drug1_db
stringlengths
7
7
drug2_db
stringlengths
7
7
drug1_id
int64
0
1.69k
drug2_id
int64
0
1.69k
drug_pair
sequencelengths
2
2
drug1_name
stringlengths
4
85
drug2_name
stringlengths
4
85
drug1_desc
stringlengths
27
1.09k
drug2_desc
stringlengths
27
6.14k
label
stringclasses
3 values
label_idx
int64
0
2
all_paths
sequencelengths
1
10
all_paths_str
sequencelengths
1
10
path_str
stringlengths
0
3.57k
DB04835
DB08899
1,655
129
[ "DDInter1125", "DDInter649" ]
Maraviroc
Enzalutamide
Maraviroc (brand-named Selzentry, or Celsentri outside the U.S.) is a chemokine receptor antagonist drug developed by the drug company Pfizer that is designed to act against HIV by interfering with the interaction between HIV and CCR5. It was originally labelled as UK-427857 during development but was assigned the Maraviroc name as it entered trials. It was approved for use by the FDA in August, 2007.
Enzalutamide is an androgen receptor (AR) inhibitor for the treatment of castration-resistant prostate cancer (CRPC), both metastatic and non-metastatic. It is a second-generation antiandrogen agent that the FDA approved on August 31, 2012.[L40639, A252667] Although androgen deprivation therapy (ADT) is the first-line treatment of prostate cancer and remission can be achieved, arising resistance is inevitable, becoming castration-resistant prostate cancer. Until recently, docetaxel is the only treatment available for metastatic CRPC; however, AR inhibitors have been developed for more targeted therapy, although first-generation AR inhibitors like bicalutamide did not substantially increase the survival rate. Second-generation such as enzalutamide is more efficacious due to a higher affinity to AR and no partial agonist activity compared to bicalutamide.[A252667,A252642] Due to a favorable pharmacological profile, a phase 1 study of enzalutamide was initiated in July 2007. Compared to the average time of 10 to 15 years for a drug to go from pre-clinical to clinical studies, enzalutamide was developed relatively rapidly.
Major
2
[ [ [ 1655, 25, 129 ] ], [ [ 1655, 63, 918 ], [ 918, 1, 129 ] ], [ [ 1655, 6, 8374 ], [ 8374, 45, 129 ] ], [ [ 1655, 21, 28703 ], [ 28703, 60, 129 ] ], [ [ 1655, 25, 1510 ], [ 1510, 24, 129 ] ], [ [ 1655, 63, 79 ], [ 79, 24, 129 ] ], [ [ 1655, 24, 1320 ], [ 1320, 63, 129 ] ], [ [ 1655, 24, 850 ], [ 850, 24, 129 ] ], [ [ 1655, 64, 609 ], [ 609, 24, 129 ] ], [ [ 1655, 24, 351 ], [ 351, 64, 129 ] ] ]
[ [ [ "Maraviroc", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ] ], [ [ "Maraviroc", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bicalutamide" ], [ "Bicalutamide", "{u} (Compound) resembles {v} (Compound)", "Enzalutamide" ] ], [ [ "Maraviroc", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Enzalutamide" ] ], [ [ "Maraviroc", "{u} (Compound) causes {v} (Side Effect)", "Pruritus" ], [ "Pruritus", "{u} (Side Effect) is caused by {v} (Compound)", "Enzalutamide" ] ], [ [ "Maraviroc", "{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}", "Enzalutamide" ] ], [ [ "Maraviroc", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Maraviroc", "{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}", "Enzalutamide" ] ], [ [ "Maraviroc", "{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}", "Enzalutamide" ] ], [ [ "Maraviroc", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Maraviroc", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ] ] ]
Maraviroc may cause a moderate interaction that could exacerbate diseases when taken with Bicalutamide and Bicalutamide (Compound) resembles Enzalutamide (Compound) Maraviroc (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Enzalutamide (Compound) Maraviroc (Compound) causes Pruritus (Side Effect) and Pruritus (Side Effect) is caused by Enzalutamide (Compound) Maraviroc 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 Enzalutamide Maraviroc may cause a moderate interaction that could exacerbate diseases when taken with Sorafenib and Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Maraviroc 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 Enzalutamide Maraviroc 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 Enzalutamide Maraviroc may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Maraviroc may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Enzalutamide
DB00092
DB06688
58
1,430
[ "DDInter40", "DDInter1677" ]
Alefacept
Sipuleucel-T
Immunosuppressive dimeric fusion protein that consists of the extracellular CD2-binding portion of the human leukocyte function antigen-3 (LFA-3) linked to the Fc (hinge, CH2 and CH3 domains) portion of human IgG1. Produced by CHO cells, mW is 91.4 kD.
Sipuleucel-T is a personalized, autologous, cellular immunotherapy. Sipuleucel-T is a therapeutic cancer vaccine for prostate cancer. Sipuleucel-T selectively targets the prostate-specific antigen (PSA) known as prostatic acid phosphatase (PAP) that is expressed in around 95% of prostate cancers. It must be prepared specifically for each patient. In metastatic prostate cancer, it has extended survival by median 4.1 months (IMPACT Phase III trial data). Sipuleucel-T is marketed under the brand name Provenge by Dendreon Corporation. Sipuleucel-T was approved by the U.S. Food and Drug Administration (FDA) on April 29, 2010, to treat asymptomatic or minimally symptomatic metastatic Hormone-Refractory Prostate Cancer (HRPC). The treatment initially cost $93,000 at the time of FDA approval, but rose to over $100,000 in 2014.
Moderate
1
[ [ [ 58, 24, 1430 ] ], [ [ 58, 24, 175 ], [ 175, 24, 1430 ] ], [ [ 58, 25, 676 ], [ 676, 63, 1430 ] ], [ [ 58, 24, 310 ], [ 310, 63, 1430 ] ], [ [ 58, 63, 1394 ], [ 1394, 24, 1430 ] ], [ [ 58, 25, 1066 ], [ 1066, 24, 1430 ] ], [ [ 58, 25, 1064 ], [ 1064, 25, 1430 ] ], [ [ 58, 24, 175 ], [ 175, 25, 676 ], [ 676, 63, 1430 ] ], [ [ 58, 24, 51 ], [ 51, 24, 869 ], [ 869, 24, 1430 ] ], [ [ 58, 24, 869 ], [ 869, 63, 51 ], [ 51, 24, 1430 ] ] ]
[ [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rituximab" ], [ "Rituximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sipuleucel-T" ] ] ]
Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Alefacept may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Cabazitaxel and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Rituximab and Rituximab may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Alefacept may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Alefacept may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Sipuleucel-T Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Sipuleucel-T
DB00381
DB09112
376
1,455
[ "DDInter79", "DDInter1306" ]
Amlodipine
Nitrous acid
Amlodipine, initially approved by the FDA in 1987, is a popular antihypertensive drug belonging to the group of drugs called _dihydropyridine calcium channel blockers_. Due to their selectivity for the peripheral blood vessels, dihydropyridine calcium channel blockers are associated with a lower incidence of myocardial depression and cardiac conduction abnormalities than other calcium channel blockers. Amlodipine is commonly used in the treatment of high blood pressure and angina. Amlodipine has antioxidant properties and an ability to enhance the production of nitric oxide (NO), an important vasodilator that decreases blood pressure. The option for single daily dosing of amlodipine is an attractive feature of this drug [FDA label].
Nitrous acid (as sodium nitrite) is used as part of an intravenous mixture with sodium thiosulfate to treat cyanide poisoning. It is on the World Health Organization's List of Essential Medicines, a list of the most important medications needed in a basic health system. There is also research to investigate its applicability towards treatments for heart attacks, brain aneurysms, pulmonary hypertension in infants, and Pseudomonas aeruginosa infections.
Moderate
1
[ [ [ 376, 24, 1455 ] ], [ [ 376, 24, 1450 ], [ 1450, 24, 1455 ] ], [ [ 376, 1, 336 ], [ 336, 24, 1455 ] ], [ [ 376, 40, 84 ], [ 84, 24, 1455 ] ], [ [ 376, 24, 433 ], [ 433, 63, 1455 ] ], [ [ 376, 63, 1061 ], [ 1061, 24, 1455 ] ], [ [ 376, 24, 1450 ], [ 1450, 63, 312 ], [ 312, 24, 1455 ] ], [ [ 376, 1, 336 ], [ 336, 24, 1450 ], [ 1450, 24, 1455 ] ], [ [ 376, 40, 84 ], [ 84, 24, 1450 ], [ 1450, 24, 1455 ] ], [ [ 376, 63, 1061 ], [ 1061, 24, 312 ], [ 312, 24, 1455 ] ] ]
[ [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ] ], [ [ "Amlodipine", "{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}", "Nitrous acid" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nisoldipine" ], [ "Nisoldipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ] ], [ [ "Amlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ] ], [ [ "Amlodipine", "{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}", "Nitrous acid" ] ], [ [ "Amlodipine", "{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}", "Eplerenone" ], [ "Eplerenone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ], [ "Nifedipine", "{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}", "Nitrous acid" ] ], [ [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Nisoldipine" ], [ "Nisoldipine", "{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}", "Nitrous acid" ] ], [ [ "Amlodipine", "{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}", "Eplerenone" ], [ "Eplerenone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ] ] ]
Amlodipine 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 Nitrous acid Amlodipine (Compound) resembles Nifedipine (Compound) and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid Amlodipine (Compound) resembles Nisoldipine (Compound) and Nisoldipine may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid Amlodipine may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid Amlodipine 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 Nitrous acid Amlodipine 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 Eplerenone and Eplerenone may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid Amlodipine (Compound) resembles Nifedipine (Compound) and Nifedipine 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 Nitrous acid Amlodipine (Compound) resembles Nisoldipine (Compound) and Nisoldipine 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 Nitrous acid Amlodipine 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 Eplerenone and Eplerenone may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid
DB00039
DB12001
1,253
564
[ "DDInter1380", "DDInter7" ]
Palifermin
Abemaciclib
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.
Abemaciclib is an antitumor agent and dual inhibitor of cyclin-dependent kinases 4 (CDK4) and 6 (CDK6) that are involved in the cell cycle and promotion of cancer cell growth in case of unregulated activity. On September 28, 2017, FDA granted approval of abemaciclib treatment under the market name Verzenio for the treatment of HR-positive and HER2-negative advanced or metastatic breast cancer that has progressed after unsuccessful endocrine therapy. It is either given alone in patients who has undergone endocrine therapy and chemotherapy after the metastasis of cancer, or in combination with . Following oral treatment in patients with HR-positive, HER2-negative breast cancer, abemaciclib demonstrated increased progression-free survival rates and objective response rates. Abemaciclib has been used in trials studying the treatment of melanoma, lymphoma, neoplasm, solid tumor, and glioblastoma.
Moderate
1
[ [ [ 1253, 24, 564 ] ], [ [ 1253, 24, 1213 ], [ 1213, 24, 564 ] ], [ [ 1253, 24, 1064 ], [ 1064, 25, 564 ] ], [ [ 1253, 24, 1213 ], [ 1213, 63, 536 ], [ 536, 24, 564 ] ], [ [ 1253, 24, 850 ], [ 850, 24, 868 ], [ 868, 24, 564 ] ], [ [ 1253, 24, 322 ], [ 322, 25, 868 ], [ 868, 24, 564 ] ], [ [ 1253, 24, 1101 ], [ 1101, 23, 536 ], [ 536, 24, 564 ] ], [ [ 1253, 24, 1488 ], [ 1488, 40, 372 ], [ 372, 24, 564 ] ], [ [ 1253, 24, 1064 ], [ 1064, 64, 58 ], [ 58, 24, 564 ] ], [ [ 1253, 24, 1064 ], [ 1064, 24, 1017 ], [ 1017, 63, 564 ] ] ]
[ [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "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}", "Abemaciclib" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Palifermin", "{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}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Palifermin", "{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}", "Secobarbital" ], [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ], [ "Fludarabine", "{u} (Compound) resembles {v} (Compound)", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "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}", "Alefacept" ], [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ] ], [ [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cladribine" ], [ "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}", "Abemaciclib" ] ] ]
Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib 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 Abemaciclib Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib Palifermin 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 Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Epirubicin and Epirubicin may lead to a major life threatening interaction when taken with Vemurafenib and Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib Palifermin 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 Secobarbital and Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Fludarabine and Fludarabine (Compound) resembles Clofarabine (Compound) and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib 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 Alefacept and Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Cladribine and 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 Abemaciclib
DB00976
DB01222
1,056
617
[ "DDInter1758", "DDInter246" ]
Telithromycin
Budesonide
Telithromycin, a semi-synthetic erythromycin derivative, belongs to a new chemical class of antibiotics called ketolides. Ketolides have been recently added to the macrolide-lincosamide-streptogramin class of antibiotics. Similar to the macrolide antibiotics, telithromycin prevents bacterial growth by interfering with bacterial protein synthesis. Telithromycin binds to the 50S subunit of the 70S bacterial ribosome and blocks further peptide elongation. Binding occurs simultaneously at to two domains of 23S RNA of the 50S ribosomal subunit, domain II and V, where older macrolides bind only to one. It is used to treat mild to moderate respiratory infections.
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].
Major
2
[ [ [ 1056, 25, 617 ] ], [ [ 1056, 63, 1351 ], [ 1351, 1, 617 ] ], [ [ 1056, 64, 175 ], [ 175, 1, 617 ] ], [ [ 1056, 24, 1220 ], [ 1220, 1, 617 ] ], [ [ 1056, 6, 8374 ], [ 8374, 45, 617 ] ], [ [ 1056, 21, 28929 ], [ 28929, 60, 617 ] ], [ [ 1056, 24, 1148 ], [ 1148, 23, 617 ] ], [ [ 1056, 63, 1674 ], [ 1674, 23, 617 ] ], [ [ 1056, 24, 659 ], [ 659, 62, 617 ] ], [ [ 1056, 64, 455 ], [ 455, 23, 617 ] ] ]
[ [ [ "Telithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Budesonide" ] ], [ [ "Telithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flunisolide" ], [ "Flunisolide", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Telithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Telithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Telithromycin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Budesonide" ] ], [ [ "Telithromycin", "{u} (Compound) causes {v} (Side Effect)", "Confusional state" ], [ "Confusional state", "{u} (Side Effect) is caused by {v} (Compound)", "Budesonide" ] ], [ [ "Telithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Telithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Telithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Telithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ] ]
Telithromycin may cause a moderate interaction that could exacerbate diseases when taken with Flunisolide and Flunisolide (Compound) resembles Budesonide (Compound) Telithromycin may lead to a major life threatening interaction when taken with Triamcinolone and Triamcinolone (Compound) resembles Budesonide (Compound) Telithromycin may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone (Compound) resembles Budesonide (Compound) Telithromycin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Budesonide (Compound) Telithromycin (Compound) causes Confusional state (Side Effect) and Confusional state (Side Effect) is caused by Budesonide (Compound) Telithromycin may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a minor interaction that can limit clinical effects when taken with Budesonide Telithromycin may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may cause a minor interaction that can limit clinical effects when taken with Budesonide Telithromycin may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol and Vilanterol may cause a minor interaction that can limit clinical effects when taken with Budesonide Telithromycin may lead to a major life threatening interaction when taken with Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Budesonide
DB00983
DB01222
480
617
[ "DDInter776", "DDInter246" ]
Formoterol
Budesonide
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
Budesonide is a glucocorticoid that is a mix of the 22R and 22S epimer used to treat inflammatory conditions of the lungs and intestines such as asthma, COPD, Crohn's disease, and ulcerative colitis.[A188529,A188532] Budesonide was granted FDA approval on 14 February 1994. It is also available in a combination product with [formoterol].
Minor
0
[ [ [ 480, 23, 617 ] ], [ [ 480, 62, 1351 ], [ 1351, 1, 617 ] ], [ [ 480, 23, 1220 ], [ 1220, 1, 617 ] ], [ [ 480, 5, 11649 ], [ 11649, 44, 617 ] ], [ [ 480, 18, 10375 ], [ 10375, 57, 617 ] ], [ [ 480, 21, 28719 ], [ 28719, 60, 617 ] ], [ [ 480, 24, 1148 ], [ 1148, 23, 617 ] ], [ [ 480, 63, 1674 ], [ 1674, 23, 617 ] ], [ [ 480, 24, 1032 ], [ 1032, 62, 617 ] ], [ [ 480, 74, 1052 ], [ 1052, 23, 617 ] ] ]
[ [ [ "Formoterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Formoterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Flunisolide" ], [ "Flunisolide", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Formoterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Formoterol", "{u} (Compound) treats {v} (Disease)", "asthma" ], [ "asthma", "{u} (Disease) is treated by {v} (Compound)", "Budesonide" ] ], [ [ "Formoterol", "{u} (Compound) downregulates {v} (Gene)", "RPS4Y1" ], [ "RPS4Y1", "{u} (Gene) is downregulated by {v} (Compound)", "Budesonide" ] ], [ [ "Formoterol", "{u} (Compound) causes {v} (Side Effect)", "Pain" ], [ "Pain", "{u} (Side Effect) is caused by {v} (Compound)", "Budesonide" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ], [ "Levosalbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ], [ [ "Formoterol", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ritodrine" ], [ "Ritodrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Budesonide" ] ] ]
Formoterol may cause a minor interaction that can limit clinical effects when taken with Flunisolide and Flunisolide (Compound) resembles Budesonide (Compound) Formoterol may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone (Compound) resembles Budesonide (Compound) Formoterol (Compound) treats asthma (Disease) and asthma (Disease) is treated by Budesonide (Compound) Formoterol (Compound) downregulates RPS4Y1 (Gene) and RPS4Y1 (Gene) is downregulated by Budesonide (Compound) Formoterol (Compound) causes Pain (Side Effect) and Pain (Side Effect) is caused by Budesonide (Compound) Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a minor interaction that can limit clinical effects when taken with Budesonide Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may cause a minor interaction that can limit clinical effects when taken with Budesonide Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol and Levosalbutamol may cause a minor interaction that can limit clinical effects when taken with Budesonide Formoterol (Compound) resembles Ritodrine (Compound) and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Ritodrine and Ritodrine may cause a minor interaction that can limit clinical effects when taken with Budesonide
DB08908
DB15035
713
503
[ "DDInter564", "DDInter1959" ]
Dimethyl fumarate
Zanubrutinib
Dimethyl fumarate is an agent indicated for the treatment of relapsing forms of multiple sclerosis.[A253942,L43752] The mechanism of action of dimethyl fumarate in multiple sclerosis is not well understood. It is thought to involve dimethyl fumarate degradation to its active metabolite monomethyl fumarate (MMF) then MMF up-regulates the Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) pathway that is activated in response to oxidative stress. Dimethyl fumarate is marketed under the brand name Tecfidera, and it was the third oral disease-modifying agent for multiple sclerosis approved by the FDA, following [fingolimod] and [teriflunomide]. Prior to its FDA approval, dimethyl fumarate had been used in Germany for treatment of psoriasis.
Zanubrutinib is a novel Bruton's tyrosine kinase (BTK) inhibitor used for the treatment of adult patients with mantle cell lymphoma (MCL) who have received at least one prior therapy. Mantle cell lymphoma is an aggressive mature B-cell non-Hodgkin lymphoma associated with early relapse, poor clinical outcomes, and long-term survival. BTK is an enzyme that plays a role in oncogenic signalling pathways, promoting the survival and proliferation of malignant B cells. Compared to the first-generation BTK inhibitor [ibrutinib], zanubrutinib displays higher potency and selectivity for BTK with fewer off-target effects. Due to this enhanced selectivity towards BTK, zanubrutinib belongs to the second-generation BTK inhibitor drug group that also includes [acalabrutinib], which was approved by the FDA in 2017. Zanubrutinib was granted accelerated approval by the FDA in November 2019 based on clinical trial results that demonstrated an 84% overall response rate from zanubrutinib therapy in patients with MCL, which measures the proportion of patients in a trial whose tumour is entirely or partially destroyed by a drug. It is currently marketed under the trade name BRUKINSA™ and is available as oral capsules. In August 2021, the FDA granted accelerated approval to zanubrutinib for the treatment of adults with Waldenström’s macroglobulinemia. This indication is valid in the US, Europe, and Canada. In September 2021, zanubrutinib was granted another accelerated approval for the treatment of relapsed or refractory marginal zone lymphoma who have received at least one anti-CD20-based regimen. In October 2022, the EMA's Committee for Medicinal Products for Human Use (CHMP) recommended zanubrutinib be granted marketing authorization for the treatment of chronic lymphocytic leukemia.
Moderate
1
[ [ [ 713, 24, 503 ] ], [ [ 713, 63, 1430 ], [ 1430, 24, 503 ] ], [ [ 713, 24, 951 ], [ 951, 24, 503 ] ], [ [ 713, 63, 39 ], [ 39, 25, 503 ] ], [ [ 713, 25, 676 ], [ 676, 64, 503 ] ], [ [ 713, 64, 1377 ], [ 1377, 25, 503 ] ], [ [ 713, 25, 1259 ], [ 1259, 25, 503 ] ], [ [ 713, 24, 351 ], [ 351, 25, 503 ] ], [ [ 713, 63, 1430 ], [ 1430, 63, 1683 ], [ 1683, 24, 503 ] ], [ [ 713, 63, 1683 ], [ 1683, 24, 1430 ], [ 1430, 24, 503 ] ] ]
[ [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{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}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{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}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{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}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{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}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{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}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{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}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zanubrutinib" ] ], [ [ "Dimethyl fumarate", "{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}", "Sipuleucel-T" ], [ "Sipuleucel-T", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zanubrutinib" ] ] ]
Dimethyl fumarate 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 Zanubrutinib Dimethyl fumarate 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 Zanubrutinib Dimethyl fumarate 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 Zanubrutinib Dimethyl fumarate may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Zanubrutinib Dimethyl fumarate 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 Zanubrutinib Dimethyl fumarate 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 Zanubrutinib Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Zanubrutinib Dimethyl fumarate 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 Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Zanubrutinib Dimethyl fumarate 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 Sipuleucel-T and Sipuleucel-T may cause a moderate interaction that could exacerbate diseases when taken with Zanubrutinib
DB01156
DB08899
593
129
[ "DDInter252", "DDInter649" ]
Bupropion
Enzalutamide
Bupropion (also known as the brand name product Wellbutrin®) is a norepinephrine/dopamine-reuptake inhibitor (NDRI) used most commonly for the management of Major Depressive Disorder (MDD), Seasonal Affective Disorder (SAD), and as an aid for smoking cessation. Bupropion exerts its pharmacological effects by weakly inhibiting the enzymes involved in the uptake of the neurotransmitters norepinephrine and dopamine from the synaptic cleft, therefore prolonging their duration of action within the neuronal synapse and the downstream effects of these neurotransmitters. More specifically, bupropion binds to the norepinephrine transporter (NET) and the dopamine transporter (DAT).[A6399,A178810] Bupropion was originally classified as an "atypical" antidepressant because it does not exert the same effects as the classical antidepressants such as Monoamine Oxidase Inhibitors (MA
Enzalutamide is an androgen receptor (AR) inhibitor for the treatment of castration-resistant prostate cancer (CRPC), both metastatic and non-metastatic. It is a second-generation antiandrogen agent that the FDA approved on August 31, 2012.[L40639, A252667] Although androgen deprivation therapy (ADT) is the first-line treatment of prostate cancer and remission can be achieved, arising resistance is inevitable, becoming castration-resistant prostate cancer. Until recently, docetaxel is the only treatment available for metastatic CRPC; however, AR inhibitors have been developed for more targeted therapy, although first-generation AR inhibitors like bicalutamide did not substantially increase the survival rate. Second-generation such as enzalutamide is more efficacious due to a higher affinity to AR and no partial agonist activity compared to bicalutamide.[A252667,A252642] Due to a favorable pharmacological profile, a phase 1 study of enzalutamide was initiated in July 2007. Compared to the average time of 10 to 15 years for a drug to go from pre-clinical to clinical studies, enzalutamide was developed relatively rapidly.
Major
2
[ [ [ 593, 25, 129 ] ], [ [ 593, 6, 8374 ], [ 8374, 45, 129 ] ], [ [ 593, 21, 29377 ], [ 29377, 60, 129 ] ], [ [ 593, 63, 312 ], [ 312, 23, 129 ] ], [ [ 593, 64, 608 ], [ 608, 23, 129 ] ], [ [ 593, 25, 1510 ], [ 1510, 24, 129 ] ], [ [ 593, 64, 851 ], [ 851, 24, 129 ] ], [ [ 593, 24, 242 ], [ 242, 63, 129 ] ], [ [ 593, 25, 1241 ], [ 1241, 63, 129 ] ], [ [ 593, 63, 240 ], [ 240, 24, 129 ] ] ]
[ [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ] ], [ [ "Bupropion", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Enzalutamide" ] ], [ [ "Bupropion", "{u} (Compound) causes {v} (Side Effect)", "Musculoskeletal pain" ], [ "Musculoskeletal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Enzalutamide" ] ], [ [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eplerenone" ], [ "Eplerenone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enzalutamide" ] ], [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enzalutamide" ] ], [ [ "Bupropion", "{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}", "Enzalutamide" ] ], [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Bupropion", "{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}", "Enzalutamide" ] ], [ [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexpiprazole" ], [ "Brexpiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ], [ [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Losartan" ], [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ] ] ]
Bupropion (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Enzalutamide (Compound) Bupropion (Compound) causes Musculoskeletal pain (Side Effect) and Musculoskeletal pain (Side Effect) is caused by Enzalutamide (Compound) Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Eplerenone and Eplerenone may cause a minor interaction that can limit clinical effects when taken with Enzalutamide Bupropion may lead to a major life threatening interaction when taken with Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Enzalutamide Bupropion 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 Enzalutamide Bupropion may lead to a major life threatening interaction when taken with Nefazodone and Nefazodone may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Bupropion 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 Enzalutamide Bupropion may lead to a major life threatening interaction when taken with Brexpiprazole and Brexpiprazole may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Losartan and Losartan may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide
DB00220
DB00585
798
1,127
[ "DDInter1276", "DDInter1309" ]
Nelfinavir
Nizatidine
Nelfinavir is a potent HIV-1 protease inhibitor. It is used in combination with other antiviral drugs in the treatment of HIV in both adults and children. Nelfinavir inhibits the HIV viral proteinase enzyme which prevents cleavage of the gag-pol polyprotein, resulting in noninfectious, immature viral particles.
A histamine H2 receptor antagonist with low toxicity that inhibits gastric acid secretion. The drug is used for the treatment of duodenal ulcers.
Minor
0
[ [ [ 798, 23, 1127 ] ], [ [ 798, 23, 1194 ], [ 1194, 40, 1127 ] ], [ [ 798, 6, 4973 ], [ 4973, 45, 1127 ] ], [ [ 798, 7, 2216 ], [ 2216, 46, 1127 ] ], [ [ 798, 7, 8386 ], [ 8386, 57, 1127 ] ], [ [ 798, 21, 29226 ], [ 29226, 60, 1127 ] ], [ [ 798, 25, 263 ], [ 263, 62, 1127 ] ], [ [ 798, 25, 594 ], [ 594, 63, 1127 ] ], [ [ 798, 24, 883 ], [ 883, 24, 1127 ] ], [ [ 798, 24, 1411 ], [ 1411, 63, 1127 ] ] ]
[ [ [ "Nelfinavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nizatidine" ] ], [ [ "Nelfinavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ranitidine" ], [ "Ranitidine", "{u} (Compound) resembles {v} (Compound)", "Nizatidine" ] ], [ [ "Nelfinavir", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Nizatidine" ] ], [ [ "Nelfinavir", "{u} (Compound) upregulates {v} (Gene)", "PAK1" ], [ "PAK1", "{u} (Gene) is upregulated by {v} (Compound)", "Nizatidine" ] ], [ [ "Nelfinavir", "{u} (Compound) upregulates {v} (Gene)", "MTHFD2" ], [ "MTHFD2", "{u} (Gene) is downregulated by {v} (Compound)", "Nizatidine" ] ], [ [ "Nelfinavir", "{u} (Compound) causes {v} (Side Effect)", "Sinusitis" ], [ "Sinusitis", "{u} (Side Effect) is caused by {v} (Compound)", "Nizatidine" ] ], [ [ "Nelfinavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Axitinib" ], [ "Axitinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nizatidine" ] ], [ [ "Nelfinavir", "{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}", "Nizatidine" ] ], [ [ "Nelfinavir", "{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}", "Nizatidine" ] ], [ [ "Nelfinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolbutamide" ], [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nizatidine" ] ] ]
Nelfinavir may cause a minor interaction that can limit clinical effects when taken with Ranitidine and Ranitidine (Compound) resembles Nizatidine (Compound) Nelfinavir (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Nizatidine (Compound) Nelfinavir (Compound) upregulates PAK1 (Gene) and PAK1 (Gene) is upregulated by Nizatidine (Compound) Nelfinavir (Compound) upregulates MTHFD2 (Gene) and MTHFD2 (Gene) is downregulated by Nizatidine (Compound) Nelfinavir (Compound) causes Sinusitis (Side Effect) and Sinusitis (Side Effect) is caused by Nizatidine (Compound) Nelfinavir may lead to a major life threatening interaction when taken with Axitinib and Axitinib may cause a minor interaction that can limit clinical effects when taken with Nizatidine Nelfinavir 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 Nizatidine Nelfinavir 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 Nizatidine Nelfinavir may cause a moderate interaction that could exacerbate diseases when taken with Tolbutamide and Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Nizatidine
DB00598
DB00747
1,523
1,442
[ "DDInter1013", "DDInter1647" ]
Labetalol
Scopolamine
Labetalol is a racemic mixture of 2 diastereoisomers where dilevalol, the R,R' stereoisomer, makes up 25% of the mixture. Labetalol is formulated as an injection or tablets to treat hypertension.[L7727,L7730] Labetalol was granted FDA approval on 1 August 1984.
