compared to [hydrochlorothiazide] (another commonly prescribed diuretic), indapamide has been shown to be superior at lowering systolic blood pressure, reducing left ventricular mass index, lowering oxidative stress, inhibiting platelet aggregation, and reducing microalbuminuria associated with diabetes. Interestingly,
Calcium glubionate (or glubionate calcium) is a mineral supplement to prevent or treat low blood calcium levels in people who do not get enough calcium from their diets.
Moderate
1
[ [ [ 1605, 24, 841 ] ], [ [ 1605, 23, 1669 ], [ 1669, 24, 841 ] ], [ [ 1605, 62, 1545 ], [ 1545, 24, 841 ] ], [ [ 1605, 40, 811 ], [ 811, 24, 841 ] ], [ [ 1605, 23, 1669 ], [ 1669, 62, 504 ], [ 504, 24, 841 ] ], [ [ 1605, 62, 1545 ], [ 1545, 40, 1669 ], [ 1669, 24, 841 ] ], [ [ 1605, 62, 964 ], [ 964, 1, 1669 ], [ 1669, 24, 841 ] ], [ [ 1605, 40, 811 ], [ 811, 23, 1669 ], [ 1669, 24, 841 ] ], [ [ 1605, 24, 60 ], [ 60, 23, 255 ], [ 255, 24, 841 ] ], [ [ 1605, 23, 1669 ], [ 1669, 1, 1545 ], [ 1545, 24, 841 ] ] ]
[ [ [ "Indapamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Minocycline" ], [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Oxytetracycline" ], [ "Oxytetracycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} (Compound) resembles {v} (Compound)", "Metolazone" ], [ "Metolazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Minocycline" ], [ "Minocycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Oxytetracycline" ], [ "Oxytetracycline", "{u} (Compound) resembles {v} (Compound)", "Minocycline" ], [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxycycline" ], [ "Doxycycline", "{u} (Compound) resembles {v} (Compound)", "Minocycline" ], [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} (Compound) resembles {v} (Compound)", "Metolazone" ], [ "Metolazone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Minocycline" ], [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Delafloxacin" ], [ "Delafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ], [ [ "Indapamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Minocycline" ], [ "Minocycline", "{u} (Compound) resembles {v} (Compound)", "Oxytetracycline" ], [ "Oxytetracycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium glubionate anhydrous" ] ] ]
Indapamide may cause a minor interaction that can limit clinical effects when taken with Minocycline and Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Indapamide may cause a minor interaction that can limit clinical effects when taken with Oxytetracycline and Oxytetracycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Indapamide (Compound) resembles Metolazone (Compound) and Metolazone may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Indapamide may cause a minor interaction that can limit clinical effects when taken with Minocycline and Minocycline may cause a minor interaction that can limit clinical effects when taken with Hydrochlorothiazide and Hydrochlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Indapamide may cause a minor interaction that can limit clinical effects when taken with Oxytetracycline and Oxytetracycline (Compound) resembles Minocycline (Compound) and Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Indapamide may cause a minor interaction that can limit clinical effects when taken with Doxycycline and Doxycycline (Compound) resembles Minocycline (Compound) and Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Indapamide (Compound) resembles Metolazone (Compound) and Metolazone may cause a minor interaction that can limit clinical effects when taken with Minocycline and Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Indapamide may cause a moderate interaction that could exacerbate diseases when taken with Capecitabine and Capecitabine may cause a minor interaction that can limit clinical effects when taken with Delafloxacin and Delafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous Indapamide may cause a minor interaction that can limit clinical effects when taken with Minocycline and Minocycline (Compound) resembles Oxytetracycline (Compound) and Oxytetracycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium glubionate anhydrous
DB00035
DB00687
1,314
870
[ "DDInter507", "DDInter747" ]
Desmopressin
Fludrocortisone
Desmopressin (dDAVP), a synthetic analogue of 8-arginine vasopressin (ADH), is an antidiuretic peptide drug modified by deamination of 1-cysteine and substitution of 8-L-arginine by 8-D-arginine. ADH is an endogenous pituitary hormone that has a crucial role in the control of the water content in the body. Upon release from the stimulation of increased plasma osmolarity or decreased circulating blood volume, ADH mainly acts on the cells of the distal part of the nephron and the collecting tubules in the kidney. The hormone interacts with V1, V2 or V3 receptors with differing signal cascade systems. Desmopressin displays enhanced antidiuretic potency, fewer pressor effects due to V2-selective actions, and a prolonged half-life and duration of action compared to endogenous ADH. It has been employed clinically since 1972
Fludrocortisone is a synthetic mineralocorticoid used in conjunction with [hydrocortisone] to replace missing endogenous corticosteroids in patients with adrenal insufficiency.[A187169,A187187] It is functionally similar to [aldosterone], the body's primary endogenous mineralocorticoid, and is structurally analogous to [cortisol], differing only by a fluorine atom at the 9-position of the steroid structure - this fluorination is thought to be crucial to fludrocortisone's significant mineralocorticoid potency.
Major
2
[ [ [ 1314, 25, 870 ] ], [ [ 1314, 25, 1220 ], [ 1220, 40, 870 ] ], [ [ 1314, 21, 29180 ], [ 29180, 60, 870 ] ], [ [ 1314, 24, 1148 ], [ 1148, 62, 870 ] ], [ [ 1314, 24, 1027 ], [ 1027, 24, 870 ] ], [ [ 1314, 24, 935 ], [ 935, 63, 870 ] ], [ [ 1314, 25, 1680 ], [ 1680, 63, 870 ] ], [ [ 1314, 25, 1028 ], [ 1028, 24, 870 ] ], [ [ 1314, 23, 1479 ], [ 1479, 63, 870 ] ], [ [ 1314, 24, 1301 ], [ 1301, 64, 870 ] ] ]
[ [ [ "Desmopressin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fludrocortisone" ] ], [ [ "Desmopressin", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ] ], [ [ "Desmopressin", "{u} (Compound) causes {v} (Side Effect)", "Abdominal distension" ], [ "Abdominal distension", "{u} (Side Effect) is caused by {v} (Compound)", "Fludrocortisone" ] ], [ [ "Desmopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fludrocortisone" ] ], [ [ "Desmopressin", "{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}", "Fludrocortisone" ] ], [ [ "Desmopressin", "{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}", "Fludrocortisone" ] ], [ [ "Desmopressin", "{u} may lead to a major life threatening interaction when taken with {v}", "Etacrynic acid" ], [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ] ], [ [ "Desmopressin", "{u} may lead to a major life threatening interaction when taken with {v}", "Torasemide" ], [ "Torasemide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ] ], [ [ "Desmopressin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ] ], [ [ "Desmopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levacetylmethadol" ], [ "Levacetylmethadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Fludrocortisone" ] ] ]
Desmopressin may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone (Compound) resembles Fludrocortisone (Compound) Desmopressin (Compound) causes Abdominal distension (Side Effect) and Abdominal distension (Side Effect) is caused by Fludrocortisone (Compound) Desmopressin may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a minor interaction that can limit clinical effects when taken with Fludrocortisone Desmopressin 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 Fludrocortisone Desmopressin 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 Fludrocortisone Desmopressin may lead to a major life threatening interaction when taken with Etacrynic acid and Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone Desmopressin may lead to a major life threatening interaction when taken with Torasemide and Torasemide may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone Desmopressin may cause a minor interaction that can limit clinical effects when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone Desmopressin may cause a moderate interaction that could exacerbate diseases when taken with Levacetylmethadol and Levacetylmethadol may lead to a major life threatening interaction when taken with Fludrocortisone
DB00563
DB08870
663
850
[ "DDInter1174", "DDInter228" ]
Methotrexate
Brentuximab vedotin
Methotrexate is a folate derivative that inhibits several enzymes responsible for nucleotide synthesis. This inhibition leads to suppression of inflammation as well as prevention of cell division. Because of these effects, methotrexate is often used to treat inflammation caused by arthritis or to control cell division in neoplastic diseases such as breast cancer and non-Hodgkin's lymphoma.[A180322,L7144,L7147,L7150,L7180] Due to the toxic effects of methotrexate, it is indicated for treatment of some forms of arthritis and severe psoriasis only if first line treatment has failed or patients are intolerant of those treatments. Methotrexate was granted FDA approval on 7 December 1953.
Brentuximab vedotin, also known as Adcetris®, is an antibody-drug conjugate that combines an anti-CD30 antibody with the drug monomethyl auristatin E (MMAE). It is an anti-neoplastic agent used in the treatment of Hodgkin's lymphoma and systemic anaplastic large-cell lymphoma. Brentuximab vedotin was initially approved in 2011. In January 2012, the drug label was revised with a boxed warning of a condition known as progressive multifocal leukoencephalopathy and death due to opportunistic JC virus infection post-treatment. The U.S. Food and Drug Administration approved Adcetris in March 2018 to treat adult patients with previously untreated stage III or IV classical Hodgkin lymphoma (cHL) in combination with chemotherapy. Adcetris has also been previously approved by the FDA to treat Hodgkin's lymphoma after relapse, Hodgkin's lymphoma after stem cell transplantation when a patient has a high risk of relapse or progression, systemic anaplastic large cell lymphoma (ALCL) after the failure of other treatment regimens, and primary cutaneous ALCL after failure of other treatment regimens. Lymphoma is a malignancy that begins in the lymphatic system, which helps to combat infection and disease. Lymphoma may begin anywhere in the body and can spread to nearby lymph nodes. The two main types of lymphoma are Hodgkin lymphoma (also called Hodgkin disease) and non-Hodgkin lymphoma. Most individuals with Hodgkin's lymphoma have the classical type. In this type of lymphoma, large, abnormal lymphocytes (a type of white blood cell) are found in the lymph nodes called Reed-Sternberg cells. With early diagnosis and intervention, patients with Hodgkin lymphoma normally experience long-term remission. The ECHELON-1 study results demonstrated superior efficacy of the drug combined with a chemotherapy regimen compared to the previous standard of care. Importantly, bleomycin - a highly toxic agent - was completely removed from the regimen. This demonstrates meaningful progress in treatment for patients affected by this disease.
Moderate
1
[ [ [ 663, 24, 850 ] ], [ [ 663, 24, 788 ], [ 788, 24, 850 ] ], [ [ 663, 25, 1338 ], [ 1338, 24, 850 ] ], [ [ 663, 24, 496 ], [ 496, 63, 850 ] ], [ [ 663, 63, 1570 ], [ 1570, 24, 850 ] ], [ [ 663, 64, 886 ], [ 886, 24, 850 ] ], [ [ 663, 23, 328 ], [ 328, 24, 850 ] ], [ [ 663, 25, 1510 ], [ 1510, 64, 850 ] ], [ [ 663, 25, 507 ], [ 507, 25, 850 ] ], [ [ 663, 64, 695 ], [ 695, 25, 850 ] ] ]
[ [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitavastatin" ], [ "Pitavastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Meclofenamic acid" ], [ "Meclofenamic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ], [ "Hepatitis A Vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{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}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{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}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mercaptopurine" ], [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ], [ "Samarium (153Sm) lexidronam", "{u} may lead to a major life threatening interaction when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Methotrexate", "{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}", "Brentuximab vedotin" ] ] ]
Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Pitavastatin and Pitavastatin may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Methotrexate may lead to a major life threatening interaction when taken with Meclofenamic acid and Meclofenamic acid may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine and Hepatitis A Vaccine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Methotrexate 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 Brentuximab vedotin Methotrexate 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 Brentuximab vedotin Methotrexate may cause a minor interaction that can limit clinical effects when taken with Mercaptopurine and Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Methotrexate may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Brentuximab vedotin Methotrexate may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam and Samarium (153Sm) lexidronam may lead to a major life threatening interaction when taken with Brentuximab vedotin Methotrexate 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 Brentuximab vedotin
DB08820
DB08893
1,478
271
[ "DDInter997", "DDInter1229" ]
Ivacaftor
Mirabegron
Ivacaftor (also known as Kalydeco or VX-770) is a drug used for the management of Cystic Fibrosis (CF). It is manufactured and distributed by Vertex Pharmaceuticals. It was approved by the Food and Drug Administration on January 31, 2012, and by Health Canada in late 2012. Ivacaftor is administered as a monotherapy and also administered in combination with other drugs for the management of CF.[L6814,L6979,L6847] Cystic Fibrosis is an autosomal recessive disorder caused by one of several different mutations in the gene for the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein, an ion channel involved in the transport of chloride and sodium ions across cell membranes. CFTR is active in epithelial cells of organs such as of the lungs, pancreas, liver, digestive system, and reproductive tract. Alterations in the CFTR gene result
Mirabegron is a sympathomimetic beta-3 adrenergic receptor agonist used to relax the smooth muscle of the bladder in the treatment of urinary frequency and incontinence. It is unique amongst overactive bladder treatment options in that, unlike other treatments such as [solifenacin] and [darifenacin], it lacks significant antimuscarinic activity, which is responsible both for the therapeutic effects of these medications and their broad range of adverse effects. Mirabegron has a comparatively favorable adverse effect profile as compared to other available treatment options, and its complementary mechanism to the antimuscarinics that came before it allows for its use alongside solifenacin in refractory cases. Mirabegron first received FDA approval in 2012, under the brand name Myrbetriq, for the treatment of adults with overactive bladder. An extended-release granule formulation was subsequently granted approval in March 2021 for the treatment of pediatric patients with neurogenic detrusor overactivity. Mirabegron is also used in other jurisdictions across the globe, including Canada, the EU, and Japan.
Minor
0
[ [ [ 1478, 23, 271 ] ], [ [ 1478, 6, 1829 ], [ 1829, 45, 271 ] ], [ [ 1478, 21, 28722 ], [ 28722, 60, 271 ] ], [ [ 1478, 25, 129 ], [ 129, 62, 271 ] ], [ [ 1478, 63, 1220 ], [ 1220, 23, 271 ] ], [ [ 1478, 64, 723 ], [ 723, 23, 271 ] ], [ [ 1478, 24, 982 ], [ 982, 62, 271 ] ], [ [ 1478, 24, 868 ], [ 868, 23, 271 ] ], [ [ 1478, 25, 1593 ], [ 1593, 23, 271 ] ], [ [ 1478, 24, 214 ], [ 214, 63, 271 ] ] ]
[ [ [ "Ivacaftor", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ] ], [ [ "Ivacaftor", "{u} (Compound) binds {v} (Gene)", "ALB" ], [ "ALB", "{u} (Gene) is bound by {v} (Compound)", "Mirabegron" ] ], [ [ "Ivacaftor", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Mirabegron" ] ], [ [ "Ivacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ] ], [ [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ] ], [ [ "Ivacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ] ], [ [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ] ], [ [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ] ], [ [ "Ivacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ] ], [ [ "Ivacaftor", "{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}", "Mirabegron" ] ] ]
Ivacaftor (Compound) binds ALB (Gene) and ALB (Gene) is bound by Mirabegron (Compound) Ivacaftor (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Mirabegron (Compound) Ivacaftor may lead to a major life threatening interaction when taken with Enzalutamide and Enzalutamide may cause a minor interaction that can limit clinical effects when taken with Mirabegron Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Mirabegron Ivacaftor may lead to a major life threatening interaction when taken with Aprepitant and Aprepitant may cause a minor interaction that can limit clinical effects when taken with Mirabegron Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may cause a minor interaction that can limit clinical effects when taken with Mirabegron Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may cause a minor interaction that can limit clinical effects when taken with Mirabegron Ivacaftor may lead to a major life threatening interaction when taken with Crizotinib and Crizotinib may cause a minor interaction that can limit clinical effects when taken with Mirabegron Ivacaftor 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 Mirabegron
DB00631
DB10276
372
1,624
[ "DDInter405", "DDInter1623" ]
Clofarabine
Rotavirus vaccine
Clofarabine is a purine nucleoside antimetabolite that is being studied in the treatment of cancer. It is marketed as Clolar in the U.S. and Canada, or Evoltra in Europe, Australia, and New Zealand. Clofarabine is used in paediatrics to treat a type of leukaemia called relapsed or refractory acute lymphoblastic leukaemia (ALL), only after at least two other types of treatment have failed. It is not known if the drug extends life expectancy. Its potential use in acute myeloid leukaemia (AML) and juvenile myelomonocytic leukaemia (JMML) has been investigated.
Rotavirus commonly infects children and infants causing severe diarrhea and vomiting leading to potentially fatal dehydration. Two rotavirus vaccines are available for the prevention of rotavirus gastroenteritis, Rotateq and Rotarix. Rotateq is a live vaccine consisting of 5 reassorted human-bovine viral strains. Rotarix is a live attenuated vaccine containing the 89-12 human strain.[Label] Rotavirus vaccines are 90% effective in protecting against severe rotavirus infection.
Major
2
[ [ [ 372, 25, 1624 ] ], [ [ 372, 63, 552 ], [ 552, 25, 1624 ] ], [ [ 372, 24, 1307 ], [ 1307, 25, 1624 ] ], [ [ 372, 25, 770 ], [ 770, 25, 1624 ] ], [ [ 372, 24, 1583 ], [ 1583, 64, 1624 ] ], [ [ 372, 1, 1488 ], [ 1488, 25, 1624 ] ], [ [ 372, 64, 581 ], [ 581, 25, 1624 ] ], [ [ 372, 35, 1224 ], [ 1224, 25, 1624 ] ], [ [ 372, 25, 1259 ], [ 1259, 64, 1624 ] ], [ [ 372, 63, 552 ], [ 552, 24, 1307 ], [ 1307, 25, 1624 ] ] ]
[ [ [ "Clofarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ], [ "Carmustine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan" ], [ "Melphalan", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{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}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{u} (Compound) resembles {v} (Compound)", "Fludarabine" ], [ "Fludarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{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}", "Rotavirus vaccine" ] ], [ [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ], [ "Carmustine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan" ], [ "Melphalan", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ] ]
Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Carmustine and Carmustine may lead to a major life threatening interaction when taken with Rotavirus vaccine Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan and Melphalan may lead to a major life threatening interaction when taken with Rotavirus vaccine Clofarabine may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may lead to a major life threatening interaction when taken with Rotavirus vaccine Clofarabine 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 Rotavirus vaccine Clofarabine (Compound) resembles Fludarabine (Compound) and Fludarabine may lead to a major life threatening interaction when taken with Rotavirus vaccine Clofarabine may lead to a major life threatening interaction when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Rotavirus vaccine Clofarabine (Compound) resembles Cytarabine (Compound) and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine may lead to a major life threatening interaction when taken with Rotavirus vaccine Clofarabine 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 Rotavirus vaccine Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Carmustine and Carmustine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan and Melphalan may lead to a major life threatening interaction when taken with Rotavirus vaccine
DB00581
DB00638
355
1,078
[ "DDInter1018", "DDInter950" ]
Lactulose
Inulin
Lactulose is a synthetic disaccharide derivative of lactose that is most commonly used as a laxative agent despite also being formally indicated to serve as an adjunct therapy in treating portal-systemic encephalopathy (PSE).[FDA Label,L6199,L6202] Despite being first synthesized in 1929, investigations regarding its possible use as a laxative for the treatment of chronic constipation did not occur until the 1960s and its first clinical use for treating PSE was not until 1966. Nevertheless, although lactulose received formal FDA approval in 1977 and has since become a readily available generic and brand-name non-prescription medication listed on the World Health Organization's List of Essential Medicines as one of the most effective and safe medicines employed in a health system, data regarding its optimal place in therapy is often ambiguous. Especially considering the use of lactulose as a laxative is typically only considered after lifestyle and dietary modifications fail and the
A starch found in the tubers and roots of many plants. Since it is hydrolyzable to fructose, it is classified as a fructosan. It has been used in physiologic investigation for determination of the rate of glomerular function.
Moderate
1
[ [ [ 355, 24, 1078 ] ], [ [ 355, 23, 16 ], [ 16, 62, 1078 ] ], [ [ 355, 24, 721 ], [ 721, 62, 16 ], [ 16, 62, 1078 ] ], [ [ 355, 24, 544 ], [ 544, 23, 16 ], [ 16, 62, 1078 ] ], [ [ 355, 23, 286 ], [ 286, 62, 16 ], [ 16, 62, 1078 ] ] ]
[ [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Inulin" ] ], [ [ "Lactulose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Linaclotide" ], [ "Linaclotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Inulin" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylcellulose" ], [ "Methylcellulose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Linaclotide" ], [ "Linaclotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Inulin" ] ], [ [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium sulfate" ], [ "Magnesium sulfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Linaclotide" ], [ "Linaclotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Inulin" ] ], [ [ "Lactulose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Linaclotide" ], [ "Linaclotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Inulin" ] ] ]
Lactulose may cause a minor interaction that can limit clinical effects when taken with Linaclotide and Linaclotide may cause a minor interaction that can limit clinical effects when taken with Inulin Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Methylcellulose and Methylcellulose may cause a minor interaction that can limit clinical effects when taken with Linaclotide and Linaclotide may cause a minor interaction that can limit clinical effects when taken with Inulin Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Magnesium sulfate and Magnesium sulfate may cause a minor interaction that can limit clinical effects when taken with Linaclotide and Linaclotide may cause a minor interaction that can limit clinical effects when taken with Inulin Lactulose may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide and Magnesium hydroxide may cause a minor interaction that can limit clinical effects when taken with Linaclotide and Linaclotide may cause a minor interaction that can limit clinical effects when taken with Inulin
DB00570
DB01155
147
872
[ "DDInter1936", "DDInter813" ]
Vinblastine
Gemifloxacin
Antitumor alkaloid isolated from Vinca rosea. (Merck, 11th ed.)
Gemifloxacin is a quinolone antibacterial agent with a broad-spectrum activity that is used in the treatment of acute bacterial exacerbation of chronic bronchitis and mild-to-moderate pneumonia. It is available in oral formulations. Gemifloxacin acts by inhibiting DNA synthesis through the inhibition of both DNA gyrase and topoisomerase IV, which are essential for bacterial growth.
Minor
0
[ [ [ 147, 23, 872 ] ], [ [ 147, 23, 739 ], [ 739, 1, 872 ] ], [ [ 147, 62, 1467 ], [ 1467, 1, 872 ] ], [ [ 147, 23, 945 ], [ 945, 40, 872 ] ], [ [ 147, 21, 28762 ], [ 28762, 60, 872 ] ], [ [ 147, 24, 869 ], [ 869, 23, 872 ] ], [ [ 147, 63, 141 ], [ 141, 23, 872 ] ], [ [ 147, 23, 60 ], [ 60, 23, 872 ] ], [ [ 147, 24, 973 ], [ 973, 62, 872 ] ], [ [ 147, 62, 970 ], [ 970, 23, 872 ] ] ]
[ [ [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enoxacin" ], [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ], [ "Floxuridine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ], [ "Paclitaxel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fluorouracil" ], [ "Fluorouracil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ] ]
Vinblastine may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin and Lomefloxacin (Compound) resembles Gemifloxacin (Compound) Vinblastine may cause a minor interaction that can limit clinical effects when taken with Enoxacin and Enoxacin (Compound) resembles Gemifloxacin (Compound) Vinblastine may cause a minor interaction that can limit clinical effects when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Gemifloxacin (Compound) Vinblastine (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Gemifloxacin (Compound) Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Floxuridine and Floxuridine may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin Vinblastine may cause a minor interaction that can limit clinical effects when taken with Capecitabine and Capecitabine may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel and Paclitaxel may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin Vinblastine may cause a minor interaction that can limit clinical effects when taken with Fluorouracil and Fluorouracil may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin
DB01618
DB04837
776
649
[ "DDInter1239", "DDInter407" ]
Molindone
Clofedanol
An indole derivative effective in schizophrenia and other psychoses and possibly useful in the treatment of the aggressive type of undersocialized conduct disorder. Molindone has much lower affinity for D2 receptors than most antipsychotic agents and has a relatively low affinity for D1 receptors. It has only low to moderate affinity for cholinergic and alpha-adrenergic receptors. Some electrophysiologic data from animals indicate that molindone has certain characteristics that resemble those of clozapine. (From AMA Drug Evaluations Annual, 1994, p283)
Clofedanol is a centrally-acting cough suppressant available in Canada under the trade name Ulone. It is not available in the United States.
Moderate
1
[ [ [ 776, 24, 649 ] ], [ [ 776, 63, 1376 ], [ 1376, 24, 649 ] ], [ [ 776, 63, 832 ], [ 832, 40, 649 ] ], [ [ 776, 24, 1511 ], [ 1511, 40, 649 ] ], [ [ 776, 64, 1311 ], [ 1311, 24, 649 ] ], [ [ 776, 24, 1609 ], [ 1609, 63, 649 ] ], [ [ 776, 63, 662 ], [ 662, 35, 649 ] ], [ [ 776, 63, 1376 ], [ 1376, 74, 21 ], [ 21, 24, 649 ] ], [ [ 776, 63, 832 ], [ 832, 24, 1376 ], [ 1376, 24, 649 ] ], [ [ 776, 24, 1511 ], [ 1511, 63, 1376 ], [ 1376, 24, 649 ] ] ]
[ [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ], [ "Mepenzolate", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ] ], [ [ "Molindone", "{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}", "Clofedanol" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ], [ [ "Molindone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ], [ "Mepenzolate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ] ] ]
Molindone may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Molindone may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine (Compound) resembles Clofedanol (Compound) Molindone may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate and Mepenzolate (Compound) resembles Clofedanol (Compound) Molindone 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 Clofedanol Molindone may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Molindone may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine (Compound) resembles Clofedanol (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Molindone may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) resembles Amitriptyline (Compound) and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Molindone may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol Molindone may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate and Mepenzolate may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol
DB00443
DB00731
251
1,144
[ "DDInter195", "DDInter1269" ]
Betamethasone
Nateglinide
Betamethasone is a long-acting corticosteroid with immunosuppressive and antiinflammatory properties. It can be used topically to manage inflammatory skin conditions such as eczema, and parenterally to manage several disease states including autoimmune disorders. Betamethasone has potent glucocorticoid activity and negligible mineralocorticoid activity.
Nateglinide 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. Nateglinide is an amino acid derivative that induces an early insulin response to meals decreasing postprandial blood glucose levels. It should only be taken with meals and meal-time doses should be skipped with any skipped meal. Approximately one month of therapy is required before a decrease in fasting blood glucose is seen. Meglitnides may have a neutral effect on weight or cause a slight increase in weight. The average weight gain caused by meglitinides appears to be lower than that caused by sulfonylureas and insulin and appears to occur only in those naïve to oral antidiabetic agents. Due to their mechanism of action, meglitinides may cause hypoglycemia although the risk is thought to be lower than that of sulfonylureas since their action is dependent on the presence of glucose. In addition to reducing postprandial and fasting blood glucose, meglitnides have been shown to decrease glycosylated hemoglobin (HbA1c) levels, which are reflective of the last 8-10 weeks of glucose control. Meglitinides appear to be more effective at lowering postprandial blood glucose than metformin, sulfonylureas and thiazolidinediones. Nateglinide is extensively metabolized in the liver and excreted in urine (83%) and feces (10%). The major metabolites possess less activity than the parent compound. One minor metabolite, the isoprene, has the same potency as its parent compound.
Moderate
1
[ [ [ 251, 24, 1144 ] ], [ [ 251, 24, 610 ], [ 610, 24, 1144 ] ], [ [ 251, 6, 8374 ], [ 8374, 45, 1144 ] ], [ [ 251, 21, 28787 ], [ 28787, 60, 1144 ] ], [ [ 251, 40, 1103 ], [ 1103, 23, 1144 ] ], [ [ 251, 63, 362 ], [ 362, 24, 1144 ] ], [ [ 251, 24, 629 ], [ 629, 63, 1144 ] ], [ [ 251, 23, 455 ], [ 455, 63, 1144 ] ], [ [ 251, 40, 870 ], [ 870, 24, 1144 ] ], [ [ 251, 25, 1510 ], [ 1510, 63, 1144 ] ] ]
[ [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Betamethasone", "{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}", "Nateglinide" ] ], [ [ "Betamethasone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Nateglinide" ] ], [ [ "Betamethasone", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Nateglinide" ] ], [ [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nateglinide" ] ], [ [ "Betamethasone", "{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}", "Nateglinide" ] ], [ [ "Betamethasone", "{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}", "Nateglinide" ] ], [ [ "Betamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Betamethasone", "{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}", "Nateglinide" ] ] ]
Betamethasone 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 Nateglinide Betamethasone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Nateglinide (Compound) Betamethasone (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Nateglinide (Compound) Betamethasone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Nateglinide Betamethasone 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 Nateglinide Betamethasone 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 Nateglinide Betamethasone may cause a minor interaction that can limit clinical effects when taken with Salmeterol and Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide Betamethasone (Compound) resembles Fludrocortisone (Compound) and Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide Betamethasone 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 Nateglinide
DB00851
DB09074
611
1,362
[ "DDInter463", "DDInter1327" ]
Dacarbazine
Olaparib
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.
Olaparib is a selective and potent inhibitor of poly (ADP-ribose) polymerase (PARP) enzymes, PARP1 and PARP2.[L41100, L40908, L43792] PARP inhibitors represent a novel class of anti-cancer therapy and they work by taking advantage of a defect in DNA repair in cancer cells with BRCA mutations and inducing cell death. Olaparib is used to treat a number of BRCA-associated tumours, including ovarian cancer, breast cancer, pancreatic cancer, and prostate cancer.[L41100, L40908, L43792] It was first approved by the FDA and EU in December 2014, and by Health Canada in April 2016.
Moderate
1
[ [ [ 611, 24, 1362 ] ], [ [ 611, 63, 896 ], [ 896, 24, 1362 ] ], [ [ 611, 24, 1683 ], [ 1683, 24, 1362 ] ], [ [ 611, 24, 385 ], [ 385, 63, 1362 ] ], [ [ 611, 25, 990 ], [ 990, 24, 1362 ] ], [ [ 611, 64, 1648 ], [ 1648, 24, 1362 ] ], [ [ 611, 62, 839 ], [ 839, 24, 1362 ] ], [ [ 611, 25, 962 ], [ 962, 64, 1362 ] ], [ [ 611, 64, 1066 ], [ 1066, 25, 1362 ] ], [ [ 611, 25, 1011 ], [ 1011, 25, 1362 ] ] ]
[ [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etoposide" ], [ "Etoposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Dacarbazine", "{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}", "Olaparib" ] ], [ [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ], [ "Isatuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Dacarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ], [ "Lomitapide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "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}", "Olaparib" ] ], [ [ "Dacarbazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Dacarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ], [ "Bacillus calmette-guerin substrain tice live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Olaparib" ] ], [ [ "Dacarbazine", "{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}", "Olaparib" ] ], [ [ "Dacarbazine", "{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}", "Olaparib" ] ] ]
Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Etoposide and Etoposide may cause a moderate interaction that could exacerbate diseases when taken with Olaparib Dacarbazine 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 Olaparib Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab and Isatuximab may cause a moderate interaction that could exacerbate diseases when taken with Olaparib Dacarbazine may lead to a major life threatening interaction when taken with Lomitapide and Lomitapide may cause a moderate interaction that could exacerbate diseases when taken with Olaparib 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 Olaparib Dacarbazine may cause a minor interaction that can limit clinical effects when taken with Grepafloxacin and Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Olaparib Dacarbazine may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen and Bacillus calmette-guerin substrain tice live antigen may lead to a major life threatening interaction when taken with Olaparib Dacarbazine 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 Olaparib Dacarbazine 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 Olaparib
DB12130
DB13879
1,017
1,043
[ "DDInter1094", "DDInter824" ]
Lorlatinib
Glecaprevir
Lorlatinib is a third-generation ALK tyrosine kinase inhibitor (TKI) for patients with ALK-positive metastatic non-small cell lung cancer which was first approved by the US FDA in November of 2018. It was subsequently approved by the EMA in 2019 for the treatment of select patients with previously treated advanced ALK-positive non-small cell lung cancer, followed by an expanded approval in 2022 to include lorlatinib as a first-line treatment option in advanced ALK-positive NSCLC.
Glecaprevir is a direct acting antiviral agent and Hepatitis C virus (HCV) NS3/4A protease inhibitor that targets the the viral RNA replication. In combination with , glecaprevir is a useful therapy for patients who experienced therapeutic failure from other NS3/4A protease inhibitors. It demonstrates a high genetic barrier against resistance mutations of the virus. In cell cultures, the emergence of amino acid substitutions at NS3 resistance-associated positions A156 or D/Q168 in HCV genotype 1a, 2a or 3a replicons led to reduced susceptibility to glecaprevir [FDA Label]. The combinations of amino acid substitutions at NS3 position Y65H and D/Q168 also results in greater reductions in glecaprevir susceptibility, and NS3 Q80R in genotype 3a patients also leads to glecaprevir resistance [FDA Label]. Glecaprevir is available as an oral combination therapy with under the brand name Mavyret. This fixed-dose combination therapy was FDA-approved in August 2017 to treat adults with chronic hepatitis C virus (HCV) genotypes 1-6 without cirrhosis (liver disease) or with mild cirrhosis, including patients with moderate to severe kidney disease and those who are on dialysis . Mavyret is also indicated for HCV genotype 1-infected patients who have been previously treated with regimens either containing an NS5A inhibitor or an NS3/4A protease inhibitor, but not both . Hepatitis C viral infection often leads to decreased liver function and subsequent liver failure, causing a significantly negative impact on the patients' quality of life. The ultimate goal of the combination treatment is to achieve sustained virologic response (SVR) and cure the patients from the infection. In clinical trials, this combination therapy achieved SVR12 rate, or undetectable Hepatitis C for twelve or more weeks after the end of treatment, of ≥93% across genotypes 1a, 2a, 3a, 4, 5 and 6 [FDA Label].
Moderate
1
[ [ [ 1017, 24, 1043 ] ], [ [ 1017, 63, 1135 ], [ 1135, 23, 1043 ] ], [ [ 1017, 25, 466 ], [ 466, 24, 1043 ] ], [ [ 1017, 64, 594 ], [ 594, 24, 1043 ] ], [ [ 1017, 24, 971 ], [ 971, 24, 1043 ] ], [ [ 1017, 63, 868 ], [ 868, 24, 1043 ] ], [ [ 1017, 62, 1101 ], [ 1101, 24, 1043 ] ], [ [ 1017, 24, 159 ], [ 159, 63, 1043 ] ], [ [ 1017, 63, 467 ], [ 467, 25, 1043 ] ], [ [ 1017, 64, 1456 ], [ 1456, 25, 1043 ] ] ]
[ [ [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{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}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Glecaprevir" ] ], [ [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Glecaprevir" ] ] ]
Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Glecaprevir Lorlatinib may lead to a major life threatening interaction when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir Lorlatinib may lead to a major life threatening interaction when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir Lorlatinib 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 Glecaprevir Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir Lorlatinib may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may lead to a major life threatening interaction when taken with Glecaprevir Lorlatinib may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may lead to a major life threatening interaction when taken with Glecaprevir
DB00468
DB04844
1,424
843
[ "DDInter1557", "DDInter1778" ]
Quinine
Tetrabenazine
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.
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.
Moderate
1
[ [ [ 1424, 24, 843 ] ], [ [ 1424, 23, 479 ], [ 479, 40, 843 ] ], [ [ 1424, 6, 12523 ], [ 12523, 45, 843 ] ], [ [ 1424, 18, 3106 ], [ 3106, 57, 843 ] ], [ [ 1424, 21, 28929 ], [ 28929, 60, 843 ] ], [ [ 1424, 23, 112 ], [ 112, 23, 843 ] ], [ [ 1424, 24, 1555 ], [ 1555, 24, 843 ] ], [ [ 1424, 63, 600 ], [ 600, 24, 843 ] ], [ [ 1424, 24, 286 ], [ 286, 63, 843 ] ], [ [ 1424, 25, 1250 ], [ 1250, 63, 843 ] ] ]
[ [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Quinine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} (Compound) resembles {v} (Compound)", "Tetrabenazine" ] ], [ [ "Quinine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Tetrabenazine" ] ], [ [ "Quinine", "{u} (Compound) downregulates {v} (Gene)", "DNAJA3" ], [ "DNAJA3", "{u} (Gene) is downregulated by {v} (Compound)", "Tetrabenazine" ] ], [ [ "Quinine", "{u} (Compound) causes {v} (Side Effect)", "Confusional state" ], [ "Confusional state", "{u} (Side Effect) is caused by {v} (Compound)", "Tetrabenazine" ] ], [ [ "Quinine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetrabenazine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ] ], [ [ "Quinine", "{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" ] ], [ [ "Quinine", "{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}", "Tetrabenazine" ] ] ]
Quinine may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil (Compound) resembles Tetrabenazine (Compound) Quinine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Tetrabenazine (Compound) Quinine (Compound) downregulates DNAJA3 (Gene) and DNAJA3 (Gene) is downregulated by Tetrabenazine (Compound) Quinine (Compound) causes Confusional state (Side Effect) and Confusional state (Side Effect) is caused by Tetrabenazine (Compound) Quinine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Tetrabenazine Quinine may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine Quinine may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine Quinine 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 Quinine 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 Tetrabenazine
DB04932
DB06209
1,564
256
[ "DDInter491", "DDInter1508" ]
Defibrotide
Prasugrel
Defibrotide is the sodium salt of a mixture of single-stranded oligodeoxyribonucleotides derived from porcine mucosal DNA. It has been shown to have antithrombotic, anti-inflammatory and anti-ischemic properties (but without associated significant systemic anticoagulant effects). It is marketed under the brand names Dasovas (FM), Noravid, and Prociclide in a variety of countries. In the USA it is was approved in March, 2016 as Defitelio.
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.
Major
2
[ [ [ 1564, 25, 256 ] ], [ [ 1564, 23, 944 ], [ 944, 62, 256 ] ], [ [ 1564, 63, 901 ], [ 901, 24, 256 ] ], [ [ 1564, 24, 1427 ], [ 1427, 63, 256 ] ], [ [ 1564, 64, 1479 ], [ 1479, 24, 256 ] ], [ [ 1564, 25, 578 ], [ 578, 63, 256 ] ], [ [ 1564, 64, 1317 ], [ 1317, 25, 256 ] ], [ [ 1564, 25, 365 ], [ 365, 64, 256 ] ], [ [ 1564, 25, 1046 ], [ 1046, 25, 256 ] ], [ [ 1564, 63, 886 ], [ 886, 25, 256 ] ] ]
[ [ [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Prasugrel" ] ], [ [ "Defibrotide", "{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" ] ], [ [ "Defibrotide", "{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" ] ], [ [ "Defibrotide", "{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" ] ], [ [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ] ], [ [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prasugrel" ] ], [ [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Dipyridamole" ], [ "Dipyridamole", "{u} may lead to a major life threatening interaction when taken with {v}", "Prasugrel" ] ], [ [ "Defibrotide", "{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}", "Prasugrel" ] ], [ [ "Defibrotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Caplacizumab" ], [ "Caplacizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Prasugrel" ] ], [ [ "Defibrotide", "{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}", "Prasugrel" ] ] ]
Defibrotide 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 Defibrotide 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 Defibrotide 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 Defibrotide may lead to a major life threatening interaction when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel Defibrotide may lead to a major life threatening interaction when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Prasugrel Defibrotide may lead to a major life threatening interaction when taken with Dipyridamole and Dipyridamole may lead to a major life threatening interaction when taken with Prasugrel Defibrotide 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 Prasugrel Defibrotide may lead to a major life threatening interaction when taken with Caplacizumab and Caplacizumab may lead to a major life threatening interaction when taken with Prasugrel Defibrotide 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 Prasugrel
DB01132
DB01155
1,130
872
[ "DDInter1472", "DDInter813" ]
Pioglitazone
Gemifloxacin
Pioglitazone is an antihyperglycemic used as an adjunct to diet, exercise, and other antidiabetic medications to manage type 2 diabetes mellitus.[L11416,L11419,L11422,L11425] It is administered as a racemic mixture, though there is no pharmacologic difference between the enantiomers and they appear to interconvert _in vivo_ with little consequence. The thiazolidinedione class of medications, which also includes [rosiglitazone] and [troglitazone], exerts its pharmacological effect primarily by promoting insulin sensitivity and the improved uptake of blood glucose via agonism at the peroxisome proliferator-activated receptor-gamma (PPARγ). PPARs are ligand-activated transcription factors that are involved in the expression of more than 100 genes and affect numerous metabolic processes, most notably lipid and glucose homeostasis. Thiazolidinediones, including pioglit
Gemifloxacin is a quinolone antibacterial agent with a broad-spectrum activity that is used in the treatment of acute bacterial exacerbation of chronic bronchitis and mild-to-moderate pneumonia. It is available in oral formulations. Gemifloxacin acts by inhibiting DNA synthesis through the inhibition of both DNA gyrase and topoisomerase IV, which are essential for bacterial growth.
Moderate
1
[ [ [ 1130, 24, 872 ] ], [ [ 1130, 63, 739 ], [ 739, 1, 872 ] ], [ [ 1130, 24, 945 ], [ 945, 40, 872 ] ], [ [ 1130, 24, 1539 ], [ 1539, 1, 872 ] ], [ [ 1130, 64, 246 ], [ 246, 1, 872 ] ], [ [ 1130, 21, 29134 ], [ 29134, 60, 872 ] ], [ [ 1130, 63, 372 ], [ 372, 23, 872 ] ], [ [ 1130, 24, 1250 ], [ 1250, 63, 872 ] ], [ [ 1130, 63, 688 ], [ 688, 24, 872 ] ], [ [ 1130, 24, 478 ], [ 478, 64, 872 ] ] ]
[ [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{u} (Compound) causes {v} (Side Effect)", "Flatulence" ], [ "Flatulence", "{u} (Side Effect) is caused by {v} (Compound)", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{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}", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{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}", "Gemifloxacin" ] ], [ [ "Pioglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Gemifloxacin" ] ] ]
Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Lomefloxacin and Lomefloxacin (Compound) resembles Gemifloxacin (Compound) Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Gemifloxacin (Compound) Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin and Ofloxacin (Compound) resembles Gemifloxacin (Compound) Pioglitazone may lead to a major life threatening interaction when taken with Gatifloxacin and Gatifloxacin (Compound) resembles Gemifloxacin (Compound) Pioglitazone (Compound) causes Flatulence (Side Effect) and Flatulence (Side Effect) is caused by Gemifloxacin (Compound) Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin Pioglitazone 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 Gemifloxacin Pioglitazone 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 Gemifloxacin Pioglitazone may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Gemifloxacin
DB00656
DB01128
827
918
[ "DDInter1851", "DDInter204" ]
Trazodone
Bicalutamide
Trazodone is triazolopyridine derivative from the serotonin receptor antagonists and reuptake inhibitors (SARIs) class of antidepressants. It is used in adults and has been shown to be comparable in efficacy to other drugs such as tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine receptor inhibitor (SNRIs) in the treatment of depression. A unique feature of this drug is that it does not promote the anxiety symptoms, sexual symptoms, or insomnia, which are commonly associated with SSRI and SNRI therapy. Trazodone acts on various receptors, including certain histamine, serotonin, and adrenergic receptors, distinguishing it from other antidepressants that cover a narrow range of neurotransmitters. It was initially granted FDA approval in 1981.