Scopolamine is a tropane alkaloid isolated from members of the _Solanaceae_ family of plants, similar to [atropine] and [hyoscyamine], all of which structurally mimic the natural neurotransmitter [acetylcholine].[A228423, A228763] Scopolamine was first synthesized in 1959, but to date, synthesis remains less efficient than extracting scopolamine from plants. As an acetylcholine analogue, scopolamine can antagonize muscarinic acetylcholine receptors (mAChRs) in the central nervous system and throughout the body, inducing several therapeutic and adverse effects related to alteration of parasympathetic nervous system and cholinergic signalling.[A228758, L31578] Due to its dose-dependent adverse effects, scopolamine was the first drug to be offered commercially as a transdermal delivery system, Scopoderm TTS®, in 1981.[A228423, A228758] As a result of its anticholinergic effects, scopolamine is being investigated for diverse therapeutic applications; currently, it is approved for the prevention of nausea and vomiting associated with motion sickness and surgical procedures.[A228773, L31578] Scopolamine was first approved by the FDA on December 31, 1979, and is currently available as both oral tablets and a transdermal delivery system.
Moderate
1
[ [ [ 1523, 24, 1442 ] ], [ [ 1523, 63, 19 ], [ 19, 24, 1442 ] ], [ [ 1523, 21, 28766 ], [ 28766, 60, 1442 ] ], [ [ 1523, 24, 1264 ], [ 1264, 63, 1442 ] ], [ [ 1523, 40, 211 ], [ 211, 63, 1442 ] ], [ [ 1523, 63, 85 ], [ 85, 35, 1442 ] ], [ [ 1523, 63, 19 ], [ 19, 40, 11389 ], [ 11389, 1, 1442 ] ], [ [ 1523, 21, 28766 ], [ 28766, 60, 19 ], [ 19, 24, 1442 ] ], [ [ 1523, 24, 1264 ], [ 1264, 63, 19 ], [ 19, 24, 1442 ] ], [ [ 1523, 40, 211 ], [ 211, 63, 19 ], [ 19, 24, 1442 ] ] ]
[ [ [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ] ], [ [ "Labetalol", "{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}", "Scopolamine" ] ], [ [ "Labetalol", "{u} (Compound) causes {v} (Side Effect)", "Hypotension" ], [ "Hypotension", "{u} (Side Effect) is caused by {v} (Compound)", "Scopolamine" ] ], [ [ "Labetalol", "{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}", "Scopolamine" ] ], [ [ "Labetalol", "{u} (Compound) resembles {v} (Compound)", "Tolterodine" ], [ "Tolterodine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ] ], [ [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ] ], [ [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ], [ "Hyoscyamine", "{u} (Compound) resembles {v} (Compound)", "Homatropine Methylbromide" ], [ "Homatropine Methylbromide", "{u} (Compound) resembles {v} (Compound)", "Scopolamine" ] ], [ [ "Labetalol", "{u} (Compound) causes {v} (Side Effect)", "Hypotension" ], [ "Hypotension", "{u} (Side Effect) is caused by {v} (Compound)", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ] ], [ [ "Labetalol", "{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}", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ] ], [ [ "Labetalol", "{u} (Compound) resembles {v} (Compound)", "Tolterodine" ], [ "Tolterodine", "{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}", "Scopolamine" ] ] ]
Labetalol 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 Scopolamine Labetalol (Compound) causes Hypotension (Side Effect) and Hypotension (Side Effect) is caused by Scopolamine (Compound) Labetalol 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 Scopolamine Labetalol (Compound) resembles Tolterodine (Compound) and Tolterodine may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine Labetalol may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine (Compound) resembles Scopolamine (Compound) and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine Labetalol may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine and Hyoscyamine (Compound) resembles Homatropine Methylbromide (Compound) and Homatropine Methylbromide (Compound) resembles Scopolamine (Compound) Labetalol (Compound) causes Hypotension (Side Effect) and Hypotension (Side Effect) is caused by Hyoscyamine (Compound) and Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine Labetalol 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 Hyoscyamine and Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine Labetalol (Compound) resembles Tolterodine (Compound) and Tolterodine 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 Scopolamine
DB00041
DB00660
1,648
1,470
[ "DDInter38", "DDInter1163" ]
Aldesleukin
Metaxalone
Aldesleukin, a lymphokine, is produced by recombinant DNA technology using a genetically engineered E. coli strain containing an analog of the human interleukin-2 gene. Genetic engineering techniques were used to modify the human IL-2 gene, and the resulting expression clone encodes a modified human interleukin-2. This recombinant form differs from native interleukin-2 in the following ways: a) Aldesleukin is not glycosylated because it is derived from E. coli; b) the molecule has no N-terminal alanine; the codon for this amino acid was deleted during the genetic engineering procedure; c) the molecule has serine substituted for cysteine at amino acid position 125.
Metaxalone is a moderate to strong muscle relaxant used in the symptomatic treatment of musculoskeletal pain caused by strains, sprains, and other musculoskeletal conditions. It is marketed by King Pharmaceuticals under the brand name Skelaxin®. Its main mechanism of action is thought to involve general central nervous system depression. Metaxalone is associated with few side effects and is available as a 800 mg scored tablet.
Moderate
1
[ [ [ 1648, 24, 1470 ] ], [ [ 1648, 24, 537 ], [ 537, 63, 1470 ] ], [ [ 1648, 24, 663 ], [ 663, 24, 1470 ] ], [ [ 1648, 25, 770 ], [ 770, 63, 1470 ] ], [ [ 1648, 63, 305 ], [ 305, 24, 1470 ] ], [ [ 1648, 25, 1510 ], [ 1510, 64, 1470 ] ], [ [ 1648, 24, 475 ], [ 475, 25, 1470 ] ], [ [ 1648, 24, 537 ], [ 537, 21, 28681 ], [ 28681, 60, 1470 ] ], [ [ 1648, 24, 663 ], [ 663, 7, 20027 ], [ 20027, 57, 1470 ] ], [ [ 1648, 24, 912 ], [ 912, 24, 663 ], [ 663, 24, 1470 ] ] ]
[ [ [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metaxalone" ] ], [ [ "Aldesleukin", "{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}", "Metaxalone" ] ], [ [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metaxalone" ] ], [ [ "Aldesleukin", "{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}", "Metaxalone" ] ], [ [ "Aldesleukin", "{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}", "Metaxalone" ] ], [ [ "Aldesleukin", "{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}", "Metaxalone" ] ], [ [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metaxalone" ] ], [ [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} (Compound) causes {v} (Side Effect)", "Hypersensitivity" ], [ "Hypersensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Metaxalone" ] ], [ [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} (Compound) upregulates {v} (Gene)", "LRP10" ], [ "LRP10", "{u} (Gene) is downregulated by {v} (Compound)", "Metaxalone" ] ], [ [ "Aldesleukin", "{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}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metaxalone" ] ] ]
Aldesleukin 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 Metaxalone Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Metaxalone Aldesleukin 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 Metaxalone Aldesleukin 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 Metaxalone Aldesleukin 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 Metaxalone Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Metaxalone Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine (Compound) causes Hypersensitivity (Side Effect) and Hypersensitivity (Side Effect) is caused by Metaxalone (Compound) Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate (Compound) upregulates LRP10 (Gene) and LRP10 (Gene) is downregulated by Metaxalone (Compound) Aldesleukin 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 Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Metaxalone
DB01072
DB06663
915
1,154
[ "DDInter129", "DDInter1398" ]
Atazanavir
Pasireotide
Atazanavir (formerly known as BMS-232632) is an antiretroviral drug of the protease inhibitor (PI) class. Like other antiretrovirals, it is used to treat infection of human immunodeficiency virus (HIV). Atazanavir is distinguished from other PIs in that it can be given once daily (rather than requiring multiple doses per day) and has lesser effects on the patient's lipid profile (the amounts of cholesterol and other fatty substances in the blood). Like other protease inhibitors, it is used only in combination with other HIV medications. The U.S. Food and Drug Administration (FDA) approved atazanavir on June 20, 2003.
Pasireotide is a synthetic long-acting cyclic hexapeptide with somatostatin-like activity. It is marketed as a diaspartate salt called Signifor, which is used in the treatment of Cushing's disease.
Moderate
1
[ [ [ 915, 24, 1154 ] ], [ [ 915, 21, 28900 ], [ 28900, 60, 1154 ] ], [ [ 915, 24, 466 ], [ 466, 62, 1154 ] ], [ [ 915, 24, 1385 ], [ 1385, 63, 1154 ] ], [ [ 915, 24, 170 ], [ 170, 24, 1154 ] ], [ [ 915, 63, 959 ], [ 959, 24, 1154 ] ], [ [ 915, 25, 1017 ], [ 1017, 63, 1154 ] ], [ [ 915, 64, 543 ], [ 543, 24, 1154 ] ], [ [ 915, 24, 1011 ], [ 1011, 64, 1154 ] ], [ [ 915, 25, 124 ], [ 124, 64, 1154 ] ] ]
[ [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Atazanavir", "{u} (Compound) causes {v} (Side Effect)", "Abdominal pain" ], [ "Abdominal pain", "{u} (Side Effect) is caused by {v} (Compound)", "Pasireotide" ] ], [ [ "Atazanavir", "{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}", "Pasireotide" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ], [ "Semaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ], [ "Sitagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Atazanavir", "{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}", "Pasireotide" ] ], [ [ "Atazanavir", "{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}", "Pasireotide" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pasireotide" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ] ] ]
Atazanavir (Compound) causes Abdominal pain (Side Effect) and Abdominal pain (Side Effect) is caused by Pasireotide (Compound) Atazanavir 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 Pasireotide Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide and Semaglutide may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin and Sitagliptin may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Atazanavir 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 Pasireotide Atazanavir 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 Pasireotide Atazanavir may lead to a major life threatening interaction when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Pasireotide Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Pasireotide Atazanavir may lead to a major life threatening interaction when taken with Glasdegib and Glasdegib may lead to a major life threatening interaction when taken with Pasireotide
DB00377
DB01268
1,494
1,151
[ "DDInter1382", "DDInter1731" ]
Palonosetron
Sunitinib
Palonosetron (INN, trade name Aloxi) is an antagonist of 5-HT3 receptors that is indicated for the prevention and treatment of chemotherapy-induced nausea and vomiting (CINV). It is the most effective of the 5-HT3 antagonists in controlling delayed CINV nausea and vomiting that appear more than 24 hours after the first dose of a course of chemotherapy and is the only drug of its class approved for this use by the U.S. Food and Drug Administration. As of 2008, it is the most recent 5-HT3 antagonist to enter clinical use.
Sunitinib is a small-molecule multi-targeted receptor tyrosine kinase (RTK) inhibitor. On January 26, 2006, the agent was formally approved by the US FDA for the indications of treating renal cell carcinoma (RCC) and imatinib-resistant gastrointestinal stromal tumor (GIST). For these purposes, sunitinib is generally available as an orally administered formulation. Sunitinib inhibits cellular signaling by targeting multiple RTKs. These include all platelet-derived growth factor receptors (PDGF-R) and vascular endothelial growth factor receptors (VEGF-R). Sunitinib also inhibits KIT (CD117), the RTK that drives the majority of GISTs. In addition, sunitinib inhibits other RTKs including RET, CSF-1R, and flt3.
Moderate
1
[ [ [ 1494, 24, 1151 ] ], [ [ 1494, 6, 8374 ], [ 8374, 45, 1151 ] ], [ [ 1494, 21, 29269 ], [ 29269, 60, 1151 ] ], [ [ 1494, 23, 1247 ], [ 1247, 23, 1151 ] ], [ [ 1494, 24, 1148 ], [ 1148, 24, 1151 ] ], [ [ 1494, 24, 1250 ], [ 1250, 63, 1151 ] ], [ [ 1494, 25, 413 ], [ 413, 24, 1151 ] ], [ [ 1494, 63, 472 ], [ 472, 24, 1151 ] ], [ [ 1494, 64, 1302 ], [ 1302, 24, 1151 ] ], [ [ 1494, 25, 180 ], [ 180, 63, 1151 ] ] ]
[ [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Palonosetron", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Sunitinib" ] ], [ [ "Palonosetron", "{u} (Compound) causes {v} (Side Effect)", "Menopausal symptoms" ], [ "Menopausal symptoms", "{u} (Side Effect) is caused by {v} (Compound)", "Sunitinib" ] ], [ [ "Palonosetron", "{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}", "Sunitinib" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Maprotiline" ], [ "Maprotiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alfuzosin" ], [ "Alfuzosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Protriptyline" ], [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ] ], [ [ "Palonosetron", "{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}", "Sunitinib" ] ] ]
Palonosetron (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Sunitinib (Compound) Palonosetron (Compound) causes Menopausal symptoms (Side Effect) and Menopausal symptoms (Side Effect) is caused by Sunitinib (Compound) Palonosetron 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 Sunitinib Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Palonosetron may lead to a major life threatening interaction when taken with Maprotiline and Maprotiline may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Alfuzosin and Alfuzosin may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Palonosetron may lead to a major life threatening interaction when taken with Protriptyline and Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib Palonosetron 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 Sunitinib
DB01050
DB11901
848
913
[ "DDInter900", "DDInter107" ]
Ibuprofen
Apalutamide
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) derived from propionic acid and it is considered the first of the propionics. The formula of ibuprofen is 2-(4-isobutylphenyl) propionic acid and its initial development was in 1960 while researching for a safer alternative for aspirin. Ibuprofen was finally patented in 1961 and this drug was first launched against rheumatoid arthritis in the UK in 1969 and USA in 1974. It was the first available over-the-counter NSAID. On the available products, ibuprofen is administered as a racemic mixture. Once administered, the R-enantiomer undergoes extensive interconversion to the S-enantiomer _in vivo_ by the activity of the alpha-methylacyl-CoA racemase. In particular, it is generally proposed that the S-enantiomer is capable of eliciting stronger pharmacological activity than
Apalutamide is a potent androgen receptor (AR) antagonist that selectively binds to the ligand-binding domain of AR and blocks AR nuclear translocation or binding to androgen response elements . It has been used in trials studying the treatment of Prostate Cancer, Hepatic Impairment, Prostatic Neoplasms, Castration-Resistant Prostate Cancer, and Prostatic Neoplasms, Castration-Resistant, among others. Exerting an antitumor action, apalutamide blocking the effect of androgens that promote tumor growth. It targets the AR ligand-binding domain and prevents AR nuclear translocation, DNA binding, and transcription of AR gene targets in prostate tumors . In mice bearing human CRPC xenograft models, apalutamide treatment produced tumor regressions in a dose-dependent manner that was more effective than that of or . Unlike bicalutamide, apalutamide antagonized AR-mediated signaling in AR overexpressing human CRPC cell lines . Androgen-deprivation therapy, or hormone therapy, can be used as part of maintenance therapy for patients with non-metastatic prostate cancer. Although most patients achieve therapeutic responses at the initial hormone therapy, many patients progress to non-metastatic castration-resistant (resistance to hormone therapy) prostate cancer which is the second-most common cause of cancer-related deaths in American males . Castration-resistant prostate cancer is often incurable, which poses significant clinical challenges for patients. Approximately 10 to 20 % of prostate cancer cases are castration-resistant, and up to 16% of these patients show no evidence of cancer metastasis at the time of castration-resistant diagnosis . Higher prostate-specific antigen (PSA) and shorter PSA doubling time (PSA DT) are associated with a higher risk for metastases and death . In a phase-2 multicenter open-label study, 89% of patients with non-metastatic, castration-resistant prostate cancer had ≥50% PSA decline at week 12 of apalutamide treatment . In a randomized trial, the median metastasis-free survival for patients taking apalutamide was 40.5 months compared to 16.2 months for patients taking a placebo . Apalutamide displayed good tolerability and safety profile in clinical studies. Apalutamide was approved in February 2018 by the FDA as Erleada for the treatment of patients with non-metastatic prostate cancer that is resistant to treatment with hormone therapy (castration-resistant). It is available as oral tablets. Apalutamide is the first FDA-approved treatment for non-metastatic, castration-resistant prostate cancer .
Moderate
1
[ [ [ 848, 24, 913 ] ], [ [ 848, 63, 312 ], [ 312, 23, 913 ] ], [ [ 848, 25, 279 ], [ 279, 24, 913 ] ], [ [ 848, 24, 1237 ], [ 1237, 24, 913 ] ], [ [ 848, 24, 255 ], [ 255, 63, 913 ] ], [ [ 848, 63, 254 ], [ 254, 24, 913 ] ], [ [ 848, 23, 286 ], [ 286, 24, 913 ] ], [ [ 848, 64, 126 ], [ 126, 24, 913 ] ], [ [ 848, 25, 1421 ], [ 1421, 63, 913 ] ], [ [ 848, 62, 1559 ], [ 1559, 24, 913 ] ] ]
[ [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eplerenone" ], [ "Eplerenone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Apalutamide" ] ], [ [ "Ibuprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Anisindione" ], [ "Anisindione", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Ibuprofen", "{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}", "Apalutamide" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Delafloxacin" ], [ "Delafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitisinone" ], [ "Nitisinone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Ibuprofen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Ibuprofen", "{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}", "Apalutamide" ] ], [ [ "Ibuprofen", "{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}", "Apalutamide" ] ], [ [ "Ibuprofen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ] ]
Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Eplerenone and Eplerenone may cause a minor interaction that can limit clinical effects when taken with Apalutamide Ibuprofen may lead to a major life threatening interaction when taken with Anisindione and Anisindione may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Ibuprofen 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 Apalutamide Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Delafloxacin and Delafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Nitisinone and Nitisinone may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Ibuprofen may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Ibuprofen 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 Apalutamide Ibuprofen 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 Apalutamide Ibuprofen may cause a minor interaction that can limit clinical effects when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide
DB06603
DB09128
39
1,241
[ "DDInter1387", "DDInter231" ]
Panobinostat
Brexpiprazole
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.
Brexpiprazole is an atypical antipsychotic and a novel D2 dopamine and serotonin 1A partial agonist called serotonin-dopamine activity modulator (SDAM). It has a high affinity for serotonin, dopamine and alpha (α)-adrenergic receptors. Although it is structurally similar to [aripiprazole], brexpiprazole has different binding affinities for dopamine and serotonin receptors. Compared to aripiprazole, brexpiprazole has less potential for partial agonist-mediated adverse effects such as extrapyramidal symptoms, which is attributed to lower intrinsic activity at the D2 receptor. It also displays stronger antagonism at the 5-HT1A and 5-HT2A receptors.[A182186, A38385, A259661] Brexpiprazole was first approved by the FDA on July 10, 2015. Currently approved for the treatment of depression, schizophrenia, and agitation associated with dementia due to Alzheimer’s disease, brexpiprazole has also been investigated in other psychiatric disorders, such as post-traumatic stress disorder.
Major
2
[ [ [ 39, 25, 1241 ] ], [ [ 39, 25, 129 ], [ 129, 24, 1241 ] ], [ [ 39, 63, 543 ], [ 543, 24, 1241 ] ], [ [ 39, 25, 1662 ], [ 1662, 63, 1241 ] ], [ [ 39, 64, 1264 ], [ 1264, 24, 1241 ] ], [ [ 39, 24, 159 ], [ 159, 63, 1241 ] ], [ [ 39, 24, 98 ], [ 98, 24, 1241 ] ], [ [ 39, 63, 752 ], [ 752, 25, 1241 ] ], [ [ 39, 25, 283 ], [ 283, 64, 1241 ] ], [ [ 39, 24, 384 ], [ 384, 25, 1241 ] ] ]
[ [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Loperamide" ], [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{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}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{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}", "Brexpiprazole" ] ], [ [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexpiprazole" ] ] ]
Panobinostat may lead to a major life threatening interaction when taken with Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Loperamide and Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Panobinostat may lead to a major life threatening interaction when taken with Picosulfuric acid and Picosulfuric acid may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Panobinostat may lead to a major life threatening interaction when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Panobinostat 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 Brexpiprazole Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may lead to a major life threatening interaction when taken with Brexpiprazole Panobinostat 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 Brexpiprazole Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may lead to a major life threatening interaction when taken with Brexpiprazole
DB08908
DB11569
713
1,093
[ "DDInter564", "DDInter1003" ]
Dimethyl fumarate
Ixekizumab
Dimethyl fumarate is an agent indicated for the treatment of relapsing forms of multiple sclerosis.[A253942,L43752] The mechanism of action of dimethyl fumarate in multiple sclerosis is not well understood. It is thought to involve dimethyl fumarate degradation to its active metabolite monomethyl fumarate (MMF) then MMF up-regulates the Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) pathway that is activated in response to oxidative stress. Dimethyl fumarate is marketed under the brand name Tecfidera, and it was the third oral disease-modifying agent for multiple sclerosis approved by the FDA, following [fingolimod] and [teriflunomide]. Prior to its FDA approval, dimethyl fumarate had been used in Germany for treatment of psoriasis.
Ixekizumab is a humanized immunoglobulin G subclass 4 (IgG4) monoclonal antibody (mAb) against interleukin-17A (IL-17A) and prevents it from interacting with the IL-17A receptor. As IL-17A is a pro-inflammatory cytokine involved in inflammation and immune responses, blocking its effect is beneficial for use in inflammatory conditions. In particular, IL-17A has been found to be implicated in a variety of autoimmune diseases including Rheumatoid Arthritis and plaque psoriasis. Ixekizumab is produced by recombinant DNA technology in a recombinant mammalian cell line and purified using standard technology for bioprocessing. Ixekizumab is comprised of two identical light chain polypeptides of 219 amino acids each and two identical heavy chain polypeptides of 445 amino acids each, and has a molecular weight of 146,158 Daltons for the protein backbone of the molecule. It is indicated for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy.
Moderate
1
[ [ [ 713, 24, 1093 ] ], [ [ 713, 63, 66 ], [ 66, 24, 1093 ] ], [ [ 713, 24, 496 ], [ 496, 24, 1093 ] ], [ [ 713, 24, 1367 ], [ 1367, 63, 1093 ] ], [ [ 713, 25, 287 ], [ 287, 63, 1093 ] ], [ [ 713, 64, 1057 ], [ 1057, 25, 1093 ] ], [ [ 713, 25, 676 ], [ 676, 64, 1093 ] ], [ [ 713, 25, 962 ], [ 962, 25, 1093 ] ], [ [ 713, 63, 66 ], [ 66, 23, 1114 ], [ 1114, 23, 1093 ] ], [ [ 713, 24, 496 ], [ 496, 63, 66 ], [ 66, 24, 1093 ] ] ]
[ [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{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}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ], [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Diroximel fumarate" ], [ "Diroximel fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{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}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{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}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc sulfate" ], [ "Zinc sulfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ixekizumab" ] ], [ [ "Dimethyl fumarate", "{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}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixekizumab" ] ] ]
Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Ixekizumab Dimethyl fumarate 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 Ixekizumab Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) and Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Ixekizumab Dimethyl fumarate may lead to a major life threatening interaction when taken with Diroximel fumarate and Diroximel fumarate may cause a moderate interaction that could exacerbate diseases when taken with Ixekizumab Dimethyl fumarate 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 Ixekizumab Dimethyl fumarate may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Ixekizumab Dimethyl fumarate 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 Ixekizumab Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a minor interaction that can limit clinical effects when taken with Zinc sulfate and Zinc sulfate may cause a minor interaction that can limit clinical effects when taken with Ixekizumab Dimethyl fumarate 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 Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Ixekizumab
DB01364
DB09449
22
1,672
[ "DDInter650", "DDInter1691" ]
Ephedrine
Sodium phosphate, monobasic
Ephedrine was first described in western literature in 1888, as a naturally occurring component of the ephedra plant, along with [pseudoephedrine]. Ephedrine acts as both a direct and indirect sympathomimetic. It is an alpha- and beta-adrenergic receptor agonist; however, it also causes the indirect release of norepinephrine from sympathetic neurons, inhibiting norepinephrine reuptake and displacing more norepinephrine from storage vesicles.[A193650,L12972] Ephedrine is used for its vasoconstrictive, positive chronotropic, and positive inotropic effects. Ephedrine and [phenylephrine] are still used to treat hypotension, but their use in other indications has decreased due to the development of more selective adrenergic agonists.[A193701,A193704,L12975] Ephedrine was granted a type 7 FDA
Sodium phosphate is a saline laxative that is thought to work by increasing fluid in the small intestine. It usually results in a bowel movement after 30 minutes to 6 hours.
Minor
0
[ [ [ 22, 23, 1672 ] ], [ [ 22, 40, 1445 ], [ 1445, 23, 1672 ] ], [ [ 22, 24, 1662 ], [ 1662, 62, 16 ], [ 16, 23, 1672 ] ], [ [ 22, 63, 542 ], [ 542, 24, 16 ], [ 16, 23, 1672 ] ], [ [ 22, 24, 1662 ], [ 1662, 63, 355 ], [ 355, 24, 1672 ] ], [ [ 22, 24, 320 ], [ 320, 63, 16 ], [ 16, 23, 1672 ] ], [ [ 22, 74, 73 ], [ 73, 24, 1445 ], [ 1445, 23, 1672 ] ], [ [ 22, 40, 280 ], [ 280, 40, 1445 ], [ 1445, 23, 1672 ] ], [ [ 22, 74, 847 ], [ 847, 24, 355 ], [ 355, 24, 1672 ] ], [ [ 22, 40, 11246 ], [ 11246, 1, 1445 ], [ 1445, 23, 1672 ] ] ]
[ [ [ "Ephedrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{u} (Compound) resembles {v} (Compound)", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{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}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levothyroxine" ], [ "Levothyroxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linaclotide" ], [ "Linaclotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{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}", "Lactulose" ], [ "Lactulose", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thyroid, porcine" ], [ "Thyroid, porcine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linaclotide" ], [ "Linaclotide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phentermine" ], [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{u} (Compound) resembles {v} (Compound)", "Mephentermine" ], [ "Mephentermine", "{u} (Compound) resembles {v} (Compound)", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ], [ "Atomoxetine", "{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}", "Sodium phosphate, monobasic" ] ], [ [ "Ephedrine", "{u} (Compound) resembles {v} (Compound)", "Bethanidine" ], [ "Bethanidine", "{u} (Compound) resembles {v} (Compound)", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium phosphate, monobasic" ] ] ]
Ephedrine (Compound) resembles Pseudoephedrine (Compound) and Pseudo Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid and Picosulfuric acid 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 Sodium phosphate, monobasic Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Levothyroxine and Levothyroxine may cause a moderate interaction that could exacerbate diseases when taken with Linaclotide and Linaclotide may cause a minor interaction that can limit clinical effects when taken with Sodium phosphate, monobasic Ephedrine 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 Lactulose and Lactulose may cause a moderate interaction that could exacerbate diseases when taken with Sodium phosphate, monobasic Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Thyroid, porcine and Thyroid, porcine may cause a moderate interaction that could exacerbate diseases when taken with Linaclotide and Linaclotide may cause a minor interaction that can limit clinical effects when taken with Sodium phosphate, monobasic Ephedrine (Compound) resembles Phentermine (Compound) and Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Phentermine and Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudo Ephedrine (Compound) resembles Mephentermine (Compound) and Mephentermine (Compound) resembles Pseudoephedrine (Compound) and Pseudo Ephedrine (Compound) resembles Atomoxetine (Compound) and Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Atomoxetine and Atomoxetine 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 Sodium phosphate, monobasic Ephedrine (Compound) resembles Bethanidine (Compound) and Bethanidine (Compound) resembles Pseudoephedrine (Compound) and Pseudo
DB01041
DB01210
770
668
[ "DDInter1789", "DDInter1050" ]
Thalidomide
Levobunolol (ophthalmic)
A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of inflammatory disorders and cancers. Thalidomide displays immunosuppressive and anti-angiogenic activity through modulating the release of inflammatory mediators like tumor necrosis factor-alpha (TNF-a) and other cytokine action. Due to severe teratogenicity, pregnancy must be excluded before the start of treatment and patients must enrol in the THALIDOMID Risk Evaluation and Mitigation Strategy (REMS) program to ensure contraception adherence.
Levobunolol is a cyclic ketone that is 3,4-dihydronaphthalen-1-one substituted at position 5 by a 3-(tert-butylamino)-2-hydroxypropoxy group (the S-enantiomer). A non-selective beta-adrenergic antagonist used (as its hydrochloride salt) for treatment of glaucoma. It has a role as an antiglaucoma drug and a beta-adrenergic antagonist. It is a propanolamine, a cyclic ketone and an aromatic ether. It is a conjugate acid of a levobunolol(1+). It derives from a hydride of a tetralin.