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
[ [ [ 827, 24, 918 ] ], [ [ 827, 24, 129 ], [ 129, 40, 918 ] ], [ [ 827, 6, 8374 ], [ 8374, 45, 918 ] ], [ [ 827, 21, 28642 ], [ 28642, 60, 918 ] ], [ [ 827, 23, 112 ], [ 112, 23, 918 ] ], [ [ 827, 24, 392 ], [ 392, 63, 918 ] ], [ [ 827, 24, 485 ], [ 485, 24, 918 ] ], [ [ 827, 1, 252 ], [ 252, 24, 918 ] ], [ [ 827, 63, 1557 ], [ 1557, 24, 918 ] ], [ [ 827, 40, 1630 ], [ 1630, 24, 918 ] ] ]
[ [ [ "Trazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ] ], [ [ "Trazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} (Compound) resembles {v} (Compound)", "Bicalutamide" ] ], [ [ "Trazodone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Bicalutamide" ] ], [ [ "Trazodone", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Bicalutamide" ] ], [ [ "Trazodone", "{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}", "Bicalutamide" ] ], [ [ "Trazodone", "{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}", "Bicalutamide" ] ], [ [ "Trazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ] ], [ [ "Trazodone", "{u} (Compound) resembles {v} (Compound)", "Hydroxyzine" ], [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ] ], [ [ "Trazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Astemizole" ], [ "Astemizole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ] ], [ [ "Trazodone", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ], [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ] ] ]
Trazodone may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide (Compound) resembles Bicalutamide (Compound) Trazodone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Bicalutamide (Compound) Trazodone (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Bicalutamide (Compound) Trazodone 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 Bicalutamide Trazodone 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 Bicalutamide Trazodone may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide Trazodone (Compound) resembles Hydroxyzine (Compound) and Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide Trazodone may cause a moderate interaction that could exacerbate diseases when taken with Astemizole and Astemizole may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide Trazodone (Compound) resembles Perphenazine (Compound) and Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide
DB00197
DB00734
1,324
1,664
[ "DDInter1881", "DDInter1605" ]
Troglitazone
Risperidone
Troglitazone was withdrawn in 2000 due to risk of hepatotoxicity. It was superseded by [pioglitazone] and [rosiglitazone].
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
[ [ [ 1324, 24, 1664 ] ], [ [ 1324, 24, 924 ], [ 924, 40, 1664 ] ], [ [ 1324, 24, 1616 ], [ 1616, 63, 1664 ] ], [ [ 1324, 24, 888 ], [ 888, 24, 1664 ] ], [ [ 1324, 63, 1179 ], [ 1179, 24, 1664 ] ], [ [ 1324, 24, 877 ], [ 877, 64, 1664 ] ], [ [ 1324, 24, 11 ], [ 11, 25, 1664 ] ], [ [ 1324, 24, 924 ], [ 924, 1, 519 ], [ 519, 40, 1664 ] ], [ [ 1324, 24, 519 ], [ 519, 40, 924 ], [ 924, 40, 1664 ] ], [ [ 1324, 24, 1616 ], [ 1616, 64, 924 ], [ 924, 40, 1664 ] ] ]
[ [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} (Compound) resembles {v} (Compound)", "Risperidone" ] ], [ [ "Troglitazone", "{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" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Troglitazone", "{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" ] ], [ [ "Troglitazone", "{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}", "Risperidone" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Risperidone" ] ], [ [ "Troglitazone", "{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" ] ], [ [ "Troglitazone", "{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" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ], [ "Histrelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} (Compound) resembles {v} (Compound)", "Risperidone" ] ] ]
Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Iloperidone and Iloperidone (Compound) resembles Risperidone (Compound) Troglitazone 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 Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Risperidone Troglitazone 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 Troglitazone 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 Risperidone Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Toremifene and Toremifene may lead to a major life threatening interaction when taken with Risperidone Troglitazone 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) Troglitazone 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) Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Histrelin and Histrelin may lead to a major life threatening interaction when taken with Iloperidone and Iloperidone (Compound) resembles Risperidone (Compound)
DB00495
DB01229
139
973
[ "DDInter1961", "DDInter1378" ]
Zidovudine
Paclitaxel (protein-bound)
A dideoxynucleoside compound in which the 3'-hydroxy group on the sugar moiety has been replaced by an azido group. This modification prevents the formation of phosphodiester linkages which are needed for the completion of nucleic acid chains. The compound is a potent inhibitor of HIV replication, acting as a chain-terminator of viral DNA during reverse transcription. It improves immunologic function, partially reverses the HIV-induced neurological dysfunction, and improves certain other clinical abnormalities associated with AIDS. Its principal toxic effect is dose-dependent suppression of bone marrow, resulting in anemia and leukopenia. [PubChem]
Paclitaxel can cause developmental toxicity, female reproductive toxicity and male reproductive toxicity according to state or federal government labeling requirements.
Moderate
1
[ [ [ 139, 24, 973 ] ], [ [ 139, 24, 310 ], [ 310, 63, 973 ] ], [ [ 139, 6, 8374 ], [ 8374, 45, 973 ] ], [ [ 139, 21, 28803 ], [ 28803, 60, 973 ] ], [ [ 139, 63, 134 ], [ 134, 24, 973 ] ], [ [ 139, 24, 1555 ], [ 1555, 24, 973 ] ], [ [ 139, 64, 1451 ], [ 1451, 24, 973 ] ], [ [ 139, 23, 752 ], [ 752, 24, 973 ] ], [ [ 139, 1, 231 ], [ 231, 24, 973 ] ], [ [ 139, 1, 1477 ], [ 1477, 63, 973 ] ] ]
[ [ [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Zidovudine", "{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}", "Paclitaxel" ] ], [ [ "Zidovudine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Paclitaxel" ] ], [ [ "Zidovudine", "{u} (Compound) causes {v} (Side Effect)", "Anaemia" ], [ "Anaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Paclitaxel" ] ], [ [ "Zidovudine", "{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}", "Paclitaxel" ] ], [ [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Zidovudine", "{u} may lead to a major life threatening interaction when taken with {v}", "Interferon alfa-n1" ], [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Zidovudine", "{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}", "Paclitaxel" ] ], [ [ "Zidovudine", "{u} (Compound) resembles {v} (Compound)", "Stavudine" ], [ "Stavudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Zidovudine", "{u} (Compound) resembles {v} (Compound)", "Telbivudine" ], [ "Telbivudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ] ]
Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Zidovudine 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 Paclitaxel Zidovudine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Paclitaxel (Compound) Zidovudine (Compound) causes Anaemia (Side Effect) and Anaemia (Side Effect) is caused by Paclitaxel (Compound) Zidovudine 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 Paclitaxel Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Zidovudine may lead to a major life threatening interaction when taken with Interferon alfa-n1 and Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Zidovudine 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 Paclitaxel Zidovudine (Compound) resembles Stavudine (Compound) and Stavudine may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Zidovudine (Compound) resembles Telbivudine (Compound) and Telbivudine may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel
DB09039
DB09075
1,670
498
[ "DDInter629", "DDInter621" ]
Eliglustat
Edoxaban
Eliglustat is a glucosylceramide synthase inhibitor used for the long-term treatment of type 1 Gaucher disease.[A3752,L41404] Gaucher disease is a rare genetic disorder characterized by the deficiency of acid β-glucosidase, an enzyme that converts glucosylceramide into glucose and ceramide. In patients with Gaucher disease, the accumulation of glucosylceramide leads to the formation of Gaucher cells that infiltrate the liver, spleen, bone marrow and other organs. This leads to complications such as anemia and thrombocytopenia.[L41404,A246384] By inhibiting glucosylceramide synthase, eliglustat reduces the accumulation of glucosylceramide. Eliglustat is mainly metabolized by CYP2D6. Patients selected for eliglustat treatment undergo an FDA-cleared genotyping test to establish if they are CYP2D6 extensive metabolizers (
Edoxaban is a member of the Novel Oral Anti-Coagulants (NOACs) class of drugs, and is a rapidly acting, oral, selective factor Xa inhibitor. By inhibiting factor Xa, a key protein in the coagulation cascade, edoxaban prevents the stepwise amplification of protein factors needed to form blood clots. It is indicated to reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF) and for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5-10 days of initial therapy with a parenteral anticoagulant. Traditionally, warfarin, a vitamin K antagonist, was used for stroke prevention in these individuals but effective use of this drug is limited by it's delayed onset, narrow therapeutic window, need for regular monitoring and INR testing, and numerous drug-drug and drug-food interactions. This has prompted enthusiasm for newer agents such as dabigatran, apixaban, and rivaroxaban for effective clot prevention. In addition to once daily dosing, the benefits over warfarin also include significant reductions in hemorrhagic stroke and GI bleeding, and improved compliance, which is beneficial as many patients will be on lifelong therapy.
Major
2
[ [ [ 1670, 25, 498 ] ], [ [ 1670, 64, 109 ], [ 109, 24, 498 ] ], [ [ 1670, 63, 1237 ], [ 1237, 24, 498 ] ], [ [ 1670, 24, 1017 ], [ 1017, 63, 498 ] ], [ [ 1670, 24, 1427 ], [ 1427, 24, 498 ] ], [ [ 1670, 25, 913 ], [ 913, 63, 498 ] ], [ [ 1670, 63, 1213 ], [ 1213, 25, 498 ] ], [ [ 1670, 64, 762 ], [ 762, 25, 498 ] ], [ [ 1670, 25, 283 ], [ 283, 64, 498 ] ], [ [ 1670, 24, 1097 ], [ 1097, 64, 498 ] ] ]
[ [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Duloxetine" ], [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ], [ "Clomipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Eliglustat", "{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}", "Edoxaban" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Bepridil" ], [ "Bepridil", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Eliglustat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ], [ "Lasmiditan", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ] ]
Eliglustat may lead to a major life threatening interaction when taken with Duloxetine and Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine and Clomipramine may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Eliglustat 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 Edoxaban Eliglustat may lead to a major life threatening interaction when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may lead to a major life threatening interaction when taken with Edoxaban Eliglustat may lead to a major life threatening interaction when taken with Bepridil and Bepridil may lead to a major life threatening interaction when taken with Edoxaban Eliglustat may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may lead to a major life threatening interaction when taken with Edoxaban Eliglustat may cause a moderate interaction that could exacerbate diseases when taken with Lasmiditan and Lasmiditan may lead to a major life threatening interaction when taken with Edoxaban
DB06603
DB13074
39
877
[ "DDInter1387", "DDInter1110" ]
Panobinostat
Macimorelin
Panobinostat is an oral deacetylace (DAC) inhibitor approved on February 23, 2015 by the FDA for the treatment of multiple myeloma. The approval was accelerated based on progression-free survival, therefore confirmatory trials by the sponsor to demonstrate clinical efficacy in multiple myeloma treatment are in progress of being conducted. Panobinostat is marketed by Novartis under the brand name Farydak. Panobinostat acts as a non-selective histone deacetylase inhibitor (pan-HDAC inhibitor) and it is the most potent DAC inhibiting agent available on the market.
Macimorelin, a novel and orally active ghrelin mimetic that stimulates GH secretion, is used in the diagnosis of adult GH deficiency (AGHD). More specifically, macimorelin is a peptidomimetic growth hormone secretagogue (GHS) that acts as an agonist of GH secretagogue receptor, or ghrelin receptor (GHS-R1a) to dose-dependently increase GH levels . Growth hormone secretagogues (GHS) represent a new class of pharmacological agents which have the potential to be used in numerous clinical applications. They include treatment for growth retardation in children and cachexia associated with chronic disease such as AIDS and cancer. Growth hormone (GH) is classically linked with linear growth during childhood. In deficiency of this hormone, AGHD is commonly associated with increased fat mass (particularly in the abdominal region), decreased lean body mass, osteopenia, dyslipidemia, insulin resistance, and/or glucose intolerance overtime. In addition, individuals with may be susceptible to cardiovascular complications from altered structures and function . Risk factors of AGHD include a history of childhood-onset GH deficiency or with hypothalamic/pituitary disease, surgery, or irradiation to these areas, head trauma, or evidence of other pituitary hormone deficiencies . While there are various therapies available such as GH replacement therapy, the absence of panhypopituitarism and low serum IGF-I levels with nonspecific clinical symptoms pose challenges to the detection and diagnosis of AGHD. The diagnosis of AGHD requires biochemical confirmation with at least 1 GH stimulation test . Macimorelin is clinically useful since it displays good stability and oral bioavailability with comparable affinity to ghrelin receptor as its endogenous ligand. In clinical studies involving healthy subjects, macimorelin stimulated GH release in a dose-dependent manner with good tolerability . Macimorelin, developed by Aeterna Zentaris, was approved by the FDA in December 2017 under the market name Macrilen for oral solution.
Major
2
[ [ [ 39, 25, 877 ] ], [ [ 39, 62, 112 ], [ 112, 23, 877 ] ], [ [ 39, 24, 1320 ], [ 1320, 24, 877 ] ], [ [ 39, 64, 1479 ], [ 1479, 24, 877 ] ], [ [ 39, 63, 673 ], [ 673, 24, 877 ] ], [ [ 39, 25, 913 ], [ 913, 24, 877 ] ], [ [ 39, 62, 479 ], [ 479, 24, 877 ] ], [ [ 39, 24, 1654 ], [ 1654, 63, 877 ] ], [ [ 39, 76, 1274 ], [ 1274, 24, 877 ] ], [ [ 39, 64, 485 ], [ 485, 25, 877 ] ] ]
[ [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Panobinostat", "{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}", "Macimorelin" ] ], [ [ "Panobinostat", "{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}", "Macimorelin" ] ], [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ], [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Panobinostat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ], [ "Somapacitan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ] ]
Panobinostat 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 Macimorelin Panobinostat 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 Macimorelin Panobinostat may lead to a major life threatening interaction when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole and Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Panobinostat may lead to a major life threatening interaction when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Panobinostat may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan and Somapacitan may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Panobinostat may lead to a major life threatening interaction when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Panobinostat may lead to a major life threatening interaction when taken with Pentamidine and Pentamidine may lead to a major life threatening interaction when taken with Macimorelin
DB00916
DB08868
112
1,011
[ "DDInter1202", "DDInter737" ]
Metronidazole
Fingolimod
Metronidazole is a commonly used antibiotic, belonging to the nitroimidazole class of antibiotics. It is frequently used to treat gastrointestinal infections as well as trichomoniasis and giardiasis, and amebiasis which are parasitic infections.[A181036,A181039] Metronidazole has been used as an antibiotic for several decades, with added antiparasitic properties that set it apart from many other antibacterial drugs, allowing it to treat a wide variety of infections. It is available in capsule form, tablet form, and topical form, and suppository preparations for the treatment of various infections.
Multiple sclerosis, or MS, is a devastating inflammatory disease that often progresses and causes severe neurological, physical, and cognitive effects. Fingolimod is a sphingosine 1-phosphate receptor modulator for the treatment of relapsing-remitting multiple sclerosis. It was developed by Novartis and initially approved by the FDA in 2010. Fingolimod was also studied for the treatment of COVID-19, the disease caused by infection with the SARS-CoV-2 virus.[L12654,L12657]
Minor
0
[ [ [ 112, 23, 1011 ] ], [ [ 112, 6, 8374 ], [ 8374, 45, 1011 ] ], [ [ 112, 21, 28792 ], [ 28792, 60, 1011 ] ], [ [ 112, 23, 1247 ], [ 1247, 23, 1011 ] ], [ [ 112, 62, 867 ], [ 867, 24, 1011 ] ], [ [ 112, 23, 673 ], [ 673, 24, 1011 ] ], [ [ 112, 63, 62 ], [ 62, 24, 1011 ] ], [ [ 112, 62, 876 ], [ 876, 25, 1011 ] ], [ [ 112, 63, 453 ], [ 453, 25, 1011 ] ], [ [ 112, 24, 973 ], [ 973, 25, 1011 ] ] ]
[ [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fingolimod" ] ], [ [ "Metronidazole", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Fingolimod" ] ], [ [ "Metronidazole", "{u} (Compound) causes {v} (Side Effect)", "Gastrointestinal disorder" ], [ "Gastrointestinal disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Fingolimod" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fingolimod" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Olanzapine" ], [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aripiprazole" ], [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Metronidazole", "{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}", "Fingolimod" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tizanidine" ], [ "Tizanidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ], [ "Linezolid", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ], [ "Paclitaxel", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ] ]
Metronidazole (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Fingolimod (Compound) Metronidazole (Compound) causes Gastrointestinal disorder (Side Effect) and Gastrointestinal disorder (Side Effect) is caused by Fingolimod (Compound) Metronidazole may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Fingolimod Metronidazole may cause a minor interaction that can limit clinical effects when taken with Olanzapine and Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Metronidazole may cause a minor interaction that can limit clinical effects when taken with Aripiprazole and Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Metronidazole 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 Fingolimod Metronidazole may cause a minor interaction that can limit clinical effects when taken with Tizanidine and Tizanidine may lead to a major life threatening interaction when taken with Fingolimod Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Linezolid and Linezolid may lead to a major life threatening interaction when taken with Fingolimod Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel and Paclitaxel may lead to a major life threatening interaction when taken with Fingolimod
DB00399
DB09133
963
1,527
[ "DDInter1968", "DDInter965" ]
Zoledronic acid
Iothalamic acid
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.
Iothalamic acid is an iodine containing organic anion used as a diagnostic contrast agent.
Major
2
[ [ [ 963, 25, 1527 ] ], [ [ 963, 24, 589 ], [ 589, 25, 1527 ] ], [ [ 963, 1, 1199 ], [ 1199, 25, 1527 ] ], [ [ 963, 40, 641 ], [ 641, 25, 1527 ] ], [ [ 963, 25, 629 ], [ 629, 25, 1527 ] ], [ [ 963, 24, 589 ], [ 589, 64, 228 ], [ 228, 24, 1527 ] ], [ [ 963, 24, 91 ], [ 91, 24, 242 ], [ 242, 63, 1527 ] ], [ [ 963, 24, 1512 ], [ 1512, 24, 863 ], [ 863, 24, 1527 ] ], [ [ 963, 24, 848 ], [ 848, 63, 863 ], [ 863, 24, 1527 ] ], [ [ 963, 1, 1199 ], [ 1199, 63, 589 ], [ 589, 25, 1527 ] ] ]
[ [ [ "Zoledronic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cisplatin" ], [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{u} (Compound) resembles {v} (Compound)", "Ibandronate" ], [ "Ibandronate", "{u} may lead to a major life threatening interaction when taken with {v}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{u} (Compound) resembles {v} (Compound)", "Pamidronic acid" ], [ "Pamidronic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{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}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cisplatin" ], [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Dofetilide" ], [ "Dofetilide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vancomycin" ], [ "Vancomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Remdesivir" ], [ "Remdesivir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{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}", "Amiloride" ], [ "Amiloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{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}", "Amiloride" ], [ "Amiloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ], [ [ "Zoledronic acid", "{u} (Compound) resembles {v} (Compound)", "Ibandronate" ], [ "Ibandronate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cisplatin" ], [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iothalamic acid" ] ] ]
Zoledronic acid may cause a moderate interaction that could exacerbate diseases when taken with Cisplatin and Cisplatin may lead to a major life threatening interaction when taken with Iothalamic acid Zoledronic acid (Compound) resembles Ibandronate (Compound) and Ibandronate may lead to a major life threatening interaction when taken with Iothalamic acid Zoledronic acid (Compound) resembles Pamidronic acid (Compound) and Pamidronic acid may lead to a major life threatening interaction when taken with Iothalamic acid Zoledronic acid 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 Iothalamic acid Zoledronic acid may cause a moderate interaction that could exacerbate diseases when taken with Cisplatin and Cisplatin may lead to a major life threatening interaction when taken with Dofetilide and Dofetilide may cause a moderate interaction that could exacerbate diseases when taken with Iothalamic acid Zoledronic acid may cause a moderate interaction that could exacerbate diseases when taken with Vancomycin and Vancomycin may cause a moderate interaction that could exacerbate diseases when taken with Remdesivir and Remdesivir may cause a moderate interaction that could exacerbate diseases when taken with Iothalamic acid Zoledronic acid 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 Amiloride and Amiloride may cause a moderate interaction that could exacerbate diseases when taken with Iothalamic acid Zoledronic acid 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 Amiloride and Amiloride may cause a moderate interaction that could exacerbate diseases when taken with Iothalamic acid Zoledronic acid (Compound) resembles Ibandronate (Compound) and Ibandronate may cause a moderate interaction that could exacerbate diseases when taken with Cisplatin and Cisplatin may lead to a major life threatening interaction when taken with Iothalamic acid
DB00060
DB00631
912
372
[ "DDInter947", "DDInter405" ]
Interferon beta-1a
Clofarabine
Human interferon beta (166 residues), glycosylated, MW=22.5kD. It is produced by mammalian cells (Chinese Hamster Ovary cells) into which the human interferon beta gene has been introduced. The amino acid sequence is identical to that of natural human interferon beta.
Clofarabine is a purine nucleoside antimetabolite that is being studied in the treatment of cancer. It is marketed as Clolar in the U.S. and Canada, or Evoltra in Europe, Australia, and New Zealand. Clofarabine is used in paediatrics to treat a type of leukaemia called relapsed or refractory acute lymphoblastic leukaemia (ALL), only after at least two other types of treatment have failed. It is not known if the drug extends life expectancy. Its potential use in acute myeloid leukaemia (AML) and juvenile myelomonocytic leukaemia (JMML) has been investigated.
Moderate
1
[ [ [ 912, 24, 372 ] ], [ [ 912, 24, 1064 ], [ 1064, 25, 372 ] ], [ [ 912, 24, 595 ], [ 595, 24, 372 ] ], [ [ 912, 24, 725 ], [ 725, 63, 372 ] ], [ [ 912, 63, 1560 ], [ 1560, 24, 372 ] ], [ [ 912, 25, 593 ], [ 593, 63, 372 ] ], [ [ 912, 25, 139 ], [ 139, 24, 372 ] ], [ [ 912, 25, 1066 ], [ 1066, 25, 372 ] ], [ [ 912, 24, 1011 ], [ 1011, 64, 372 ] ], [ [ 912, 25, 497 ], [ 497, 64, 372 ] ] ]
[ [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethionamide" ], [ "Ethionamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Satralizumab" ], [ "Satralizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{u} may lead to a major life threatening interaction when taken with {v}", "Zidovudine" ], [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{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}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Clofarabine" ] ], [ [ "Interferon beta-1a", "{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}", "Clofarabine" ] ] ]
Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Clofarabine Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Ethionamide and Ethionamide may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Satralizumab and Satralizumab may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine Interferon beta-1a may lead to a major life threatening interaction when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine Interferon beta-1a may lead to a major life threatening interaction when taken with Zidovudine and Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine Interferon beta-1a 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 Clofarabine Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Clofarabine Interferon beta-1a 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 Clofarabine
DB01229
DB15091
973
676
[ "DDInter1377", "DDInter1901" ]
Paclitaxel
Upadacitinib
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.
Upadacitinib is an oral Janus kinase (JAK)1-selective inhibitor and a disease-modifying antirheumatic drug (DMARD) used in the treatment of rheumatoid arthritis to slow down disease progression. Rheumatoid arthritis is a chronic autoimmune inflammatory disease affecting the peripheral joints. It is characterized by synovial inflammation and hyperplasia, autoantibody production, cartilage damage and bone destruction, leading to co-morbidities. Despite a variety of therapeutic agents available for treatment, up to 40% of the patients do not respond to current therapies, including biological therapies. The etiology of the disease is mostly unknown; however, the role of JAK as a driver of immune-mediated conditions was discovered, leading to the use of JAK as therapeutic targets for rheumatoid arthritis. To reduce dose-related toxicity (as seen with some pan-JAK inhibitors) without significantly affecting efficacy, more selective JAK1 inhibitors, upadacitinib and [filgotinib], were developed. The FDA approved upadacitinib in August 2019 and it is used for the treatment of active rheumatoid arthritis, psoriatic arthritis, atopic dermatitis, ulcerative colitis, and ankylosing spondylitis. In December 2019, it was additionally approved by the European Commission and Health Canada.[L10899,L42540] Upadacitinib is marketed under the brand name RINVOQ for oral administration.
Major
2
[ [ [ 973, 25, 676 ] ], [ [ 973, 63, 1461 ], [ 1461, 23, 676 ] ], [ [ 973, 24, 1430 ], [ 1430, 24, 676 ] ], [ [ 973, 63, 1249 ], [ 1249, 24, 676 ] ], [ [ 973, 24, 1654 ], [ 1654, 63, 676 ] ], [ [ 973, 62, 307 ], [ 307, 24, 676 ] ], [ [ 973, 63, 1184 ], [ 1184, 25, 676 ] ], [ [ 973, 24, 859 ], [ 859, 25, 676 ] ], [ [ 973, 25, 1327 ], [ 1327, 25, 676 ] ], [ [ 973, 64, 215 ], [ 215, 25, 676 ] ] ]
[ [ [ "Paclitaxel", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{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}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{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}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nafcillin" ], [ "Nafcillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ], [ "Somapacitan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{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}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Posaconazole" ], [ "Posaconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{u} may lead to a major life threatening interaction when taken with {v}", "Saquinavir" ], [ "Saquinavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ], [ [ "Paclitaxel", "{u} may lead to a major life threatening interaction when taken with {v}", "Indinavir" ], [ "Indinavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ] ] ]
Paclitaxel 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 Upadacitinib Paclitaxel 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 Upadacitinib Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Nafcillin and Nafcillin may cause a moderate interaction that could exacerbate diseases when taken with Upadacitinib Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan and Somapacitan may cause a moderate interaction that could exacerbate diseases when taken with Upadacitinib Paclitaxel 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 Upadacitinib Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may lead to a major life threatening interaction when taken with Upadacitinib Paclitaxel may cause a moderate interaction that could exacerbate diseases when taken with Posaconazole and Posaconazole may lead to a major life threatening interaction when taken with Upadacitinib Paclitaxel may lead to a major life threatening interaction when taken with Saquinavir and Saquinavir may lead to a major life threatening interaction when taken with Upadacitinib Paclitaxel may lead to a major life threatening interaction when taken with Indinavir and Indinavir may lead to a major life threatening interaction when taken with Upadacitinib
DB00959
DB01170
1,486
1,150
[ "DDInter1191", "DDInter846" ]
Methylprednisolone
Guanethidine
Methylprednisolone is a [prednisolone] derivative glucocorticoid with higher potency than [prednisone]. It was first described in the literature in the late 1950s.[A188811,A188814] Methylprednisolone was granted FDA approval on 24 October 1957. In the outbreak of COVID-19, low dose methylprednisolone-based therapy was successful in treating COVID-19-associated pneumonia in one patient with long-term immunosuppression. The efficacy of methylprednisolone in novel coronavirus pneumonia is being investigated further in clinical trials.
An antihypertensive agent that acts by inhibiting selectively transmission in post-ganglionic adrenergic nerves. It is believed to act mainly by preventing the release of norepinephrine at nerve endings and causes depletion of norepinephrine in peripheral sympathetic nerve terminals as well as in tissues. [PubChem]
Moderate
1
[ [ [ 1486, 24, 1150 ] ], [ [ 1486, 6, 8374 ], [ 8374, 45, 1150 ] ], [ [ 1486, 24, 1344 ], [ 1344, 63, 1150 ] ], [ [ 1486, 1, 617 ], [ 617, 63, 1150 ] ], [ [ 1486, 40, 891 ], [ 891, 24, 1150 ] ], [ [ 1486, 1, 175 ], [ 175, 24, 1150 ] ], [ [ 1486, 63, 176 ], [ 176, 24, 1150 ] ], [ [ 1486, 40, 1220 ], [ 1220, 63, 1150 ] ], [ [ 1486, 23, 1148 ], [ 1148, 24, 1150 ] ], [ [ 1486, 24, 1411 ], [ 1411, 24, 1150 ] ] ]
[ [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Methylprednisolone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Guanethidine" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ], [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Methylprednisolone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Methylprednisolone", "{u} (Compound) resembles {v} (Compound)", "Prednisolone" ], [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Methylprednisolone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Methylprednisolone", "{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}", "Guanethidine" ] ], [ [ "Methylprednisolone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Methylprednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Methylprednisolone", "{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}", "Guanethidine" ] ] ]
Methylprednisolone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Guanethidine (Compound) Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin and Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Methylprednisolone (Compound) resembles Budesonide (Compound) and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Methylprednisolone (Compound) resembles Prednisolone (Compound) and Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Methylprednisolone (Compound) resembles Triamcinolone (Compound) and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Methylprednisolone 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 Guanethidine Methylprednisolone (Compound) resembles Dexamethasone (Compound) and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Methylprednisolone may cause a minor interaction that can limit clinical effects when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Methylprednisolone 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 Guanethidine
DB00056
DB00108
816
1,066
[ "DDInter814", "DDInter1268" ]
Gemtuzumab ozogamicin
Natalizumab
Gemtuzumab ozogamicin is a recombinant humanized IgG4 kappa antibody which is conjugated with calicheamicin derivative, a cytotoxic antitumor antibiotic isolated from fermentation of Micromonospora echinospora ssp. calichensis. Gemtuzumab ozogamicin has approximately 50% of the antibody loaded with 4-6 moles calicheamicin per mole of antibody [FDA Label]. The antibody is specifically directed against the CD33 antigen present on leukemic myeloblasts in most patients with acute myeloid leukemia (AML). By binding to the CD33 antigen on tumors, the cytotoxic agent blocks the growth of cancerous cells and causes cell death. Marketing approval of gemtuzumab ozogamicin was granted on May 17, 2000 by FDA as a treatment for patients with CD33-positive AML in first relapse who are 60 years of age or
Natalizumab is a recombinant humanized IgG4κ monoclonal antibody that binds to α4-integrin. While natalizumab was originally approved by the FDA to treat multiple sclerosis in 2004, it was withdrawn from the market following multiple reports of fatal progressive multifocal leukoencephalopathy (PML). In 2006, the FDA reintroduced the drug to the market for multiple sclerosis. Natalizumab was further approved by the FDA for the treatment of Crohn's Disease in January 2008. On August 24, 2023, the first biosimilar to natalizumab, natalizumab-sztn, was approved by the FDA. Natalizumab was approved by the European Commission on September 22, 2023.
Major
2
[ [ [ 816, 25, 1066 ] ], [ [ 816, 24, 949 ], [ 949, 63, 1066 ] ], [ [ 816, 25, 375 ], [ 375, 64, 1066 ] ], [ [ 816, 24, 738 ], [ 738, 64, 1066 ] ], [ [ 816, 24, 599 ], [ 599, 25, 1066 ] ], [ [ 816, 64, 1057 ], [ 1057, 25, 1066 ] ], [ [ 816, 63, 1184 ], [ 1184, 25, 1066 ] ], [ [ 816, 25, 581 ], [ 581, 25, 1066 ] ], [ [ 816, 24, 949 ], [ 949, 63, 375 ], [ 375, 64, 1066 ] ], [ [ 816, 24, 1430 ], [ 1430, 24, 637 ], [ 637, 63, 1066 ] ] ]
[ [ [ "Gemtuzumab ozogamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clostridium tetani toxoid antigen (formaldehyde inactivated)" ], [ "Clostridium tetani toxoid antigen (formaldehyde inactivated)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{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}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ], [ "Niraparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{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}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clostridium tetani toxoid antigen (formaldehyde inactivated)" ], [ "Clostridium tetani toxoid antigen (formaldehyde inactivated)", "{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}", "Natalizumab" ] ], [ [ "Gemtuzumab ozogamicin", "{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}", "Asparaginase Erwinia chrysanthemi" ], [ "Asparaginase Erwinia chrysanthemi", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Natalizumab" ] ] ]
Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Clostridium tetani toxoid antigen (formaldehyde inactivated) and Clostridium tetani toxoid antigen (formaldehyde inactivated) may cause a moderate interaction that could exacerbate diseases when taken with Natalizumab Gemtuzumab ozogamicin 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 Natalizumab Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Niraparib and Niraparib may lead to a major life threatening interaction when taken with Natalizumab Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Alemtuzumab and Alemtuzumab may lead to a major life threatening interaction when taken with Natalizumab Gemtuzumab ozogamicin 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 Natalizumab Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may lead to a major life threatening interaction when taken with Natalizumab Gemtuzumab ozogamicin may lead to a major life threatening interaction when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Natalizumab Gemtuzumab ozogamicin may cause a moderate interaction that could exacerbate diseases when taken with Clostridium tetani toxoid antigen (formaldehyde inactivated) and Clostridium tetani toxoid antigen (formaldehyde inactivated) 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 Natalizumab Gemtuzumab ozogamicin 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 Asparaginase Erwinia chrysanthemi and Asparaginase Erwinia chrysanthemi may cause a moderate interaction that could exacerbate diseases when taken with Natalizumab
DB00460
DB00682
612
126
[ "DDInter1929", "DDInter1951" ]
Verteporfin
Warfarin
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.
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
[ [ [ 612, 24, 126 ] ], [ [ 612, 24, 663 ], [ 663, 23, 126 ] ], [ [ 612, 24, 918 ], [ 918, 62, 126 ] ], [ [ 612, 24, 1195 ], [ 1195, 24, 126 ] ], [ [ 612, 24, 1411 ], [ 1411, 63, 126 ] ], [ [ 612, 63, 1018 ], [ 1018, 24, 126 ] ], [ [ 612, 63, 942 ], [ 942, 25, 126 ] ], [ [ 612, 24, 553 ], [ 553, 25, 126 ] ], [ [ 612, 24, 365 ], [ 365, 64, 126 ] ], [ [ 612, 24, 1274 ], [ 1274, 75, 126 ] ] ]
[ [ [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Verteporfin", "{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}", "Warfarin" ] ], [ [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ], [ "Bicalutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ] ], [ [ "Verteporfin", "{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}", "Warfarin" ] ], [ [ "Verteporfin", "{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}", "Warfarin" ] ], [ [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ] ], [ [ "Verteporfin", "{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}", "Warfarin" ] ], [ [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ] ], [ [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ], [ "Dalteparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ] ], [ [ "Verteporfin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ] ] ]
Verteporfin 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 Warfarin Verteporfin may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide and Bicalutamide may cause a minor interaction that can limit clinical effects when taken with Warfarin Verteporfin 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 Warfarin Verteporfin 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 Warfarin Verteporfin may cause a moderate interaction that could exacerbate diseases when taken with Ticlopidine and Ticlopidine may cause a moderate interaction that could exacerbate diseases when taken with Warfarin Verteporfin 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 Warfarin Verteporfin may cause a moderate interaction that could exacerbate diseases when taken with Fondaparinux and Fondaparinux may lead to a major life threatening interaction when taken with Warfarin Verteporfin may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin and Dalteparin may lead to a major life threatening interaction when taken with Warfarin Verteporfin may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen (Compound) resembles Warfarin (Compound) and Flurbiprofen may lead to a major life threatening interaction when taken with Warfarin
DB00095
DB00322
66
141
[ "DDInter623", "DDInter742" ]
Efalizumab
Floxuridine
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).
An antineoplastic antimetabolite that is metabolized to fluorouracil when administered by rapid injection. Floxuridine is available as a sterile, nonpyrogenic, lyophilized powder for reconstitution. When administered by slow, continuous, intra-arterial infusion, it is converted to floxuridine monophosphate. It has been used to treat hepatic metastases of gastrointestinal adenocarcinomas and for palliation in malignant neoplasms of the liver and gastrointestinal tract.
Moderate
1
[ [ [ 66, 24, 141 ] ], [ [ 66, 24, 1083 ], [ 1083, 40, 141 ] ], [ [ 66, 25, 1064 ], [ 1064, 25, 141 ] ], [ [ 66, 24, 611 ], [ 611, 63, 141 ] ], [ [ 66, 24, 377 ], [ 377, 24, 141 ] ], [ [ 66, 63, 1184 ], [ 1184, 24, 141 ] ], [ [ 66, 23, 1461 ], [ 1461, 24, 141 ] ], [ [ 66, 25, 1137 ], [ 1137, 64, 141 ] ], [ [ 66, 24, 908 ], [ 908, 64, 141 ] ], [ [ 66, 63, 581 ], [ 581, 25, 141 ] ] ]
[ [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trifluridine" ], [ "Trifluridine", "{u} (Compound) resembles {v} (Compound)", "Floxuridine" ] ], [ [ "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}", "Floxuridine" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dacarbazine" ], [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ] ], [ [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ] ], [ [ "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}", "Floxuridine" ] ], [ [ "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}", "Floxuridine" ] ], [ [ "Efalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Measles virus vaccine live attenuated" ], [ "Measles virus vaccine live attenuated", "{u} may lead to a major life threatening interaction when taken with {v}", "Floxuridine" ] ], [ [ "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}", "Floxuridine" ] ], [ [ "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}", "Floxuridine" ] ] ]
Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Trifluridine and Trifluridine (Compound) resembles Floxuridine (Compound) 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 Floxuridine Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Dacarbazine and Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Floxuridine Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Mitomycin and Mitomycin may cause a moderate interaction that could exacerbate diseases when taken with Floxuridine 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 Floxuridine 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 Floxuridine Efalizumab may lead to a major life threatening interaction when taken with Measles virus vaccine live attenuated and Measles virus vaccine live attenuated may lead to a major life threatening interaction when taken with Floxuridine 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 Floxuridine 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 Floxuridine
DB01105
DB13139
222
1,032
[ "DDInter1665", "DDInter1063" ]
Sibutramine
Levosalbutamol
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.
Levosalbutamol, or levalbuterol, is a short-acting β2 adrenergic receptor agonist used in the treatment of asthma and chronic obstructive pulmonary disease (COPD). [Salbutamol] has been marketed as a racemic mixture, although beta2-agonist activity resides almost exclusively in the (R)-enantiomer. The enantioselective disposition of salbutamol and the possibility that (S)-salbutamol has adverse effects have led to the development of an enantiomerically pure (R)-salbutamol formulation known as levosalbutamol (levalbuterol).
Moderate
1
[ [ [ 222, 24, 1032 ] ], [ [ 222, 24, 1618 ], [ 1618, 24, 1032 ] ], [ [ 222, 64, 121 ], [ 121, 24, 1032 ] ], [ [ 222, 25, 22 ], [ 22, 24, 1032 ] ], [ [ 222, 23, 484 ], [ 484, 24, 1032 ] ], [ [ 222, 63, 702 ], [ 702, 24, 1032 ] ], [ [ 222, 62, 600 ], [ 600, 24, 1032 ] ], [ [ 222, 23, 351 ], [ 351, 25, 1032 ] ], [ [ 222, 24, 1618 ], [ 1618, 63, 1220 ], [ 1220, 23, 1032 ] ], [ [ 222, 24, 1090 ], [ 1090, 24, 659 ], [ 659, 24, 1032 ] ] ]
[ [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{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}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{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}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{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}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levosalbutamol" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetryzoline" ], [ "Tetryzoline", "{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}", "Levosalbutamol" ] ] ]
Sibutramine 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 Levosalbutamol Sibutramine may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol Sibutramine may lead to a major life threatening interaction when taken with Ephedrine and Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol Sibutramine may cause a minor interaction that can limit clinical effects when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol Sibutramine 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 Levosalbutamol Sibutramine may cause a minor interaction that can limit clinical effects when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol Sibutramine may cause a minor interaction that can limit clinical effects when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Levosalbutamol Sibutramine 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 Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Levosalbutamol Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline and Tetryzoline 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 Levosalbutamol
DB00308
DB00983
347
480
[ "DDInter901", "DDInter776" ]
Ibutilide
Formoterol
Ibutilide is a Class III antiarrhythmic agent available in intravenous formulations. It is indicated for the conversion of acute atrial flutter and recent onset atrial fibrillation to normal sinus rhythm (NSR).
Formoterol is an inhaled beta<sub>2</sub>-agonist used in the management of COPD and asthma that was first approved for use in the United States in 2001. It acts on bronchial smooth muscle to dilate and relax airways, and is administered as a racemic mixture of its active (R;R)- and inactive (S;S)-enantiomers. A major clinical advantage of formoterol over other inhaled beta-agonists is its rapid onset of action (2-3 minutes), which is at least as fast as [salbutamol], combined with a long duration of action (12 hours) - for this reason, treatment guidelines for asthma recommend its use as both a reliever and maintenance medication. It is available as a single-entity product [L10986,L11223] and in several formulations in combination with both inhaled corticosteroids [L10995,L10619] and long-acting muscarinic antagonists.[L10992,L10989]
Moderate
1
[ [ [ 347, 24, 480 ] ], [ [ 347, 25, 1148 ], [ 1148, 63, 480 ] ], [ [ 347, 21, 29170 ], [ 29170, 60, 480 ] ], [ [ 347, 25, 1424 ], [ 1424, 24, 480 ] ], [ [ 347, 24, 1559 ], [ 1559, 24, 480 ] ], [ [ 347, 64, 702 ], [ 702, 24, 480 ] ], [ [ 347, 40, 540 ], [ 540, 63, 480 ] ], [ [ 347, 24, 688 ], [ 688, 63, 480 ] ], [ [ 347, 40, 17 ], [ 17, 25, 480 ] ], [ [ 347, 25, 877 ], [ 877, 64, 480 ] ] ]
[ [ [ "Ibutilide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ] ], [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ] ], [ [ "Ibutilide", "{u} (Compound) causes {v} (Side Effect)", "Cardiac failure congestive" ], [ "Cardiac failure congestive", "{u} (Side Effect) is caused by {v} (Compound)", "Formoterol" ] ], [ [ "Ibutilide", "{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}", "Formoterol" ] ], [ [ "Ibutilide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ] ], [ [ "Ibutilide", "{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}", "Formoterol" ] ], [ [ "Ibutilide", "{u} (Compound) resembles {v} (Compound)", "Dronedarone" ], [ "Dronedarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ] ], [ [ "Ibutilide", "{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}", "Formoterol" ] ], [ [ "Ibutilide", "{u} (Compound) resembles {v} (Compound)", "Sotalol" ], [ "Sotalol", "{u} may lead to a major life threatening interaction when taken with {v}", "Formoterol" ] ], [ [ "Ibutilide", "{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}", "Formoterol" ] ] ]
Ibutilide may lead to a major life threatening interaction when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Formoterol Ibutilide (Compound) causes Cardiac failure congestive (Side Effect) and Cardiac failure congestive (Side Effect) is caused by Formoterol (Compound) Ibutilide 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 Formoterol Ibutilide may cause a moderate interaction that could exacerbate diseases when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Formoterol Ibutilide 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 Formoterol Ibutilide (Compound) resembles Dronedarone (Compound) and Dronedarone may cause a moderate interaction that could exacerbate diseases when taken with Formoterol Ibutilide 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 Formoterol Ibutilide (Compound) resembles Sotalol (Compound) and Sotalol may lead to a major life threatening interaction when taken with Formoterol Ibutilide 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 Formoterol
DB03404
DB09075
765
498
[ "DDInter855", "DDInter621" ]
Hemin
Edoxaban
Hemin (trade name Panhematin) is an iron-containing porphyrin. More specifically, it is protoporphyrin IX containing a ferric iron ion (heme B) with a chloride ligand.