Moderate
1
[ [ [ 770, 24, 668 ] ], [ [ 770, 63, 461 ], [ 461, 1, 668 ] ], [ [ 770, 24, 729 ], [ 729, 1, 668 ] ], [ [ 770, 24, 699 ], [ 699, 40, 668 ] ], [ [ 770, 18, 3106 ], [ 3106, 57, 668 ] ], [ [ 770, 21, 28841 ], [ 28841, 60, 668 ] ], [ [ 770, 63, 1528 ], [ 1528, 24, 668 ] ], [ [ 770, 24, 1476 ], [ 1476, 63, 668 ] ], [ [ 770, 25, 1053 ], [ 1053, 24, 668 ] ], [ [ 770, 25, 1011 ], [ 1011, 63, 668 ] ] ]
[ [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levobunolol" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Timolol" ], [ "Timolol", "{u} (Compound) resembles {v} (Compound)", "Levobunolol" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Penbutolol" ], [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Levobunolol" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nadolol" ], [ "Nadolol", "{u} (Compound) resembles {v} (Compound)", "Levobunolol" ] ], [ [ "Thalidomide", "{u} (Compound) downregulates {v} (Gene)", "DNAJA3" ], [ "DNAJA3", "{u} (Gene) is downregulated by {v} (Compound)", "Levobunolol" ] ], [ [ "Thalidomide", "{u} (Compound) causes {v} (Side Effect)", "Bronchospasm" ], [ "Bronchospasm", "{u} (Side Effect) is caused by {v} (Compound)", "Levobunolol" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Physostigmine" ], [ "Physostigmine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levobunolol" ] ], [ [ "Thalidomide", "{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}", "Levobunolol" ] ], [ [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levobunolol" ] ], [ [ "Thalidomide", "{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}", "Levobunolol" ] ] ]
Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Levobunolol Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Timolol and Timolol (Compound) resembles Levobunolol (Compound) Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Penbutolol and Penbutolol (Compound) resembles Levobunolol (Compound) Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Nadolol and Nadolol (Compound) resembles Levobunolol (Compound) Thalidomide (Compound) downregulates DNAJA3 (Gene) and DNAJA3 (Gene) is downregulated by Levobunolol (Compound) Thalidomide (Compound) causes Bronchospasm (Side Effect) and Bronchospasm (Side Effect) is caused by Levobunolol (Compound) Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Physostigmine and Physostigmine may cause a moderate interaction that could exacerbate diseases when taken with Levobunolol Thalidomide 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 Levobunolol Thalidomide may lead to a major life threatening interaction when taken with Procarbazine and Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Levobunolol Thalidomide 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 Levobunolol
DB06077
DB14723
879
159
[ "DDInter1102", "DDInter1026" ]
Lumateperone
Larotrectinib
Schizophrenia is a complex mental illness and impacts approximately 1% of the population. Although there are several antipsychotics including [aripiprazole], [paliperidone] and [clozapine] available for clinical use, they are generally accompanied by significant metabolic and/or neurological adverse effects. Lumateperone is a newly approved 2nd generation antipsychotic currently indicated for the treatment of schizophrenia. It has a unique receptor binding profile and differs from other antipsychotics in that it modulates glutamate, serotonin and dopamine, which are all neurotransmitters that contribute to the pathophysiology of schizophrenia.[A189093,A189174] The data so far indicates that lumateperone can alleviate both positive and negative symptoms of schizophrenia. Further, not only is the new antipsychotic selective for dopamine (D2) receptors in the mesolimbic and mesocortical brain regions, but it also has minimal off-target activity.
Larotrectinib is an orally administered inhibitor of tropomyosin receptor kinase (Trk), a receptor tyrosine kinase activated by neurotrophins which is mutated in a variety of cancer cell types and plays an important role in tumor cell growth and survival. Upon administration, larotrectinib binds to Trk, thereby preventing neurotrophin-Trk interaction and Trk activation, which results in both the induction of cellular apoptosis and the inhibition of cell growth in tumors that overexpress Trk. Larotrectinib was granted accelerated approval by the FDA in November 2018 for the treatment of Trk-positive solid tumors. It was notable for being the second tissue-agnostic chemotherapy ever approved by the FDA.
Moderate
1
[ [ [ 879, 24, 159 ] ], [ [ 879, 63, 222 ], [ 222, 23, 159 ] ], [ [ 879, 25, 98 ], [ 98, 24, 159 ] ], [ [ 879, 63, 597 ], [ 597, 24, 159 ] ], [ [ 879, 24, 951 ], [ 951, 24, 159 ] ], [ [ 879, 64, 1220 ], [ 1220, 24, 159 ] ], [ [ 879, 25, 129 ], [ 129, 25, 159 ] ], [ [ 879, 64, 609 ], [ 609, 25, 159 ] ], [ [ 879, 63, 222 ], [ 222, 25, 318 ], [ 318, 23, 159 ] ], [ [ 879, 25, 98 ], [ 98, 63, 222 ], [ 222, 23, 159 ] ] ]
[ [ [ "Lumateperone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Lumateperone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ], [ [ "Lumateperone", "{u} may lead to a major life threatening interaction when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Lumateperone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Lumateperone", "{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}", "Larotrectinib" ] ], [ [ "Lumateperone", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Lumateperone", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ] ], [ [ "Lumateperone", "{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}", "Larotrectinib" ] ], [ [ "Lumateperone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Escitalopram" ], [ "Escitalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ], [ [ "Lumateperone", "{u} may lead to a major life threatening interaction when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ] ]
Lumateperone may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib Lumateperone may lead to a major life threatening interaction when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Lumateperone may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Lumateperone 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 Larotrectinib Lumateperone may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Lumateperone may lead to a major life threatening interaction when taken with Enzalutamide and Enzalutamide may lead to a major life threatening interaction when taken with Larotrectinib Lumateperone 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 Larotrectinib Lumateperone may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may lead to a major life threatening interaction when taken with Escitalopram and Escitalopram may cause a minor interaction that can limit clinical effects when taken with Larotrectinib Lumateperone may lead to a major life threatening interaction when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib
DB00196
DB00358
600
1,010
[ "DDInter743", "DDInter1140" ]
Fluconazole
Mefloquine
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.
Malaria is a protozoan disease that places an enormous burden on human health in endemic areas around the world. The 2020 World Health Organization malaria report indicates a 60% decrease in the global malaria fatality rate between 2000 to 2019. Despite this, malaria remains a significant cause of morbidity and mortality; 90% of deaths from malaria occur in Africa. Individuals at the highest risk for malaria are those in disease naïve populations, children under age 5, refugees in Central and Eastern Africa, nonimmune civilian and military travelers, pregnant women, and immigrants traveling to their place of origin. Mefloquine, commonly known as Lariam, is an antimalarial drug used for the prevention and treatment of malaria caused by infection with Plasmodium vivax and Plasmodium falciparum. The drug was initially discovered by the Walter Reed Army Institute of Research (WRAIR) during a malaria drug discovery program between 1963 until 1976. It was approved by the FDA in 1989, and was first marketed by Hoffman Laroche. This drug has been the subject of widespread controversy due to concerns regarding neurotoxic effects; product information warns of potential serious neuropsychiatric effects.[A226838,L8953]
Moderate
1
[ [ [ 600, 24, 1010 ] ], [ [ 600, 6, 8374 ], [ 8374, 45, 1010 ] ], [ [ 600, 21, 28692 ], [ 28692, 60, 1010 ] ], [ [ 600, 23, 112 ], [ 112, 62, 1010 ] ], [ [ 600, 24, 823 ], [ 823, 63, 1010 ] ], [ [ 600, 63, 521 ], [ 521, 24, 1010 ] ], [ [ 600, 23, 479 ], [ 479, 63, 1010 ] ], [ [ 600, 25, 477 ], [ 477, 63, 1010 ] ], [ [ 600, 24, 902 ], [ 902, 24, 1010 ] ], [ [ 600, 25, 1181 ], [ 1181, 24, 1010 ] ] ]
[ [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ] ], [ [ "Fluconazole", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Mefloquine" ] ], [ [ "Fluconazole", "{u} (Compound) causes {v} (Side Effect)", "Mental disorder" ], [ "Mental disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Mefloquine" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mefloquine" ] ], [ [ "Fluconazole", "{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}", "Mefloquine" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ] ], [ [ "Fluconazole", "{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}", "Mefloquine" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clobazam" ], [ "Clobazam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ] ] ]
Fluconazole (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Mefloquine (Compound) Fluconazole (Compound) causes Mental disorder (Side Effect) and Mental disorder (Side Effect) is caused by Mefloquine (Compound) Fluconazole may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Mefloquine Fluconazole 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 Mefloquine Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Mefloquine Fluconazole 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 Mefloquine Fluconazole may lead to a major life threatening interaction when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Mefloquine Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Clobazam and Clobazam may cause a moderate interaction that could exacerbate diseases when taken with Mefloquine Fluconazole may lead to a major life threatening interaction when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Mefloquine
DB00439
DB13874
289
1,501
[ "DDInter341", "DDInter639" ]
Cerivastatin
Enasidenib
On August 8, 2001 the U.S. Food and Drug Administration (FDA) announced that Bayer Pharmaceutical Division voluntarily withdrew Baycol from the U.S. market, due to reports of fatal rhabdomyolysis, a severe adverse reaction from this cholesterol-lowering (lipid-lowering) product. It has also been withdrawn from the Canadian market.[A669,L43942]
Enasidenib is an orally available treatment for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with specific mutations in the isocitrate dehydrogenase 2 (IDH2) gene, which is a recurrent mutation detected in 12-20% of adult patients with AML [A20344, A20345]. Patients eligible for this treatment are selected by testing the presence of IDH2 mutations in the blood or bone marrow. This small molecule acts as an allosteric inhibitor of mutant IDH2 enzyme to prevent cell growth, and it also has shown to block several other enzymes that play a role in abnormal cell differentiation. First developed by Agios Pharmaceuticals and licensed to Celgene, enasidenib was approved by U.S. Food and Drug Administration on August 1, 2017.
Moderate
1
[ [ [ 289, 24, 1501 ] ], [ [ 289, 24, 663 ], [ 663, 24, 1501 ] ], [ [ 289, 25, 1510 ], [ 1510, 24, 1501 ] ], [ [ 289, 24, 14 ], [ 14, 25, 1501 ] ], [ [ 289, 24, 663 ], [ 663, 63, 1463 ], [ 1463, 24, 1501 ] ], [ [ 289, 24, 1604 ], [ 1604, 64, 1463 ], [ 1463, 24, 1501 ] ], [ [ 289, 25, 1510 ], [ 1510, 64, 663 ], [ 663, 24, 1501 ] ], [ [ 289, 24, 1487 ], [ 1487, 62, 663 ], [ 663, 24, 1501 ] ], [ [ 289, 24, 663 ], [ 663, 24, 1619 ], [ 1619, 24, 1501 ] ], [ [ 289, 24, 868 ], [ 868, 25, 1619 ], [ 1619, 24, 1501 ] ] ]
[ [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enasidenib" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enasidenib" ] ], [ [ "Cerivastatin", "{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}", "Enasidenib" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rosuvastatin" ], [ "Rosuvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Enasidenib" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lovastatin" ], [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enasidenib" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumacaftor" ], [ "Lumacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Lovastatin" ], [ "Lovastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enasidenib" ] ], [ [ "Cerivastatin", "{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}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enasidenib" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enasidenib" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enasidenib" ] ], [ [ "Cerivastatin", "{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}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enasidenib" ] ] ]
Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Enasidenib Cerivastatin 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 Enasidenib Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Rosuvastatin and Rosuvastatin may lead to a major life threatening interaction when taken with Enasidenib Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Lovastatin and Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Enasidenib Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Lumacaftor and Lumacaftor may lead to a major life threatening interaction when taken with Lovastatin and Lovastatin may cause a moderate interaction that could exacerbate diseases when taken with Enasidenib Cerivastatin 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 Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Enasidenib Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine and Hydroxychloroquine may cause a minor interaction that can limit clinical effects when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Enasidenib Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Enasidenib Cerivastatin 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 Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Enasidenib
DB00250
DB09115
10
505
[ "DDInter475", "DDInter559" ]
Dapsone
Diiodohydroxyquinoline
A sulfone active against a wide range of bacteria but mainly employed for its actions against mycobacterium leprae. Its mechanism of action is probably similar to that of the sulfonamides which involves inhibition of folic acid synthesis in susceptible organisms. It is also used with pyrimethamine in the treatment of malaria. (From Martindale, The Extra Pharmacopoeia, 30th ed, p157-8)
Diiodohydroxyquinoline, also known as uidoquinol and iodoquinol, is a quinoline derivative that can be used in the treatment of amoebiasis. The exact mechanism of action is unknown. Iodoquinol is not currently available in any FDA-approved products.
Moderate
1
[ [ [ 10, 24, 505 ] ], [ [ 10, 24, 1593 ], [ 1593, 24, 505 ] ], [ [ 10, 63, 168 ], [ 168, 24, 505 ] ], [ [ 10, 24, 1434 ], [ 1434, 63, 505 ] ], [ [ 10, 24, 1593 ], [ 1593, 63, 467 ], [ 467, 24, 505 ] ], [ [ 10, 24, 467 ], [ 467, 24, 1593 ], [ 1593, 24, 505 ] ], [ [ 10, 24, 1510 ], [ 1510, 64, 1593 ], [ 1593, 24, 505 ] ], [ [ 10, 63, 168 ], [ 168, 24, 467 ], [ 467, 24, 505 ] ], [ [ 10, 24, 1377 ], [ 1377, 25, 1593 ], [ 1593, 24, 505 ] ], [ [ 10, 24, 1074 ], [ 1074, 24, 1434 ], [ 1434, 63, 505 ] ] ]
[ [ [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{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}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{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}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benznidazole" ], [ "Benznidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{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}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{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}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{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}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{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}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{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}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diiodohydroxyquinoline" ] ], [ [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ], [ "Iodide I-123", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benznidazole" ], [ "Benznidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diiodohydroxyquinoline" ] ] ]
Dapsone 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 Diiodohydroxyquinoline Dapsone 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 Diiodohydroxyquinoline Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Benznidazole and Benznidazole may cause a moderate interaction that could exacerbate diseases when taken with Diiodohydroxyquinoline Dapsone 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 Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Diiodohydroxyquinoline Dapsone 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 Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Diiodohydroxyquinoline Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Teriflunomide and Teriflunomide 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 Diiodohydroxyquinoline Dapsone 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 Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Diiodohydroxyquinoline Dapsone 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 Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Diiodohydroxyquinoline Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 and Iodide I-123 may cause a moderate interaction that could exacerbate diseases when taken with Benznidazole and Benznidazole may cause a moderate interaction that could exacerbate diseases when taken with Diiodohydroxyquinoline
DB01004
DB01099
563
1,272
[ "DDInter806", "DDInter744" ]
Ganciclovir
Flucytosine
An acyclovir analog that is a potent inhibitor of the Herpesvirus family including cytomegalovirus. Ganciclovir is used to treat complications from AIDS-associated cytomegalovirus infections.
A fluorinated cytosine analog that is used as an antifungal agent.
Moderate
1
[ [ [ 563, 24, 1272 ] ], [ [ 563, 54, 19128 ], [ 19128, 15, 1272 ] ], [ [ 563, 21, 29209 ], [ 29209, 60, 1272 ] ], [ [ 563, 63, 1224 ], [ 1224, 23, 1272 ] ], [ [ 563, 63, 485 ], [ 485, 24, 1272 ] ], [ [ 563, 24, 810 ], [ 810, 63, 1272 ] ], [ [ 563, 1, 248 ], [ 248, 63, 1272 ] ], [ [ 563, 64, 1064 ], [ 1064, 25, 1272 ] ], [ [ 563, 25, 1292 ], [ 1292, 64, 1272 ] ], [ [ 563, 54, 19128 ], [ 19128, 15, 248 ], [ 248, 63, 1272 ] ] ]
[ [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flucytosine" ] ], [ [ "Ganciclovir", "{u} (Compound) is included by {v} (Pharmacologic Class)", "Nucleoside Analog" ], [ "Nucleoside Analog", "{u} (Pharmacologic Class) includes {v} (Compound)", "Flucytosine" ] ], [ [ "Ganciclovir", "{u} (Compound) causes {v} (Side Effect)", "Anorexia" ], [ "Anorexia", "{u} (Side Effect) is caused by {v} (Compound)", "Flucytosine" ] ], [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cytarabine" ], [ "Cytarabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Flucytosine" ] ], [ [ "Ganciclovir", "{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}", "Flucytosine" ] ], [ [ "Ganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ], [ "Strontium chloride Sr-89", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flucytosine" ] ], [ [ "Ganciclovir", "{u} (Compound) resembles {v} (Compound)", "Valganciclovir" ], [ "Valganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flucytosine" ] ], [ [ "Ganciclovir", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Flucytosine" ] ], [ [ "Ganciclovir", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ], [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Flucytosine" ] ], [ [ "Ganciclovir", "{u} (Compound) is included by {v} (Pharmacologic Class)", "Nucleoside Analog" ], [ "Nucleoside Analog", "{u} (Pharmacologic Class) includes {v} (Compound)", "Valganciclovir" ], [ "Valganciclovir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flucytosine" ] ] ]
Ganciclovir (Compound) is included by Nucleoside Analog (Pharmacologic Class) and Nucleoside Analog (Pharmacologic Class) includes Flucytosine (Compound) Ganciclovir (Compound) causes Anorexia (Side Effect) and Anorexia (Side Effect) is caused by Flucytosine (Compound) Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Cytarabine and Cytarabine may cause a minor interaction that can limit clinical effects when taken with Flucytosine Ganciclovir 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 Flucytosine Ganciclovir may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 and Strontium chloride Sr-89 may cause a moderate interaction that could exacerbate diseases when taken with Flucytosine Ganciclovir (Compound) resembles Valganciclovir (Compound) and Val Ganciclovir may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Flucytosine Ganciclovir may lead to a major life threatening interaction when taken with Deferiprone and Deferiprone may lead to a major life threatening interaction when taken with Flucytosine Ganciclovir (Compound) is included by Nucleoside Analog (Pharmacologic Class) and Nucleoside Analog (Pharmacologic Class) includes Valganciclovir (Compound) and Val
DB00078
DB08895
1,172
976
[ "DDInter898", "DDInter1825" ]
Ibritumomab tiuxetan
Tofacitinib
Indium or yttrium conjugated murine IgG1 kappa monoclonal antibody directed against the CD20 antigen, which is found on the surface of normal and malignant B lymphocytes. Ibritumomab is produced in Chinese hamster ovary cells and is composed of two murine gamma 1 heavy chains of 445 amino acids each and two kappa light chains of 213 amino acids each.
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
[ [ [ 1172, 25, 976 ] ], [ [ 1172, 24, 200 ], [ 200, 63, 976 ] ], [ [ 1172, 25, 998 ], [ 998, 24, 976 ] ], [ [ 1172, 24, 529 ], [ 529, 24, 976 ] ], [ [ 1172, 37, 1274 ], [ 1274, 24, 976 ] ], [ [ 1172, 25, 283 ], [ 283, 63, 976 ] ], [ [ 1172, 25, 1011 ], [ 1011, 25, 976 ] ], [ [ 1172, 24, 270 ], [ 270, 64, 976 ] ], [ [ 1172, 63, 1184 ], [ 1184, 25, 976 ] ], [ [ 1172, 25, 334 ], [ 334, 64, 976 ] ] ]
[ [ [ "Ibritumomab tiuxetan", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Ibritumomab tiuxetan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Ibritumomab tiuxetan", "{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" ] ], [ [ "Ibritumomab tiuxetan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvoxamine" ], [ "Fluvoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Ibritumomab tiuxetan", "{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}", "Tofacitinib" ] ], [ [ "Ibritumomab tiuxetan", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Ibritumomab tiuxetan", "{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" ] ], [ [ "Ibritumomab tiuxetan", "{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}", "Tofacitinib" ] ], [ [ "Ibritumomab tiuxetan", "{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}", "Tofacitinib" ] ], [ [ "Ibritumomab tiuxetan", "{u} may lead to a major life threatening interaction when taken with {v}", "Mumps virus strain B level jeryl lynn live antigen" ], [ "Mumps virus strain B level jeryl lynn live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ] ]
Ibritumomab tiuxetan may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Ibritumomab tiuxetan 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 Ibritumomab tiuxetan may cause a moderate interaction that could exacerbate diseases when taken with Fluvoxamine and Fluvoxamine may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Ibritumomab tiuxetan may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Ibritumomab tiuxetan 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 Tofacitinib Ibritumomab tiuxetan may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Ibritumomab tiuxetan 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 Ibritumomab tiuxetan 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 Tofacitinib Ibritumomab tiuxetan 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 Tofacitinib Ibritumomab tiuxetan may lead to a major life threatening interaction when taken with Mumps virus strain B level jeryl lynn live antigen and Mumps virus strain B level jeryl lynn live antigen may lead to a major life threatening interaction when taken with Tofacitinib
DB00831
DB09330
1,178
985
[ "DDInter1866", "DDInter1352" ]
Trifluoperazine
Osimertinib
A phenothiazine with actions similar to chlorpromazine. It is used as an antipsychotic and an antiemetic.
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]
Major
2
[ [ [ 1178, 25, 985 ] ], [ [ 1178, 23, 112 ], [ 112, 23, 985 ] ], [ [ 1178, 24, 480 ], [ 480, 24, 985 ] ], [ [ 1178, 24, 657 ], [ 657, 63, 985 ] ], [ [ 1178, 63, 1181 ], [ 1181, 24, 985 ] ], [ [ 1178, 64, 11 ], [ 11, 25, 985 ] ], [ [ 1178, 1, 623 ], [ 623, 25, 985 ] ], [ [ 1178, 25, 1069 ], [ 1069, 25, 985 ] ], [ [ 1178, 24, 484 ], [ 484, 64, 985 ] ], [ [ 1178, 63, 1674 ], [ 1674, 25, 985 ] ] ]
[ [ [ "Trifluoperazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{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}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{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}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Castor oil" ], [ "Castor oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{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}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{u} (Compound) resembles {v} (Compound)", "Quetiapine" ], [ "Quetiapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{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}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ] ], [ [ "Trifluoperazine", "{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}", "Osimertinib" ] ] ]
Trifluoperazine 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 Osimertinib Trifluoperazine 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 Osimertinib Trifluoperazine may cause a moderate interaction that could exacerbate diseases when taken with Castor oil and Castor oil may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Trifluoperazine may cause a moderate interaction that could exacerbate diseases when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Osimertinib Trifluoperazine 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 Osimertinib Trifluoperazine (Compound) resembles Quetiapine (Compound) and Quetiapine may lead to a major life threatening interaction when taken with Osimertinib Trifluoperazine 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 Osimertinib Trifluoperazine may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib and Entrectinib may lead to a major life threatening interaction when taken with Osimertinib Trifluoperazine 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 Osimertinib
DB01267
DB11730
519
351
[ "DDInter1381", "DDInter1588" ]
Paliperidone
Ribociclib
Paliperidone is the primary active metabolite of risperidone. The mechanism of action is unknown but it is likely to act via a similar pathway to risperidone. It has been proposed that the drug's therapeutic activity in schizophrenia is mediated through a combination of central dopamine Type 2 (D2) and serotonin Type 2 (5HT2A) receptor antagonism. Paliperidone is also active as an antagonist at alpha 1 and alpha 2 adrenergic receptors and H1 histaminergic receptors, which may explain some of the other effects of the drug. Paliperidone was approved by the FDA for treatment of schizophrenia on December 20, 2006. It is available as an extended-release tablet, a once-monthly intramuscular injection, an every-three-month intramuscular injection, and a twice-yearly gluteal injection.[L16168,L37744,L4137,L37749]
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.
Major
2
[ [ [ 519, 25, 351 ] ], [ [ 519, 62, 112 ], [ 112, 23, 351 ] ], [ [ 519, 63, 222 ], [ 222, 23, 351 ] ], [ [ 519, 63, 355 ], [ 355, 24, 351 ] ], [ [ 519, 24, 1491 ], [ 1491, 24, 351 ] ], [ [ 519, 24, 129 ], [ 129, 25, 351 ] ], [ [ 519, 24, 1297 ], [ 1297, 64, 351 ] ], [ [ 519, 63, 77 ], [ 77, 25, 351 ] ], [ [ 519, 25, 985 ], [ 985, 25, 351 ] ], [ [ 519, 64, 702 ], [ 702, 25, 351 ] ] ]
[ [ [ "Paliperidone", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Paliperidone", "{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}", "Ribociclib" ] ], [ [ "Paliperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ribociclib" ] ], [ [ "Paliperidone", "{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}", "Ribociclib" ] ], [ [ "Paliperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ] ], [ [ "Paliperidone", "{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" ] ], [ [ "Paliperidone", "{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" ] ], [ [ "Paliperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idarubicin" ], [ "Idarubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Paliperidone", "{u} may lead to a major life threatening interaction when taken with {v}", "Osimertinib" ], [ "Osimertinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ], [ [ "Paliperidone", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ] ] ]
Paliperidone 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 Ribociclib Paliperidone may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Ribociclib Paliperidone 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 Ribociclib Paliperidone may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin and Midostaurin may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib Paliperidone 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 Paliperidone 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 Paliperidone may cause a moderate interaction that could exacerbate diseases when taken with Idarubicin and Idarubicin may lead to a major life threatening interaction when taken with Ribociclib Paliperidone may lead to a major life threatening interaction when taken with Osimertinib and Osimertinib may lead to a major life threatening interaction when taken with Ribociclib Paliperidone may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Ribociclib
DB00515
DB00851
589
611
[ "DDInter387", "DDInter463" ]
Cisplatin
Dacarbazine
Cisplatin, cisplatinum or cis-diamminedichloroplatinum(II) (CDDP) is a platinum-based chemotherapy drug used to treat various types of cancers, including sarcomas, some carcinomas (e.g. small cell lung cancer, and ovarian cancer), lymphomas and germ cell tumors. It was the first member of its class, which now also includes carboplatin and oxaliplatin.
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.
Moderate
1
[ [ [ 589, 24, 611 ] ], [ [ 589, 5, 11555 ], [ 11555, 44, 611 ] ], [ [ 589, 23, 739 ], [ 739, 62, 611 ] ], [ [ 589, 23, 646 ], [ 646, 23, 611 ] ], [ [ 589, 62, 1176 ], [ 1176, 23, 611 ] ], [ [ 589, 63, 141 ], [ 141, 24, 611 ] ], [ [ 589, 24, 850 ], [ 850, 63, 611 ] ], [ [ 589, 24, 896 ], [ 896, 24, 611 ] ], [ [ 589, 25, 869 ], [ 869, 63, 611 ] ], [ [ 589, 64, 1648 ], [ 1648, 25, 611 ] ] ]
[ [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dacarbazine" ] ], [ [ "Cisplatin", "{u} (Compound) treats {v} (Disease)", "hematologic cancer" ], [ "hematologic cancer", "{u} (Disease) is treated by {v} (Compound)", "Dacarbazine" ] ], [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dacarbazine" ] ], [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cinoxacin" ], [ "Cinoxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dacarbazine" ] ], [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dacarbazine" ] ], [ [ "Cisplatin", "{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}", "Dacarbazine" ] ], [ [ "Cisplatin", "{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}", "Dacarbazine" ] ], [ [ "Cisplatin", "{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}", "Dacarbazine" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dacarbazine" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may lead to a major life threatening interaction when taken with {v}", "Dacarbazine" ] ] ]
Cisplatin (Compound) treats hematologic cancer (Disease) and hematologic cancer (Disease) is treated by Dacarbazine (Compound) Cisplatin may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin and Lomefloxacin may cause a minor interaction that can limit clinical effects when taken with Dacarbazine Cisplatin may cause a minor interaction that can limit clinical effects when taken with Cinoxacin and Cinoxacin may cause a minor interaction that can limit clinical effects when taken with Dacarbazine Cisplatin may cause a minor interaction that can limit clinical effects when taken with Moxifloxacin and Moxifloxacin may cause a minor interaction that can limit clinical effects when taken with Dacarbazine Cisplatin 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 Dacarbazine Cisplatin 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 Dacarbazine Cisplatin 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 Dacarbazine Cisplatin may lead to a major life threatening interaction when taken with Topotecan and Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Dacarbazine Cisplatin may lead to a major life threatening interaction when taken with Aldesleukin and Aldesleukin may lead to a major life threatening interaction when taken with Dacarbazine
DB00283
DB01175
701
318
[ "DDInter395", "DDInter672" ]
Clemastine
Escitalopram
An ethanolamine-derivative, first generation histamine H1 antagonist used in hay fever, rhinitis, allergic skin conditions, and pruritus. It causes drowsiness.
Escitalopram is a selective serotonin re-uptake inhibitor (SSRI) and the S-enantiomer of racemic [citalopram]. It is used to restore serotonergic function in the treatment of depression and anxiety.[L8513,L8516,L8522] Escitalopram is approximately 150 times more potent than citalopram’s R-enantiomer and is responsible for the vast majority of citalopram’s clinical activity, with some evidence suggesting that the R-enantiomer of racemic citalopram actively dampens the activity of escitalopram rather than existing simply as an inactive enantiomer.[A39738,A185819] Amongst SSRIs, escitalopram exerts the highest degree of selectivity for the serotonin transporter (SERT) relative to other off-targets which may explain its lower rates of adverse effects as compared to other agents in this class. Escitalopram also differentiates itself from other SSRIs via allosteric action on its target - this may be the mechanism responsible for its observed superior efficacy and faster onset compared to other SSRIs.[A185825,A185726,A185822]
Moderate
1
[ [ [ 701, 24, 318 ] ], [ [ 701, 63, 1230 ], [ 1230, 1, 318 ] ], [ [ 701, 6, 8374 ], [ 8374, 45, 318 ] ], [ [ 701, 21, 29243 ], [ 29243, 60, 318 ] ], [ [ 701, 24, 999 ], [ 999, 24, 318 ] ], [ [ 701, 24, 1609 ], [ 1609, 63, 318 ] ], [ [ 701, 35, 1594 ], [ 1594, 24, 318 ] ], [ [ 701, 24, 401 ], [ 401, 25, 318 ] ], [ [ 701, 24, 820 ], [ 820, 64, 318 ] ], [ [ 701, 63, 1230 ], [ 1230, 6, 8374 ], [ 8374, 45, 318 ] ] ]
[ [ [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Escitalopram" ] ], [ [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} (Compound) resembles {v} (Compound)", "Escitalopram" ] ], [ [ "Clemastine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Escitalopram" ] ], [ [ "Clemastine", "{u} (Compound) causes {v} (Side Effect)", "Wheezing" ], [ "Wheezing", "{u} (Side Effect) is caused by {v} (Compound)", "Escitalopram" ] ], [ [ "Clemastine", "{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}", "Escitalopram" ] ], [ [ "Clemastine", "{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}", "Escitalopram" ] ], [ [ "Clemastine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Escitalopram" ] ], [ [ "Clemastine", "{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}", "Escitalopram" ] ], [ [ "Clemastine", "{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}", "Escitalopram" ] ], [ [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Escitalopram" ] ] ]
Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Citalopram and Citalopram (Compound) resembles Escitalopram (Compound) Clemastine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Escitalopram (Compound) Clemastine (Compound) causes Wheezing (Side Effect) and Wheezing (Side Effect) is caused by Escitalopram (Compound) Clemastine 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 Escitalopram Clemastine 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 Escitalopram Clemastine (Compound) resembles Doxylamine (Compound) and Clemastine 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 Escitalopram Clemastine 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 Escitalopram Clemastine 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 Escitalopram Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Citalopram and Citalopram (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Escitalopram (Compound)
DB01222
DB08895
617
976
[ "DDInter246", "DDInter1825" ]
Budesonide
Tofacitinib
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].