Edoxaban is a member of the Novel Oral Anti-Coagulants (NOACs) class of drugs, and is a rapidly acting, oral, selective factor Xa inhibitor. By inhibiting factor Xa, a key protein in the coagulation cascade, edoxaban prevents the stepwise amplification of protein factors needed to form blood clots. It is indicated to reduce the risk of stroke and systemic embolism (SE) in patients with nonvalvular atrial fibrillation (NVAF) and for the treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE) following 5-10 days of initial therapy with a parenteral anticoagulant. Traditionally, warfarin, a vitamin K antagonist, was used for stroke prevention in these individuals but effective use of this drug is limited by it's delayed onset, narrow therapeutic window, need for regular monitoring and INR testing, and numerous drug-drug and drug-food interactions. This has prompted enthusiasm for newer agents such as dabigatran, apixaban, and rivaroxaban for effective clot prevention. In addition to once daily dosing, the benefits over warfarin also include significant reductions in hemorrhagic stroke and GI bleeding, and improved compliance, which is beneficial as many patients will be on lifelong therapy.
Moderate
1
[ [ [ 765, 24, 498 ] ], [ [ 765, 64, 697 ], [ 697, 24, 498 ] ], [ [ 765, 24, 1496 ], [ 1496, 63, 498 ] ], [ [ 765, 63, 383 ], [ 383, 24, 498 ] ], [ [ 765, 63, 582 ], [ 582, 25, 498 ] ], [ [ 765, 24, 330 ], [ 330, 25, 498 ] ], [ [ 765, 24, 283 ], [ 283, 64, 498 ] ], [ [ 765, 64, 463 ], [ 463, 25, 498 ] ], [ [ 765, 64, 697 ], [ 697, 63, 222 ], [ 222, 24, 498 ] ], [ [ 765, 24, 1496 ], [ 1496, 25, 1017 ], [ 1017, 63, 498 ] ] ]
[ [ [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Hemin", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Hemin", "{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}", "Edoxaban" ] ], [ [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentosan polysulfate" ], [ "Pentosan polysulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Reteplase" ], [ "Reteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ramucirumab" ], [ "Ramucirumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Hemin", "{u} may lead to a major life threatening interaction when taken with {v}", "Rifampicin" ], [ "Rifampicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ] ], [ [ "Hemin", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ] ], [ [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nintedanib" ], [ "Nintedanib", "{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}", "Edoxaban" ] ] ]
Hemin may lead to a major life threatening interaction when taken with Phenobarbital and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Hemin 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 Edoxaban Hemin may cause a moderate interaction that could exacerbate diseases when taken with Pentosan polysulfate and Pentosan polysulfate may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Hemin may cause a moderate interaction that could exacerbate diseases when taken with Reteplase and Reteplase may lead to a major life threatening interaction when taken with Edoxaban Hemin may cause a moderate interaction that could exacerbate diseases when taken with Ramucirumab and Ramucirumab may lead to a major life threatening interaction when taken with Edoxaban Hemin may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may lead to a major life threatening interaction when taken with Edoxaban Hemin may lead to a major life threatening interaction when taken with Rifampicin and Rifampicin may lead to a major life threatening interaction when taken with Edoxaban Hemin may lead to a major life threatening interaction when taken with Phenobarbital and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban Hemin may cause a moderate interaction that could exacerbate diseases when taken with Nintedanib and Nintedanib 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 Edoxaban
DB01320
DB04868
651
478
[ "DDInter783", "DDInter1293" ]
Fosphenytoin
Nilotinib
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.
Nilotinib, also known as AMN107, is a tyrosine kinase inhibitor under investigation as a possible treatment for chronic myelogenous leukemia (CML). A Phase I clinical trial in 2006 showed that this drug was relatively safe and offered significant therapeutic benefits in cases of CML which were found to be resistant to treatment with imatinib (Gleevec), another tyrosine kinase inhibitor used as a first-line treatment for CML.
Major
2
[ [ [ 651, 25, 478 ] ], [ [ 651, 24, 1468 ], [ 1468, 63, 478 ] ], [ [ 651, 6, 6017 ], [ 6017, 45, 478 ] ], [ [ 651, 21, 28762 ], [ 28762, 60, 478 ] ], [ [ 651, 25, 1135 ], [ 1135, 62, 478 ] ], [ [ 651, 40, 307 ], [ 307, 23, 478 ] ], [ [ 651, 63, 112 ], [ 112, 23, 478 ] ], [ [ 651, 63, 1559 ], [ 1559, 24, 478 ] ], [ [ 651, 25, 313 ], [ 313, 63, 478 ] ], [ [ 651, 64, 613 ], [ 613, 24, 478 ] ] ]
[ [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ] ], [ [ "Fosphenytoin", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Nilotinib" ] ], [ [ "Fosphenytoin", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Nilotinib" ] ], [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nilotinib" ] ], [ [ "Fosphenytoin", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nilotinib" ] ], [ [ "Fosphenytoin", "{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}", "Nilotinib" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ] ], [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sonidegib" ], [ "Sonidegib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ] ], [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Irinotecan" ], [ "Irinotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ] ] ]
Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib Fosphenytoin (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Nilotinib (Compound) Fosphenytoin (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Nilotinib (Compound) Fosphenytoin may lead to a major life threatening interaction when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Nilotinib Fosphenytoin (Compound) resembles Modafinil (Compound) and Modafinil may cause a minor interaction that can limit clinical effects when taken with Nilotinib Fosphenytoin 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 Nilotinib Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib Fosphenytoin may lead to a major life threatening interaction when taken with Sonidegib and Sonidegib may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib Fosphenytoin may lead to a major life threatening interaction when taken with Irinotecan and Irinotecan may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib
DB00039
DB00262
1,253
552
[ "DDInter1380", "DDInter302" ]
Palifermin
Carmustine
Palifermin is a recombinant human keratinocyte growth factor (KGF). It is 140 residues long, and is produced using E. coli. Palifermin was granted FDA approval on 15 December 2004.
A cell-cycle phase nonspecific alkylating antineoplastic agent. It is used in the treatment of brain tumors and various other malignant neoplasms. (From Martindale, The Extra Pharmacopoeia, 30th ed, p462) This substance may reasonably be anticipated to be a carcinogen according to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (From Merck Index, 11th ed)
Moderate
1
[ [ [ 1253, 24, 552 ] ], [ [ 1253, 24, 377 ], [ 377, 63, 552 ] ], [ [ 1253, 24, 599 ], [ 599, 24, 552 ] ], [ [ 1253, 24, 1064 ], [ 1064, 25, 552 ] ], [ [ 1253, 24, 770 ], [ 770, 64, 552 ] ], [ [ 1253, 24, 37 ], [ 37, 74, 552 ] ], [ [ 1253, 24, 377 ], [ 377, 54, 19138 ], [ 19138, 15, 552 ] ], [ [ 1253, 24, 1362 ], [ 1362, 63, 839 ], [ 839, 62, 552 ] ], [ [ 1253, 24, 482 ], [ 482, 5, 11555 ], [ 11555, 44, 552 ] ], [ [ 1253, 24, 738 ], [ 738, 63, 810 ], [ 810, 63, 552 ] ] ]
[ [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ] ], [ [ "Palifermin", "{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}", "Carmustine" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Carmustine" ] ], [ [ "Palifermin", "{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}", "Carmustine" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomustine" ], [ "Lomustine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} (Compound) is included by {v} (Pharmacologic Class)", "Alkylating Activity" ], [ "Alkylating Activity", "{u} (Pharmacologic Class) includes {v} (Compound)", "Carmustine" ] ], [ [ "Palifermin", "{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}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Carmustine" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} (Compound) treats {v} (Disease)", "hematologic cancer" ], [ "hematologic cancer", "{u} (Disease) is treated by {v} (Compound)", "Carmustine" ] ], [ [ "Palifermin", "{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}", "Strontium chloride Sr-89" ], [ "Strontium chloride Sr-89", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carmustine" ] ] ]
Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Mitomycin and Mitomycin may cause a moderate interaction that could exacerbate diseases when taken with Carmustine Palifermin 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 Carmustine Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Carmustine Palifermin 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 Carmustine Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Lomustine and Lomustine (Compound) resembles Carmustine (Compound) and Lomustine may cause a moderate interaction that could exacerbate diseases when taken with Carmustine Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Mitomycin and Mitomycin (Compound) is included by Alkylating Activity (Pharmacologic Class) and Alkylating Activity (Pharmacologic Class) includes Carmustine (Compound) Palifermin 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 Grepafloxacin and Grepafloxacin may cause a minor interaction that can limit clinical effects when taken with Carmustine Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine and Tioguanine (Compound) treats hematologic cancer (Disease) and hematologic cancer (Disease) is treated by Carmustine (Compound) Palifermin 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 Strontium chloride Sr-89 and Strontium chloride Sr-89 may cause a moderate interaction that could exacerbate diseases when taken with Carmustine
DB00619
DB00731
1,419
1,144
[ "DDInter909", "DDInter1269" ]
Imatinib
Nateglinide
Imatinib is a small molecule kinase inhibitor that revolutionized the treatment of cancer, particularly chronic myeloid leukemia, in 2001. It was deemed a "miracle drug" due to its clinical success, as oncologist Dr. Brian noted that "complete hematologic responses were observed in 53 of 54 patients with CML treated with a daily dosage of 300 mg or more and typically occurred in the first four weeks of therapy".. The discovery of imatinib also established a new group of therapy called "targeted therapy", since treatment can be tailored specifically to the unique cancer genetics of each patient. Imatinib was approved on February 1st,2001 by the FDA and November 7th, 2001 by the EMA; however, its European approval has been withdrawn in October 2023.[A263036,L49746,L49751]
Nateglinide 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. Nateglinide is an amino acid derivative that induces an early insulin response to meals decreasing postprandial blood glucose levels. It should only be taken with meals and meal-time doses should be skipped with any skipped meal. Approximately one month of therapy is required before a decrease in fasting blood glucose is seen. Meglitnides may have a neutral effect on weight or cause a slight increase in weight. The average weight gain caused by meglitinides appears to be lower than that caused by sulfonylureas and insulin and appears to occur only in those naïve to oral antidiabetic agents. Due to their mechanism of action, meglitinides may cause hypoglycemia although the risk is thought to be lower than that of sulfonylureas since their action is dependent on the presence of glucose. In addition to reducing postprandial and fasting blood glucose, meglitnides have been shown to decrease glycosylated hemoglobin (HbA1c) levels, which are reflective of the last 8-10 weeks of glucose control. Meglitinides appear to be more effective at lowering postprandial blood glucose than metformin, sulfonylureas and thiazolidinediones. Nateglinide is extensively metabolized in the liver and excreted in urine (83%) and feces (10%). The major metabolites possess less activity than the parent compound. One minor metabolite, the isoprene, has the same potency as its parent compound.
Moderate
1
[ [ [ 1419, 24, 1144 ] ], [ [ 1419, 63, 80 ], [ 80, 40, 1144 ] ], [ [ 1419, 24, 136 ], [ 136, 40, 1144 ] ], [ [ 1419, 6, 6943 ], [ 6943, 45, 1144 ] ], [ [ 1419, 21, 28787 ], [ 28787, 60, 1144 ] ], [ [ 1419, 24, 804 ], [ 804, 62, 1144 ] ], [ [ 1419, 63, 1051 ], [ 1051, 23, 1144 ] ], [ [ 1419, 63, 121 ], [ 121, 24, 1144 ] ], [ [ 1419, 24, 1033 ], [ 1033, 63, 1144 ] ], [ [ 1419, 64, 362 ], [ 362, 24, 1144 ] ] ]
[ [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amphetamine" ], [ "Amphetamine", "{u} (Compound) resembles {v} (Compound)", "Nateglinide" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lacosamide" ], [ "Lacosamide", "{u} (Compound) resembles {v} (Compound)", "Nateglinide" ] ], [ [ "Imatinib", "{u} (Compound) binds {v} (Gene)", "ORM1" ], [ "ORM1", "{u} (Gene) is bound by {v} (Compound)", "Nateglinide" ] ], [ [ "Imatinib", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Nateglinide" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfinpyrazone" ], [ "Sulfinpyrazone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nateglinide" ] ], [ [ "Imatinib", "{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}", "Nateglinide" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ] ] ]
Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Amphetamine and Amphetamine (Compound) resembles Nateglinide (Compound) Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Lacosamide and Lacosamide (Compound) resembles Nateglinide (Compound) Imatinib (Compound) binds ORM1 (Gene) and ORM1 (Gene) is bound by Nateglinide (Compound) Imatinib (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Nateglinide (Compound) Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Sulfinpyrazone and Sulfinpyrazone may cause a minor interaction that can limit clinical effects when taken with Nateglinide Imatinib 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 Nateglinide Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Fenfluramine and Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide Imatinib may lead to a major life threatening interaction when taken with Phenytoin and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide
DB01075
DB10429
1,376
200
[ "DDInter569", "DDInter282" ]
Diphenhydramine
Candida albicans
Diphenhydramine - perhaps known most commonly as its brand name formulation Benadryl - is a first-generation H1 receptor antihistamine that is used extensively for the treatment of seasonal allergies, insect bites and stings, and rashes [L5263, L5266, L5269, F3379]. However, it also has antiemetic, antitussive, hypnotic, and antiparkinson properties [L5269, F3352]. As histamine receptors exist both peripherally and in the central nervous system, diphenhydramine has been shown to cause sedation due to its competitive antagonism of histamine H1 receptors within the central nervous system [L5263, L5266, L5269, F3379, A174541]. While its use in allergy therapy can sometimes fall out of favor due to its sedative effect, diphenhydramine has been repurposed
Candida albicans is a fungus which can provoke allergic reactions. Candida albicans is used in allergenic testing.
Moderate
1
[ [ [ 1376, 24, 200 ] ], [ [ 1376, 63, 701 ], [ 701, 24, 200 ] ], [ [ 1376, 74, 662 ], [ 662, 24, 200 ] ], [ [ 1376, 24, 478 ], [ 478, 24, 200 ] ], [ [ 1376, 35, 272 ], [ 272, 24, 200 ] ], [ [ 1376, 63, 701 ], [ 701, 24, 662 ], [ 662, 24, 200 ] ], [ [ 1376, 74, 662 ], [ 662, 63, 701 ], [ 701, 24, 200 ] ], [ [ 1376, 24, 478 ], [ 478, 24, 1683 ], [ 1683, 24, 200 ] ], [ [ 1376, 63, 1233 ], [ 1233, 63, 701 ], [ 701, 24, 200 ] ], [ [ 1376, 24, 39 ], [ 39, 63, 1683 ], [ 1683, 24, 200 ] ] ]
[ [ [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{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}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{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}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ], [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{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}", "Candida albicans" ] ] ]
Diphenhydramine 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 Candida albicans Diphenhydramine (Compound) resembles Carbinoxamine (Compound) and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Diphenhydramine (Compound) resembles Chlorpheniramine (Compound) and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Diphenhydramine 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 Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Diphenhydramine (Compound) resembles Carbinoxamine (Compound) and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine and Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Panobinostat and Panobinostat 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 Candida albicans
DB00352
DB00963
482
1,263
[ "DDInter1814", "DDInter241" ]
Tioguanine
Bromfenac
An antineoplastic compound which also has antimetabolite action. The drug is used in the therapy of acute leukemia.
Bromfenac is a nonsteroidal anti-inflammatory drug (NSAID) for ophthalmic use. Ophthalmic NSAIDs are becoming a cornerstone for the management of ocular pain and inflammation. Their well-characterized anti-inflammatory activity, analgesic property, and established safety record have also made NSAIDs an important tool for optimizing surgical outcomes. Non-ophthalmic formulations of bromfenac were withdrawn in the US in 1998 due to cases of severe liver toxicity.[L43942,T239]
Moderate
1
[ [ [ 482, 24, 1263 ] ], [ [ 482, 24, 935 ], [ 935, 40, 1263 ] ], [ [ 482, 63, 831 ], [ 831, 40, 1263 ] ], [ [ 482, 24, 1512 ], [ 1512, 24, 1263 ] ], [ [ 482, 63, 912 ], [ 912, 24, 1263 ] ], [ [ 482, 24, 850 ], [ 850, 63, 1263 ] ], [ [ 482, 25, 1259 ], [ 1259, 63, 1263 ] ], [ [ 482, 24, 1468 ], [ 1468, 64, 1263 ] ], [ [ 482, 25, 1510 ], [ 1510, 64, 1263 ] ], [ [ 482, 24, 663 ], [ 663, 25, 1263 ] ] ]
[ [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bromfenac" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketoprofen" ], [ "Ketoprofen", "{u} (Compound) resembles {v} (Compound)", "Bromfenac" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Indomethacin" ], [ "Indomethacin", "{u} (Compound) resembles {v} (Compound)", "Bromfenac" ] ], [ [ "Tioguanine", "{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}", "Bromfenac" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon beta-1a" ], [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bromfenac" ] ], [ [ "Tioguanine", "{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}", "Bromfenac" ] ], [ [ "Tioguanine", "{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}", "Bromfenac" ] ], [ [ "Tioguanine", "{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}", "Bromfenac" ] ], [ [ "Tioguanine", "{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}", "Bromfenac" ] ], [ [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Bromfenac" ] ] ]
Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Ketoprofen and Ketoprofen (Compound) resembles Bromfenac (Compound) Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Indomethacin and Indomethacin (Compound) resembles Bromfenac (Compound) Tioguanine 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 Bromfenac Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Interferon beta-1a and Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Bromfenac Tioguanine 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 Bromfenac Tioguanine 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 Bromfenac Tioguanine 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 Bromfenac Tioguanine 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 Bromfenac Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may lead to a major life threatening interaction when taken with Bromfenac
DB04861
DB11126
1,592
900
[ "DDInter1271", "DDInter276" ]
Nebivolol
Calcium gluconate
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.
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
[ [ [ 1592, 24, 900 ] ], [ [ 1592, 5, 11590 ], [ 11590, 44, 729 ], [ 729, 24, 900 ] ], [ [ 1592, 6, 8742 ], [ 8742, 45, 729 ], [ 729, 24, 900 ] ], [ [ 1592, 21, 28698 ], [ 28698, 60, 729 ], [ 729, 24, 900 ] ], [ [ 1592, 62, 1283 ], [ 1283, 62, 729 ], [ 729, 24, 900 ] ], [ [ 1592, 23, 460 ], [ 460, 62, 729 ], [ 729, 24, 900 ] ], [ [ 1592, 62, 1283 ], [ 1283, 63, 945 ], [ 945, 24, 900 ] ], [ [ 1592, 23, 460 ], [ 460, 63, 945 ], [ 945, 24, 900 ] ], [ [ 1592, 62, 1283 ], [ 1283, 24, 933 ], [ 933, 63, 900 ] ], [ [ 1592, 62, 1479 ], [ 1479, 23, 729 ], [ 729, 24, 900 ] ] ]
[ [ [ "Nebivolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Nebivolol", "{u} (Compound) treats {v} (Disease)", "hypertension" ], [ "hypertension", "{u} (Disease) is treated by {v} (Compound)", "Penbutolol" ], [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Nebivolol", "{u} (Compound) binds {v} (Gene)", "HTR1A" ], [ "HTR1A", "{u} (Gene) is bound by {v} (Compound)", "Penbutolol" ], [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Nebivolol", "{u} (Compound) causes {v} (Side Effect)", "Insomnia" ], [ "Insomnia", "{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" ] ], [ [ "Nebivolol", "{u} may cause a minor interaction that can limit clinical effects 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" ] ], [ [ "Nebivolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium carbonate" ], [ "Magnesium carbonate", "{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" ] ], [ [ "Nebivolol", "{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}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Nebivolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium carbonate" ], [ "Magnesium carbonate", "{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" ] ], [ [ "Nebivolol", "{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}", "Omadacycline" ], [ "Omadacycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Nebivolol", "{u} may cause a minor interaction that can limit clinical effects 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" ] ] ]
Nebivolol (Compound) treats hypertension (Disease) and hypertension (Disease) is treated by Penbutolol (Compound) and Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Nebivolol (Compound) binds HTR1A (Gene) and HTR1A (Gene) is bound by Penbutolol (Compound) and Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Nebivolol (Compound) causes Insomnia (Side Effect) and Insomnia (Side Effect) is caused by Penbutolol (Compound) and Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Nebivolol may cause a minor interaction that can limit clinical effects 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 Nebivolol may cause a minor interaction that can limit clinical effects when taken with Magnesium carbonate and Magnesium carbonate 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 Nebivolol 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 Sparfloxacin and Sparfloxacin may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Nebivolol may cause a minor interaction that can limit clinical effects when taken with Magnesium carbonate and Magnesium carbonate 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 Nebivolol 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 Omadacycline and Omadacycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Nebivolol may cause a minor interaction that can limit clinical effects 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
DB01024
DB10276
1,096
1,624
[ "DDInter1252", "DDInter1623" ]
Mycophenolic acid
Rotavirus vaccine
Mycophenolic acid is a potent immunosuppressant agent that inhibits _de novo_ purine biosynthesis. It was derived from _Penicillium stoloniferum_, and has also shown antibacterial, antifungal and antiviral properties.. Mycophenolic acid is used in immunosuppressive regimens as part of a triple therapy that includes a calcineurin inhibitor (ciclosporin or tacrolimus) and prednisolone. This regimen can be used in place of the older anti-proliferative [azathioprine] due to its stronger immunosuppressive potency. However, mycophenolic acid treatment is more expensive and requires therapeutic drug monitoring to optimize efficacy and minimize toxicity.[A249180,A249185] Mycophenolic acid is available as enteric-coated tablets of delayed-release, in an effort to improve upper gastrointestinal adverse events by delaying mycophenolic
Rotavirus commonly infects children and infants causing severe diarrhea and vomiting leading to potentially fatal dehydration. Two rotavirus vaccines are available for the prevention of rotavirus gastroenteritis, Rotateq and Rotarix. Rotateq is a live vaccine consisting of 5 reassorted human-bovine viral strains. Rotarix is a live attenuated vaccine containing the 89-12 human strain.[Label] Rotavirus vaccines are 90% effective in protecting against severe rotavirus infection.