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
[ [ [ 617, 25, 976 ] ], [ [ 617, 23, 1193 ], [ 1193, 62, 976 ] ], [ [ 617, 62, 1461 ], [ 1461, 23, 976 ] ], [ [ 617, 24, 214 ], [ 214, 63, 976 ] ], [ [ 617, 63, 86 ], [ 86, 24, 976 ] ], [ [ 617, 24, 1592 ], [ 1592, 24, 976 ] ], [ [ 617, 64, 932 ], [ 932, 24, 976 ] ], [ [ 617, 25, 652 ], [ 652, 64, 976 ] ], [ [ 617, 24, 1316 ], [ 1316, 64, 976 ] ], [ [ 617, 25, 1011 ], [ 1011, 25, 976 ] ] ]
[ [ [ "Budesonide", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Budesonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tofacitinib" ] ], [ [ "Budesonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tofacitinib" ] ], [ [ "Budesonide", "{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}", "Tofacitinib" ] ], [ [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ], [ "Miconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ], [ "Nebivolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Budesonide", "{u} may lead to a major life threatening interaction when taken with {v}", "Mifepristone" ], [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tofacitinib" ] ], [ [ "Budesonide", "{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" ] ], [ [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ] ], [ [ "Budesonide", "{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" ] ] ]
Budesonide may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Tofacitinib Budesonide may cause a minor interaction that can limit clinical effects when taken with Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Tofacitinib Budesonide 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 Tofacitinib Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Miconazole and Miconazole may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol and Nebivolol may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Budesonide may lead to a major life threatening interaction when taken with Mifepristone and Mifepristone may cause a moderate interaction that could exacerbate diseases when taken with Tofacitinib Budesonide 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 Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Durvalumab and Durvalumab may lead to a major life threatening interaction when taken with Tofacitinib Budesonide 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
DB01088
DB09401
714
928
[ "DDInter908", "DDInter988" ]
Iloprost
Isosorbide
Iloprost is a mimetic of prostacyclin (PGI2; epoprostenol). Iloprost consists of a mixture of the 4R and 4S diastereoisomers at a ratio of approximately 53:47. It is a potent vasodilator with reported anti-thrombotic properties.
Isosorbide was previously available in an oral formulation for the reduction of intraocular pressure. It was approved by the FDA in 1980, but has since been discontinued. Currently, isosorbide is an organic nitrate currently available in the [isosorbide mononitrate] and [isosorbide dinitrate] forms, and is used for the prevention of angina. Refer to these drug entries for more information.
Moderate
1
[ [ [ 714, 24, 928 ] ], [ [ 714, 24, 1053 ], [ 1053, 24, 928 ] ], [ [ 714, 24, 1455 ], [ 1455, 25, 928 ] ], [ [ 714, 24, 1053 ], [ 1053, 24, 820 ], [ 820, 24, 928 ] ], [ [ 714, 24, 923 ], [ 923, 63, 1061 ], [ 1061, 24, 928 ] ], [ [ 714, 63, 1680 ], [ 1680, 62, 1572 ], [ 1572, 23, 928 ] ], [ [ 714, 24, 1053 ], [ 1053, 64, 290 ], [ 290, 24, 928 ] ], [ [ 714, 63, 1028 ], [ 1028, 23, 1572 ], [ 1572, 23, 928 ] ], [ [ 714, 63, 1680 ], [ 1680, 24, 820 ], [ 820, 24, 928 ] ], [ [ 714, 63, 471 ], [ 471, 63, 1061 ], [ 1061, 24, 928 ] ] ]
[ [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nitrous acid" ], [ "Nitrous acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ], [ "Amifostine", "{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}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etacrynic acid" ], [ "Etacrynic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Torasemide" ], [ "Torasemide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etacrynic acid" ], [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isosorbide" ] ], [ [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetazolamide" ], [ "Acetazolamide", "{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}", "Isosorbide" ] ] ]
Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Isosorbide Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Nitrous acid and Nitrous acid may lead to a major life threatening interaction when taken with Isosorbide Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Isosorbide Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Amifostine and Amifostine 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 Isosorbide Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Etacrynic acid and Etacrynic acid may cause a minor interaction that can limit clinical effects when taken with Demeclocycline and Demeclocycline may cause a minor interaction that can limit clinical effects when taken with Isosorbide Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Cocaine and Cocaine may cause a moderate interaction that could exacerbate diseases when taken with Isosorbide Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Torasemide and Torasemide may cause a minor interaction that can limit clinical effects when taken with Demeclocycline and Demeclocycline may cause a minor interaction that can limit clinical effects when taken with Isosorbide Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Etacrynic acid and Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Isosorbide Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Acetazolamide and Acetazolamide 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 Isosorbide
DB01359
DB08868
729
1,011
[ "DDInter1417", "DDInter737" ]
Penbutolol
Fingolimod
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.
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
[ [ [ 729, 25, 1011 ] ], [ [ 729, 21, 28859 ], [ 28859, 60, 1011 ] ], [ [ 729, 23, 578 ], [ 578, 23, 1011 ] ], [ [ 729, 25, 144 ], [ 144, 63, 1011 ] ], [ [ 729, 24, 1276 ], [ 1276, 63, 1011 ] ], [ [ 729, 63, 752 ], [ 752, 24, 1011 ] ], [ [ 729, 64, 480 ], [ 480, 24, 1011 ] ], [ [ 729, 1, 668 ], [ 668, 24, 1011 ] ], [ [ 729, 24, 976 ], [ 976, 64, 1011 ] ], [ [ 729, 63, 175 ], [ 175, 25, 1011 ] ] ]
[ [ [ "Penbutolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Penbutolol", "{u} (Compound) causes {v} (Side Effect)", "Atrioventricular block" ], [ "Atrioventricular block", "{u} (Side Effect) is caused by {v} (Compound)", "Fingolimod" ] ], [ [ "Penbutolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fingolimod" ] ], [ [ "Penbutolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Olodaterol" ], [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alectinib" ], [ "Alectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Penbutolol", "{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" ] ], [ [ "Penbutolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Levobunolol" ], [ "Levobunolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Penbutolol", "{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" ] ], [ [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ] ]
Penbutolol (Compound) causes Atrioventricular block (Side Effect) and Atrioventricular block (Side Effect) is caused by Fingolimod (Compound) Penbutolol may cause a minor interaction that can limit clinical effects when taken with Ticagrelor and Ticagrelor may cause a minor interaction that can limit clinical effects when taken with Fingolimod Penbutolol may lead to a major life threatening interaction when taken with Olodaterol and Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Alectinib and Alectinib may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Penbutolol 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 Penbutolol may lead to a major life threatening interaction when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Penbutolol (Compound) resembles Levobunolol (Compound) and Levobunolol may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Penbutolol 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 Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone may lead to a major life threatening interaction when taken with Fingolimod
DB00653
DB01234
544
1,220
[ "DDInter1120", "DDInter513" ]
Magnesium sulfate
Dexamethasone
A small colorless crystal used as an anticonvulsant, a cathartic, and an electrolyte replenisher in the treatment of pre-eclampsia and eclampsia. It causes direct inhibition of action potentials in myometrial muscle cells. Excitation and contraction are uncoupled, which decreases the frequency and force of contractions. (From AMA Drug Evaluations Annual, 1992, p1083)
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.
Moderate
1
[ [ [ 544, 24, 1220 ] ], [ [ 544, 24, 870 ], [ 870, 1, 1220 ] ], [ [ 544, 63, 175 ], [ 175, 40, 1220 ] ], [ [ 544, 63, 1573 ], [ 1573, 1, 1220 ] ], [ [ 544, 24, 1486 ], [ 1486, 40, 1220 ] ], [ [ 544, 21, 28936 ], [ 28936, 60, 1220 ] ], [ [ 544, 24, 809 ], [ 809, 62, 1220 ] ], [ [ 544, 25, 1459 ], [ 1459, 62, 1220 ] ], [ [ 544, 24, 1319 ], [ 1319, 24, 1220 ] ], [ [ 544, 24, 1436 ], [ 1436, 63, 1220 ] ] ]
[ [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisone" ], [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} (Compound) causes {v} (Side Effect)", "Hyperhidrosis" ], [ "Hyperhidrosis", "{u} (Side Effect) is caused by {v} (Compound)", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Raltegravir" ], [ "Raltegravir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} may lead to a major life threatening interaction when taken with {v}", "Dolutegravir" ], [ "Dolutegravir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mivacurium" ], [ "Mivacurium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ] ], [ [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Patiromer" ], [ "Patiromer", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ] ] ]
Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone (Compound) resembles Dexamethasone (Compound) Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone (Compound) resembles Dexamethasone (Compound) Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Prednisone and Prednisone (Compound) resembles Dexamethasone (Compound) Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone (Compound) resembles Dexamethasone (Compound) Magnesium sulfate (Compound) causes Hyperhidrosis (Side Effect) and Hyperhidrosis (Side Effect) is caused by Dexamethasone (Compound) Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Raltegravir and Raltegravir may cause a minor interaction that can limit clinical effects when taken with Dexamethasone Magnesium sulfate may lead to a major life threatening interaction when taken with Dolutegravir and Dolutegravir may cause a minor interaction that can limit clinical effects when taken with Dexamethasone Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Mivacurium and Mivacurium may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Patiromer and Patiromer may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone
DB01319
DB11901
34
913
[ "DDInter777", "DDInter107" ]
Fosamprenavir
Apalutamide
Fosamprenavir is a prodrug of amprenavir, an inhibitor of human immunodeficiency virus (HIV) protease.
Apalutamide is a potent androgen receptor (AR) antagonist that selectively binds to the ligand-binding domain of AR and blocks AR nuclear translocation or binding to androgen response elements . It has been used in trials studying the treatment of Prostate Cancer, Hepatic Impairment, Prostatic Neoplasms, Castration-Resistant Prostate Cancer, and Prostatic Neoplasms, Castration-Resistant, among others. Exerting an antitumor action, apalutamide blocking the effect of androgens that promote tumor growth. It targets the AR ligand-binding domain and prevents AR nuclear translocation, DNA binding, and transcription of AR gene targets in prostate tumors . In mice bearing human CRPC xenograft models, apalutamide treatment produced tumor regressions in a dose-dependent manner that was more effective than that of or . Unlike bicalutamide, apalutamide antagonized AR-mediated signaling in AR overexpressing human CRPC cell lines . Androgen-deprivation therapy, or hormone therapy, can be used as part of maintenance therapy for patients with non-metastatic prostate cancer. Although most patients achieve therapeutic responses at the initial hormone therapy, many patients progress to non-metastatic castration-resistant (resistance to hormone therapy) prostate cancer which is the second-most common cause of cancer-related deaths in American males . Castration-resistant prostate cancer is often incurable, which poses significant clinical challenges for patients. Approximately 10 to 20 % of prostate cancer cases are castration-resistant, and up to 16% of these patients show no evidence of cancer metastasis at the time of castration-resistant diagnosis . Higher prostate-specific antigen (PSA) and shorter PSA doubling time (PSA DT) are associated with a higher risk for metastases and death . In a phase-2 multicenter open-label study, 89% of patients with non-metastatic, castration-resistant prostate cancer had ≥50% PSA decline at week 12 of apalutamide treatment . In a randomized trial, the median metastasis-free survival for patients taking apalutamide was 40.5 months compared to 16.2 months for patients taking a placebo . Apalutamide displayed good tolerability and safety profile in clinical studies. Apalutamide was approved in February 2018 by the FDA as Erleada for the treatment of patients with non-metastatic prostate cancer that is resistant to treatment with hormone therapy (castration-resistant). It is available as oral tablets. Apalutamide is the first FDA-approved treatment for non-metastatic, castration-resistant prostate cancer .
Moderate
1
[ [ [ 34, 24, 913 ] ], [ [ 34, 64, 608 ], [ 608, 23, 913 ] ], [ [ 34, 64, 303 ], [ 303, 24, 913 ] ], [ [ 34, 62, 609 ], [ 609, 24, 913 ] ], [ [ 34, 24, 1320 ], [ 1320, 63, 913 ] ], [ [ 34, 63, 1133 ], [ 1133, 24, 913 ] ], [ [ 34, 25, 1250 ], [ 1250, 24, 913 ] ], [ [ 34, 24, 310 ], [ 310, 24, 913 ] ], [ [ 34, 1, 1091 ], [ 1091, 24, 913 ] ], [ [ 34, 24, 564 ], [ 564, 64, 913 ] ] ]
[ [ [ "Fosamprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Medroxyprogesterone acetate" ], [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{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}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{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}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{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}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{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}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{u} (Compound) resembles {v} (Compound)", "Amprenavir" ], [ "Amprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Fosamprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abemaciclib" ], [ "Abemaciclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ] ]
Fosamprenavir may lead to a major life threatening interaction when taken with Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Apalutamide Fosamprenavir may lead to a major life threatening interaction when taken with Medroxyprogesterone acetate and Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Fosamprenavir may cause a minor interaction that can limit clinical effects when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Fosamprenavir 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 Apalutamide Fosamprenavir 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 Apalutamide Fosamprenavir 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 Apalutamide Fosamprenavir 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 Apalutamide Fosamprenavir (Compound) resembles Amprenavir (Compound) and Amprenavir may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Fosamprenavir may cause a moderate interaction that could exacerbate diseases when taken with Abemaciclib and Abemaciclib may lead to a major life threatening interaction when taken with Apalutamide
DB01206
DB12674
37
975
[ "DDInter1086", "DDInter1105" ]
Lomustine
Lurbinectedin
An alkylating agent of value against both hematologic malignancies and solid tumors.
Lurbinectedin is a DNA alkylating agent that has been investigated in the treatment of a variety of cancers, including mesothelioma, chronic lymphocytic leukemia (CLL), breast cancer, and small-cell lung cancer (SCLC). It is a derivative of the marine-derived agent ecteinascidin ([trabectedin]), an anticancer agent found in extracts of the tunicate _Ecteinascidia turbinata_, with the primary difference being the substitution of the tetrahydroisoquinoline with a tetrahydro β‐carboline that results in increased antitumour activity of lurbinectedin as compared to its predecessor. On June 15, 2020, the FDA granted accelerated approval and orphan drug designation to lurbinectedin for the treatment of adult patients with metastatic SCLC who have experienced disease progression despite therapy with platinum-based agents. This accelerated approval is based on the rate and duration of therapeutic response observed in ongoing clinical trials and is contingent on the verification of these results in confirmatory trials.
Moderate
1
[ [ [ 37, 24, 975 ] ], [ [ 37, 63, 1488 ], [ 1488, 24, 975 ] ], [ [ 37, 24, 1613 ], [ 1613, 24, 975 ] ], [ [ 37, 62, 147 ], [ 147, 24, 975 ] ], [ [ 37, 74, 552 ], [ 552, 24, 975 ] ], [ [ 37, 64, 752 ], [ 752, 24, 975 ] ], [ [ 37, 25, 1259 ], [ 1259, 25, 975 ] ], [ [ 37, 64, 1377 ], [ 1377, 25, 975 ] ], [ [ 37, 25, 676 ], [ 676, 64, 975 ] ], [ [ 37, 63, 1419 ], [ 1419, 25, 975 ] ] ]
[ [ [ "Lomustine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Lomustine", "{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}", "Lurbinectedin" ] ], [ [ "Lomustine", "{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}", "Lurbinectedin" ] ], [ [ "Lomustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lurbinectedin" ] ], [ [ "Lomustine", "{u} (Compound) resembles {v} (Compound) and {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}", "Lurbinectedin" ] ], [ [ "Lomustine", "{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}", "Lurbinectedin" ] ], [ [ "Lomustine", "{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}", "Lurbinectedin" ] ], [ [ "Lomustine", "{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}", "Lurbinectedin" ] ], [ [ "Lomustine", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ], [ [ "Lomustine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ] ] ]
Lomustine 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 Lurbinectedin Lomustine 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 Lurbinectedin Lomustine may cause a minor interaction that can limit clinical effects when taken with Vinblastine and Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Lurbinectedin Lomustine (Compound) resembles Carmustine (Compound) and Lomustine 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 Lurbinectedin Lomustine 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 Lurbinectedin Lomustine 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 Lurbinectedin Lomustine 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 Lurbinectedin Lomustine may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Lurbinectedin Lomustine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Lurbinectedin
DB00563
DB08826
663
1,292
[ "DDInter1174", "DDInter489" ]
Methotrexate
Deferiprone
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.
Deferiprone is an oral iron chelator used as a second line agent in thalassemia syndromes when iron overload from blood transfusions occurs. Thalassemias are a type of hereditary anaemia due a defect in the production of hemoglobin. As a result, erythropoiesis, the production of new red blood cells, is impaired. FDA approved on October 14, 2011.
Major
2
[ [ [ 663, 25, 1292 ] ], [ [ 663, 21, 28809 ], [ 28809, 60, 1292 ] ], [ [ 663, 24, 45 ], [ 45, 24, 1292 ] ], [ [ 663, 25, 1512 ], [ 1512, 24, 1292 ] ], [ [ 663, 63, 482 ], [ 482, 25, 1292 ] ], [ [ 663, 24, 1619 ], [ 1619, 64, 1292 ] ], [ [ 663, 24, 1236 ], [ 1236, 25, 1292 ] ], [ [ 663, 25, 998 ], [ 998, 25, 1292 ] ], [ [ 663, 64, 1064 ], [ 1064, 25, 1292 ] ], [ [ 663, 25, 375 ], [ 375, 64, 1292 ] ] ]
[ [ [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Methotrexate", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Deferiprone" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Didanosine" ], [ "Didanosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deferiprone" ] ], [ [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deferiprone" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Methotrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ], [ "Carbamazepine", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Methotrexate", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Deferiprone" ] ], [ [ "Methotrexate", "{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}", "Deferiprone" ] ], [ [ "Methotrexate", "{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}", "Deferiprone" ] ] ]
Methotrexate (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Deferiprone (Compound) Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Didanosine and Didanosine may cause a moderate interaction that could exacerbate diseases when taken with Deferiprone Methotrexate may lead to a major life threatening interaction when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Deferiprone Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine and Tioguanine may lead to a major life threatening interaction when taken with Deferiprone Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may lead to a major life threatening interaction when taken with Deferiprone Methotrexate may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine and Carbamazepine may lead to a major life threatening interaction when taken with Deferiprone Methotrexate may lead to a major life threatening interaction when taken with Phenylbutazone and Phenylbutazone may lead to a major life threatening interaction when taken with Deferiprone Methotrexate 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 Deferiprone Methotrexate 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 Deferiprone
DB00501
DB01043
752
108
[ "DDInter380", "DDInter1146" ]
Cimetidine
Memantine
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.
Initially approved by the FDA in 2013, memantine is an N-methyl-D-aspartate (NMDA) receptor antagonist used in the management of Alzheimer's Disease (AD). It is different from many other Alzheimer's Disease medications, as it works by a different mechanism than the cholinesterase enzyme inhibitors normally employed in the management of Alzheimer's disease . Memantine blocks the effects of glutamate, a neurotransmitter in the brain that leads to neuronal excitability and excessive stimulation in Alzheimer's Disease . In 2010, it was estimated that 36 million people worldwide live with Alzheimer's Disease. In 2013, this number increased to 44 million. Almost doubling every 20 years, the prevalence of Alzheimer's Disease is predicted to reach 66 million by 2030 and to 115 million by 2050 . In December 2013, the G8 dementia summit concluded that dementia should be considered a global priority with the objective of developing a cure or a disease-modifying therapy by the year 2025 [L5953, F4366].
Minor
0
[ [ [ 752, 23, 108 ] ], [ [ 752, 6, 8803 ], [ 8803, 45, 108 ] ], [ [ 752, 21, 28852 ], [ 28852, 60, 108 ] ], [ [ 752, 63, 1645 ], [ 1645, 23, 108 ] ], [ [ 752, 24, 506 ], [ 506, 23, 108 ] ], [ [ 752, 23, 1117 ], [ 1117, 62, 108 ] ], [ [ 752, 24, 1264 ], [ 1264, 63, 108 ] ], [ [ 752, 63, 352 ], [ 352, 24, 108 ] ], [ [ 752, 6, 8803 ], [ 8803, 45, 1645 ], [ 1645, 23, 108 ] ], [ [ 752, 21, 28852 ], [ 28852, 60, 1194 ], [ 1194, 23, 108 ] ] ]
[ [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Memantine" ] ], [ [ "Cimetidine", "{u} (Compound) binds {v} (Gene)", "SLC22A2" ], [ "SLC22A2", "{u} (Gene) is bound by {v} (Compound)", "Memantine" ] ], [ [ "Cimetidine", "{u} (Compound) causes {v} (Side Effect)", "Leukopenia" ], [ "Leukopenia", "{u} (Side Effect) is caused by {v} (Compound)", "Memantine" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Memantine" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Memantine" ] ], [ [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium bicarbonate" ], [ "Sodium bicarbonate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Memantine" ] ], [ [ "Cimetidine", "{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}", "Memantine" ] ], [ [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trospium" ], [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Memantine" ] ], [ [ "Cimetidine", "{u} (Compound) binds {v} (Gene)", "SLC22A2" ], [ "SLC22A2", "{u} (Gene) is bound by {v} (Compound)", "Metformin" ], [ "Metformin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Memantine" ] ], [ [ "Cimetidine", "{u} (Compound) causes {v} (Side Effect)", "Leukopenia" ], [ "Leukopenia", "{u} (Side Effect) is caused by {v} (Compound)", "Ranitidine" ], [ "Ranitidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Memantine" ] ] ]
Cimetidine (Compound) binds SLC22A2 (Gene) and SLC22A2 (Gene) is bound by Memantine (Compound) Cimetidine (Compound) causes Leukopenia (Side Effect) and Leukopenia (Side Effect) is caused by Memantine (Compound) Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a minor interaction that can limit clinical effects when taken with Memantine Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may cause a minor interaction that can limit clinical effects when taken with Memantine Cimetidine may cause a minor interaction that can limit clinical effects when taken with Sodium bicarbonate and Sodium bicarbonate may cause a minor interaction that can limit clinical effects when taken with Memantine Cimetidine 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 Memantine Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Trospium and Trospium may cause a moderate interaction that could exacerbate diseases when taken with Memantine Cimetidine (Compound) binds SLC22A2 (Gene) and SLC22A2 (Gene) is bound by Metformin (Compound) and Metformin may cause a minor interaction that can limit clinical effects when taken with Memantine Cimetidine (Compound) causes Leukopenia (Side Effect) and Leukopenia (Side Effect) is caused by Ranitidine (Compound) and Ranitidine may cause a minor interaction that can limit clinical effects when taken with Memantine
DB00283
DB00633
701
614
[ "DDInter395", "DDInter520" ]
Clemastine
Dexmedetomidine
An ethanolamine-derivative, first generation histamine H1 antagonist used in hay fever, rhinitis, allergic skin conditions, and pruritus. It causes drowsiness.
An agonist of receptors, adrenergic alpha-2 that is used in veterinary medicine for its analgesic and sedative properties. It is the racemate of dexmedetomidine.
Moderate
1
[ [ [ 701, 24, 614 ] ], [ [ 701, 6, 12523 ], [ 12523, 45, 614 ] ], [ [ 701, 21, 28741 ], [ 28741, 60, 614 ] ], [ [ 701, 24, 222 ], [ 222, 63, 614 ] ], [ [ 701, 24, 530 ], [ 530, 24, 614 ] ], [ [ 701, 35, 1594 ], [ 1594, 24, 614 ] ], [ [ 701, 6, 12523 ], [ 12523, 45, 832 ], [ 832, 63, 614 ] ], [ [ 701, 21, 28741 ], [ 28741, 60, 222 ], [ 222, 63, 614 ] ], [ [ 701, 24, 222 ], [ 222, 6, 7390 ], [ 7390, 45, 614 ] ], [ [ 701, 24, 516 ], [ 516, 63, 222 ], [ 222, 63, 614 ] ] ]
[ [ [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexmedetomidine" ] ], [ [ "Clemastine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Dexmedetomidine" ] ], [ [ "Clemastine", "{u} (Compound) causes {v} (Side Effect)", "Agitation" ], [ "Agitation", "{u} (Side Effect) is caused by {v} (Compound)", "Dexmedetomidine" ] ], [ [ "Clemastine", "{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}", "Dexmedetomidine" ] ], [ [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ], [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexmedetomidine" ] ], [ [ "Clemastine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexmedetomidine" ] ], [ [ "Clemastine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Tripelennamine" ], [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexmedetomidine" ] ], [ [ "Clemastine", "{u} (Compound) causes {v} (Side Effect)", "Agitation" ], [ "Agitation", "{u} (Side Effect) is caused by {v} (Compound)", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexmedetomidine" ] ], [ [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} (Compound) binds {v} (Gene)", "SLC6A2" ], [ "SLC6A2", "{u} (Gene) is bound by {v} (Compound)", "Dexmedetomidine" ] ], [ [ "Clemastine", "{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}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexmedetomidine" ] ] ]
Clemastine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Dexmedetomidine (Compound) Clemastine (Compound) causes Agitation (Side Effect) and Agitation (Side Effect) is caused by Dexmedetomidine (Compound) Clemastine 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 Dexmedetomidine Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Dronabinol and Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Dexmedetomidine Clemastine (Compound) resembles Doxylamine (Compound) and Clemastine 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 Dexmedetomidine Clemastine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Tripelennamine (Compound) and Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Dexmedetomidine Clemastine (Compound) causes Agitation (Side Effect) and Agitation (Side Effect) is caused by Sibutramine (Compound) and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Dexmedetomidine Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine and Sibutramine (Compound) binds SLC6A2 (Gene) and SLC6A2 (Gene) is bound by Dexmedetomidine (Compound) Clemastine 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 Sibutramine and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Dexmedetomidine
DB00637
DB01118
1,557
33
[ "DDInter128", "DDInter76" ]
Astemizole
Amiodarone
Astemizole is a long-acting, non-sedating second generation antihistamine used in the treatment of allergy symptoms. It was withdrawn from market by the manufacturer in 1999 due to the potential to cause arrhythmias at high doses, especially when when taken with CYP inhibitors or grapefruit juice.
Amiodarone is a benzofuran derivative, anti-arrhythmic drug used commonly in a variety of settings. Most known for its approved indication in life-threatening ventricular arrhythmias, it is also used off-label in the outpatient and inpatient setting for atrial fibrillation. Because of its ability to cause serious toxicity and possibly death, amiodarone use should be reserved for its approved indications, according to prescribing information.[L3561,L11265,L11286]
Major
2
[ [ [ 1557, 25, 33 ] ], [ [ 1557, 25, 540 ], [ 540, 1, 33 ] ], [ [ 1557, 6, 6799 ], [ 6799, 45, 33 ] ], [ [ 1557, 7, 9650 ], [ 9650, 46, 33 ] ], [ [ 1557, 18, 2183 ], [ 2183, 57, 33 ] ], [ [ 1557, 63, 1419 ], [ 1419, 24, 33 ] ], [ [ 1557, 24, 1476 ], [ 1476, 63, 33 ] ], [ [ 1557, 24, 455 ], [ 455, 24, 33 ] ], [ [ 1557, 23, 112 ], [ 112, 24, 33 ] ], [ [ 1557, 25, 86 ], [ 86, 24, 33 ] ] ]
[ [ [ "Astemizole", "{u} may lead to a major life threatening interaction when taken with {v}", "Amiodarone" ] ], [ [ "Astemizole", "{u} may lead to a major life threatening interaction when taken with {v}", "Dronedarone" ], [ "Dronedarone", "{u} (Compound) resembles {v} (Compound)", "Amiodarone" ] ], [ [ "Astemizole", "{u} (Compound) binds {v} (Gene)", "CYP3A7" ], [ "CYP3A7", "{u} (Gene) is bound by {v} (Compound)", "Amiodarone" ] ], [ [ "Astemizole", "{u} (Compound) upregulates {v} (Gene)", "HMGCS1" ], [ "HMGCS1", "{u} (Gene) is upregulated by {v} (Compound)", "Amiodarone" ] ], [ [ "Astemizole", "{u} (Compound) downregulates {v} (Gene)", "CDC20" ], [ "CDC20", "{u} (Gene) is downregulated by {v} (Compound)", "Amiodarone" ] ], [ [ "Astemizole", "{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}", "Amiodarone" ] ], [ [ "Astemizole", "{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}", "Amiodarone" ] ], [ [ "Astemizole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Astemizole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ], [ [ "Astemizole", "{u} may lead to a major life threatening interaction when taken with {v}", "Miconazole" ], [ "Miconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amiodarone" ] ] ]
Astemizole may lead to a major life threatening interaction when taken with Dronedarone and Dronedarone (Compound) resembles Amiodarone (Compound) Astemizole (Compound) binds CYP3A7 (Gene) and CYP3A7 (Gene) is bound by Amiodarone (Compound) Astemizole (Compound) upregulates HMGCS1 (Gene) and HMGCS1 (Gene) is upregulated by Amiodarone (Compound) Astemizole (Compound) downregulates CDC20 (Gene) and CDC20 (Gene) is downregulated by Amiodarone (Compound) Astemizole 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 Amiodarone Astemizole 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 Amiodarone Astemizole may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Astemizole may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone Astemizole may lead to a major life threatening interaction when taken with Miconazole and Miconazole may cause a moderate interaction that could exacerbate diseases when taken with Amiodarone
DB00353
DB11718
588
927
[ "DDInter1187", "DDInter640" ]
Methylergometrine
Encorafenib
A homolog of ergonovine containing one more CH2 group. (Merck Index, 11th ed)
Encorafenib, also known as _BRAFTOVI_, is a kinase inhibitor. Encorafenib inhibits BRAF gene, which encodes for B-raf protein, which is a proto-oncogene involved in various genetic mutations. This protein plays a role in regulating the MAP kinase/ERK signaling pathway, which impacts cell division, differentiation, and secretion. Mutations in this gene, most frequently the V600E mutation, are the most commonly identified cancer-causing mutations in melanoma, and have been isolated in various other cancers as well, including non-Hodgkin lymphoma, colorectal cancer, thyroid carcinoma, non-small cell lung carcinoma, hairy cell leukemia and adenocarcinoma of the lung. On June 27, 2018, the Food and Drug Administration approved encorafenib and [binimetinib] (BRAFTOVI and MEKTOVI, Array BioPharma Inc.) in combination for patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, as detected by an FDA-approved test.