Major
2
[ [ [ 1096, 25, 1624 ] ], [ [ 1096, 25, 375 ], [ 375, 25, 1624 ] ], [ [ 1096, 63, 58 ], [ 58, 25, 1624 ] ], [ [ 1096, 24, 270 ], [ 270, 64, 1624 ] ], [ [ 1096, 24, 259 ], [ 259, 25, 1624 ] ], [ [ 1096, 64, 581 ], [ 581, 25, 1624 ] ], [ [ 1096, 25, 1259 ], [ 1259, 64, 1624 ] ], [ [ 1096, 25, 375 ], [ 375, 64, 617 ], [ 617, 24, 1624 ] ], [ [ 1096, 63, 58 ], [ 58, 24, 617 ], [ 617, 24, 1624 ] ], [ [ 1096, 24, 270 ], [ 270, 63, 617 ], [ 617, 24, 1624 ] ] ]
[ [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{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}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{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}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{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}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{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}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{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}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Mycophenolic acid", "{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}", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rotavirus vaccine" ] ] ]
Mycophenolic acid 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 Rotavirus vaccine Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may lead to a major life threatening interaction when taken with Rotavirus vaccine Mycophenolic acid 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 Rotavirus vaccine Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may lead to a major life threatening interaction when taken with Rotavirus vaccine Mycophenolic acid may lead to a major life threatening interaction when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Rotavirus vaccine Mycophenolic acid 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 Rotavirus vaccine Mycophenolic acid 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 Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Rotavirus vaccine Mycophenolic acid 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 Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Rotavirus vaccine Mycophenolic acid 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 Budesonide and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Rotavirus vaccine
DB00556
DB01069
1,262
401
[ "DDInter1429", "DDInter1533" ]
Perflutren
Promethazine
Perflutren, a diagnostic drug that is intended to be used for contrast enhancement during the indicated echocardiographic procedures, is comprised of lipid-coated microspheres filled with octafluoropropane(OFP) gas. When exposed to ultrasound waves, the microspheres resonate and "echo" strong signals back to the ultrasound machine. The difference in density between the gas-filled bubbles and the blood around them creates an increased level of contrast visible in the resulting ultrasound image. During echocardiography, activated Perflutren enhances images of the inner edges or borders of the heart, producing an improved image that may enable physicians to better diagnose patients.
Promethazine, originally known as 3,277 R.P., is an N-dimethylaminopropyl derivative of [phenothiazine] that was developed in France in 1946. Promethazine antagonizes a variety of receptors, allowing it to be used for a number of indications including allergic reactions, pain, sedation, nausea, and vomiting.[A189907,A190153,A190159,A190150,A190171] Promethazine was granted FDA approval before 29 March 1951.[A190177,L4000]
Moderate
1
[ [ [ 1262, 24, 401 ] ], [ [ 1262, 24, 1264 ], [ 1264, 63, 401 ] ], [ [ 1262, 21, 29169 ], [ 29169, 60, 401 ] ], [ [ 1262, 24, 286 ], [ 286, 62, 401 ] ], [ [ 1262, 23, 112 ], [ 112, 23, 401 ] ], [ [ 1262, 63, 1010 ], [ 1010, 24, 401 ] ], [ [ 1262, 24, 770 ], [ 770, 24, 401 ] ], [ [ 1262, 40, 679 ], [ 679, 63, 401 ] ], [ [ 1262, 64, 11 ], [ 11, 25, 401 ] ], [ [ 1262, 25, 1069 ], [ 1069, 64, 401 ] ] ]
[ [ [ "Perflutren", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Perflutren", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Perflutren", "{u} (Compound) causes {v} (Side Effect)", "Tinnitus" ], [ "Tinnitus", "{u} (Side Effect) is caused by {v} (Compound)", "Promethazine" ] ], [ [ "Perflutren", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Promethazine" ] ], [ [ "Perflutren", "{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}", "Promethazine" ] ], [ [ "Perflutren", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Perflutren", "{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}", "Promethazine" ] ], [ [ "Perflutren", "{u} (Compound) resembles {v} (Compound)", "Sevoflurane" ], [ "Sevoflurane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Perflutren", "{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}", "Promethazine" ] ], [ [ "Perflutren", "{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}", "Promethazine" ] ] ]
Perflutren may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Perflutren (Compound) causes Tinnitus (Side Effect) and Tinnitus (Side Effect) is caused by Promethazine (Compound) Perflutren may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a minor interaction that can limit clinical effects when taken with Promethazine Perflutren 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 Promethazine Perflutren may cause a moderate interaction that could exacerbate diseases when taken with Mefloquine and Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Perflutren 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 Promethazine Perflutren (Compound) resembles Sevoflurane (Compound) and Sevoflurane may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Perflutren 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 Promethazine Perflutren 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 Promethazine
DB01087
DB08868
1,520
1,011
[ "DDInter1520", "DDInter737" ]
Primaquine
Fingolimod
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)
Multiple sclerosis, or MS, is a devastating inflammatory disease that often progresses and causes severe neurological, physical, and cognitive effects. Fingolimod is a sphingosine 1-phosphate receptor modulator for the treatment of relapsing-remitting multiple sclerosis. It was developed by Novartis and initially approved by the FDA in 2010. Fingolimod was also studied for the treatment of COVID-19, the disease caused by infection with the SARS-CoV-2 virus.[L12654,L12657]
Major
2
[ [ [ 1520, 25, 1011 ] ], [ [ 1520, 6, 12523 ], [ 12523, 45, 1011 ] ], [ [ 1520, 21, 28852 ], [ 28852, 60, 1011 ] ], [ [ 1520, 62, 1247 ], [ 1247, 23, 1011 ] ], [ [ 1520, 24, 144 ], [ 144, 63, 1011 ] ], [ [ 1520, 63, 867 ], [ 867, 24, 1011 ] ], [ [ 1520, 24, 673 ], [ 673, 24, 1011 ] ], [ [ 1520, 62, 479 ], [ 479, 24, 1011 ] ], [ [ 1520, 25, 880 ], [ 880, 63, 1011 ] ], [ [ 1520, 64, 876 ], [ 876, 25, 1011 ] ] ]
[ [ [ "Primaquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Primaquine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Fingolimod" ] ], [ [ "Primaquine", "{u} (Compound) causes {v} (Side Effect)", "Leukopenia" ], [ "Leukopenia", "{u} (Side Effect) is caused by {v} (Compound)", "Fingolimod" ] ], [ [ "Primaquine", "{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}", "Fingolimod" ] ], [ [ "Primaquine", "{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}", "Fingolimod" ] ], [ [ "Primaquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olanzapine" ], [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Primaquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ], [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Primaquine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Primaquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivabradine" ], [ "Ivabradine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Primaquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tizanidine" ], [ "Tizanidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ] ]
Primaquine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Fingolimod (Compound) Primaquine (Compound) causes Leukopenia (Side Effect) and Leukopenia (Side Effect) is caused by Fingolimod (Compound) Primaquine 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 Fingolimod Primaquine 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 Fingolimod Primaquine may cause a moderate interaction that could exacerbate diseases when taken with Olanzapine and Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Primaquine may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole and Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Primaquine may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Primaquine may lead to a major life threatening interaction when taken with Ivabradine and Ivabradine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Primaquine may lead to a major life threatening interaction when taken with Tizanidine and Tizanidine may lead to a major life threatening interaction when taken with Fingolimod
DB00006
DB00176
942
529
[ "DDInter217", "DDInter770" ]
Bivalirudin
Fluvoxamine
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.
Fluvoxamine is an antidepressant which functions pharmacologically as a selective serotonin reuptake inhibitor. Though it is in the same class as other SSRI drugs, it is most often used to treat obsessive-compulsive disorder. Fluvoxamine has been in use in clinical practice since 1983 and has a clinical trial database comprised of approximately 35,000 patients. It was launched in the US in December 1994 and in Japan in June 1999. As of the end of 1995, more than 10 million patients worldwide have been treated with fluvoxamine.
Moderate
1
[ [ [ 942, 24, 529 ] ], [ [ 942, 25, 20 ], [ 20, 24, 529 ] ], [ [ 942, 24, 1274 ], [ 1274, 63, 529 ] ], [ [ 942, 25, 1421 ], [ 1421, 63, 529 ] ], [ [ 942, 24, 366 ], [ 366, 24, 529 ] ], [ [ 942, 64, 1578 ], [ 1578, 24, 529 ] ], [ [ 942, 24, 121 ], [ 121, 64, 529 ] ], [ [ 942, 25, 39 ], [ 39, 64, 529 ] ], [ [ 942, 25, 20 ], [ 20, 24, 1274 ], [ 1274, 63, 529 ] ], [ [ 942, 24, 1274 ], [ 1274, 6, 6017 ], [ 6017, 45, 529 ] ] ]
[ [ [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tenecteplase" ], [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{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}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eptifibatide" ], [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{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}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{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}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tenecteplase" ], [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ] ], [ [ "Bivalirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Fluvoxamine" ] ] ]
Bivalirudin may lead to a major life threatening interaction when taken with Tenecteplase and Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine Bivalirudin 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 Fluvoxamine Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Eptifibatide and Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine Bivalirudin may lead to a major life threatening interaction when taken with Lepirudin and Lepirudin may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine Bivalirudin 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 Fluvoxamine Bivalirudin 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 Fluvoxamine Bivalirudin may lead to a major life threatening interaction when taken with Tenecteplase and Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine Bivalirudin may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Fluvoxamine (Compound)
DB00445
DB14443
322
987
[ "DDInter655", "DDInter1931" ]
Epirubicin
Vibrio cholerae CVD 103-HgR strain live antigen
An anthracycline which is the 4&#39;-epi-isomer of doxorubicin. The compound exerts its antitumor effects by interference with the synthesis and function of DNA.
_Vibrio cholerae_ CVD 103-HgR strain live antigen is a component of Vaxchora, an oral vaccine for immunization against _Vibrio cholerae_ serogroup O1. Cholera is an acute bacterial disease of the small intestine caused by _Vibrio cholerae_, which is gram-negative bacteria. Two serogroups of _V. cholerae_, O1 and O139, are causative agents of epidemic cholera. Serogroup O1 is responsible for the majority of cholera outbreaks. Cholera outbreaks remain a major global public health problem that mainly affects countries with limited access to clean water, poor hygiene, and proper sanitation; thus, effective vaccines to protect individuals against cholera disease are critical. The FDA approved the cholera vaccine containing _Vibrio cholerae_ CVD 103-HgR strain live antigen under the brand name Vaxchora in June 2016, making it the first vaccine indicated for cholera prevention to become available in the U.S. Vaxchora was later approved by the European Commission in April 2020. It is indicated for individuals aged two years and older.
Moderate
1
[ [ [ 322, 24, 987 ] ], [ [ 322, 24, 1480 ], [ 1480, 24, 987 ] ], [ [ 322, 63, 141 ], [ 141, 24, 987 ] ], [ [ 322, 25, 351 ], [ 351, 24, 987 ] ], [ [ 322, 64, 581 ], [ 581, 24, 987 ] ], [ [ 322, 35, 51 ], [ 51, 24, 987 ] ], [ [ 322, 23, 1307 ], [ 1307, 24, 987 ] ], [ [ 322, 25, 676 ], [ 676, 63, 987 ] ], [ [ 322, 24, 1480 ], [ 1480, 63, 1468 ], [ 1468, 24, 987 ] ], [ [ 322, 63, 141 ], [ 141, 24, 1488 ], [ 1488, 24, 987 ] ] ]
[ [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ], [ "Ixazomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{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}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{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}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Melphalan" ], [ "Melphalan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{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}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ], [ "Ixazomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ], [ [ "Epirubicin", "{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}", "Fludarabine" ], [ "Fludarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vibrio cholerae CVD 103-HgR strain live antigen" ] ] ]
Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib and Ixazomib may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen Epirubicin 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 Vibrio cholerae CVD 103-HgR strain live antigen Epirubicin may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen Epirubicin 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 Vibrio cholerae CVD 103-HgR strain live antigen Epirubicin (Compound) resembles Daunorubicin (Compound) and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen Epirubicin may cause a minor interaction that can limit clinical effects when taken with Melphalan and Melphalan may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen Epirubicin 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 Vibrio cholerae CVD 103-HgR strain live antigen Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib and Ixazomib may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen Epirubicin 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 Fludarabine and Fludarabine may cause a moderate interaction that could exacerbate diseases when taken with Vibrio cholerae CVD 103-HgR strain live antigen
DB01255
DB13074
633
877
[ "DDInter1078", "DDInter1110" ]
Lisdexamfetamine
Macimorelin
Lisdexamfetamine is a prodrug of [dextroamphetamine], a central nervous system stimulant known as d-amphetamine, covalently attached to the naturally occurring amino acid L-lysine. Lisdexamfetamine is the first chemically formulated prodrug stimulant and was first approved by the FDA in April 2008. It was also approved by Health Canada in February 2009. Lisdexamfetamine works to treat attention deficit hyperactivity disorder and binge eating disorder by blocking dopamine and norepinephrine reuptake and increasing their levels in the extraneuronal space.
Macimorelin, a novel and orally active ghrelin mimetic that stimulates GH secretion, is used in the diagnosis of adult GH deficiency (AGHD). More specifically, macimorelin is a peptidomimetic growth hormone secretagogue (GHS) that acts as an agonist of GH secretagogue receptor, or ghrelin receptor (GHS-R1a) to dose-dependently increase GH levels . Growth hormone secretagogues (GHS) represent a new class of pharmacological agents which have the potential to be used in numerous clinical applications. They include treatment for growth retardation in children and cachexia associated with chronic disease such as AIDS and cancer. Growth hormone (GH) is classically linked with linear growth during childhood. In deficiency of this hormone, AGHD is commonly associated with increased fat mass (particularly in the abdominal region), decreased lean body mass, osteopenia, dyslipidemia, insulin resistance, and/or glucose intolerance overtime. In addition, individuals with may be susceptible to cardiovascular complications from altered structures and function . Risk factors of AGHD include a history of childhood-onset GH deficiency or with hypothalamic/pituitary disease, surgery, or irradiation to these areas, head trauma, or evidence of other pituitary hormone deficiencies . While there are various therapies available such as GH replacement therapy, the absence of panhypopituitarism and low serum IGF-I levels with nonspecific clinical symptoms pose challenges to the detection and diagnosis of AGHD. The diagnosis of AGHD requires biochemical confirmation with at least 1 GH stimulation test . Macimorelin is clinically useful since it displays good stability and oral bioavailability with comparable affinity to ghrelin receptor as its endogenous ligand. In clinical studies involving healthy subjects, macimorelin stimulated GH release in a dose-dependent manner with good tolerability . Macimorelin, developed by Aeterna Zentaris, was approved by the FDA in December 2017 under the market name Macrilen for oral solution.
Major
2
[ [ [ 633, 25, 877 ] ], [ [ 633, 62, 112 ], [ 112, 23, 877 ] ], [ [ 633, 24, 913 ], [ 913, 24, 877 ] ], [ [ 633, 63, 770 ], [ 770, 24, 877 ] ], [ [ 633, 63, 485 ], [ 485, 25, 877 ] ], [ [ 633, 25, 478 ], [ 478, 25, 877 ] ], [ [ 633, 24, 392 ], [ 392, 25, 877 ] ], [ [ 633, 64, 1493 ], [ 1493, 25, 877 ] ], [ [ 633, 25, 982 ], [ 982, 64, 877 ] ], [ [ 633, 62, 112 ], [ 112, 23, 1247 ], [ 1247, 23, 877 ] ] ]
[ [ [ "Lisdexamfetamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{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}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{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}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Halofantrine" ], [ "Halofantrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Lisdexamfetamine", "{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}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Macimorelin" ] ] ]
Lisdexamfetamine 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 Macimorelin Lisdexamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Lisdexamfetamine 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 Macimorelin Lisdexamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine may lead to a major life threatening interaction when taken with Macimorelin Lisdexamfetamine may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Macimorelin Lisdexamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may lead to a major life threatening interaction when taken with Macimorelin Lisdexamfetamine may lead to a major life threatening interaction when taken with Halofantrine and Halofantrine may lead to a major life threatening interaction when taken with Macimorelin Lisdexamfetamine may lead to a major life threatening interaction when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Macimorelin Lisdexamfetamine 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 Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Macimorelin
DB00818
DB11110
898
603
[ "DDInter1538", "DDInter1115" ]
Propofol
Magnesium citrate
Propofol is an intravenous anaesthetic agent used for induction and maintenance of general anaesthesia. IV administration of propfol is used to induce unconsciousness after which anaesthesia may be maintained using a combination of medications. Recovery from propofol-induced anaesthesia is generally rapid and associated with less frequent side effects (e.g. drowsiness, nausea, vomiting) than with thiopental, methohexital, and etomidate. Propofol may be used prior to diagnostic procedures requiring anaesthesia, in the management of refractory status epilepticus, and for induction and/or maintenance of anaesthesia prior to and during surgeries.
Magnesium citrate is a low volume and osmotic cathartic agent. The cathartic action works primarily through the high osmolarity of the solution which draws large amounts of fluid into space where is used. Magnesium citrate is considered by the FDA as an approved inactive ingredient for approved drug products under the specifications of oral administration of a maximum concentration of 237 mg. It is also considered as an active ingredient in over-the-counter products.
Moderate
1
[ [ [ 898, 24, 603 ] ], [ [ 898, 24, 57 ], [ 57, 24, 603 ] ], [ [ 898, 24, 484 ], [ 484, 63, 603 ] ], [ [ 898, 63, 1424 ], [ 1424, 24, 603 ] ], [ [ 898, 24, 57 ], [ 57, 64, 789 ], [ 789, 24, 603 ] ], [ [ 898, 24, 477 ], [ 477, 25, 57 ], [ 57, 24, 603 ] ], [ [ 898, 63, 1424 ], [ 1424, 25, 57 ], [ 57, 24, 603 ] ], [ [ 898, 24, 688 ], [ 688, 24, 57 ], [ 57, 24, 603 ] ], [ [ 898, 63, 355 ], [ 355, 23, 16 ], [ 16, 23, 603 ] ], [ [ 898, 24, 28 ], [ 28, 62, 16 ], [ 16, 23, 603 ] ] ]
[ [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Propofol", "{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}", "Magnesium citrate" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Foscarnet" ], [ "Foscarnet", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Propofol", "{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}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Propofol", "{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}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lactulose" ], [ "Lactulose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Linaclotide" ], [ "Linaclotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium citrate" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ], [ "Bisacodyl", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Linaclotide" ], [ "Linaclotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium citrate" ] ] ]
Propofol may cause a moderate interaction that could exacerbate diseases when taken with Arsenic trioxide and Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Propofol 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 Magnesium citrate Propofol may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Propofol may cause a moderate interaction that could exacerbate diseases when taken with Arsenic trioxide and Arsenic trioxide may lead to a major life threatening interaction when taken with Foscarnet and Foscarnet may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Propofol 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 Arsenic trioxide and Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Propofol may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may lead to a major life threatening interaction when taken with Arsenic trioxide and Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Propofol 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 Arsenic trioxide and Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Propofol may cause a moderate interaction that could exacerbate diseases when taken with Lactulose and Lactulose may cause a minor interaction that can limit clinical effects when taken with Linaclotide and Linaclotide may cause a minor interaction that can limit clinical effects when taken with Magnesium citrate Propofol may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl and Bisacodyl may cause a minor interaction that can limit clinical effects when taken with Linaclotide and Linaclotide may cause a minor interaction that can limit clinical effects when taken with Magnesium citrate
DB00622
DB09133
1,081
1,527
[ "DDInter1287", "DDInter965" ]
Nicardipine
Iothalamic acid
A potent calcium channel blockader with marked vasodilator action. It has antihypertensive properties and is effective in the treatment of angina and coronary spasms without showing cardiodepressant effects. It has also been used in the treatment of asthma and enhances the action of specific antineoplastic agents. [PubChem]
Iothalamic acid is an iodine containing organic anion used as a diagnostic contrast agent.
Moderate
1
[ [ [ 1081, 24, 1527 ] ], [ [ 1081, 24, 278 ], [ 278, 63, 1527 ] ], [ [ 1081, 40, 84 ], [ 84, 24, 1527 ] ], [ [ 1081, 24, 512 ], [ 512, 24, 1527 ] ], [ [ 1081, 63, 1648 ], [ 1648, 24, 1527 ] ], [ [ 1081, 63, 1512 ], [ 1512, 25, 1527 ] ], [ [ 1081, 24, 848 ], [ 848, 25, 1527 ] ], [ [ 1081, 24, 278 ], [ 278, 63, 84 ], [ 84, 24, 1527 ] ], [ [ 1081, 40, 84 ], [ 84, 24, 278 ], [ 278, 63, 1527 ] ], [ [ 1081, 63, 1648 ], [ 1648, 24, 863 ], [ 863, 24, 1527 ] ] ]
[ [ [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{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}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{u} (Compound) resembles {v} (Compound)", "Nisoldipine" ], [ "Nisoldipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopanoic acid" ], [ "Iopanoic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{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}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may lead to a major life threatening interaction when taken with {v}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ], [ "Ibuprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{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}", "Nisoldipine" ], [ "Nisoldipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{u} (Compound) resembles {v} (Compound)", "Nisoldipine" ], [ "Nisoldipine", "{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}", "Iothalamic acid" ] ], [ [ "Nicardipine", "{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}", "Amiloride" ], [ "Amiloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iothalamic acid" ] ] ]
Nicardipine 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 Iothalamic acid Nicardipine (Compound) resembles Nisoldipine (Compound) and Nisoldipine may cause a moderate interaction that could exacerbate diseases when taken with Iothalamic acid Nicardipine may cause a moderate interaction that could exacerbate diseases when taken with Iopanoic acid and Iopanoic acid may cause a moderate interaction that could exacerbate diseases when taken with Iothalamic acid Nicardipine 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 Iothalamic acid Nicardipine may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac may lead to a major life threatening interaction when taken with Iothalamic acid Nicardipine may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen and Ibuprofen may lead to a major life threatening interaction when taken with Iothalamic acid Nicardipine 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 Nisoldipine and Nisoldipine may cause a moderate interaction that could exacerbate diseases when taken with Iothalamic acid Nicardipine (Compound) resembles Nisoldipine (Compound) and Nisoldipine 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 Iothalamic acid Nicardipine 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 Amiloride and Amiloride may cause a moderate interaction that could exacerbate diseases when taken with Iothalamic acid
DB00443
DB12095
251
179
[ "DDInter195", "DDInter1760" ]
Betamethasone
Telotristat ethyl
Betamethasone is a long-acting corticosteroid with immunosuppressive and antiinflammatory properties. It can be used topically to manage inflammatory skin conditions such as eczema, and parenterally to manage several disease states including autoimmune disorders. Betamethasone has potent glucocorticoid activity and negligible mineralocorticoid activity.