Moderate
1
[ [ [ 588, 24, 927 ] ], [ [ 588, 63, 1324 ], [ 1324, 24, 927 ] ], [ [ 588, 24, 484 ], [ 484, 63, 927 ] ], [ [ 588, 1, 1131 ], [ 1131, 24, 927 ] ], [ [ 588, 24, 1374 ], [ 1374, 24, 927 ] ], [ [ 588, 40, 628 ], [ 628, 24, 927 ] ], [ [ 588, 24, 597 ], [ 597, 25, 927 ] ], [ [ 588, 24, 1017 ], [ 1017, 64, 927 ] ], [ [ 588, 25, 760 ], [ 760, 25, 927 ] ], [ [ 588, 63, 600 ], [ 600, 25, 927 ] ] ]
[ [ [ "Methylergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Methylergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Methylergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Methylergometrine", "{u} (Compound) resembles {v} (Compound)", "Methysergide" ], [ "Methysergide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Methylergometrine", "{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}", "Encorafenib" ] ], [ [ "Methylergometrine", "{u} (Compound) resembles {v} (Compound)", "Ergometrine" ], [ "Ergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ] ], [ [ "Methylergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Methylergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ], [ [ "Methylergometrine", "{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}", "Encorafenib" ] ], [ [ "Methylergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ] ] ]
Methylergometrine may cause a moderate interaction that could exacerbate diseases when taken with Troglitazone and Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Methylergometrine may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Methylergometrine (Compound) resembles Methysergide (Compound) and Methysergide may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Methylergometrine 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 Encorafenib Methylergometrine (Compound) resembles Ergometrine (Compound) and Ergometrine may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib Methylergometrine may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may lead to a major life threatening interaction when taken with Encorafenib Methylergometrine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may lead to a major life threatening interaction when taken with Encorafenib Methylergometrine 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 Encorafenib Methylergometrine may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Encorafenib
DB00836
DB01192
543
560
[ "DDInter1088", "DDInter1372" ]
Loperamide
Oxymorphone
Loperamide is an anti-diarrheal agent that is available as various over-the-counter products for treating diarrhea. The drug was first synthesized in 1969 and used medically in 1976. It is a highly lipophilic synthetic phenylpiperidine opioid that is structurally similar to opiate receptor agonists such as [diphenoxylate] and [haloperidol]. Due to pharmacological properties, loperamide has been misused and abused to self-manage opioid withdrawal symptoms and to induce euphoria.[A251610, A251625] However, loperamide is associated with a risk for experiencing a range of adverse effects, often life-threatening, if taking for non-therapeutic reasons or at doses higher than the recommended dose.
An opioid analgesic with actions and uses similar to those of morphine, apart from an absence of cough suppressant activity. It is used in the treatment of moderate to severe pain, including pain in obstetrics. It may also be used as an adjunct to anesthesia (From Martindale, The Extra Pharmacopoeia, 30th ed, p1092). On June 8, 2017, FDA requested Endo Pharmaceuticals to remove the medication from the market due to opioid misuse and abuse risks associated with the product's injectable reformulation.
Moderate
1
[ [ [ 543, 24, 560 ] ], [ [ 543, 63, 828 ], [ 828, 1, 560 ] ], [ [ 543, 24, 314 ], [ 314, 1, 560 ] ], [ [ 543, 6, 7940 ], [ 7940, 45, 560 ] ], [ [ 543, 21, 28691 ], [ 28691, 60, 560 ] ], [ [ 543, 63, 1123 ], [ 1123, 24, 560 ] ], [ [ 543, 24, 104 ], [ 104, 24, 560 ] ], [ [ 543, 40, 649 ], [ 649, 63, 560 ] ], [ [ 543, 64, 1347 ], [ 1347, 24, 560 ] ], [ [ 543, 24, 820 ], [ 820, 63, 560 ] ] ]
[ [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxymorphone" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxycodone" ], [ "Oxycodone", "{u} (Compound) resembles {v} (Compound)", "Oxymorphone" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ], [ "Nalbuphine", "{u} (Compound) resembles {v} (Compound)", "Oxymorphone" ] ], [ [ "Loperamide", "{u} (Compound) binds {v} (Gene)", "OPRK1" ], [ "OPRK1", "{u} (Gene) is bound by {v} (Compound)", "Oxymorphone" ] ], [ [ "Loperamide", "{u} (Compound) causes {v} (Side Effect)", "Somnolence" ], [ "Somnolence", "{u} (Side Effect) is caused by {v} (Compound)", "Oxymorphone" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propantheline" ], [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxymorphone" ] ], [ [ "Loperamide", "{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}", "Oxymorphone" ] ], [ [ "Loperamide", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxymorphone" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxymorphone" ] ], [ [ "Loperamide", "{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}", "Oxymorphone" ] ] ]
Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Oxycodone and Oxycodone (Compound) resembles Oxymorphone (Compound) Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Nalbuphine and Nalbuphine (Compound) resembles Oxymorphone (Compound) Loperamide (Compound) binds OPRK1 (Gene) and OPRK1 (Gene) is bound by Oxymorphone (Compound) Loperamide (Compound) causes Somnolence (Side Effect) and Somnolence (Side Effect) is caused by Oxymorphone (Compound) Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Propantheline and Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Oxymorphone Loperamide 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 Oxymorphone Loperamide (Compound) resembles Clofedanol (Compound) and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Oxymorphone Loperamide may lead to a major life threatening interaction when taken with Clopidogrel and Clopidogrel may cause a moderate interaction that could exacerbate diseases when taken with Oxymorphone Loperamide 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 Oxymorphone
DB00092
DB00552
58
1,238
[ "DDInter40", "DDInter1425" ]
Alefacept
Pentostatin
Immunosuppressive dimeric fusion protein that consists of the extracellular CD2-binding portion of the human leukocyte function antigen-3 (LFA-3) linked to the Fc (hinge, CH2 and CH3 domains) portion of human IgG1. Produced by CHO cells, mW is 91.4 kD.
A potent inhibitor of adenosine deaminase. The drug is effective in the treatment of many lymphoproliferative malignancies, particularly hairy-cell leukemia. It is also synergistic with some other antineoplastic agents and has immunosuppressive activity.
Moderate
1
[ [ [ 58, 24, 1238 ] ], [ [ 58, 24, 1083 ], [ 1083, 40, 1238 ] ], [ [ 58, 24, 1426 ], [ 1426, 1, 1238 ] ], [ [ 58, 63, 1648 ], [ 1648, 24, 1238 ] ], [ [ 58, 24, 995 ], [ 995, 63, 1238 ] ], [ [ 58, 24, 1555 ], [ 1555, 24, 1238 ] ], [ [ 58, 24, 908 ], [ 908, 64, 1238 ] ], [ [ 58, 25, 1137 ], [ 1137, 64, 1238 ] ], [ [ 58, 63, 581 ], [ 581, 25, 1238 ] ], [ [ 58, 25, 1066 ], [ 1066, 25, 1238 ] ] ]
[ [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentostatin" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trifluridine" ], [ "Trifluridine", "{u} (Compound) resembles {v} (Compound)", "Pentostatin" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azacitidine" ], [ "Azacitidine", "{u} (Compound) resembles {v} (Compound)", "Pentostatin" ] ], [ [ "Alefacept", "{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}", "Pentostatin" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxyurea" ], [ "Hydroxyurea", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentostatin" ] ], [ [ "Alefacept", "{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}", "Pentostatin" ] ], [ [ "Alefacept", "{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}", "Pentostatin" ] ], [ [ "Alefacept", "{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}", "Pentostatin" ] ], [ [ "Alefacept", "{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}", "Pentostatin" ] ], [ [ "Alefacept", "{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}", "Pentostatin" ] ] ]
Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Trifluridine and Trifluridine (Compound) resembles Pentostatin (Compound) Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Azacitidine and Azacitidine (Compound) resembles Pentostatin (Compound) Alefacept 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 Pentostatin Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Hydroxyurea and Hydroxyurea may cause a moderate interaction that could exacerbate diseases when taken with Pentostatin Alefacept 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 Pentostatin Alefacept 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 Pentostatin Alefacept 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 Pentostatin Alefacept 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 Pentostatin Alefacept 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 Pentostatin
DB00014
DB01599
521
1,232
[ "DDInter839", "DDInter1523" ]
Goserelin
Probucol
Goserelin is a synthetic hormone. In men, it stops the production of the hormone testosterone, which may stimulate the growth of cancer cells. In women, goserelin decreases the production of the hormone estradiol (which may stimulate the growth of cancer cells) to levels similar to a postmenopausal state. When the medication is stopped, hormone levels return to normal.
A drug used to lower LDL and HDL cholesterol yet has little effect on serum-triglyceride or VLDL cholesterol. (From Martindale, The Extra Pharmacopoeia, 30th ed, p993).
Moderate
1
[ [ [ 521, 24, 1232 ] ], [ [ 521, 23, 112 ], [ 112, 23, 1232 ] ], [ [ 521, 24, 1555 ], [ 1555, 24, 1232 ] ], [ [ 521, 24, 927 ], [ 927, 63, 1232 ] ], [ [ 521, 1, 774 ], [ 774, 63, 1232 ] ], [ [ 521, 24, 1487 ], [ 1487, 64, 1232 ] ], [ [ 521, 25, 1154 ], [ 1154, 64, 1232 ] ], [ [ 521, 25, 11 ], [ 11, 25, 1232 ] ], [ [ 521, 23, 112 ], [ 112, 63, 1555 ], [ 1555, 24, 1232 ] ], [ [ 521, 24, 1555 ], [ 1555, 24, 112 ], [ 112, 23, 1232 ] ] ]
[ [ [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Probucol" ] ], [ [ "Goserelin", "{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}", "Probucol" ] ], [ [ "Goserelin", "{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}", "Probucol" ] ], [ [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Probucol" ] ], [ [ "Goserelin", "{u} (Compound) resembles {v} (Compound)", "Degarelix" ], [ "Degarelix", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Probucol" ] ], [ [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Probucol" ] ], [ [ "Goserelin", "{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}", "Probucol" ] ], [ [ "Goserelin", "{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}", "Probucol" ] ], [ [ "Goserelin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Probucol" ] ], [ [ "Goserelin", "{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}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Probucol" ] ] ]
Goserelin 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 Probucol Goserelin 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 Probucol Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Probucol Goserelin (Compound) resembles Degarelix (Compound) and Degarelix may cause a moderate interaction that could exacerbate diseases when taken with Probucol Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine and Hydroxychloroquine may lead to a major life threatening interaction when taken with Probucol Goserelin 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 Probucol Goserelin 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 Probucol Goserelin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Probucol Goserelin 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 Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Probucol
DB01072
DB09045
915
52
[ "DDInter129", "DDInter607" ]
Atazanavir
Dulaglutide
Atazanavir (formerly known as BMS-232632) is an antiretroviral drug of the protease inhibitor (PI) class. Like other antiretrovirals, it is used to treat infection of human immunodeficiency virus (HIV). Atazanavir is distinguished from other PIs in that it can be given once daily (rather than requiring multiple doses per day) and has lesser effects on the patient's lipid profile (the amounts of cholesterol and other fatty substances in the blood). Like other protease inhibitors, it is used only in combination with other HIV medications. The U.S. Food and Drug Administration (FDA) approved atazanavir on June 20, 2003.
Dulaglutide, marketed by Eli Lilly as Trulicity, is a once-weekly subcutaneous glucagon-like peptide-1 (GLP-1) receptor agonist designed using recombinant DNA technology; it has been approved as an adjunct therapy to diet and exercise in the management of 2 diabetes (T2DM). Dulaglutide was initially approved by the FDA in 2014, and in February 2020 was approved for use in patients with T2DM and multiple cardiovascular risk factors for the prevention of cardiovascular events. It is the first T2DM drug approved to reduce major adverse cardiovascular events (MACE) risk in primary and secondary prevention populations.
Moderate
1
[ [ [ 915, 24, 52 ] ], [ [ 915, 24, 170 ], [ 170, 23, 52 ] ], [ [ 915, 24, 609 ], [ 609, 24, 52 ] ], [ [ 915, 63, 870 ], [ 870, 24, 52 ] ], [ [ 915, 40, 1327 ], [ 1327, 24, 52 ] ], [ [ 915, 25, 1491 ], [ 1491, 24, 52 ] ], [ [ 915, 24, 1296 ], [ 1296, 63, 52 ] ], [ [ 915, 64, 1486 ], [ 1486, 24, 52 ] ], [ [ 915, 25, 1019 ], [ 1019, 63, 52 ] ], [ [ 915, 63, 1101 ], [ 1101, 25, 52 ] ] ]
[ [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sitagliptin" ], [ "Sitagliptin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dulaglutide" ] ], [ [ "Atazanavir", "{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}", "Dulaglutide" ] ], [ [ "Atazanavir", "{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}", "Dulaglutide" ] ], [ [ "Atazanavir", "{u} (Compound) resembles {v} (Compound)", "Saquinavir" ], [ "Saquinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ] ], [ [ "Atazanavir", "{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}", "Dulaglutide" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Dulaglutide" ] ] ]
Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Sitagliptin and Sitagliptin may cause a minor interaction that can limit clinical effects when taken with Dulaglutide Atazanavir 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 Dulaglutide Atazanavir 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 Dulaglutide Atazanavir (Compound) resembles Saquinavir (Compound) and Saquinavir may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide Atazanavir may lead to a major life threatening interaction when taken with Midostaurin and Midostaurin may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide Atazanavir 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 Dulaglutide Atazanavir may lead to a major life threatening interaction when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide Atazanavir may lead to a major life threatening interaction when taken with Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Dulaglutide
DB00030
DB00275
1,685
217
[ "DDInter934", "DDInter1330" ]
Insulin human
Olmesartan
Human Insulin, also known as Regular Insulin, is a short-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Human insulin is produced by recombinant DNA technology and is identical to endogenously produced insulin. Typically prescribed for the management of diabetes mellitus, insulin is a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism. Insulin is released from the pancreas following a meal to promote the uptake of glucose from the blood into internal organs and tissues such as the liver, fat cells, and skeletal muscle. Absorption of glucose into cells allows for its transformation into glycogen or fat for storage. Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis among many other functions. Insulin is an important treatment in the management of Type 1 Diabetes (T1D) which is caused by an autoimmune reaction that destroys
Olmesartan belongs to the angiotensin II receptor blocker (ARB) family of drugs, which also includes [telmisartan], [candesartan], [losartan], [valsartan], and [irbesartan]. ARBs selectively bind to angiotensin receptor 1 (AT1) and prevent the protein angiotensin II from binding and exerting its hypertensive effects, which include vasoconstriction, stimulation and synthesis of aldosterone and ADH, cardiac stimulation, and renal reabsorption of sodium, among others. Overall, olmesartan's physiologic effects lead to reduced blood pressure, lower aldosterone levels, reduced cardiac activity, and increased excretion of sodium. Olmesartan also affects the renin-angiotensin aldosterone system (RAAS), which plays an important role in hemostasis and regulation of kidney, vascular, and cardiac functions. Pharmacological blockade of RAAS via AT1 receptor blockade inhibits negative regulatory feedback within RAAS, which is a contributing factor to the pathogenesis and progression of cardiovascular disease, heart failure, and renal disease. In particular, heart failure is associated with chronic activation of RAAS, leading to inappropriate fluid retention, vasoconstriction, and ultimately a further decline in left ventricular function. ARBs have been shown to have a protective effect on the heart by improving cardiac function, reducing afterload, increasing cardiac output and preventing ventricular hypertrophy and remodelling. By comparison, the angiotensin-converting enzyme inhibitor (ACEi) class of medications (which includes drugs such as [ramipril], [lisinopril], and [perindopril]) inhibit the conversion of angiotensin I to angiotensin II through inhibition of the ACE enzyme. However, this does not prevent the formation of all angiotensin II within the body. The angiotensin II receptor blocker (ARB) family of drugs unique in that it blocks all angiotensin II activity, regardless of where or how it was synthesized. Olmesartan is commonly used for the management of hypertension and Type 2 Diabetes-associated nephropathy, particularly in patients who are unable to tolerate ACE inhibitors. ARBs such as olmesartan have been shown in a number of large-scale clinical outcomes trials to improve cardiovascular outcomes including reducing risk of myocardial infarction, stroke, the progression of heart failure, and hospitalization.[A174124,A178153,A173869,A185324,A185327,A185333,A185342,A185345] Like other ARBs, olmesartan blockade of RAAS slows the progression of diabetic nephropathy due to its renoprotective effects.[A185906,A185909,A185912] Orally available olmesartan is produced as the prodrug olmesartan medoxomil which is rapidly converted _in vivo_ to the pharmacologically active olmesartan. It was developed by Daiichi Sankyo Pharmaceuticals and approved in 2002.[A175345, L12882]
Moderate
1
[ [ [ 1685, 24, 217 ] ], [ [ 1685, 24, 911 ], [ 911, 40, 217 ] ], [ [ 1685, 24, 1486 ], [ 1486, 63, 217 ] ], [ [ 1685, 23, 1621 ], [ 1621, 64, 217 ] ], [ [ 1685, 24, 911 ], [ 911, 40, 11292 ], [ 11292, 40, 217 ] ], [ [ 1685, 24, 240 ], [ 240, 1, 11784 ], [ 11784, 40, 217 ] ], [ [ 1685, 24, 1486 ], [ 1486, 24, 911 ], [ 911, 40, 217 ] ], [ [ 1685, 24, 433 ], [ 433, 63, 911 ], [ 911, 40, 217 ] ], [ [ 1685, 24, 1491 ], [ 1491, 63, 1179 ], [ 1179, 24, 217 ] ], [ [ 1685, 23, 1621 ], [ 1621, 25, 911 ], [ 911, 40, 217 ] ] ]
[ [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olmesartan" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azilsartan medoxomil" ], [ "Azilsartan medoxomil", "{u} (Compound) resembles {v} (Compound)", "Olmesartan" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olmesartan" ] ], [ [ "Insulin human", "{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}", "Olmesartan" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azilsartan medoxomil" ], [ "Azilsartan medoxomil", "{u} (Compound) resembles {v} (Compound)", "Candesartan" ], [ "Candesartan", "{u} (Compound) resembles {v} (Compound)", "Olmesartan" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Losartan" ], [ "Losartan", "{u} (Compound) resembles {v} (Compound)", "Forasartan" ], [ "Forasartan", "{u} (Compound) resembles {v} (Compound)", "Olmesartan" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azilsartan medoxomil" ], [ "Azilsartan medoxomil", "{u} (Compound) resembles {v} (Compound)", "Olmesartan" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azilsartan medoxomil" ], [ "Azilsartan medoxomil", "{u} (Compound) resembles {v} (Compound)", "Olmesartan" ] ], [ [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{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}", "Olmesartan" ] ], [ [ "Insulin human", "{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}", "Azilsartan medoxomil" ], [ "Azilsartan medoxomil", "{u} (Compound) resembles {v} (Compound)", "Olmesartan" ] ] ]
Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Azilsartan medoxomil and Azilsartan medoxomil (Compound) resembles Olmesartan (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Olmesartan Insulin human 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 Olmesartan Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Azilsartan medoxomil and Azilsartan medoxomil (Compound) resembles Candesartan (Compound) and Candesartan (Compound) resembles Olmesartan (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Losartan and Losartan (Compound) resembles Forasartan (Compound) and Forasartan (Compound) resembles Olmesartan (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Azilsartan medoxomil and Azilsartan medoxomil (Compound) resembles Olmesartan (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Azilsartan medoxomil and Azilsartan medoxomil (Compound) resembles Olmesartan (Compound) Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin and Midostaurin 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 Olmesartan Insulin human 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 Azilsartan medoxomil and Azilsartan medoxomil (Compound) resembles Olmesartan (Compound)
DB00557
DB00738
252
485
[ "DDInter895", "DDInter1420" ]
Hydroxyzine
Pentamidine
Hydroxyzine is a first-generation histamine H<sub>1</sub>-receptor antagonist of the dephenylmethane and piperazine classes that exhibits sedative, anxiolytic, and antiemetic properties.[A1257,A187589] It was first developed in 1955, and has since remained a relatively common treatment for allergic conditions such as pruritus, urticaria, dermatoses, and histamine-mediated pruritus. The active metabolite of hydroxyzine, [cetirizine], is also available as an active ingredient in allergic medications, and is responsible for much of its hydroxyzine's antihistaminic effect. Hydroxyzine is also used for generalized anxiety disorder, tension caused by psychoneurosis, and other conditions with manifestations of anxiety.
Antiprotozoal agent effective in trypanosomiasis, leishmaniasis, and some fungal infections; used in treatment of pneumocystis pneumonia in HIV-infected patients. It may cause diabetes mellitus, central nervous system damage, and other toxic effects.
Moderate
1
[ [ [ 252, 24, 485 ] ], [ [ 252, 6, 12523 ], [ 12523, 45, 485 ] ], [ [ 252, 21, 28779 ], [ 28779, 60, 485 ] ], [ [ 252, 23, 112 ], [ 112, 62, 485 ] ], [ [ 252, 24, 971 ], [ 971, 63, 485 ] ], [ [ 252, 63, 322 ], [ 322, 24, 485 ] ], [ [ 252, 24, 1557 ], [ 1557, 24, 485 ] ], [ [ 252, 40, 827 ], [ 827, 24, 485 ] ], [ [ 252, 40, 1630 ], [ 1630, 63, 485 ] ], [ [ 252, 1, 623 ], [ 623, 63, 485 ] ] ]
[ [ [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ] ], [ [ "Hydroxyzine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Pentamidine" ] ], [ [ "Hydroxyzine", "{u} (Compound) causes {v} (Side Effect)", "Dry mouth" ], [ "Dry mouth", "{u} (Side Effect) is caused by {v} (Compound)", "Pentamidine" ] ], [ [ "Hydroxyzine", "{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}", "Pentamidine" ] ], [ [ "Hydroxyzine", "{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}", "Pentamidine" ] ], [ [ "Hydroxyzine", "{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}", "Pentamidine" ] ], [ [ "Hydroxyzine", "{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}", "Pentamidine" ] ], [ [ "Hydroxyzine", "{u} (Compound) resembles {v} (Compound)", "Trazodone" ], [ "Trazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ] ], [ [ "Hydroxyzine", "{u} (Compound) resembles {v} (Compound)", "Perphenazine" ], [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ] ], [ [ "Hydroxyzine", "{u} (Compound) resembles {v} (Compound)", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ] ] ]
Hydroxyzine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Pentamidine (Compound) Hydroxyzine (Compound) causes Dry mouth (Side Effect) and Dry mouth (Side Effect) is caused by Pentamidine (Compound) Hydroxyzine 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 Pentamidine Hydroxyzine 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 Pentamidine Hydroxyzine 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 Pentamidine Hydroxyzine 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 Pentamidine Hydroxyzine (Compound) resembles Trazodone (Compound) and Trazodone may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine Hydroxyzine (Compound) resembles Perphenazine (Compound) and Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine Hydroxyzine (Compound) resembles Quetiapine (Compound) and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine
DB01097
DB09054
1,377
384
[ "DDInter1033", "DDInter905" ]
Leflunomide
Idelalisib
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.
Idelalisib is a phosphoinositide 3-kinase inhibitor indicated in the treatment of chronic lymphocytic leukemia (CLL), relapsed follicular B-cell non-Hodgkin lymphoma (FL), and relapsed small lymphocytic lymphoma (SLL). For the treatment of relapsed CLL, it is currently indicated as a second-line agent in combination with rituximab in patients for whom rituximab alone would be considered appropriate therapy due to other co-morbidities, while in the treatment of FL and SLL it is intended to be used in patients who have received at least two prior systemic therapies. More specifically, idelalisib targets P110δ, the delta isoform of the enzyme phosphatidylinositol-4,5-bisphosphate 3-kinase, also known as PI-3K. The PI-3Ks are a family of enzymes involved in cellular functions such as cell growth, proliferation, differentiation, motility, survival and intracellular trafficking, which in turn are involved in cancer. In contrast to the other class IA PI3Ks p110α and p110β, p110δ is principally expressed in leukocytes (white blood cells) and is important for the function of T cells, B cell, mast cells and neutrophils. By inhibiting this enzyme, idelalisib induces apoptosis of malignant cells and inhibits several cell signaling pathways, including B-cell receptor (BCR) signaling and C-X-C chemokine receptors type 5 and type 4 signalling, which are involved in trafficking and homing of B-cells to the lymph nodes and bone marrow. Treatment of lymphoma cells with idelalisib has been shown to result in inhibition of chemotaxis and adhesion, and reduced cell viability.
Major
2
[ [ [ 1377, 25, 384 ] ], [ [ 1377, 25, 1627 ], [ 1627, 62, 384 ] ], [ [ 1377, 25, 72 ], [ 72, 24, 384 ] ], [ [ 1377, 25, 725 ], [ 725, 63, 384 ] ], [ [ 1377, 64, 328 ], [ 328, 24, 384 ] ], [ [ 1377, 24, 242 ], [ 242, 63, 384 ] ], [ [ 1377, 24, 655 ], [ 655, 24, 384 ] ], [ [ 1377, 63, 597 ], [ 597, 24, 384 ] ], [ [ 1377, 25, 1259 ], [ 1259, 64, 384 ] ], [ [ 1377, 64, 134 ], [ 134, 25, 384 ] ] ]
[ [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cannabidiol" ], [ "Cannabidiol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Idelalisib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Eltrombopag" ], [ "Eltrombopag", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Satralizumab" ], [ "Satralizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Mercaptopurine" ], [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Leflunomide", "{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}", "Idelalisib" ] ], [ [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etravirine" ], [ "Etravirine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Leflunomide", "{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}", "Idelalisib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ] ] ]
Leflunomide may lead to a major life threatening interaction when taken with Cannabidiol and Cannabidiol may cause a minor interaction that can limit clinical effects when taken with Idelalisib Leflunomide may lead to a major life threatening interaction when taken with Eltrombopag and Eltrombopag may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Leflunomide may lead to a major life threatening interaction when taken with Satralizumab and Satralizumab may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Leflunomide may lead to a major life threatening interaction when taken with Mercaptopurine and Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Leflunomide 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 Idelalisib Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Etravirine and Etravirine may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Leflunomide 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 Idelalisib Leflunomide may lead to a major life threatening interaction when taken with Vinorelbine and Vinorelbine may lead to a major life threatening interaction when taken with Idelalisib
DB06822
DB08886
802
637
[ "DDInter1812", "DDInter126" ]
Tinzaparin
Asparaginase Erwinia chrysanthemi
Tinzaparin is a low molecular weight heparin (LMWH), produced by enzymatic depolymerization of unfractionated heparin from porcine intestinal mucosa. It is a heterogeneous mixture of with an average molecular weight between 5500 and 7500 daltons. Tinzaparin is composed of molecules with and without a special site for high affinity binding to antithrombin III (ATIII). This complex greatly accelerates the inhibition of factor Xa. It is an anticoagulant and considered an antithrombotic. Tinzaparin must be given either subcutaneously or parenterally. LMWHs are less effective at inactivating factor IIa due to their shorter length compared to unfractionated heparin.
Asparaginase _Erwinia chrysanthemi_ is an asparaginase-specific enzyme derived from _Erwinia_ _chrysanthemi_ used as an anticancer agent. It works by depleting the stores of an important amino acid called asparagine, which is involved in DNA synthesis and cell survival of malignant cells, leading to cell death. L-asparaginase was first identified in 1963, and there are different formulations of L-asparaginase, including [Asparaginase Escherichia coli] and a pegylated form of this enzyme, [Pegaspargase]. Asparaginase _Erwinia chrysanthemi_ and [Asparaginase Escherichia coli] differ in their pharmacokinetic and immunogenic profiles; thus, those who are allergic to [Asparaginase Escherichia coli] do not cross-react to Asparaginase _Erwinia chrysanthemi_. Studies show that substitution of _Erwinia_ asparaginase for _E. coli_-derived asparaginase following an allergic reaction has been safe and effective. Asparaginase _Erwinia chrysanthemi_ was first approved by the FDA in November 2011 to treat patients with acute lymphoblastic leukemia (ALL) who are allergic to _E. coli_-derived asparaginase: it has been used as part of multi-agent chemotherapy. In June 2021, the recombinant form of asparaginase _Erwinia chrysanthemi_ was approved by the FDA as a component of a chemotherapy regimen to treat acute lymphoblastic leukemia and lymphoblastic lymphoma in adult and pediatric patients who are allergic to the _E. coli_-derived asparaginase.
Moderate
1
[ [ [ 802, 24, 637 ] ], [ [ 802, 64, 1479 ], [ 1479, 24, 637 ] ], [ [ 802, 25, 1421 ], [ 1421, 63, 637 ] ], [ [ 802, 24, 1496 ], [ 1496, 63, 637 ] ], [ [ 802, 63, 1151 ], [ 1151, 24, 637 ] ], [ [ 802, 25, 578 ], [ 578, 24, 637 ] ], [ [ 802, 64, 1479 ], [ 1479, 63, 167 ], [ 167, 24, 637 ] ], [ [ 802, 64, 1274 ], [ 1274, 24, 167 ], [ 167, 24, 637 ] ], [ [ 802, 25, 1421 ], [ 1421, 64, 392 ], [ 392, 24, 637 ] ], [ [ 802, 64, 1018 ], [ 1018, 23, 167 ], [ 167, 24, 637 ] ] ]
[ [ [ "Tinzaparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{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}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{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}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{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}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{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}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{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}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{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}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Tinzaparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ] ]
Tinzaparin 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 Asparaginase Erwinia chrysanthemi Tinzaparin 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 Asparaginase Erwinia chrysanthemi Tinzaparin 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 Asparaginase Erwinia chrysanthemi Tinzaparin may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Tinzaparin 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 Asparaginase Erwinia chrysanthemi Tinzaparin 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 Hydrocortisone and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Tinzaparin 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 Hydrocortisone and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Tinzaparin may lead to a major life threatening interaction when taken with Betrixaban and Betrixaban may lead to a major life threatening interaction when taken with Lapatinib and Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Tinzaparin may lead to a major life threatening interaction when taken with Ticlopidine and Ticlopidine may cause a minor interaction that can limit clinical effects when taken with Hydrocortisone and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi
DB00559
DB12267
152
1,476
[ "DDInter223", "DDInter233" ]
Bosentan
Brigatinib
Bosentan is a dual endothelin receptor antagonist marketed under the trade name Tracleer by Actelion Pharmaceuticals. Bosentan is used to treat pulmonary hypertension by blocking the action of endothelin molecules that would otherwise promote narrowing of the blood vessels and lead to high blood pressure.
Brigatinib, originally named AP26113, is a reversible dual inhibitor of anaplastic lymphoma kinase (ALK) and epidermal growth factor receptor (EGFR). It presents selectivity against the mutant forms of EGFR compared to the wild-type. It also exhibits selectivity against 9 different Crizotinib-resistant mutants of the EML4-ALK fusion gene, which is a pivotal player in the transformation of susceptible lung parenchyma. Brigatinib was developed by Ariad Pharmaceuticals, a subsidiary of Takeda Pharmaceutical Company Limited, and FDA-approved on April 28, 2017.
Major
2
[ [ [ 152, 25, 1476 ] ], [ [ 152, 24, 1135 ], [ 1135, 23, 1476 ] ], [ [ 152, 62, 168 ], [ 168, 23, 1476 ] ], [ [ 152, 24, 629 ], [ 629, 24, 1476 ] ], [ [ 152, 63, 79 ], [ 79, 24, 1476 ] ], [ [ 152, 25, 1456 ], [ 1456, 24, 1476 ] ], [ [ 152, 24, 1619 ], [ 1619, 63, 1476 ] ], [ [ 152, 24, 129 ], [ 129, 25, 1476 ] ], [ [ 152, 24, 676 ], [ 676, 64, 1476 ] ], [ [ 152, 63, 600 ], [ 600, 25, 1476 ] ] ]
[ [ [ "Bosentan", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ] ], [ [ "Bosentan", "{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}", "Brigatinib" ] ], [ [ "Bosentan", "{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}", "Brigatinib" ] ], [ [ "Bosentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bosentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bosentan", "{u} may lead to a major life threatening interaction when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bosentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bosentan", "{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}", "Brigatinib" ] ], [ [ "Bosentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ] ], [ [ "Bosentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ] ] ]
Bosentan 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 Brigatinib Bosentan 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 Brigatinib Bosentan may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus and Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Bosentan may cause a moderate interaction that could exacerbate diseases when taken with Sorafenib and Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Bosentan may lead to a major life threatening interaction when taken with Venetoclax and Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Bosentan may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Bosentan 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 Brigatinib Bosentan may cause a moderate interaction that could exacerbate diseases when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Brigatinib Bosentan may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Brigatinib
DB00682
DB00745
126
307
[ "DDInter1951", "DDInter1236" ]
Warfarin
Modafinil
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.
Modafinil is a stimulant drug marketed as a 'wakefulness promoting agent' and is one of the stimulants used in the treatment of narcolepsy. Narcolepsy is caused by dysfunction of a family of wakefulness-promoting and sleep-suppressing peptides, the orexins, whose neurons are activated by modafinil. The prexin neuron activation is associated with psychoactivation and euphoria. The exact mechanism of action is unclear, although in vitro studies have shown it to inhibit the reuptake of dopamine by binding to the dopamine reuptake pump, and lead to an increase in extracellular dopamine. Modafinil activates glutamatergic circuits while inhibiting GABA.
Moderate
1
[ [ [ 126, 35, 307 ] ], [ [ 126, 63, 362 ], [ 362, 40, 307 ] ], [ [ 126, 24, 651 ], [ 651, 40, 307 ] ], [ [ 126, 1, 1376 ], [ 1376, 40, 307 ] ], [ [ 126, 25, 998 ], [ 998, 40, 307 ] ], [ [ 126, 36, 97 ], [ 97, 40, 307 ] ], [ [ 126, 40, 1388 ], [ 1388, 1, 307 ] ], [ [ 126, 6, 7950 ], [ 7950, 45, 307 ] ], [ [ 126, 63, 450 ], [ 450, 23, 307 ] ], [ [ 126, 24, 1532 ], [ 1532, 62, 307 ] ] ]
[ [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Modafinil" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosphenytoin" ], [ "Fosphenytoin", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ] ], [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound)", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ] ], [ [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ] ], [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Oxaprozin" ], [ "Oxaprozin", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ] ], [ [ "Warfarin", "{u} (Compound) resembles {v} (Compound)", "Fenoprofen" ], [ "Fenoprofen", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ] ], [ [ "Warfarin", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Modafinil" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ] ], [ [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ] ] ]
Warfarin (Compound) resembles Modafinil (Compound) and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin (Compound) resembles Modafinil (Compound) Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Fosphenytoin and Fosphenytoin (Compound) resembles Modafinil (Compound) Warfarin (Compound) resembles Diphenhydramine (Compound) and Diphenhydramine (Compound) resembles Modafinil (Compound) Warfarin may lead to a major life threatening interaction when taken with Phenylbutazone and Phenylbutazone (Compound) resembles Modafinil (Compound) Warfarin (Compound) resembles Oxaprozin (Compound) and Warfarin may lead to a major life threatening interaction when taken with Oxaprozin and Oxaprozin (Compound) resembles Modafinil (Compound) Warfarin (Compound) resembles Fenoprofen (Compound) and Fenoprofen (Compound) resembles Modafinil (Compound) Warfarin (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Modafinil (Compound) Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Cyclophosphamide and Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Modafinil Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a minor interaction that can limit clinical effects when taken with Modafinil
DB08903
DB12130
996
1,017
[ "DDInter170", "DDInter1094" ]
Bedaquiline
Lorlatinib
Bedaquiline is a bactericidal antimycobacterial drug belonging to the class of diarylquinoline. The quinolinic central heterocyclic nucleus with alcohol and amine side chains is responsible for bedaquiline-mediated antimycobacterial activity. Although it is closely related to fluoroquinolones, bedaquiline does not affect DNA gyrase; instead, bedaquiline inhibits the c subunit of ATP synthase responsible for synthesizing ATP. Consequently, bedaquiline can be used to treat mycobacterial infection, particularly tuberculosis (TB). Although the current standard of TB treatment of anti-TB drugs for 2 months, including 2 key drugs [isoniazid] and [rifampin], is highly effective, the emergence of multidrug-resistant TB (MDR-TB) to [isoniazid] and [rifampin] has substantially worsened patients outcome. Bedaquiline was approved by the FDA on December 28,
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.
Major
2
[ [ [ 996, 25, 1017 ] ], [ [ 996, 63, 1101 ], [ 1101, 23, 1017 ] ], [ [ 996, 63, 14 ], [ 14, 24, 1017 ] ], [ [ 996, 64, 1491 ], [ 1491, 24, 1017 ] ], [ [ 996, 75, 888 ], [ 888, 24, 1017 ] ], [ [ 996, 24, 564 ], [ 564, 24, 1017 ] ], [ [ 996, 25, 971 ], [ 971, 63, 1017 ] ], [ [ 996, 24, 159 ], [ 159, 63, 1017 ] ], [ [ 996, 25, 351 ], [ 351, 24, 1017 ] ], [ [ 996, 64, 1220 ], [ 1220, 25, 1017 ] ] ]
[ [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ] ], [ [ "Bedaquiline", "{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" ] ], [ [ "Bedaquiline", "{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" ] ], [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Bedaquiline", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Bedaquiline", "{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}", "Lorlatinib" ] ], [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Bedaquiline", "{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" ] ], [ [ "Bedaquiline", "{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}", "Lorlatinib" ] ], [ [ "Bedaquiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ] ] ]
Bedaquiline 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 Bedaquiline 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 Bedaquiline may lead to a major life threatening interaction when taken with Midostaurin and Midostaurin may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Bedaquiline (Compound) resembles Tamoxifen (Compound) and Bedaquiline may lead to a major life threatening interaction when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Bedaquiline 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 Lorlatinib Bedaquiline may lead to a major life threatening interaction when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Bedaquiline 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 Bedaquiline 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 Lorlatinib Bedaquiline may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone may lead to a major life threatening interaction when taken with Lorlatinib
DB01406
DB06589
984
1,250
[ "DDInter472", "DDInter1400" ]
Danazol
Pazopanib
A synthetic steroid with antigonadotropic and anti-estrogenic activities that acts as an anterior pituitary suppressant by inhibiting the pituitary output of gonadotropins. It possesses some androgenic properties. Danazol has been used in the treatment of endometriosis and some benign breast disorders.
Pazopanib is a small molecule inhibitor of multiple protein tyrosine kinases with potential antineoplastic activity. It is developed by GlaxoSmithKline and was FDA approved on October 19, 2009.
Moderate
1
[ [ [ 984, 24, 1250 ] ], [ [ 984, 6, 8374 ], [ 8374, 45, 1250 ] ], [ [ 984, 7, 4759 ], [ 4759, 46, 1250 ] ], [ [ 984, 18, 20044 ], [ 20044, 46, 1250 ] ], [ [ 984, 18, 12821 ], [ 12821, 57, 1250 ] ], [ [ 984, 21, 28658 ], [ 28658, 60, 1250 ] ], [ [ 984, 25, 1135 ], [ 1135, 62, 1250 ] ], [ [ 984, 63, 1419 ], [ 1419, 24, 1250 ] ], [ [ 984, 24, 1491 ], [ 1491, 63, 1250 ] ], [ [ 984, 24, 761 ], [ 761, 24, 1250 ] ] ]
[ [ [ "Danazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Danazol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Pazopanib" ] ], [ [ "Danazol", "{u} (Compound) upregulates {v} (Gene)", "SERPINA3" ], [ "SERPINA3", "{u} (Gene) is upregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Danazol", "{u} (Compound) downregulates {v} (Gene)", "METRN" ], [ "METRN", "{u} (Gene) is upregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Danazol", "{u} (Compound) downregulates {v} (Gene)", "TRIB1" ], [ "TRIB1", "{u} (Gene) is downregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Danazol", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Pazopanib" ] ], [ [ "Danazol", "{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}", "Pazopanib" ] ], [ [ "Danazol", "{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}", "Pazopanib" ] ], [ [ "Danazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Danazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ], [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ] ]
Danazol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Pazopanib (Compound) Danazol (Compound) upregulates SERPINA3 (Gene) and SERPINA3 (Gene) is upregulated by Pazopanib (Compound) Danazol (Compound) downregulates METRN (Gene) and METRN (Gene) is upregulated by Pazopanib (Compound) Danazol (Compound) downregulates TRIB1 (Gene) and TRIB1 (Gene) is downregulated by Pazopanib (Compound) Danazol (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Pazopanib (Compound) Danazol 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 Pazopanib Danazol 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 Pazopanib Danazol may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin and Midostaurin may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Danazol may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin and Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib
DB00445
DB14409
322
1,129
[ "DDInter655", "DDInter867" ]
Epirubicin
Human adenovirus e serotype 4 strain cl-68578 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.
Human adenovirus e serotype 4 strain cl-68578 antigen is a vaccine.
Moderate
1
[ [ [ 322, 24, 1129 ] ], [ [ 322, 64, 1057 ], [ 1057, 24, 1129 ] ], [ [ 322, 24, 1683 ], [ 1683, 24, 1129 ] ], [ [ 322, 63, 134 ], [ 134, 24, 1129 ] ], [ [ 322, 25, 39 ], [ 39, 24, 1129 ] ], [ [ 322, 35, 77 ], [ 77, 24, 1129 ] ], [ [ 322, 25, 676 ], [ 676, 63, 1129 ] ], [ [ 322, 23, 1307 ], [ 1307, 24, 1129 ] ], [ [ 322, 64, 1057 ], [ 1057, 25, 1683 ], [ 1683, 24, 1129 ] ], [ [ 322, 24, 1683 ], [ 1683, 64, 1057 ], [ 1057, 24, 1129 ] ] ]
[ [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Epirubicin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idarubicin" ], [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 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}", "Human adenovirus e serotype 4 strain cl-68578 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}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ] ]
Epirubicin may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Epirubicin may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Epirubicin (Compound) resembles Idarubicin (Compound) and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Idarubicin and Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 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 Human adenovirus e serotype 4 strain cl-68578 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 Human adenovirus e serotype 4 strain cl-68578 antigen Epirubicin may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen
DB06237
DB09098
438
98
[ "DDInter141", "DDInter1700" ]
Avanafil
Somatrem
Avanafil is a phosphodiesterase-5 (PDE5) inhibitor used in the treatment of erectile dysfunction. In comparison with other drugs of the same class, it shows greater selectivity for PDE5 over PDE6 than both [sildenafil] and [vardenafil] but less selectivity than [tadalafil], suggesting a relatively lower risk of visual disturbances associated with off-target PDE6 inhibition. It first received FDA approval on April 27, 2012, with subsequent EMA approval in June 2013.
Despite the ability of almost all contemporary recombinant growth hormones to cause definite and demonstrable increases in growth rate in patients who are administered the drug, the use of these agents continues to be mired in persistent bioethical debate . Such discussion revolves around whether patients' natural disposition of short stature should be considered a medical condition justifying medical treatment with such hormone therapy - especially when these hormone agents have been proven effective at increasing the height of children with or without growth hormone deficiency .
Moderate
1
[ [ [ 438, 24, 98 ] ], [ [ 438, 24, 159 ], [ 159, 63, 98 ] ], [ [ 438, 64, 609 ], [ 609, 24, 98 ] ], [ [ 438, 24, 868 ], [ 868, 24, 98 ] ], [ [ 438, 25, 283 ], [ 283, 63, 98 ] ], [ [ 438, 25, 1593 ], [ 1593, 24, 98 ] ], [ [ 438, 63, 1220 ], [ 1220, 24, 98 ] ], [ [ 438, 63, 1101 ], [ 1101, 25, 98 ] ], [ [ 438, 24, 159 ], [ 159, 63, 608 ], [ 608, 23, 98 ] ], [ [ 438, 64, 609 ], [ 609, 24, 1612 ], [ 1612, 62, 98 ] ] ]
[ [ [ "Avanafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Avanafil", "{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}", "Somatrem" ] ], [ [ "Avanafil", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Avanafil", "{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}", "Somatrem" ] ], [ [ "Avanafil", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Avanafil", "{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}", "Somatrem" ] ], [ [ "Avanafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ] ], [ [ "Avanafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Somatrem" ] ], [ [ "Avanafil", "{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}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somatrem" ] ], [ [ "Avanafil", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ], [ "Fostemsavir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somatrem" ] ] ]
Avanafil 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 Somatrem Avanafil may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Avanafil 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 Somatrem Avanafil may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Avanafil 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 Somatrem Avanafil may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Somatrem Avanafil may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Somatrem Avanafil 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 Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Somatrem Avanafil may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir and Fostemsavir may cause a minor interaction that can limit clinical effects when taken with Somatrem
DB00688
DB01060
955
319
[ "DDInter1251", "DDInter83" ]
Mycophenolate mofetil
Amoxicillin
Mycophenolate mofetil, also known as MMF or CellCept, is a prodrug of mycophenolic acid, and classified as a reversible inhibitor of inosine monophosphate dehydrogenase (IMPDH). This drug is an immunosuppressant combined with drugs such as [Cyclosporine] and corticosteroids to prevent organ rejection after hepatic, renal, and cardiac transplants. It is marketed by Roche Pharmaceuticals and was granted FDA approval for the prophylaxis of transplant rejection in 1995. In addition to the above uses, mycophenolate mofetil has also been studied for the treatment of nephritis and other complications of autoimmune diseases. Unlike another immunosuppressant class, the calcineurin inhibitors, MMF generally does not cause nephrotoxicity or fibrosis.[A180799,A180805] Previously, mycophenolic acid
Amoxicillin, or BRL-2333, is a penicillin G derivative first described in the literature in 1972. Amoxicillin has similar activity to [penicillin] and [ampicillin], but leads to higher serum concentrations than ampicillin. Amoxicillin was granted FDA approval on 18 January 1974.
Moderate
1
[ [ [ 955, 24, 319 ] ], [ [ 955, 21, 28703 ], [ 28703, 60, 319 ] ], [ [ 955, 24, 609 ], [ 609, 62, 319 ] ], [ [ 955, 63, 964 ], [ 964, 24, 319 ] ], [ [ 955, 1, 1096 ], [ 1096, 24, 319 ] ], [ [ 955, 24, 1669 ], [ 1669, 24, 319 ] ], [ [ 955, 21, 28703 ], [ 28703, 60, 1249 ], [ 1249, 40, 319 ] ], [ [ 955, 21, 29134 ], [ 29134, 60, 703 ], [ 703, 1, 319 ] ], [ [ 955, 21, 30224 ], [ 30224, 60, 1096 ], [ 1096, 24, 319 ] ], [ [ 955, 21, 28643 ], [ 28643, 60, 609 ], [ 609, 62, 319 ] ] ]
[ [ [ "Mycophenolate mofetil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{u} (Compound) causes {v} (Side Effect)", "Pruritus" ], [ "Pruritus", "{u} (Side Effect) is caused by {v} (Compound)", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{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}", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxycycline" ], [ "Doxycycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{u} (Compound) resembles {v} (Compound)", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Minocycline" ], [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{u} (Compound) causes {v} (Side Effect)", "Pruritus" ], [ "Pruritus", "{u} (Side Effect) is caused by {v} (Compound)", "Nafcillin" ], [ "Nafcillin", "{u} (Compound) resembles {v} (Compound)", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{u} (Compound) causes {v} (Side Effect)", "Flatulence" ], [ "Flatulence", "{u} (Side Effect) is caused by {v} (Compound)", "Carbenicillin" ], [ "Carbenicillin", "{u} (Compound) resembles {v} (Compound)", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{u} (Compound) causes {v} (Side Effect)", "Meningitis" ], [ "Meningitis", "{u} (Side Effect) is caused by {v} (Compound)", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxicillin" ] ], [ [ "Mycophenolate mofetil", "{u} (Compound) causes {v} (Side Effect)", "Infection" ], [ "Infection", "{u} (Side Effect) is caused by {v} (Compound)", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amoxicillin" ] ] ]
Mycophenolate mofetil (Compound) causes Pruritus (Side Effect) and Pruritus (Side Effect) is caused by Amoxicillin (Compound) Mycophenolate mofetil 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 Amoxicillin Mycophenolate mofetil may cause a moderate interaction that could exacerbate diseases when taken with Doxycycline and Doxycycline may cause a moderate interaction that could exacerbate diseases when taken with Amoxicillin Mycophenolate mofetil (Compound) resembles Mycophenolic acid (Compound) and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Amoxicillin Mycophenolate mofetil may cause a moderate interaction that could exacerbate diseases when taken with Minocycline and Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Amoxicillin Mycophenolate mofetil (Compound) causes Pruritus (Side Effect) and Pruritus (Side Effect) is caused by Nafcillin (Compound) and Nafcillin (Compound) resembles Amoxicillin (Compound) Mycophenolate mofetil (Compound) causes Flatulence (Side Effect) and Flatulence (Side Effect) is caused by Carbenicillin (Compound) and Carbenicillin (Compound) resembles Amoxicillin (Compound) Mycophenolate mofetil (Compound) causes Meningitis (Side Effect) and Meningitis (Side Effect) is caused by Mycophenolic acid (Compound) and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Amoxicillin Mycophenolate mofetil (Compound) causes Infection (Side Effect) and Infection (Side Effect) is caused by Clarithromycin (Compound) and Clarithromycin may cause a minor interaction that can limit clinical effects when taken with Amoxicillin
DB01021
DB01129
674
379
[ "DDInter1861", "DDInter1559" ]
Trichlormethiazide
Rabeprazole
A thiazide diuretic with properties similar to those of hydrochlorothiazide. (From Martindale, The Extra Pharmacopoeia, 30th ed, p830)
Rabeprazole is an antiulcer drug in the class of proton pump inhibitors. It is a prodrug - in the acid environment of the parietal cells it turns into active sulphenamide form. Rabeprazole inhibits the H+, K+ATPase of the coating gastric cells and dose-dependent oppresses basal and stimulated gastric acid secretion.
Moderate
1
[ [ [ 674, 24, 379 ] ], [ [ 674, 63, 1215 ], [ 1215, 40, 379 ] ], [ [ 674, 63, 660 ], [ 660, 1, 379 ] ], [ [ 674, 62, 126 ], [ 126, 24, 379 ] ], [ [ 674, 40, 178 ], [ 178, 63, 379 ] ], [ [ 674, 1, 323 ], [ 323, 24, 379 ] ], [ [ 674, 40, 504 ], [ 504, 24, 379 ] ], [ [ 674, 63, 1287 ], [ 1287, 24, 379 ] ], [ [ 674, 63, 663 ], [ 663, 25, 379 ] ], [ [ 674, 63, 1215 ], [ 1215, 40, 660 ], [ 660, 1, 379 ] ] ]
[ [ [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lansoprazole" ], [ "Lansoprazole", "{u} (Compound) resembles {v} (Compound)", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esomeprazole" ], [ "Esomeprazole", "{u} (Compound) resembles {v} (Compound)", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{u} (Compound) resembles {v} (Compound)", "Polythiazide" ], [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{u} (Compound) resembles {v} (Compound)", "Bendroflumethiazide" ], [ "Bendroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amphotericin B" ], [ "Amphotericin B", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{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}", "Rabeprazole" ] ], [ [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lansoprazole" ], [ "Lansoprazole", "{u} (Compound) resembles {v} (Compound)", "Esomeprazole" ], [ "Esomeprazole", "{u} (Compound) resembles {v} (Compound)", "Rabeprazole" ] ] ]
Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Lansoprazole and Lansoprazole (Compound) resembles Rabeprazole (Compound) Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Esomeprazole and Esomeprazole (Compound) resembles Rabeprazole (Compound) Trichlormethiazide may cause a minor interaction that can limit clinical effects when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole Trichlormethiazide (Compound) resembles Polythiazide (Compound) and Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole Trichlormethiazide (Compound) resembles Bendroflumethiazide (Compound) and Bendroflumethiazide may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole Trichlormethiazide (Compound) resembles Hydrochlorothiazide (Compound) and Hydrochlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Amphotericin B and Amphotericin B may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole Trichlormethiazide 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 Rabeprazole Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Lansoprazole and Lansoprazole (Compound) resembles Esomeprazole (Compound) and Esomeprazole (Compound) resembles Rabeprazole (Compound)
DB00774
DB09020
1,577
28
[ "DDInter889", "DDInter212" ]
Hydroflumethiazide
Bisacodyl
A thiazide diuretic with actions and uses similar to those of hydrochlorothiazide. (From Martindale, The Extra Pharmacopoeia, 30th ed, p822)
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
[ [ [ 1577, 24, 28 ] ], [ [ 1577, 7, 2475 ], [ 2475, 46, 28 ] ], [ [ 1577, 18, 14040 ], [ 14040, 57, 28 ] ], [ [ 1577, 21, 28809 ], [ 28809, 60, 28 ] ], [ [ 1577, 63, 870 ], [ 870, 24, 28 ] ], [ [ 1577, 40, 674 ], [ 674, 24, 28 ] ], [ [ 1577, 64, 1166 ], [ 1166, 24, 28 ] ], [ [ 1577, 25, 57 ], [ 57, 24, 28 ] ], [ [ 1577, 24, 1220 ], [ 1220, 24, 28 ] ], [ [ 1577, 1, 359 ], [ 359, 24, 28 ] ] ]
[ [ [ "Hydroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{u} (Compound) upregulates {v} (Gene)", "RGS2" ], [ "RGS2", "{u} (Gene) is upregulated by {v} (Compound)", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{u} (Compound) downregulates {v} (Gene)", "BDH1" ], [ "BDH1", "{u} (Gene) is downregulated by {v} (Compound)", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{u} (Compound) causes {v} (Side Effect)", "Diarrhoea" ], [ "Diarrhoea", "{u} (Side Effect) is caused by {v} (Compound)", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{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}", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{u} may lead to a major life threatening interaction when taken with {v}", "Dolasetron" ], [ "Dolasetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{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}", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ], [ [ "Hydroflumethiazide", "{u} (Compound) resembles {v} (Compound)", "Chlorothiazide" ], [ "Chlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ] ] ]
Hydroflumethiazide (Compound) upregulates RGS2 (Gene) and RGS2 (Gene) is upregulated by Bisacodyl (Compound) Hydroflumethiazide (Compound) downregulates BDH1 (Gene) and BDH1 (Gene) is downregulated by Bisacodyl (Compound) Hydroflumethiazide (Compound) causes Diarrhoea (Side Effect) and Diarrhoea (Side Effect) is caused by Bisacodyl (Compound) Hydroflumethiazide 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 Bisacodyl Hydroflumethiazide (Compound) resembles Trichlormethiazide (Compound) and Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl Hydroflumethiazide may lead to a major life threatening interaction when taken with Dolasetron and Dolasetron may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl Hydroflumethiazide 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 Bisacodyl Hydroflumethiazide may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl Hydroflumethiazide (Compound) resembles Chlorothiazide (Compound) and Chlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl
DB01118
DB11901
33
913
[ "DDInter76", "DDInter107" ]
Amiodarone
Apalutamide
Amiodarone is a benzofuran derivative, anti-arrhythmic drug used commonly in a variety of settings. Most known for its approved indication in life-threatening ventricular arrhythmias, it is also used off-label in the outpatient and inpatient setting for atrial fibrillation. Because of its ability to cause serious toxicity and possibly death, amiodarone use should be reserved for its approved indications, according to prescribing information.[L3561,L11265,L11286]
Apalutamide is a potent androgen receptor (AR) antagonist that selectively binds to the ligand-binding domain of AR and blocks AR nuclear translocation or binding to androgen response elements . It has been used in trials studying the treatment of Prostate Cancer, Hepatic Impairment, Prostatic Neoplasms, Castration-Resistant Prostate Cancer, and Prostatic Neoplasms, Castration-Resistant, among others. Exerting an antitumor action, apalutamide blocking the effect of androgens that promote tumor growth. It targets the AR ligand-binding domain and prevents AR nuclear translocation, DNA binding, and transcription of AR gene targets in prostate tumors . In mice bearing human CRPC xenograft models, apalutamide treatment produced tumor regressions in a dose-dependent manner that was more effective than that of or . Unlike bicalutamide, apalutamide antagonized AR-mediated signaling in AR overexpressing human CRPC cell lines . Androgen-deprivation therapy, or hormone therapy, can be used as part of maintenance therapy for patients with non-metastatic prostate cancer. Although most patients achieve therapeutic responses at the initial hormone therapy, many patients progress to non-metastatic castration-resistant (resistance to hormone therapy) prostate cancer which is the second-most common cause of cancer-related deaths in American males . Castration-resistant prostate cancer is often incurable, which poses significant clinical challenges for patients. Approximately 10 to 20 % of prostate cancer cases are castration-resistant, and up to 16% of these patients show no evidence of cancer metastasis at the time of castration-resistant diagnosis . Higher prostate-specific antigen (PSA) and shorter PSA doubling time (PSA DT) are associated with a higher risk for metastases and death . In a phase-2 multicenter open-label study, 89% of patients with non-metastatic, castration-resistant prostate cancer had ≥50% PSA decline at week 12 of apalutamide treatment . In a randomized trial, the median metastasis-free survival for patients taking apalutamide was 40.5 months compared to 16.2 months for patients taking a placebo . Apalutamide displayed good tolerability and safety profile in clinical studies. Apalutamide was approved in February 2018 by the FDA as Erleada for the treatment of patients with non-metastatic prostate cancer that is resistant to treatment with hormone therapy (castration-resistant). It is available as oral tablets. Apalutamide is the first FDA-approved treatment for non-metastatic, castration-resistant prostate cancer .