Telotristat ethyl is a prodrug of telotristat that was approved by the FDA in March 2017 as Xermelo. It was previously referred to as telotristat etiprate, the hippurate salt form; however, the FDA recommends the use of the name of the neutral form rather than that of the salt.[A252937, A252942] Currently, telotristat ethyl is used to treat carcinoid syndrome diarrhea from neuroendocrine tumors that are inadequately controlled by short-acting somatostatin analog (SSA) treatment. Neuroendocrine cells are cells that secrete regulatory peptides and biogenic amines in response to chemical, neural, or other types of stimuli. Neuroendocrine tumors (NET) arising from these cells can therefore secrete chemical mediators into the bloodstream to cause side effects in distant sites, a phenomenon called carcinoid syndrome. The most common peptides and amines secreted by NET are histamines, tachykinins, kallikrein, and serotonin. Overexposure to serotonin can cause severe diarrhea, one of the main clinical symptoms of carcinoid syndrome. Serotonin is metabolized in the urinary metabolite 5-hydroxy indole acetic acid (u5-HIAA), and high levels of u5-HIAA is associated with poor survival outcome in patients with NET. The first line treatment of carcinoid syndrome diarrhea is SSA, but symptoms still reoccur over the course of the disease.
Moderate
1
[ [ [ 251, 24, 179 ] ], [ [ 251, 24, 1517 ], [ 1517, 24, 179 ] ], [ [ 251, 24, 283 ], [ 283, 63, 179 ] ], [ [ 251, 25, 593 ], [ 593, 24, 179 ] ], [ [ 251, 1, 175 ], [ 175, 24, 179 ] ], [ [ 251, 63, 1324 ], [ 1324, 24, 179 ] ], [ [ 251, 25, 676 ], [ 676, 63, 179 ] ], [ [ 251, 40, 167 ], [ 167, 24, 179 ] ], [ [ 251, 24, 1017 ], [ 1017, 64, 179 ] ], [ [ 251, 24, 1517 ], [ 1517, 24, 214 ], [ 214, 24, 179 ] ] ]
[ [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isotretinoin" ], [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{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}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{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}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{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}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Telotristat ethyl" ] ], [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isotretinoin" ], [ "Isotretinoin", "{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}", "Telotristat ethyl" ] ] ]
Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Isotretinoin and Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Betamethasone 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 Telotristat ethyl Betamethasone may lead to a major life threatening interaction when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Betamethasone (Compound) resembles Triamcinolone (Compound) and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Betamethasone 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 Telotristat ethyl Betamethasone 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 Telotristat ethyl Betamethasone (Compound) resembles Hydrocortisone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Telotristat ethyl Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may lead to a major life threatening interaction when taken with Telotristat ethyl Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Isotretinoin and Isotretinoin 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 Telotristat ethyl
DB00284
DB00436
1,647
323
[ "DDInter11", "DDInter179" ]
Acarbose
Bendroflumethiazide
Acarbose is a complex oligosaccharide that acts as an inhibitor of several enzymes responsible for the breakdown of complex carbohydrates in the intestines. It inhibits both pancreatic alpha-amylase and membrane-bound alpha-glucosidases - including intestinal glucoamylase, sucrase, maltase, and isomaltase - which are responsible for the metabolism of complex starches and oligo-, tri-, and disaccharides into absorbable simple sugars.[L31633,A37868] By inhibiting the activity of these enzymes, acarbose limits the absorption of dietary carbohydrates and the subsequent postprandial increase in blood glucose and insulin levels. Acarbose is therefore used in conjunction with diet, exercise, and other pharmacotherapies for the management of blood sugar levels in patients with type 2 diabetes.[L31628,L31633] Acarbose is one of only two approved alpha-glucosidase inhibitors (the other being
A thiazide diuretic with actions and uses similar to those of hydrochlorothiazide. It has been used in the treatment of familial hyperkalemia, hypertension, edema, and urinary tract disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p810)
Moderate
1
[ [ [ 1647, 24, 323 ] ], [ [ 1647, 24, 1014 ], [ 1014, 1, 323 ] ], [ [ 1647, 21, 28680 ], [ 28680, 60, 323 ] ], [ [ 1647, 23, 126 ], [ 126, 62, 323 ] ], [ [ 1647, 24, 659 ], [ 659, 63, 323 ] ], [ [ 1647, 23, 135 ], [ 135, 63, 323 ] ], [ [ 1647, 23, 1645 ], [ 1645, 24, 323 ] ], [ [ 1647, 1, 355 ], [ 355, 63, 323 ] ], [ [ 1647, 24, 1014 ], [ 1014, 40, 504 ], [ 504, 1, 323 ] ], [ [ 1647, 24, 504 ], [ 504, 1, 1014 ], [ 1014, 1, 323 ] ] ]
[ [ [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ], [ "Benzthiazide", "{u} (Compound) resembles {v} (Compound)", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{u} (Compound) causes {v} (Side Effect)", "Rash" ], [ "Rash", "{u} (Side Effect) is caused by {v} (Compound)", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{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}", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Albiglutide" ], [ "Albiglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{u} (Compound) resembles {v} (Compound)", "Lactulose" ], [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ], [ "Benzthiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Bendroflumethiazide" ] ], [ [ "Acarbose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ], [ "Benzthiazide", "{u} (Compound) resembles {v} (Compound)", "Bendroflumethiazide" ] ] ]
Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide and Benzthiazide (Compound) resembles Bendroflumethiazide (Compound) Acarbose (Compound) causes Rash (Side Effect) and Rash (Side Effect) is caused by Bendroflumethiazide (Compound) Acarbose may cause a minor interaction that can limit clinical effects when taken with Warfarin and Warfarin may cause a minor interaction that can limit clinical effects when taken with Bendroflumethiazide Acarbose 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 Bendroflumethiazide Acarbose may cause a minor interaction that can limit clinical effects when taken with Albiglutide and Albiglutide may cause a moderate interaction that could exacerbate diseases when taken with Bendroflumethiazide Acarbose may cause a minor interaction that can limit clinical effects when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Bendroflumethiazide Acarbose (Compound) resembles Lactulose (Compound) and Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Bendroflumethiazide Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide and Benzthiazide (Compound) resembles Hydrochlorothiazide (Compound) and Hydrochlorothiazide (Compound) resembles Bendroflumethiazide (Compound) Acarbose may cause a moderate interaction that could exacerbate diseases when taken with Hydrochlorothiazide and Hydrochlorothiazide (Compound) resembles Benzthiazide (Compound) and Benzthiazide (Compound) resembles Bendroflumethiazide (Compound)
DB00604
DB01182
1,425
371
[ "DDInter385", "DDInter1534" ]
Cisapride
Propafenone
In many countries (including Canada) cisapride has been either withdrawn or has had its indications limited due to reports about long QT syndrome due to cisapride, which predisposes to arrhythmias. The FDA issued a warning letter regarding this risk to health care professionals and patients.
An antiarrhythmia agent that is particularly effective in ventricular arrhythmias. It also has weak beta-blocking activity. The drug is generally well tolerated.
Major
2
[ [ [ 1425, 25, 371 ] ], [ [ 1425, 64, 847 ], [ 847, 1, 371 ] ], [ [ 1425, 25, 675 ], [ 675, 40, 371 ] ], [ [ 1425, 24, 455 ], [ 455, 24, 371 ] ], [ [ 1425, 6, 6017 ], [ 6017, 45, 371 ] ], [ [ 1425, 23, 112 ], [ 112, 23, 371 ] ], [ [ 1425, 64, 752 ], [ 752, 24, 371 ] ], [ [ 1425, 24, 144 ], [ 144, 63, 371 ] ], [ [ 1425, 25, 1148 ], [ 1148, 24, 371 ] ], [ [ 1425, 25, 1383 ], [ 1383, 63, 371 ] ] ]
[ [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Propafenone" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Atomoxetine" ], [ "Atomoxetine", "{u} (Compound) resembles {v} (Compound)", "Propafenone" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Propafenone" ] ], [ [ "Cisapride", "{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}", "Propafenone" ] ], [ [ "Cisapride", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Propafenone" ] ], [ [ "Cisapride", "{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}", "Propafenone" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propafenone" ] ], [ [ "Cisapride", "{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}", "Propafenone" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propafenone" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium sulfate" ], [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propafenone" ] ] ]
Cisapride may lead to a major life threatening interaction when taken with Atomoxetine and Atomoxetine (Compound) resembles Propafenone (Compound) Cisapride may lead to a major life threatening interaction when taken with Dextropropoxyphene and Dextropropoxyphene (Compound) resembles Propafenone (Compound) Cisapride 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 Propafenone Cisapride (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Propafenone (Compound) Cisapride 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 Propafenone Cisapride may lead to a major life threatening interaction when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Propafenone Cisapride 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 Propafenone Cisapride may lead to a major life threatening interaction when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Propafenone Cisapride may lead to a major life threatening interaction when taken with Sodium sulfate and Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Propafenone
DB00775
DB01105
1,226
222
[ "DDInter1818", "DDInter1665" ]
Tirofiban
Sibutramine
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.
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.
Moderate
1
[ [ [ 1226, 24, 222 ] ], [ [ 1226, 21, 28845 ], [ 28845, 60, 222 ] ], [ [ 1226, 25, 802 ], [ 802, 63, 222 ] ], [ [ 1226, 63, 1027 ], [ 1027, 24, 222 ] ], [ [ 1226, 24, 1171 ], [ 1171, 24, 222 ] ], [ [ 1226, 64, 1432 ], [ 1432, 24, 222 ] ], [ [ 1226, 24, 958 ], [ 958, 63, 222 ] ], [ [ 1226, 25, 1317 ], [ 1317, 24, 222 ] ], [ [ 1226, 24, 1039 ], [ 1039, 64, 222 ] ], [ [ 1226, 63, 529 ], [ 529, 25, 222 ] ] ]
[ [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Tirofiban", "{u} (Compound) causes {v} (Side Effect)", "Oedema" ], [ "Oedema", "{u} (Side Effect) is caused by {v} (Compound)", "Sibutramine" ] ], [ [ "Tirofiban", "{u} may lead to a major life threatening interaction when taken with {v}", "Tinzaparin" ], [ "Tinzaparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Tirofiban", "{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}", "Sibutramine" ] ], [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Meloxicam" ], [ "Meloxicam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Tirofiban", "{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}", "Sibutramine" ] ], [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ginkgo biloba" ], [ "Ginkgo biloba", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Tirofiban", "{u} may lead to a major life threatening interaction when taken with {v}", "Dipyridamole" ], [ "Dipyridamole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ] ], [ [ "Tirofiban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ], [ "Fluvoxamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ] ] ]
Tirofiban (Compound) causes Oedema (Side Effect) and Oedema (Side Effect) is caused by Sibutramine (Compound) Tirofiban may lead to a major life threatening interaction when taken with Tinzaparin and Tinzaparin may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Tirofiban 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 Sibutramine Tirofiban may cause a moderate interaction that could exacerbate diseases when taken with Meloxicam and Meloxicam may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Tirofiban 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 Sibutramine Tirofiban may cause a moderate interaction that could exacerbate diseases when taken with Ginkgo biloba and Ginkgo biloba may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Tirofiban may lead to a major life threatening interaction when taken with Dipyridamole and Dipyridamole may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Tirofiban may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may lead to a major life threatening interaction when taken with Sibutramine Tirofiban may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine and Fluvoxamine may lead to a major life threatening interaction when taken with Sibutramine
DB00612
DB09564
1,121
1,296
[ "DDInter216", "DDInter930" ]
Bisoprolol
Insulin degludec
Bisoprolol is a cardioselective β1-adrenergic blocking agent used to treat high blood pressure.[A180472,L7219] It is considered a potent drug with a long-half life that can be used once daily to reduce the need for multiple doses of antihypertensive drugs. Bisoprolol is generally well tolerated, likely due to its β1-adrenergic receptor selectivity and is a useful alternative to non-selective β-blocker drugs in the treatment of hypertension such as [Carvedilol] and [Labetalol]. It may be used alone or in combination with other drugs to manage hypertension and can be useful in patients with chronic obstructive pulmonary disease (COPD) due to its receptor selectivity.
Insulin degludec is an ultra-long-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes.[A18561,A18562,A18563,A18564,A174934] Insulin is typically prescribed for the management of diabetes mellitus to mimic the activity of endogenously produced human insulin, a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism.[A18561,A18562,A18563,A18564,A174934] 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.[A18561,A18562,A18563,A18564,A174934] Absorption of glucose into cells allows for its transformation into glycogen or fat for storage.[A18561,A18562,A18563,A18564,A174934] Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis among many other functions.[A18561,A18562,A18563,A18564,A174934] Insulin is an essential treatment in the management of Type 1 Diabetes (T1D) which is caused by an autoimmune reaction that destroys the beta cells of the pancreas, resulting in the body not being able to produce or synthesize the insulin needed to manage circulating blood sugar levels.[A18561,A18562,A18563,A18564,A174934] As a result, people with T1D rely primarily on exogenous forms of insulin, such as insulin degludec, to lower glucose levels in the blood.[A18561,A18562,A18563,A18564,A174934] Insulin is also used in the treatment of Type 2 Diabetes (T2D), another form of diabetes mellitus that is a slowly progressing metabolic disorder caused by a combination of genetic and lifestyle factors that promote chronically elevated blood sugar levels.[A18561,A18562,A18563,A18564,A174934] Without treatment or improvement in non-pharmacological measures such as diet and exercise to lower blood glucose, high blood sugar eventually causes cellular resistance to endogenous insulin, and in the long term, damage to pancreatic islet cells.[A18561,A18562,A18563,A18564,A174934] Insulin is typically prescribed later in the course of T2D, after several oral medications such as , , or have been tried, when sufficient damage has been caused to pancreatic cells that the body is no longer able to produce insulin on its own.[A18561,A18562,A18563,A18564,A174934] Marketed as the brand name product Tresiba, insulin degludec has a duration of action up to 42 hours allowing for once-daily dosing, typically at bedtime.[A18561,A18562,A18563,A18564,A174934] Due to its duration of action, Tresiba is considered "basal insulin" as it provides low concentrations of background insulin that can keep blood sugar stable between meals or overnight.[A18561,A18562,A18563,A18564,A174934] Basal insulin is often combined with short-acting "bolus insulin" such as , , or to provide higher doses of insulin required following meals. Use of basal and bolus insulin together is intended to mimic the pancreas' production of endogenous insulin, with the goal of avoiding any periods of hypoglycemia.[A18561,A18562,A18563,A18564,A174934] Compared to endogenous insulin, insulin degludec has an added hexadecanedioic acid on lysine at the B29 position, allowing for the formation of multi-hexamers.[A18561,A18562,A18563,A18564,A174934] When injected subcutaneously, these multi-hexamers form a drug depot store from which monomers are slowly and continuously absorbed into circulation.[A18561,A18562,A18563,A18564,A174934] As a result, Insulin Degludec has a protracted time action profile due to the delayed absorption from subcutaneous tissue depots into the systemic circulation.[A18561,A18562,A18563,A18564,A174934] Compared to available long-acting analogs such as and , which have a duration of action of 20-24 hours, insulin degludec provides a consistent level of basal insulin over 42 hours with a low peak: trough ratio.[A18561,A18562,A18563,A18564,A174934] Limitations of shorter-acting analogs include more frequent dosing and less stable pharmacokinetics, which may negatively impact patient adherence and glucose control, particularly nocturnal control.[A18561,A18562,A18563,A18564,A174934] Without an adequate supply of insulin to promote absorption of glucose from the bloodstream, blood sugar levels can climb to dangerously high levels and can result in symptoms such as fatigue, headache, blurred vision, and increased thirst.[A18561,A18562,A18563,A18564,A174934] If left untreated, the body starts to break down fat, instead of glucose, for energy which results in a build-up of ketone acids in the blood and a syndrome called ketoacidosis, which is a life-threatening medical emergency. In the long term, elevated blood sugar levels increase the risk of heart attack, stroke, and diabetic neuropathy.[A18561,A18562,A18563,A18564,A174934] Insulin Degludec was approved by the FDA in September 2015 as the product Tresiba, for use in providing glycemic control to adults with diabetes mellitus.
Moderate
1
[ [ [ 1121, 24, 1296 ] ], [ [ 1121, 24, 1411 ], [ 1411, 24, 1296 ] ], [ [ 1121, 62, 542 ], [ 542, 24, 1296 ] ], [ [ 1121, 1, 88 ], [ 88, 24, 1296 ] ], [ [ 1121, 63, 966 ], [ 966, 24, 1296 ] ], [ [ 1121, 23, 1479 ], [ 1479, 24, 1296 ] ], [ [ 1121, 24, 1476 ], [ 1476, 63, 1296 ] ], [ [ 1121, 24, 1411 ], [ 1411, 62, 1103 ], [ 1103, 23, 1296 ] ], [ [ 1121, 24, 659 ], [ 659, 64, 17 ], [ 17, 24, 1296 ] ], [ [ 1121, 24, 104 ], [ 104, 63, 274 ], [ 274, 23, 1296 ] ] ]
[ [ [ "Bisoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{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}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Levothyroxine" ], [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{u} (Compound) resembles {v} (Compound)", "Metoprolol" ], [ "Metoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{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}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{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}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Sotalol" ], [ "Sotalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Bisoprolol", "{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}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ] ]
Bisoprolol 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 Insulin degludec Bisoprolol may cause a minor interaction that can limit clinical effects when taken with Levothyroxine and Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Bisoprolol (Compound) resembles Metoprolol (Compound) and Metoprolol may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Bisoprolol 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 Insulin degludec Bisoprolol may cause a minor interaction that can limit clinical effects when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Bisoprolol 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 Insulin degludec Bisoprolol may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Amcinonide and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Insulin degludec Bisoprolol may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may lead to a major life threatening interaction when taken with Sotalol and Sotalol may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Bisoprolol 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 Phentolamine and Phentolamine may cause a minor interaction that can limit clinical effects when taken with Insulin degludec
DB00744
DB11730
1,288
351
[ "DDInter1962", "DDInter1588" ]
Zileuton
Ribociclib
Leukotrienes are substances that induce numerous biological effects including augmentation of neutrophil and eosinophil migration, neutrophil and monocyte aggregation, leukocyte adhesion, increased capillary permeability, and smooth muscle contraction. These effects contribute to inflammation, edema, mucus secretion, and bronchoconstriction in the airways of asthmatic patients. Zileuton relieves such symptoms through its selective inhibition of 5-lipoxygenase, the enzyme that catalyzes the formation of leukotrienes from arachidonic acid. Specifically, it inhibits leukotriene LTB4, LTC4, LTD4, and LTE4 formation. Both the R(+) and S(-) enantiomers are pharmacologically active as 5-lipoxygenase inhibitors in in vitro systems. The immediate release tablet of Zileuton has been withdrawn from the US market.
Ribociclib is a selective cyclin-dependent kinase inhibitor, a class of drugs that help slow the progression of cancer by inhibiting two proteins called cyclin-dependent kinase 4 and 6 (CDK4/6). These proteins, when over-activated, can enable cancer cells to grow and divide too quickly. Targeting CDK4/6 with enhanced precision may play a role in ensuring that cancer cells do not continue to replicate uncontrollably. Ribociclib was approved by the U.S. FDA in March, 2017 as Kisqali.