Major
2
[ [ [ 33, 25, 913 ] ], [ [ 33, 63, 112 ], [ 112, 23, 913 ] ], [ [ 33, 64, 600 ], [ 600, 24, 913 ] ], [ [ 33, 24, 28 ], [ 28, 24, 913 ] ], [ [ 33, 25, 609 ], [ 609, 24, 913 ] ], [ [ 33, 63, 201 ], [ 201, 24, 913 ] ], [ [ 33, 25, 877 ], [ 877, 63, 913 ] ], [ [ 33, 64, 702 ], [ 702, 25, 913 ] ], [ [ 33, 25, 594 ], [ 594, 25, 913 ] ], [ [ 33, 24, 578 ], [ 578, 25, 913 ] ] ]
[ [ [ "Amiodarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Amiodarone", "{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}", "Apalutamide" ] ], [ [ "Amiodarone", "{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}", "Apalutamide" ] ], [ [ "Amiodarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ], [ "Bisacodyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Amiodarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Amiodarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Montelukast" ], [ "Montelukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Amiodarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Amiodarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Amiodarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Amiodarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ] ]
Amiodarone 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 Apalutamide Amiodarone 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 Apalutamide Amiodarone may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl and Bisacodyl may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Amiodarone may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Amiodarone may cause a moderate interaction that could exacerbate diseases when taken with Montelukast and Montelukast may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Amiodarone may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Amiodarone may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Apalutamide Amiodarone may lead to a major life threatening interaction when taken with Bosutinib and Bosutinib may lead to a major life threatening interaction when taken with Apalutamide Amiodarone may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may lead to a major life threatening interaction when taken with Apalutamide
DB01176
DB11732
537
1,097
[ "DDInter453", "DDInter1027" ]
Cyclizine
Lasmiditan
A histamine H1 antagonist given by mouth or parenterally for the control of postoperative and drug-induced vomiting and in motion sickness. (From Martindale, The Extra Pharmacopoeia, 30th ed, p935)
Lasmiditan is an oral medication used in the termination of migraine headaches that was first approved for use in the United States in October 2019.[L9338,L9356] It was also approved by the European Commission on August 17, 2022. Traditionally, the triptan class of anti-migraine medications (e.g. [sumatriptan]) have seen preferential use in the acute treatment of migraines due to their relatively favourable efficacy and safety. Their use is not devoid of concerns, however, and their vasoconstrictive activity can lead to blood pressure lability and other cardiovascular side effects - for this reason, these medications are less suitable for use in patients with pre-existing cardiovascular disorders. Triptans abort migraines via action at several serotonin receptors, including 5-HT<sub>1D</sub> and 5-HT<sub>1B</sub> receptors, and activity at the 5-HT<sub>1B</sub> receptor has been specifically implicated in their vasoconstrictive activity.[A187316,A187322] Lasmiditan, in contrast, is a highly selective agonist of 5-HT<sub>1F</sub> receptors, carrying virtually no affinity for other receptors which appear to be largely responsible for the adverse effect profile of its predecessors - in other words, lasmiditan’s selectivity allows for the successful termination of migraines without causing vasoconstriction.[A187322,A187319] Selectivity for 5-HT<sub>1F</sub>, a lack of vasoconstrictive activity, and the ability to terminate migraines through neuronal inhibition has resulted in the creation of a new class of anti-migraine medications in which lasmiditan is the first and only member: the neurally-acting anti-migraine medications (NAAMAs).[A187322,A187307]
Moderate
1
[ [ [ 537, 24, 1097 ] ], [ [ 537, 63, 701 ], [ 701, 24, 1097 ] ], [ [ 537, 24, 1311 ], [ 1311, 24, 1097 ] ], [ [ 537, 40, 830 ], [ 830, 24, 1097 ] ], [ [ 537, 74, 1376 ], [ 1376, 24, 1097 ] ], [ [ 537, 63, 1053 ], [ 1053, 25, 1097 ] ], [ [ 537, 63, 701 ], [ 701, 24, 1614 ], [ 1614, 24, 1097 ] ], [ [ 537, 63, 1614 ], [ 1614, 63, 701 ], [ 701, 24, 1097 ] ], [ [ 537, 63, 475 ], [ 475, 24, 971 ], [ 971, 63, 1097 ] ], [ [ 537, 24, 1311 ], [ 1311, 63, 701 ], [ 701, 24, 1097 ] ] ]
[ [ [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ] ], [ [ "Cyclizine", "{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}", "Lasmiditan" ] ], [ [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ] ], [ [ "Cyclizine", "{u} (Compound) resembles {v} (Compound)", "Phenindamine" ], [ "Phenindamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ] ], [ [ "Cyclizine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ] ], [ [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lasmiditan" ] ], [ [ "Cyclizine", "{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}", "Nabilone" ], [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ] ], [ [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ], [ "Nabilone", "{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}", "Lasmiditan" ] ], [ [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ] ], [ [ "Cyclizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ] ] ]
Cyclizine 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 Lasmiditan Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Lasmiditan Cyclizine (Compound) resembles Phenindamine (Compound) and Phenindamine may cause a moderate interaction that could exacerbate diseases when taken with Lasmiditan Cyclizine (Compound) resembles Diphenhydramine (Compound) and Cyclizine 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 Lasmiditan Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Lasmiditan Cyclizine 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 Nabilone and Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Lasmiditan Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone and Nabilone 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 Lasmiditan Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Lasmiditan Cyclizine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Lasmiditan
DB00361
DB00495
134
139
[ "DDInter1939", "DDInter1961" ]
Vinorelbine
Zidovudine
Vinorelbine is an anti-mitotic chemotherapy drug that is used in the treatment of several types of malignancies, including breast cancer and non-small cell lung cancer (NSCLC). It was initially approved in the USA in 1990's for the treatment of NSCLC. It is a third-generation vinca alkaloid. The introduction of third-generation drugs (vinorelbine, gemcitabine, taxanes) in platinum combination improved survival of patients with advanced NSCLC, with very similar results from the various drugs. Treatment toxicities are considerable in the combination treatment setting. A study was done on the clearance rate of vinorelbine on individuals with various single polymorphonuclear mutations. It was found that there was 4.3-fold variation in vinorelbine clearance across the cohort, suggesting a strong influence of genetics on the clearance of this drug.
A dideoxynucleoside compound in which the 3&#39;-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]
Moderate
1
[ [ [ 134, 24, 139 ] ], [ [ 134, 24, 1477 ], [ 1477, 40, 139 ] ], [ [ 134, 6, 8374 ], [ 8374, 45, 139 ] ], [ [ 134, 7, 8155 ], [ 8155, 45, 139 ] ], [ [ 134, 21, 29209 ], [ 29209, 60, 139 ] ], [ [ 134, 25, 609 ], [ 609, 62, 139 ] ], [ [ 134, 24, 309 ], [ 309, 63, 139 ] ], [ [ 134, 63, 599 ], [ 599, 24, 139 ] ], [ [ 134, 24, 63 ], [ 63, 24, 139 ] ], [ [ 134, 25, 760 ], [ 760, 63, 139 ] ] ]
[ [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zidovudine" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telbivudine" ], [ "Telbivudine", "{u} (Compound) resembles {v} (Compound)", "Zidovudine" ] ], [ [ "Vinorelbine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Zidovudine" ] ], [ [ "Vinorelbine", "{u} (Compound) upregulates {v} (Gene)", "ABCC5" ], [ "ABCC5", "{u} (Gene) is bound by {v} (Compound)", "Zidovudine" ] ], [ [ "Vinorelbine", "{u} (Compound) causes {v} (Side Effect)", "Anorexia" ], [ "Anorexia", "{u} (Side Effect) is caused by {v} (Compound)", "Zidovudine" ] ], [ [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zidovudine" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ], [ "Ixabepilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zidovudine" ] ], [ [ "Vinorelbine", "{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}", "Zidovudine" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Teniposide" ], [ "Teniposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zidovudine" ] ], [ [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zidovudine" ] ] ]
Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Telbivudine and Telbivudine (Compound) resembles Zidovudine (Compound) Vinorelbine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Zidovudine (Compound) Vinorelbine (Compound) upregulates ABCC5 (Gene) and ABCC5 (Gene) is bound by Zidovudine (Compound) Vinorelbine (Compound) causes Anorexia (Side Effect) and Anorexia (Side Effect) is caused by Zidovudine (Compound) Vinorelbine may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a minor interaction that can limit clinical effects when taken with Zidovudine Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone and Ixabepilone may cause a moderate interaction that could exacerbate diseases when taken with Zidovudine Vinorelbine 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 Zidovudine Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Teniposide and Teniposide may cause a moderate interaction that could exacerbate diseases when taken with Zidovudine Vinorelbine may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may cause a moderate interaction that could exacerbate diseases when taken with Zidovudine
DB00206
DB11760
1,245
119
[ "DDInter1582", "DDInter1742" ]
Reserpine
Talazoparib
An alkaloid found in the roots of Rauwolfia serpentina and R. vomitoria. Reserpine inhibits the uptake of norepinephrine into storage vesicles resulting in depletion of catecholamines and serotonin from central and peripheral axon terminals. It has been used as an antihypertensive and an antipsychotic as well as a research tool, but its adverse effects limit its clinical use. The FDA withdrew its approval for the use of all oral dosage form drug products containing more than 1 mg of reserpine.
Talazoparib is an inhibitor of mammalian polyadenosine 5’-diphosphoribose polymerases (PARPs), enzymes responsible for regulating essential cellular functions, such as DNA transcription and DNA repair. Developed by Pfizer, talazoparib was first approved by the FDA in October 2018 and by the EMA in June 2019. It was approved by Health Canada in September 2020. Talazoparib is currently used in the treatment of BRCA-mutated breast cancer and HRR-mutated prostate cancer.[L47236, L47301, L47306]
Moderate
1
[ [ [ 1245, 24, 119 ] ], [ [ 1245, 24, 1064 ], [ 1064, 25, 119 ] ], [ [ 1245, 6, 4973 ], [ 4973, 45, 1449 ], [ 1449, 24, 119 ] ], [ [ 1245, 24, 1064 ], [ 1064, 64, 66 ], [ 66, 24, 119 ] ], [ [ 1245, 21, 28762 ], [ 28762, 60, 1449 ], [ 1449, 24, 119 ] ], [ [ 1245, 24, 1064 ], [ 1064, 24, 1129 ], [ 1129, 63, 119 ] ], [ [ 1245, 24, 1064 ], [ 1064, 25, 713 ], [ 713, 24, 119 ] ], [ [ 1245, 24, 1064 ], [ 1064, 24, 1367 ], [ 1367, 24, 119 ] ], [ [ 1245, 24, 1421 ], [ 1421, 63, 1449 ], [ 1449, 24, 119 ] ], [ [ 1245, 24, 1421 ], [ 1421, 63, 1406 ], [ 1406, 63, 119 ] ] ]
[ [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Reserpine", "{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}", "Talazoparib" ] ], [ [ "Reserpine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Simeprevir" ], [ "Simeprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Reserpine", "{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}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Reserpine", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Simeprevir" ], [ "Simeprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ], [ "Human adenovirus e serotype 4 strain cl-68578 antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Reserpine", "{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}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ], [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simeprevir" ], [ "Simeprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Neratinib" ], [ "Neratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ] ]
Reserpine 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 Talazoparib Reserpine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Simeprevir (Compound) and Simeprevir may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Reserpine 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 Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Reserpine (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Simeprevir (Compound) and Simeprevir may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Cladribine and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen and Human adenovirus e serotype 4 strain cl-68578 antigen may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Reserpine 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 Dimethyl fumarate and Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Cladribine and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) and Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Betrixaban and Betrixaban may cause a moderate interaction that could exacerbate diseases when taken with Simeprevir and Simeprevir may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Betrixaban and Betrixaban may cause a moderate interaction that could exacerbate diseases when taken with Neratinib and Neratinib may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib
DB00444
DB00446
63
597
[ "DDInter1765", "DDInter351" ]
Teniposide
Chloramphenicol
Teniposide is a semisynthetic derivative of podophyllotoxin that exhibits antitumor activity. Teniposide inhibits DNA synthesis by forming a complex with topoisomerase II and DNA. This complex induces breaks in double stranded DNA and prevents repair by topoisomerase II binding. Accumulated breaks in DNA prevent cells from entering into the mitotic phase of the cell cycle, and lead to cell death. Teniposide acts primarily in the G2 and S phases of the cycle.
An antibiotic first isolated from cultures of _Streptomyces venezuelae_ in 1947 but now produced synthetically. It has a relatively simple structure and was the first broad-spectrum antibiotic to be discovered. It acts by interfering with bacterial protein synthesis and is mainly bacteriostatic. (From Martindale, The Extra Pharmacopoeia, 29th ed, p106) The FDA has withdrawn all oral drug products containing chloramphenicol, due to the high risk of fatal aplastic anemia associated with this specific route of administration.[L43942,L44022]
Moderate
1
[ [ [ 63, 24, 597 ] ], [ [ 63, 6, 7524 ], [ 7524, 45, 597 ] ], [ [ 63, 7, 14278 ], [ 14278, 46, 597 ] ], [ [ 63, 18, 6718 ], [ 6718, 57, 597 ] ], [ [ 63, 21, 28787 ], [ 28787, 60, 597 ] ], [ [ 63, 23, 307 ], [ 307, 62, 597 ] ], [ [ 63, 63, 599 ], [ 599, 24, 597 ] ], [ [ 63, 24, 1626 ], [ 1626, 63, 597 ] ], [ [ 63, 25, 770 ], [ 770, 63, 597 ] ], [ [ 63, 23, 147 ], [ 147, 63, 597 ] ] ]
[ [ [ "Teniposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ] ], [ [ "Teniposide", "{u} (Compound) binds {v} (Gene)", "CYP3A5" ], [ "CYP3A5", "{u} (Gene) is bound by {v} (Compound)", "Chloramphenicol" ] ], [ [ "Teniposide", "{u} (Compound) upregulates {v} (Gene)", "PHKG2" ], [ "PHKG2", "{u} (Gene) is upregulated by {v} (Compound)", "Chloramphenicol" ] ], [ [ "Teniposide", "{u} (Compound) downregulates {v} (Gene)", "USP22" ], [ "USP22", "{u} (Gene) is downregulated by {v} (Compound)", "Chloramphenicol" ] ], [ [ "Teniposide", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Chloramphenicol" ] ], [ [ "Teniposide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chloramphenicol" ] ], [ [ "Teniposide", "{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}", "Chloramphenicol" ] ], [ [ "Teniposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Elotuzumab" ], [ "Elotuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ] ], [ [ "Teniposide", "{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}", "Chloramphenicol" ] ], [ [ "Teniposide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ] ] ]
Teniposide (Compound) binds CYP3A5 (Gene) and CYP3A5 (Gene) is bound by Chloramphenicol (Compound) Teniposide (Compound) upregulates PHKG2 (Gene) and PHKG2 (Gene) is upregulated by Chloramphenicol (Compound) Teniposide (Compound) downregulates USP22 (Gene) and USP22 (Gene) is downregulated by Chloramphenicol (Compound) Teniposide (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Chloramphenicol (Compound) Teniposide may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Chloramphenicol Teniposide 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 Chloramphenicol Teniposide may cause a moderate interaction that could exacerbate diseases when taken with Elotuzumab and Elotuzumab may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol Teniposide 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 Chloramphenicol Teniposide may cause a minor interaction that can limit clinical effects when taken with Vinblastine and Vinblastine may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol
DB01191
DB06441
1,039
936
[ "DDInter518", "DDInter283" ]
Dexfenfluramine
Cangrelor
Dexfenfluramine, also marketed under the name Redux, is a serotoninergic anorectic drug. For a fairly limited time during the middle of the nineties, the US FDA had approved it for use in managing weight loss. However, following multiple concerns about the cardiovascular side-effects of the drug, such approval was withdrawn.
Cangrelor is an intravenous, direct-acting, reversible P2Y12 inhibitor for patients undergoing percutaneous coronary intervention (PCI) who have not been yet treated by oral P2Y12 inhibitors. An advantage Cangrelor provides over oral P2Y12 inhibitors (such as prasugrel, ticagrelor, and clopidogrel) is that it is an active drug not requiring metabolic conversion therefore providing a rapid onset and offset of action. Cangrelor was approved by the FDA in June 2015 for intravenous application.
Moderate
1
[ [ [ 1039, 24, 936 ] ], [ [ 1039, 63, 97 ], [ 97, 24, 936 ] ], [ [ 1039, 64, 109 ], [ 109, 24, 936 ] ], [ [ 1039, 24, 885 ], [ 885, 24, 936 ] ], [ [ 1039, 25, 643 ], [ 643, 63, 936 ] ], [ [ 1039, 25, 901 ], [ 901, 24, 936 ] ], [ [ 1039, 63, 1271 ], [ 1271, 25, 936 ] ], [ [ 1039, 24, 1047 ], [ 1047, 25, 936 ] ], [ [ 1039, 24, 1618 ], [ 1618, 64, 936 ] ], [ [ 1039, 25, 39 ], [ 39, 64, 936 ] ] ]
[ [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ], [ "Oxaprozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{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}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Desvenlafaxine" ], [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Milnacipran" ], [ "Milnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alteplase" ], [ "Alteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trastuzumab emtansine" ], [ "Trastuzumab emtansine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cangrelor" ] ], [ [ "Dexfenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Cangrelor" ] ] ]
Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin and Oxaprozin may cause a moderate interaction that could exacerbate diseases when taken with Cangrelor Dexfenfluramine 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 Cangrelor Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Cangrelor Dexfenfluramine may lead to a major life threatening interaction when taken with Desvenlafaxine and Desvenlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Cangrelor Dexfenfluramine may lead to a major life threatening interaction when taken with Milnacipran and Milnacipran may cause a moderate interaction that could exacerbate diseases when taken with Cangrelor Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Alteplase and Alteplase may lead to a major life threatening interaction when taken with Cangrelor Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Trastuzumab emtansine and Trastuzumab emtansine may lead to a major life threatening interaction when taken with Cangrelor Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Cabozantinib and Cabozantinib may lead to a major life threatening interaction when taken with Cangrelor Dexfenfluramine may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may lead to a major life threatening interaction when taken with Cangrelor
DB01024
DB01390
1,096
1,117
[ "DDInter1252", "DDInter1683" ]
Mycophenolic acid
Sodium bicarbonate
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
Sodium bicarbonate is a white, crystalline powder that is commonly used as a pH buffering agent, an electrolyte replenisher, systemic alkalizer and in topical cleansing solutions.
Moderate
1
[ [ [ 1096, 24, 1117 ] ], [ [ 1096, 21, 29093 ], [ 29093, 60, 1117 ] ], [ [ 1096, 63, 954 ], [ 954, 23, 1117 ] ], [ [ 1096, 63, 1572 ], [ 1572, 24, 1117 ] ], [ [ 1096, 40, 955 ], [ 955, 24, 1117 ] ], [ [ 1096, 62, 362 ], [ 362, 24, 1117 ] ], [ [ 1096, 24, 665 ], [ 665, 24, 1117 ] ], [ [ 1096, 24, 339 ], [ 339, 63, 1117 ] ], [ [ 1096, 23, 260 ], [ 260, 63, 1117 ] ], [ [ 1096, 25, 463 ], [ 463, 24, 1117 ] ] ]
[ [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} (Compound) causes {v} (Side Effect)", "Fatigue" ], [ "Fatigue", "{u} (Side Effect) is caused by {v} (Compound)", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinapril" ], [ "Quinapril", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} (Compound) resembles {v} (Compound)", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefuroxime" ], [ "Cefuroxime", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bacampicillin" ], [ "Bacampicillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ferrous sulfate anhydrous" ], [ "Ferrous sulfate anhydrous", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Rifampicin" ], [ "Rifampicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ] ]
Mycophenolic acid (Compound) causes Fatigue (Side Effect) and Fatigue (Side Effect) is caused by Sodium bicarbonate (Compound) Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Quinapril and Quinapril may cause a minor interaction that can limit clinical effects when taken with Sodium bicarbonate Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Demeclocycline and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Mycophenolic acid (Compound) resembles Mycophenolate mofetil (Compound) and Mycophenolate mofetil may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Phenytoin and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Cefuroxime and Cefuroxime may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Bacampicillin and Bacampicillin may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Ferrous sulfate anhydrous and Ferrous sulfate anhydrous may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Mycophenolic acid may lead to a major life threatening interaction when taken with Rifampicin and Rifampicin may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate
DB00836
DB01319
543
34
[ "DDInter1088", "DDInter777" ]
Loperamide
Fosamprenavir
Loperamide is an anti-diarrheal agent that is available as various over-the-counter products for treating diarrhea. The drug was first synthesized in 1969 and used medically in 1976. It is a highly lipophilic synthetic phenylpiperidine opioid that is structurally similar to opiate receptor agonists such as [diphenoxylate] and [haloperidol]. Due to pharmacological properties, loperamide has been misused and abused to self-manage opioid withdrawal symptoms and to induce euphoria.[A251610, A251625] However, loperamide is associated with a risk for experiencing a range of adverse effects, often life-threatening, if taking for non-therapeutic reasons or at doses higher than the recommended dose.
Fosamprenavir is a prodrug of amprenavir, an inhibitor of human immunodeficiency virus (HIV) protease.
Major
2
[ [ [ 543, 25, 34 ] ], [ [ 543, 64, 1091 ], [ 1091, 40, 34 ] ], [ [ 543, 6, 8374 ], [ 8374, 45, 34 ] ], [ [ 543, 21, 28666 ], [ 28666, 60, 34 ] ], [ [ 543, 25, 609 ], [ 609, 23, 34 ] ], [ [ 543, 25, 1374 ], [ 1374, 62, 34 ] ], [ [ 543, 25, 760 ], [ 760, 63, 34 ] ], [ [ 543, 24, 1021 ], [ 1021, 24, 34 ] ], [ [ 543, 24, 868 ], [ 868, 63, 34 ] ], [ [ 543, 64, 1424 ], [ 1424, 24, 34 ] ] ]
[ [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fosamprenavir" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} (Compound) resembles {v} (Compound)", "Fosamprenavir" ] ], [ [ "Loperamide", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Fosamprenavir" ] ], [ [ "Loperamide", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Fosamprenavir" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fosamprenavir" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fosamprenavir" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosamprenavir" ] ], [ [ "Loperamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ], [ "Pramlintide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosamprenavir" ] ], [ [ "Loperamide", "{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}", "Fosamprenavir" ] ], [ [ "Loperamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosamprenavir" ] ] ]
Loperamide may lead to a major life threatening interaction when taken with Amprenavir and Amprenavir (Compound) resembles Fosamprenavir (Compound) Loperamide (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Fosamprenavir (Compound) Loperamide (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Fosamprenavir (Compound) Loperamide may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a minor interaction that can limit clinical effects when taken with Fosamprenavir Loperamide may lead to a major life threatening interaction when taken with Abiraterone and Abiraterone may cause a minor interaction that can limit clinical effects when taken with Fosamprenavir Loperamide may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may cause a moderate interaction that could exacerbate diseases when taken with Fosamprenavir Loperamide may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide and Pramlintide may cause a moderate interaction that could exacerbate diseases when taken with Fosamprenavir Loperamide 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 Fosamprenavir Loperamide may lead to a major life threatening interaction when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Fosamprenavir
DB05294
DB05812
1,069
1,374
[ "DDInter1917", "DDInter8" ]
Vandetanib
Abiraterone
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.
Abiraterone is a potent, irreversible, and selective inhibitor of 17 αhydroxylase/C17,20-lyase (CYP17), an enzyme expressed in testicular, adrenal, and prostatic tumour tissues, to regulate androgen biosynthesis.[A3811, A260880, L40968] Abiraterone was first approved by the FDA and EMA on April, July, and September 2011, respectively. It is used to treat metastatic castration-resistant prostate cancer and hormone-sensitive high-risk metastatic prostate cancer.[L40968, L40193, L47740, L47745] As abiraterone has poor oral bioavailability and is susceptible to hydrolysis by esterases, abiraterone acetate was developed as an orally bioavailable prodrug with enhanced stability and absorption.[A3811, A260835]
Major
2
[ [ [ 1069, 25, 1374 ] ], [ [ 1069, 6, 10417 ], [ 10417, 45, 1374 ] ], [ [ 1069, 21, 29113 ], [ 29113, 60, 1374 ] ], [ [ 1069, 62, 112 ], [ 112, 23, 1374 ] ], [ [ 1069, 23, 1135 ], [ 1135, 62, 1374 ] ], [ [ 1069, 63, 479 ], [ 479, 23, 1374 ] ], [ [ 1069, 25, 1399 ], [ 1399, 63, 1374 ] ], [ [ 1069, 64, 1302 ], [ 1302, 24, 1374 ] ], [ [ 1069, 63, 188 ], [ 188, 24, 1374 ] ], [ [ 1069, 24, 159 ], [ 159, 63, 1374 ] ] ]
[ [ [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Abiraterone" ] ], [ [ "Vandetanib", "{u} (Compound) binds {v} (Gene)", "ABCC1" ], [ "ABCC1", "{u} (Gene) is bound by {v} (Compound)", "Abiraterone" ] ], [ [ "Vandetanib", "{u} (Compound) causes {v} (Side Effect)", "Hypokalaemia" ], [ "Hypokalaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Abiraterone" ] ], [ [ "Vandetanib", "{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}", "Abiraterone" ] ], [ [ "Vandetanib", "{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}", "Abiraterone" ] ], [ [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Abiraterone" ] ], [ [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ] ], [ [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Protriptyline" ], [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ] ], [ [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nevirapine" ], [ "Nevirapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ] ], [ [ "Vandetanib", "{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}", "Abiraterone" ] ] ]
Vandetanib (Compound) binds ABCC1 (Gene) and ABCC1 (Gene) is bound by Abiraterone (Compound) Vandetanib (Compound) causes Hypokalaemia (Side Effect) and Hypokalaemia (Side Effect) is caused by Abiraterone (Compound) Vandetanib 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 Abiraterone Vandetanib 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 Abiraterone Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Donepezil and Donepezil may cause a minor interaction that can limit clinical effects when taken with Abiraterone Vandetanib may lead to a major life threatening interaction when taken with Lithium carbonate and Lithium carbonate may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone Vandetanib may lead to a major life threatening interaction when taken with Protriptyline and Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Nevirapine and Nevirapine may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone Vandetanib 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 Abiraterone
DB00795
DB11901
50
913
[ "DDInter1725", "DDInter107" ]
Sulfasalazine
Apalutamide
Sulfasalazine is an anti-inflammatory drug structurally related to salicylates and other non-steroidal anti-inflammatory drugs. It is indicated for managing inflammatory diseases such as ulcerative colitis and rheumatoid arthritis (RA).[L39065, A255582] Metabolized by intestinal bacteria, sulfasalazine is broken down into [mesalazine] and [sulfapyridine], 2 compounds that carry out the main pharmacological activity of sulfasalazine. Sulfasalazine was first used in 1940 for rheumatic polyarthritis, and has been firmly established itself as one fo the most useful disease-modifying antirheumatic drug (DMARD). Compared to the first line treatment of RA like methotrexate, sulfasalazine is almost as efficacious as methotrexate although with slightly less tolerability. However, sulfasalazine has less teratogenic side effects and faster onset of action compared to conventional DMARD. Sulf
Apalutamide is a potent androgen receptor (AR) antagonist that selectively binds to the ligand-binding domain of AR and blocks AR nuclear translocation or binding to androgen response elements . It has been used in trials studying the treatment of Prostate Cancer, Hepatic Impairment, Prostatic Neoplasms, Castration-Resistant Prostate Cancer, and Prostatic Neoplasms, Castration-Resistant, among others. Exerting an antitumor action, apalutamide blocking the effect of androgens that promote tumor growth. It targets the AR ligand-binding domain and prevents AR nuclear translocation, DNA binding, and transcription of AR gene targets in prostate tumors . In mice bearing human CRPC xenograft models, apalutamide treatment produced tumor regressions in a dose-dependent manner that was more effective than that of or . Unlike bicalutamide, apalutamide antagonized AR-mediated signaling in AR overexpressing human CRPC cell lines . Androgen-deprivation therapy, or hormone therapy, can be used as part of maintenance therapy for patients with non-metastatic prostate cancer. Although most patients achieve therapeutic responses at the initial hormone therapy, many patients progress to non-metastatic castration-resistant (resistance to hormone therapy) prostate cancer which is the second-most common cause of cancer-related deaths in American males . Castration-resistant prostate cancer is often incurable, which poses significant clinical challenges for patients. Approximately 10 to 20 % of prostate cancer cases are castration-resistant, and up to 16% of these patients show no evidence of cancer metastasis at the time of castration-resistant diagnosis . Higher prostate-specific antigen (PSA) and shorter PSA doubling time (PSA DT) are associated with a higher risk for metastases and death . In a phase-2 multicenter open-label study, 89% of patients with non-metastatic, castration-resistant prostate cancer had ≥50% PSA decline at week 12 of apalutamide treatment . In a randomized trial, the median metastasis-free survival for patients taking apalutamide was 40.5 months compared to 16.2 months for patients taking a placebo . Apalutamide displayed good tolerability and safety profile in clinical studies. Apalutamide was approved in February 2018 by the FDA as Erleada for the treatment of patients with non-metastatic prostate cancer that is resistant to treatment with hormone therapy (castration-resistant). It is available as oral tablets. Apalutamide is the first FDA-approved treatment for non-metastatic, castration-resistant prostate cancer .