Moderate
1
[ [ [ 1288, 24, 351 ] ], [ [ 1288, 24, 283 ], [ 283, 62, 351 ] ], [ [ 1288, 63, 372 ], [ 372, 24, 351 ] ], [ [ 1288, 24, 1613 ], [ 1613, 24, 351 ] ], [ [ 1288, 24, 1033 ], [ 1033, 63, 351 ] ], [ [ 1288, 24, 129 ], [ 129, 25, 351 ] ], [ [ 1288, 24, 1297 ], [ 1297, 64, 351 ] ], [ [ 1288, 63, 702 ], [ 702, 25, 351 ] ], [ [ 1288, 25, 1510 ], [ 1510, 25, 351 ] ], [ [ 1288, 64, 1181 ], [ 1181, 25, 351 ] ] ]
[ [ [ "Zileuton", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Zileuton", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ribociclib" ] ], [ [ "Zileuton", "{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}", "Ribociclib" ] ], [ [ "Zileuton", "{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}", "Ribociclib" ] ], [ [ "Zileuton", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ], [ "Alpelisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Zileuton", "{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}", "Ribociclib" ] ], [ [ "Zileuton", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osilodrostat" ], [ "Osilodrostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Zileuton", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Zileuton", "{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}", "Ribociclib" ] ], [ [ "Zileuton", "{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}", "Ribociclib" ] ] ]
Zileuton may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a minor interaction that can limit clinical effects when taken with Ribociclib Zileuton 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 Ribociclib Zileuton 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 Ribociclib Zileuton may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib and Alpelisib may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib Zileuton 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 Ribociclib Zileuton may cause a moderate interaction that could exacerbate diseases when taken with Osilodrostat and Osilodrostat may lead to a major life threatening interaction when taken with Ribociclib Zileuton may cause a moderate interaction that could exacerbate diseases when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Ribociclib Zileuton 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 Ribociclib Zileuton 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 Ribociclib
DB00912
DB01203
473
699
[ "DDInter1581", "DDInter1255" ]
Repaglinide
Nadolol
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
Nadolol is a nonselective beta adrenal receptor blocker that is used to lower blood pressure.[L7922,L7925] Nonselective beta adrenal receptor blockers may no longer be first line in the treatment of hypertension as newer generations of beta adrenal receptor blockers have higher selectivity and offer better rates of adverse effects. Nadolol was granted FDA approval on 10 December 1979.
Moderate
1
[ [ [ 473, 24, 699 ] ], [ [ 473, 24, 729 ], [ 729, 1, 699 ] ], [ [ 473, 21, 28722 ], [ 28722, 60, 699 ] ], [ [ 473, 63, 1152 ], [ 1152, 23, 699 ] ], [ [ 473, 24, 609 ], [ 609, 62, 699 ] ], [ [ 473, 24, 1479 ], [ 1479, 23, 699 ] ], [ [ 473, 24, 1154 ], [ 1154, 63, 699 ] ], [ [ 473, 63, 251 ], [ 251, 24, 699 ] ], [ [ 473, 24, 401 ], [ 401, 24, 699 ] ], [ [ 473, 63, 1674 ], [ 1674, 25, 699 ] ] ]
[ [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nadolol" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Penbutolol" ], [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Nadolol" ] ], [ [ "Repaglinide", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Nadolol" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liothyronine" ], [ "Liothyronine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ] ], [ [ "Repaglinide", "{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}", "Nadolol" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nadolol" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nadolol" ] ], [ [ "Repaglinide", "{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}", "Nadolol" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may lead to a major life threatening interaction when taken with {v}", "Nadolol" ] ] ]
Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Penbutolol and Penbutolol (Compound) resembles Nadolol (Compound) Repaglinide (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Nadolol (Compound) Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Liothyronine and Liothyronine may cause a minor interaction that can limit clinical effects when taken with Nadolol Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a minor interaction that can limit clinical effects when taken with Nadolol Repaglinide 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 Nadolol Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide and Pasireotide may cause a moderate interaction that could exacerbate diseases when taken with Nadolol Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Nadolol Repaglinide 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 Nadolol Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may lead to a major life threatening interaction when taken with Nadolol
DB00414
DB06791
590
1,446
[ "DDInter16", "DDInter1021" ]
Acetohexamide
Lanreotide
A sulfonylurea hypoglycemic agent that is metabolized in the liver to 1-hydrohexamide. Acetohexamide has been discontinued in the US market.
Lanreotide is a drug employed in the management of acromegaly (a hormonal condition caused by excess growth hormone) in addition to symptoms caused by neuroendocrine tumors, especially carcinoid syndrome. This drug is a long-acting analog of the drug somatostatin, a growth hormone inhibitor. Lanreotide is manufactured by the company, _Ipsen Pharmaceuticals_ as lanreotide acetate, and marketed as _Somatuline_. It is approved in several countries worldwide, including the United Kingdom, Australia, and Canada. Lanreotide was first approved for use in the United States by the FDA on August 30, 2007.
Moderate
1
[ [ [ 590, 24, 1446 ] ], [ [ 590, 24, 154 ], [ 154, 63, 1446 ] ], [ [ 590, 24, 887 ], [ 887, 24, 1446 ] ], [ [ 590, 63, 461 ], [ 461, 24, 1446 ] ], [ [ 590, 24, 154 ], [ 154, 24, 466 ], [ 466, 62, 1446 ] ], [ [ 590, 24, 887 ], [ 887, 24, 549 ], [ 549, 24, 1446 ] ], [ [ 590, 24, 1017 ], [ 1017, 25, 466 ], [ 466, 62, 1446 ] ], [ [ 590, 63, 461 ], [ 461, 24, 549 ], [ 549, 24, 1446 ] ], [ [ 590, 24, 123 ], [ 123, 24, 154 ], [ 154, 63, 1446 ] ], [ [ 590, 24, 1121 ], [ 1121, 1, 887 ], [ 887, 24, 1446 ] ] ]
[ [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurasidone" ], [ "Lurasidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ], [ "Pindolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Acetohexamide", "{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}", "Lanreotide" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurasidone" ], [ "Lurasidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lanreotide" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ], [ "Pindolol", "{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}", "Lanreotide" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lanreotide" ] ], [ [ "Acetohexamide", "{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}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurasidone" ], [ "Lurasidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ], [ [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisoprolol" ], [ "Bisoprolol", "{u} (Compound) resembles {v} (Compound)", "Pindolol" ], [ "Pindolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanreotide" ] ] ]
Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Lurasidone and Lurasidone may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Pindolol and Pindolol may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Acetohexamide 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 Lanreotide Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Lurasidone and Lurasidone may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Lanreotide Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Pindolol and Pindolol 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 Lanreotide Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may lead to a major life threatening interaction when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Lanreotide Acetohexamide 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 Dapagliflozin and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Lurasidone and Lurasidone may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Bisoprolol and Bisoprolol (Compound) resembles Pindolol (Compound) and Pindolol may cause a moderate interaction that could exacerbate diseases when taken with Lanreotide
DB00191
DB00652
73
234
[ "DDInter1447", "DDInter1421" ]
Phentermine
Pentazocine
Phentermine is a sympathomimetic amine anorectic agent and it was introduced in 1959 as part of an anti-obesity combination drug.[A174361, A174364] It is chemically related to amphetamine and it is commonly referred to as an atypical amphetamine. Phentermine has not been reported an addictive potential which allows this agent to be classified under the Schedule IV drugs (low abuse potential). Phentermine was FDA approved for short-term weight management in 1959 and it became widely used in 1960. This initial product, formed by the combination of phentermine with [fenfluramine] and [dexfenfluramine] was discontinued after finding several reports of abnormal valves in nearly 30% of the consumers.[A174376, T403] Later on, phentermine was approved alone and in combination with topiramate in 2012 as a new alternative that required lower doses of phentermine to
The first mixed agonist-antagonist analgesic to be marketed. It is an agonist at the kappa and sigma opioid receptors and has a weak antagonist action at the mu receptor. (From AMA Drug Evaluations Annual, 1991, p97)
Moderate
1
[ [ [ 73, 24, 234 ] ], [ [ 73, 21, 28662 ], [ 28662, 60, 234 ] ], [ [ 73, 24, 1264 ], [ 1264, 63, 234 ] ], [ [ 73, 24, 999 ], [ 999, 24, 234 ] ], [ [ 73, 25, 497 ], [ 497, 64, 234 ] ], [ [ 73, 25, 121 ], [ 121, 25, 234 ] ], [ [ 73, 21, 28662 ], [ 28662, 60, 926 ], [ 926, 40, 234 ] ], [ [ 73, 21, 28809 ], [ 28809, 60, 1264 ], [ 1264, 63, 234 ] ], [ [ 73, 24, 1264 ], [ 1264, 24, 1359 ], [ 1359, 40, 234 ] ], [ [ 73, 24, 999 ], [ 999, 24, 1264 ], [ 1264, 63, 234 ] ] ]
[ [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentazocine" ] ], [ [ "Phentermine", "{u} (Compound) causes {v} (Side Effect)", "Tremor" ], [ "Tremor", "{u} (Side Effect) is caused by {v} (Compound)", "Pentazocine" ] ], [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentazocine" ] ], [ [ "Phentermine", "{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}", "Pentazocine" ] ], [ [ "Phentermine", "{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}", "Pentazocine" ] ], [ [ "Phentermine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pentazocine" ] ], [ [ "Phentermine", "{u} (Compound) causes {v} (Side Effect)", "Tremor" ], [ "Tremor", "{u} (Side Effect) is caused by {v} (Compound)", "Butorphanol" ], [ "Butorphanol", "{u} (Compound) resembles {v} (Compound)", "Pentazocine" ] ], [ [ "Phentermine", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentazocine" ] ], [ [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dezocine" ], [ "Dezocine", "{u} (Compound) resembles {v} (Compound)", "Pentazocine" ] ], [ [ "Phentermine", "{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}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentazocine" ] ] ]
Phentermine (Compound) causes Tremor (Side Effect) and Tremor (Side Effect) is caused by Pentazocine (Compound) Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Pentazocine Phentermine 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 Pentazocine Phentermine 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 Pentazocine Phentermine may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may lead to a major life threatening interaction when taken with Pentazocine Phentermine (Compound) causes Tremor (Side Effect) and Tremor (Side Effect) is caused by Butorphanol (Compound) and Butorphanol (Compound) resembles Pentazocine (Compound) Phentermine (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Doxepin (Compound) and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Pentazocine Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Dezocine and Dezocine (Compound) resembles Pentazocine (Compound) Phentermine 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 Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Pentazocine
DB01359
DB06705
729
1,106
[ "DDInter1417", "DDInter795" ]
Penbutolol
Gadofosveset trisodium
Penbutolol is a drug in the beta-blocker class used to treat hypertension. Penbutolol binds both beta-1 and beta-2 adrenergic receptors, rendering it a non-selective beta-blocker. Penbutolol can act as a partial agonist at beta adrenergic receptors, since it is a sympathomimetric drug. Penbutolol also demonstrates high binding affinity to the 5-hydroxytryptamine receptor 1A with antagonistic effects. This binding characteristic of penbutolol is being investigated for its implications in Antidepressant Therapy. Penbutolol is contraindicated in patients with cardiogenic shock, sinus bradycardia, second and third degree atrioventricular conduction block, bronchial asthma, and those with known hypersensitivity.
Gadofosveset trisodium is an intravenous contrast agent used with magnetic resonance angiography(MRA), which is a non-invasive way of imaging blood vessels. The agent allows for the vascular system to be imaged more clearly by the MRA. In this way, gadofosveset trisodium is used to help diagnose certain disorders of the heart and blood vessels.
Moderate
1
[ [ [ 729, 24, 1106 ] ], [ [ 729, 21, 28645 ], [ 28645, 60, 1106 ] ], [ [ 729, 40, 461 ], [ 461, 24, 1106 ] ], [ [ 729, 1, 699 ], [ 699, 24, 1106 ] ], [ [ 729, 21, 28645 ], [ 28645, 60, 796 ], [ 796, 40, 1106 ] ], [ [ 729, 21, 28653 ], [ 28653, 60, 88 ], [ 88, 24, 1106 ] ], [ [ 729, 40, 461 ], [ 461, 63, 457 ], [ 457, 40, 1106 ] ], [ [ 729, 1, 699 ], [ 699, 63, 457 ], [ 457, 40, 1106 ] ], [ [ 729, 1, 11460 ], [ 11460, 40, 461 ], [ 461, 24, 1106 ] ], [ [ 729, 40, 461 ], [ 461, 24, 796 ], [ 796, 40, 1106 ] ] ]
[ [ [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) causes {v} (Side Effect)", "Cough" ], [ "Cough", "{u} (Side Effect) is caused by {v} (Compound)", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Nadolol" ], [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) causes {v} (Side Effect)", "Cough" ], [ "Cough", "{u} (Side Effect) is caused by {v} (Compound)", "Gadoxetic acid" ], [ "Gadoxetic acid", "{u} (Compound) resembles {v} (Compound)", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) causes {v} (Side Effect)", "Bradycardia" ], [ "Bradycardia", "{u} (Side Effect) is caused by {v} (Compound)", "Metoprolol" ], [ "Metoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gadodiamide" ], [ "Gadodiamide", "{u} (Compound) resembles {v} (Compound)", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Nadolol" ], [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gadodiamide" ], [ "Gadodiamide", "{u} (Compound) resembles {v} (Compound)", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Bupranolol" ], [ "Bupranolol", "{u} (Compound) resembles {v} (Compound)", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gadofosveset trisodium" ] ], [ [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gadoxetic acid" ], [ "Gadoxetic acid", "{u} (Compound) resembles {v} (Compound)", "Gadofosveset trisodium" ] ] ]
Penbutolol (Compound) causes Cough (Side Effect) and Cough (Side Effect) is caused by Gadofosveset trisodium (Compound) Penbutolol (Compound) resembles Timolol (Compound) and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Gadofosveset trisodium Penbutolol (Compound) resembles Nadolol (Compound) and Nadolol may cause a moderate interaction that could exacerbate diseases when taken with Gadofosveset trisodium Penbutolol (Compound) causes Cough (Side Effect) and Cough (Side Effect) is caused by Gadoxetic acid (Compound) and Gadoxetic acid (Compound) resembles Gadofosveset trisodium (Compound) Penbutolol (Compound) causes Bradycardia (Side Effect) and Bradycardia (Side Effect) is caused by Metoprolol (Compound) and Metoprolol may cause a moderate interaction that could exacerbate diseases when taken with Gadofosveset trisodium Penbutolol (Compound) resembles Timolol (Compound) and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Gadodiamide and Gadodiamide (Compound) resembles Gadofosveset trisodium (Compound) Penbutolol (Compound) resembles Nadolol (Compound) and Nadolol may cause a moderate interaction that could exacerbate diseases when taken with Gadodiamide and Gadodiamide (Compound) resembles Gadofosveset trisodium (Compound) Penbutolol (Compound) resembles Bupranolol (Compound) and Bupranolol (Compound) resembles Timolol (Compound) and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Gadofosveset trisodium Penbutolol (Compound) resembles Timolol (Compound) and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Gadoxetic acid and Gadoxetic acid (Compound) resembles Gadofosveset trisodium (Compound)
DB08864
DB12500
786
283
[ "DDInter1595", "DDInter714" ]
Rilpivirine
Fedratinib
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
Fedratinib, also known as SAR302503 and TG101348, is a tyrosine kinase inhibitor used to treat intermediate-2 and high risk primary and secondary myelofibrosis.[A183176,L8090] It is an anilinopyrimidine derivative. Fedratinib was granted FDA approval on August 16, 2019.
Moderate
1
[ [ [ 786, 24, 283 ] ], [ [ 786, 25, 351 ], [ 351, 23, 283 ] ], [ [ 786, 63, 1419 ], [ 1419, 24, 283 ] ], [ [ 786, 24, 951 ], [ 951, 24, 283 ] ], [ [ 786, 25, 985 ], [ 985, 24, 283 ] ], [ [ 786, 64, 1487 ], [ 1487, 24, 283 ] ], [ [ 786, 24, 159 ], [ 159, 63, 283 ] ], [ [ 786, 74, 1250 ], [ 1250, 24, 283 ] ], [ [ 786, 63, 888 ], [ 888, 25, 283 ] ], [ [ 786, 24, 1017 ], [ 1017, 25, 283 ] ] ]
[ [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Rilpivirine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Rilpivirine", "{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}", "Fedratinib" ] ], [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ], [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Rilpivirine", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Rilpivirine", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Rilpivirine", "{u} (Compound) resembles {v} (Compound) and {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}", "Fedratinib" ] ], [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ] ], [ [ "Rilpivirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ] ] ]
Rilpivirine may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may cause a minor interaction that can limit clinical effects when taken with Fedratinib Rilpivirine 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 Fedratinib Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib and Palbociclib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Rilpivirine may lead to a major life threatening interaction when taken with Osimertinib and Osimertinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Rilpivirine may lead to a major life threatening interaction when taken with Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Rilpivirine (Compound) resembles Pazopanib (Compound) and Rilpivirine 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 Fedratinib Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen may lead to a major life threatening interaction when taken with Fedratinib Rilpivirine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may lead to a major life threatening interaction when taken with Fedratinib
DB08870
DB10429
850
200
[ "DDInter228", "DDInter282" ]
Brentuximab vedotin
Candida albicans
Brentuximab vedotin, also known as Adcetris®, is an antibody-drug conjugate that combines an anti-CD30 antibody with the drug monomethyl auristatin E (MMAE). It is an anti-neoplastic agent used in the treatment of Hodgkin's lymphoma and systemic anaplastic large-cell lymphoma. Brentuximab vedotin was initially approved in 2011. In January 2012, the drug label was revised with a boxed warning of a condition known as progressive multifocal leukoencephalopathy and death due to opportunistic JC virus infection post-treatment. The U.S. Food and Drug Administration approved Adcetris in March 2018 to treat adult patients with previously untreated stage III or IV classical Hodgkin lymphoma (cHL) in combination with chemotherapy. Adcetris has also been previously approved by the FDA to treat Hodgkin's lymphoma after relapse, Hodg
Candida albicans is a fungus which can provoke allergic reactions. Candida albicans is used in allergenic testing.
Moderate
1
[ [ [ 850, 24, 200 ] ], [ [ 850, 63, 1683 ], [ 1683, 24, 200 ] ], [ [ 850, 25, 976 ], [ 976, 24, 200 ] ], [ [ 850, 64, 908 ], [ 908, 24, 200 ] ], [ [ 850, 24, 564 ], [ 564, 63, 200 ] ], [ [ 850, 24, 350 ], [ 350, 24, 200 ] ], [ [ 850, 25, 676 ], [ 676, 63, 200 ] ], [ [ 850, 63, 1683 ], [ 1683, 63, 1096 ], [ 1096, 24, 200 ] ], [ [ 850, 25, 976 ], [ 976, 64, 1096 ], [ 1096, 24, 200 ] ], [ [ 850, 63, 168 ], [ 168, 24, 1683 ], [ 1683, 24, 200 ] ] ]
[ [ [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{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}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{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}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ], [ "Abemaciclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carfilzomib" ], [ "Carfilzomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{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}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{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}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{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}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ] ]
Brentuximab vedotin 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 Candida albicans Brentuximab vedotin 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 Candida albicans Brentuximab vedotin may lead to a major life threatening interaction when taken with Golimumab and Golimumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Brentuximab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib and Abemaciclib may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Brentuximab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Carfilzomib and Carfilzomib may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Brentuximab vedotin 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 Candida albicans Brentuximab vedotin 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 Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Brentuximab vedotin 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 Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Brentuximab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans
DB00060
DB00289
912
847
[ "DDInter947", "DDInter132" ]
Interferon beta-1a
Atomoxetine
Human interferon beta (166 residues), glycosylated, MW=22.5kD. It is produced by mammalian cells (Chinese Hamster Ovary cells) into which the human interferon beta gene has been introduced. The amino acid sequence is identical to that of natural human interferon beta.
Atomoxetine is a selective norepinephrine (NE) reuptake inhibitor used for the treatment of attention deficit hyperactivity disorder (ADHD). Also known as the marketed product Strattera, atomoxetine is used with other treatment modalities (psychological, educational, cognitive behaviour therapy, etc) to improve developmentally inappropriate symptoms associated with ADHD including distractibility, short attention span, hyperactivity, emotional lability, and impulsivity. Although the underlying pathophysiology that causes ADHD remains unclear, evidence suggests that dysregulation in noradrenergic and dopaminergic pathways plays a critical role in suboptimal executive functioning within prefrontal regions of the brain, which are involved in attention and memory. Atomoxetine has been shown to specifically increase NA and DA within the prefrontal cortex, but not in the nucleus accumbens (NA) or striatum. This is beneficial in the treatment of ADHD as DA activation in the subcortical NA and striatum is associated with many stimulant-associated side effects and an increase in abuse potential, which is a limiting factor associated with the use of stimulant medications such as , , and . Use of non-stimulant medications such as atomoxetine is therefore thought to offer a clinical advantage over the use of traditional medications for the management of ADHD. More recently, positron emission tomography (PET) imaging studies in rhesus monkeys have shown that atomoxetine also binds to the serotonin transporter (SERT), and blocks the N-methyl-d-aspartate (NMDA) receptor, indicating a role for the glutamatergic system in the pathophysiology of ADHD. Long-acting formulations of psychostimulants (such as , , and ) are typically considered the most effective and first-line treatment for ADHD in adults and children as recommended by CADDRA (Canadian ADHD Resource Alliance). However, these stimulant medications are limited by dose-related side effects and concerns of abuse. Many contain a blackbox warning stating that CNS stimulants, including methylphenidate-containing products and amphetamines, have a high potential for abuse and dependence. In particular, increased dopamine in key areas caused by these stimulant medications is associated with their reinforcing and addictive properties, and even amplifies the potency and reinforcing effects of other drugs of abuse such as amphetamines, making ADHD sufferers more susceptible to their addictive effects. Concerns about abuse potential have spurred research into medications with fewer effects on DA and the use of non-stimulant ADHD medications including atomoxetine, and . The non-stimulant norepinephrine/dopamine reuptake inhibitor (commonly used for the treatment of depression and for smoking cessation) has also been shown to be effective in the treatment of ADHD.
Moderate
1
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[ [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duloxetine" ], [ "Duloxetine", "{u} (Compound) resembles {v} (Compound)", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} (Compound) resembles {v} (Compound)", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{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}", "Atomoxetine" ] ], [ [ "Interferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duloxetine" ], [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ] ] ]
Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Duloxetine and Duloxetine (Compound) resembles Atomoxetine (Compound) Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin (Compound) resembles Atomoxetine (Compound) Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Atomoxetine Interferon beta-1a may lead to a major life threatening interaction when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Atomoxetine Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Atomoxetine Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Atomoxetine Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Atomoxetine Interferon beta-1a 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 Atomoxetine Interferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Duloxetine and Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Atomoxetine