Moderate
1
[ [ [ 50, 24, 913 ] ], [ [ 50, 25, 279 ], [ 279, 24, 913 ] ], [ [ 50, 63, 485 ], [ 485, 24, 913 ] ], [ [ 50, 24, 1627 ], [ 1627, 24, 913 ] ], [ [ 50, 24, 1619 ], [ 1619, 63, 913 ] ], [ [ 50, 64, 126 ], [ 126, 24, 913 ] ], [ [ 50, 24, 1612 ], [ 1612, 25, 913 ] ], [ [ 50, 24, 124 ], [ 124, 64, 913 ] ], [ [ 50, 25, 497 ], [ 497, 25, 913 ] ], [ [ 50, 25, 279 ], [ 279, 64, 112 ], [ 112, 23, 913 ] ] ]
[ [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Anisindione" ], [ "Anisindione", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{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}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ], [ "Cannabidiol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{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}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ], [ "Fostemsavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ], [ "Glasdegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{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}", "Apalutamide" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Anisindione" ], [ "Anisindione", "{u} may lead to a major life threatening interaction when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Apalutamide" ] ] ]
Sulfasalazine may lead to a major life threatening interaction when taken with Anisindione and Anisindione may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Sulfasalazine 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 Apalutamide Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol and Cannabidiol may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Sulfasalazine 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 Apalutamide Sulfasalazine may lead to a major life threatening interaction when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir and Fostemsavir may lead to a major life threatening interaction when taken with Apalutamide Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib and Glasdegib may lead to a major life threatening interaction when taken with Apalutamide Sulfasalazine 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 Apalutamide Sulfasalazine may lead to a major life threatening interaction when taken with Anisindione and Anisindione may lead to a major life threatening interaction when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Apalutamide
DB00446
DB01181
597
1,532
[ "DDInter351", "DDInter906" ]
Chloramphenicol
Ifosfamide
An antibiotic first isolated from cultures of _Streptomyces venezuelae_ in 1947 but now produced synthetically. It has a relatively simple structure and was the first broad-spectrum antibiotic to be discovered. It acts by interfering with bacterial protein synthesis and is mainly bacteriostatic. (From Martindale, The Extra Pharmacopoeia, 29th ed, p106) The FDA has withdrawn all oral drug products containing chloramphenicol, due to the high risk of fatal aplastic anemia associated with this specific route of administration.[L43942,L44022]
Ifosfamide is a chemotherapeutic agent chemically related to the nitrogen mustards and a synthetic analog of cyclophosphamide. It is active as an alkylating agent and an immunosuppressive agent.
Moderate
1
[ [ [ 597, 24, 1532 ] ], [ [ 597, 6, 3486 ], [ 3486, 45, 1532 ] ], [ [ 597, 21, 28792 ], [ 28792, 60, 1532 ] ], [ [ 597, 23, 307 ], [ 307, 23, 1532 ] ], [ [ 597, 63, 1648 ], [ 1648, 24, 1532 ] ], [ [ 597, 24, 1375 ], [ 1375, 63, 1532 ] ], [ [ 597, 24, 0 ], [ 0, 24, 1532 ] ], [ [ 597, 25, 975 ], [ 975, 63, 1532 ] ], [ [ 597, 62, 1230 ], [ 1230, 24, 1532 ] ], [ [ 597, 25, 1568 ], [ 1568, 24, 1532 ] ] ]
[ [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} (Compound) causes {v} (Side Effect)", "Gastrointestinal disorder" ], [ "Gastrointestinal disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lefamulin" ], [ "Lefamulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dactinomycin" ], [ "Dactinomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Lurbinectedin" ], [ "Lurbinectedin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Pimozide" ], [ "Pimozide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ] ]
Chloramphenicol (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Ifosfamide (Compound) Chloramphenicol (Compound) causes Gastrointestinal disorder (Side Effect) and Gastrointestinal disorder (Side Effect) is caused by Ifosfamide (Compound) Chloramphenicol may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Ifosfamide Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Aldesleukin and Aldesleukin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Lefamulin and Lefamulin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Dactinomycin and Dactinomycin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Chloramphenicol may lead to a major life threatening interaction when taken with Lurbinectedin and Lurbinectedin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Chloramphenicol may cause a minor interaction that can limit clinical effects when taken with Citalopram and Citalopram may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Chloramphenicol may lead to a major life threatening interaction when taken with Pimozide and Pimozide may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide
DB00261
DB00465
702
886
[ "DDInter93", "DDInter1010" ]
Anagrelide
Ketorolac
Anagrelide is a platelet-reducing agent used to lower dangerously elevated platelet levels (i.e. to treat thrombocythemia) in patients with myeloproliferative neoplasms. It is an oral imidazoquinazoline that was first approved for use in the US in 1997. It appears to carry a better response rate than other thrombocythemia treatments (e.g. [busulfan], [hydroxyurea]) and may be better tolerated.
Ketorolac is a Non-steroidal anti-inflammatory drug (NSAID) and is commercially available as an oral tablet, injectable, nasal spray and as an ophthalmic solution. It's analgesic properties make it a useful pain management tool across many settings including postoperative pain, rheumatoid arthritis, osteoarthritis, menstrual disorders, headaches, spinal and soft tissue pain, and ankylosing spondylitis. Impressively, ketorolac has a similar efficacy to standard doses of morphine and meperidine making it a useful opioid sparing agent.
Moderate
1
[ [ [ 702, 24, 886 ] ], [ [ 702, 24, 282 ], [ 282, 40, 886 ] ], [ [ 702, 18, 10375 ], [ 10375, 57, 886 ] ], [ [ 702, 21, 28850 ], [ 28850, 60, 886 ] ], [ [ 702, 24, 752 ], [ 752, 62, 886 ] ], [ [ 702, 24, 1383 ], [ 1383, 63, 886 ] ], [ [ 702, 64, 1578 ], [ 1578, 24, 886 ] ], [ [ 702, 25, 1564 ], [ 1564, 63, 886 ] ], [ [ 702, 25, 291 ], [ 291, 24, 886 ] ], [ [ 702, 63, 1018 ], [ 1018, 24, 886 ] ] ]
[ [ [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketorolac" ] ], [ [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nepafenac" ], [ "Nepafenac", "{u} (Compound) resembles {v} (Compound)", "Ketorolac" ] ], [ [ "Anagrelide", "{u} (Compound) downregulates {v} (Gene)", "RPS4Y1" ], [ "RPS4Y1", "{u} (Gene) is downregulated by {v} (Compound)", "Ketorolac" ] ], [ [ "Anagrelide", "{u} (Compound) causes {v} (Side Effect)", "Back pain" ], [ "Back pain", "{u} (Side Effect) is caused by {v} (Compound)", "Ketorolac" ] ], [ [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ketorolac" ] ], [ [ "Anagrelide", "{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}", "Ketorolac" ] ], [ [ "Anagrelide", "{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}", "Ketorolac" ] ], [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Defibrotide" ], [ "Defibrotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketorolac" ] ], [ [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketorolac" ] ], [ [ "Anagrelide", "{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}", "Ketorolac" ] ] ]
Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Nepafenac and Nepafenac (Compound) resembles Ketorolac (Compound) Anagrelide (Compound) downregulates RPS4Y1 (Gene) and RPS4Y1 (Gene) is downregulated by Ketorolac (Compound) Anagrelide (Compound) causes Back pain (Side Effect) and Back pain (Side Effect) is caused by Ketorolac (Compound) Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Ketorolac Anagrelide 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 Ketorolac Anagrelide 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 Ketorolac Anagrelide may lead to a major life threatening interaction when taken with Defibrotide and Defibrotide may cause a moderate interaction that could exacerbate diseases when taken with Ketorolac Anagrelide may lead to a major life threatening interaction when taken with Argatroban and Argatroban may cause a moderate interaction that could exacerbate diseases when taken with Ketorolac Anagrelide 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 Ketorolac
DB00405
DB00734
128
1,664
[ "DDInter517", "DDInter1605" ]
Dexbrompheniramine
Risperidone
Dexbrompheniramine maleate is an antihistamine agent that is used for the treatment of allergic conditions, such as hay fever or urticaria.
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
[ [ [ 128, 24, 1664 ] ], [ [ 128, 24, 924 ], [ 924, 40, 1664 ] ], [ [ 128, 6, 3958 ], [ 3958, 45, 1664 ] ], [ [ 128, 63, 1089 ], [ 1089, 24, 1664 ] ], [ [ 128, 24, 832 ], [ 832, 63, 1664 ] ], [ [ 128, 24, 1614 ], [ 1614, 24, 1664 ] ], [ [ 128, 40, 28 ], [ 28, 63, 1664 ] ], [ [ 128, 74, 1594 ], [ 1594, 24, 1664 ] ], [ [ 128, 24, 1311 ], [ 1311, 64, 1664 ] ], [ [ 128, 63, 475 ], [ 475, 25, 1664 ] ] ]
[ [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} (Compound) resembles {v} (Compound)", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{u} (Compound) binds {v} (Gene)", "KCNH2" ], [ "KCNH2", "{u} (Gene) is bound by {v} (Compound)", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ipratropium" ], [ "Ipratropium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{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}", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabilone" ], [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{u} (Compound) resembles {v} (Compound)", "Bisacodyl" ], [ "Bisacodyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Risperidone" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Risperidone" ] ] ]
Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Iloperidone and Iloperidone (Compound) resembles Risperidone (Compound) Dexbrompheniramine (Compound) binds KCNH2 (Gene) and KCNH2 (Gene) is bound by Risperidone (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Ipratropium and Ipratropium may cause a moderate interaction that could exacerbate diseases when taken with Risperidone Dexbrompheniramine 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 Risperidone Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Nabilone and Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Risperidone Dexbrompheniramine (Compound) resembles Bisacodyl (Compound) and Bisacodyl may cause a moderate interaction that could exacerbate diseases when taken with Risperidone Dexbrompheniramine (Compound) resembles Doxylamine (Compound) and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Risperidone Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Metoclopramide and Metoclopramide may lead to a major life threatening interaction when taken with Risperidone Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Risperidone
DB00421
DB12141
443
971
[ "DDInter1707", "DDInter817" ]
Spironolactone
Gilteritinib
Spironolactone is a potassium-sparing diuretic. It binds to mineralocorticoid receptors and functions as aldosterone antagonists. It promotes sodium and water excretion and potassium retention. Spironolactone was originally developed purely for this ability before other pharmacodynamic properties of the drug were discovered.[A11837, A178246] It is indicated to treat several conditions, including heart failure, edema, hyperaldosteronism, and hypertension. Off-label uses of spironolactone include hirsutism, female pattern hair loss, and adult acne vulgaris.[A178135, A261025] Spironolactone was developed in 1957, marketed in 1959, and approved by the FDA on January 21, 1960.[A178243, L6187]
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
[ [ [ 443, 24, 971 ] ], [ [ 443, 23, 1135 ], [ 1135, 23, 971 ] ], [ [ 443, 24, 820 ], [ 820, 24, 971 ] ], [ [ 443, 63, 1645 ], [ 1645, 24, 971 ] ], [ [ 443, 25, 1250 ], [ 1250, 24, 971 ] ], [ [ 443, 25, 1421 ], [ 1421, 63, 971 ] ], [ [ 443, 24, 159 ], [ 159, 63, 971 ] ], [ [ 443, 25, 498 ], [ 498, 25, 971 ] ], [ [ 443, 23, 1135 ], [ 1135, 24, 1097 ], [ 1097, 24, 971 ] ], [ [ 443, 24, 820 ], [ 820, 62, 1247 ], [ 1247, 23, 971 ] ] ]
[ [ [ "Spironolactone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Spironolactone", "{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}", "Gilteritinib" ] ], [ [ "Spironolactone", "{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}", "Gilteritinib" ] ], [ [ "Spironolactone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Spironolactone", "{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}", "Gilteritinib" ] ], [ [ "Spironolactone", "{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}", "Gilteritinib" ] ], [ [ "Spironolactone", "{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}", "Gilteritinib" ] ], [ [ "Spironolactone", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ], [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Gilteritinib" ] ], [ [ "Spironolactone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lasmiditan" ], [ "Lasmiditan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Spironolactone", "{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}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gilteritinib" ] ] ]
Spironolactone 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 Gilteritinib Spironolactone 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 Gilteritinib Spironolactone may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Spironolactone 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 Gilteritinib Spironolactone 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 Gilteritinib Spironolactone 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 Gilteritinib Spironolactone may lead to a major life threatening interaction when taken with Edoxaban and Edoxaban may lead to a major life threatening interaction when taken with Gilteritinib Spironolactone may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a moderate interaction that could exacerbate diseases when taken with Lasmiditan and Lasmiditan may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Spironolactone 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 Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Gilteritinib
DB00620
DB15093
175
1,654
[ "DDInter1855", "DDInter1698" ]
Triamcinolone
Somapacitan
Triamcinolone is a corticosteroid used to treat various inflammatory conditions in the body from allergic rhinitis to acute exacerbations of multiple sclerosis. Triamcinolone can be used as a one time adjunct treatment of osteoarthritic knee pain, or first line as a topical treatment of corticosteroid responsive dermatoses. Triamcinolone is more commonly seen in the forms triamcinolone hexacetonide, triamcinolone acetonide, and triamcinolone diacetate.[L8246,L8249,L8252,L8255,L8258,L8261,L8264] Triamcinolone was granted FDA approval on 3 December 1957. In October 2021, a suspension of triamcinolone acetonide was approved for suprachoroidal injection - the first suprachoroidal injection to receive FDA approval - for the treatment of patients with macular
Somapacitan, also known as NNC0195-0092, is a growth hormone analog indicated to treat adults with growth hormone deficiency.[A219126,L15661] This human growth hormone analog differs by the creation of an albumin binding site, and prolonging the effect so that it requires weekly dosing rather than daily. Somapacitan was granted FDA approval on 28 August 2020.
Moderate
1
[ [ [ 175, 24, 1654 ] ], [ [ 175, 24, 433 ], [ 433, 24, 1654 ] ], [ [ 175, 63, 176 ], [ 176, 24, 1654 ] ], [ [ 175, 40, 167 ], [ 167, 24, 1654 ] ], [ [ 175, 25, 676 ], [ 676, 24, 1654 ] ], [ [ 175, 23, 455 ], [ 455, 24, 1654 ] ], [ [ 175, 1, 617 ], [ 617, 24, 1654 ] ], [ [ 175, 63, 1101 ], [ 1101, 25, 1654 ] ], [ [ 175, 24, 433 ], [ 433, 63, 168 ], [ 168, 23, 1654 ] ], [ [ 175, 63, 176 ], [ 176, 24, 168 ], [ 168, 23, 1654 ] ] ]
[ [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glargine" ], [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Triamcinolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Triamcinolone", "{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}", "Somapacitan" ] ], [ [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ], [ "Budesonide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Somapacitan" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ], [ "Ertugliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somapacitan" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glargine" ], [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Somapacitan" ] ] ]
Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Insulin glargine and Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Triamcinolone (Compound) resembles Hydrocortisone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Triamcinolone may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Triamcinolone 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 Somapacitan Triamcinolone (Compound) resembles Budesonide (Compound) and Budesonide may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Somapacitan Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin and Ertugliflozin may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Somapacitan Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Insulin glargine and Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a minor interaction that can limit clinical effects when taken with Somapacitan
DB06702
DB09065
573
760
[ "DDInter731", "DDInter424" ]
Fesoterodine
Cobicistat
Fesoterodine is an antimuscarinic prodrug for the treatment of overactive bladder syndrome.
Cobicistat, marketed under the name Tybost (formerly GS-9350), indicated for treating infection with human immunodeficiency virus (HIV). Although it does not have any anti-HIV activity, cobicistat acts as a pharmacokinetic enhancer by inhibiting cytochrome P450 3A isoforms (CYP3A) and therefore increases the systemic exposure of coadministered agents that are metabolized by CYP3A enzymes. More specifically, cobicistat is indicated to increase systemic exposure of atazanavir or darunavir (once daily dosing regimen) in combination with other antiretroviral agents in the treatment of HIV-1 infection. Increasing systemic exposure of anti-retrovirals (ARVs) without increasing dosage allows for better treatment outcomes and a decreased side effect profile.
Major
2
[ [ [ 573, 25, 760 ] ], [ [ 573, 63, 1101 ], [ 1101, 23, 760 ] ], [ [ 573, 63, 723 ], [ 723, 24, 760 ] ], [ [ 573, 24, 868 ], [ 868, 24, 760 ] ], [ [ 573, 64, 609 ], [ 609, 24, 760 ] ], [ [ 573, 40, 211 ], [ 211, 24, 760 ] ], [ [ 573, 25, 384 ], [ 384, 24, 760 ] ], [ [ 573, 24, 1619 ], [ 1619, 63, 760 ] ], [ [ 573, 40, 494 ], [ 494, 25, 760 ] ], [ [ 573, 24, 1593 ], [ 1593, 25, 760 ] ] ]
[ [ [ "Fesoterodine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ] ], [ [ "Fesoterodine", "{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}", "Cobicistat" ] ], [ [ "Fesoterodine", "{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}", "Cobicistat" ] ], [ [ "Fesoterodine", "{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}", "Cobicistat" ] ], [ [ "Fesoterodine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ] ], [ [ "Fesoterodine", "{u} (Compound) resembles {v} (Compound)", "Tolterodine" ], [ "Tolterodine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ] ], [ [ "Fesoterodine", "{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}", "Cobicistat" ] ], [ [ "Fesoterodine", "{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}", "Cobicistat" ] ], [ [ "Fesoterodine", "{u} (Compound) resembles {v} (Compound)", "Disopyramide" ], [ "Disopyramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ] ], [ [ "Fesoterodine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ] ] ]
Fesoterodine 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 Cobicistat Fesoterodine 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 Cobicistat Fesoterodine 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 Cobicistat Fesoterodine may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat Fesoterodine (Compound) resembles Tolterodine (Compound) and Tolterodine may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat Fesoterodine 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 Cobicistat Fesoterodine 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 Cobicistat Fesoterodine (Compound) resembles Disopyramide (Compound) and Disopyramide may lead to a major life threatening interaction when taken with Cobicistat Fesoterodine may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib and Crizotinib may lead to a major life threatening interaction when taken with Cobicistat
DB01309
DB14276
1,254
1,631
[ "DDInter933", "DDInter1892" ]
Insulin glulisine
Turmeric
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
Turmeric is a plant/plant extract used in some OTC (over-the-counter) products. It is not an approved drug.
Moderate
1
[ [ [ 1254, 24, 1631 ] ], [ [ 1254, 63, 1479 ], [ 1479, 23, 1631 ] ], [ [ 1254, 24, 1281 ], [ 1281, 24, 1631 ] ], [ [ 1254, 63, 1645 ], [ 1645, 24, 1631 ] ], [ [ 1254, 63, 1479 ], [ 1479, 63, 20 ], [ 20, 23, 1631 ] ], [ [ 1254, 24, 1281 ], [ 1281, 63, 473 ], [ 473, 24, 1631 ] ], [ [ 1254, 63, 1645 ], [ 1645, 24, 126 ], [ 126, 23, 1631 ] ], [ [ 1254, 24, 135 ], [ 135, 62, 126 ], [ 126, 23, 1631 ] ], [ [ 1254, 63, 245 ], [ 245, 23, 1347 ], [ 1347, 23, 1631 ] ], [ [ 1254, 63, 1130 ], [ 1130, 64, 1347 ], [ 1347, 23, 1631 ] ] ]
[ [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ] ], [ [ "Insulin glulisine", "{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}", "Turmeric" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ], [ "Linagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tenecteplase" ], [ "Tenecteplase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ], [ "Linagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Albiglutide" ], [ "Albiglutide", "{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}", "Turmeric" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ] ], [ [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pioglitazone" ], [ "Pioglitazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ] ] ]
Insulin glulisine 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 Turmeric Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin and Linagliptin may cause a moderate interaction that could exacerbate diseases when taken with Turmeric Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Turmeric Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Tenecteplase and Tenecteplase may cause a minor interaction that can limit clinical effects when taken with Turmeric Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin and Linagliptin may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Turmeric Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a minor interaction that can limit clinical effects when taken with Turmeric Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Albiglutide and Albiglutide 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 Turmeric Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a minor interaction that can limit clinical effects when taken with Clopidogrel and Clopidogrel may cause a minor interaction that can limit clinical effects when taken with Turmeric Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Pioglitazone and Pioglitazone may lead to a major life threatening interaction when taken with Clopidogrel and Clopidogrel may cause a minor interaction that can limit clinical effects when taken with Turmeric
DB01072
DB09564
915
1,296
[ "DDInter129", "DDInter930" ]
Atazanavir
Insulin degludec
Atazanavir (formerly known as BMS-232632) is an antiretroviral drug of the protease inhibitor (PI) class. Like other antiretrovirals, it is used to treat infection of human immunodeficiency virus (HIV). Atazanavir is distinguished from other PIs in that it can be given once daily (rather than requiring multiple doses per day) and has lesser effects on the patient's lipid profile (the amounts of cholesterol and other fatty substances in the blood). Like other protease inhibitors, it is used only in combination with other HIV medications. The U.S. Food and Drug Administration (FDA) approved atazanavir on June 20, 2003.
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
[ [ [ 915, 24, 1296 ] ], [ [ 915, 24, 1411 ], [ 1411, 24, 1296 ] ], [ [ 915, 63, 1645 ], [ 1645, 24, 1296 ] ], [ [ 915, 64, 175 ], [ 175, 24, 1296 ] ], [ [ 915, 24, 1385 ], [ 1385, 63, 1296 ] ], [ [ 915, 40, 1327 ], [ 1327, 24, 1296 ] ], [ [ 915, 25, 1491 ], [ 1491, 24, 1296 ] ], [ [ 915, 25, 1476 ], [ 1476, 63, 1296 ] ], [ [ 915, 24, 1411 ], [ 1411, 62, 1103 ], [ 1103, 23, 1296 ] ], [ [ 915, 24, 659 ], [ 659, 64, 17 ], [ 17, 24, 1296 ] ] ]
[ [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Atazanavir", "{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" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ], [ "Semaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Atazanavir", "{u} (Compound) resembles {v} (Compound)", "Saquinavir" ], [ "Saquinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Atazanavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Atazanavir", "{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}", "Insulin degludec" ] ], [ [ "Atazanavir", "{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" ] ], [ [ "Atazanavir", "{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" ] ] ]
Atazanavir 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 Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Atazanavir may lead to a major life threatening interaction when taken with Triamcinolone and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide and Semaglutide may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Atazanavir (Compound) resembles Saquinavir (Compound) and Saquinavir may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Atazanavir may lead to a major life threatening interaction when taken with Midostaurin and Midostaurin may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Atazanavir 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 Insulin degludec Atazanavir 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 Atazanavir 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
DB00295
DB00906
475
1,567
[ "DDInter1244", "DDInter1801" ]
Morphine
Tiagabine
Morphine, the main alkaloid of opium, was first obtained from poppy seeds in 1805. It is a potent analgesic, though its use is limited due to tolerance, withdrawal, and the risk of abuse. Morphine is still routinely used today, though there are a number of semi-synthetic opioids of varying strength such as [codeine], [fentanyl], [methadone], [hydrocodone], [hydromorphone], [meperidine], and [oxycodone]. Morphine was granted FDA approval in 1941.
Tiagabine is an anti-convulsive medication. It is also used in the treatment for panic disorder as are a few other anticonvulsants. Though the exact mechanism by which tiagabine exerts its effect on the human body is unknown, it does appear to operate as a selective GABA reuptake inhibitor.
Moderate
1
[ [ [ 475, 24, 1567 ] ], [ [ 475, 6, 8374 ], [ 8374, 45, 1567 ] ], [ [ 475, 21, 28645 ], [ 28645, 60, 1567 ] ], [ [ 475, 24, 530 ], [ 530, 24, 1567 ] ], [ [ 475, 24, 537 ], [ 537, 63, 1567 ] ], [ [ 475, 63, 701 ], [ 701, 24, 1567 ] ], [ [ 475, 6, 8374 ], [ 8374, 45, 530 ], [ 530, 24, 1567 ] ], [ [ 475, 21, 28645 ], [ 28645, 60, 530 ], [ 530, 24, 1567 ] ], [ [ 475, 21, 28854 ], [ 28854, 60, 820 ], [ 820, 63, 1567 ] ], [ [ 475, 24, 530 ], [ 530, 6, 8374 ], [ 8374, 45, 1567 ] ] ]
[ [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiagabine" ] ], [ [ "Morphine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Tiagabine" ] ], [ [ "Morphine", "{u} (Compound) causes {v} (Side Effect)", "Cough" ], [ "Cough", "{u} (Side Effect) is caused by {v} (Compound)", "Tiagabine" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ], [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiagabine" ] ], [ [ "Morphine", "{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}", "Tiagabine" ] ], [ [ "Morphine", "{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}", "Tiagabine" ] ], [ [ "Morphine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Dronabinol" ], [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiagabine" ] ], [ [ "Morphine", "{u} (Compound) causes {v} (Side Effect)", "Cough" ], [ "Cough", "{u} (Side Effect) is caused by {v} (Compound)", "Dronabinol" ], [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiagabine" ] ], [ [ "Morphine", "{u} (Compound) causes {v} (Side Effect)", "Pallor" ], [ "Pallor", "{u} (Side Effect) is caused by {v} (Compound)", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tiagabine" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronabinol" ], [ "Dronabinol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Tiagabine" ] ] ]
Morphine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Tiagabine (Compound) Morphine (Compound) causes Cough (Side Effect) and Cough (Side Effect) is caused by Tiagabine (Compound) Morphine may cause a moderate interaction that could exacerbate diseases when taken with Dronabinol and Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Tiagabine Morphine 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 Tiagabine Morphine 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 Tiagabine Morphine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Dronabinol (Compound) and Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Tiagabine Morphine (Compound) causes Cough (Side Effect) and Cough (Side Effect) is caused by Dronabinol (Compound) and Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Tiagabine Morphine (Compound) causes Pallor (Side Effect) and Pallor (Side Effect) is caused by Alimemazine (Compound) and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Tiagabine Morphine may cause a moderate interaction that could exacerbate diseases when taken with Dronabinol and Dronabinol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Tiagabine (Compound)
DB01128
DB11952
918
800
[ "DDInter204", "DDInter612" ]
Bicalutamide
Duvelisib
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.
Duvelisib, also known as IPI-145 and INK-1197, is a small-molecule inhibitor of phosphoinositide-3 kinases that was designed initially to prove that simultaneous inhibition of the isoforms delta and gamma can produce a broad adaptative and innate immune cell inhibitory activity. All the work around duvelisib showed that this agent is a potent inhibitor of both forms. Duvelisib was developed by Verastem, Inc and FDA approved on September 24, 2018.
Moderate
1
[ [ [ 918, 24, 800 ] ], [ [ 918, 63, 467 ], [ 467, 24, 800 ] ], [ [ 918, 24, 1476 ], [ 1476, 63, 800 ] ], [ [ 918, 64, 11 ], [ 11, 24, 800 ] ], [ [ 918, 24, 1213 ], [ 1213, 24, 800 ] ], [ [ 918, 62, 126 ], [ 126, 24, 800 ] ], [ [ 918, 25, 39 ], [ 39, 24, 800 ] ], [ [ 918, 25, 982 ], [ 982, 63, 800 ] ], [ [ 918, 24, 313 ], [ 313, 25, 800 ] ], [ [ 918, 64, 1425 ], [ 1425, 25, 800 ] ] ]
[ [ [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Bicalutamide", "{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}", "Duvelisib" ] ], [ [ "Bicalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Bicalutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Bicalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ], [ "Panobinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Bicalutamide", "{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}", "Duvelisib" ] ], [ [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sonidegib" ], [ "Sonidegib", "{u} may lead to a major life threatening interaction when taken with {v}", "Duvelisib" ] ], [ [ "Bicalutamide", "{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}", "Duvelisib" ] ] ]
Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Bicalutamide 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 Duvelisib Bicalutamide may lead to a major life threatening interaction when taken with Toremifene and Toremifene may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Bicalutamide may cause a minor interaction that can limit clinical effects when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Bicalutamide may lead to a major life threatening interaction when taken with Panobinostat and Panobinostat may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Bicalutamide 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 Duvelisib Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Sonidegib and Sonidegib may lead to a major life threatening interaction when taken with Duvelisib Bicalutamide 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 Duvelisib
DB00959
DB01021
1,486
674
[ "DDInter1191", "DDInter1861" ]
Methylprednisolone
Trichlormethiazide
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.
A thiazide diuretic with properties similar to those of hydrochlorothiazide. (From Martindale, The Extra Pharmacopoeia, 30th ed, p830)
Moderate
1
[ [ [ 1486, 24, 674 ] ], [ [ 1486, 63, 1014 ], [ 1014, 40, 674 ] ], [ [ 1486, 24, 178 ], [ 178, 1, 674 ] ], [ [ 1486, 7, 4759 ], [ 4759, 46, 674 ] ], [ [ 1486, 63, 126 ], [ 126, 23, 674 ] ], [ [ 1486, 62, 455 ], [ 455, 24, 674 ] ], [ [ 1486, 63, 1144 ], [ 1144, 24, 674 ] ], [ [ 1486, 24, 52 ], [ 52, 63, 674 ] ], [ [ 1486, 25, 497 ], [ 497, 63, 674 ] ], [ [ 1486, 40, 251 ], [ 251, 24, 674 ] ] ]
[ [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ], [ "Benzthiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polythiazide" ], [ "Polythiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{u} (Compound) upregulates {v} (Gene)", "SERPINA3" ], [ "SERPINA3", "{u} (Gene) is upregulated by {v} (Compound)", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{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}", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ], [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ], [ "Dulaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ], [ [ "Methylprednisolone", "{u} (Compound) resembles {v} (Compound)", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ] ]
Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide and Benzthiazide (Compound) resembles Trichlormethiazide (Compound) Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Polythiazide and Polythiazide (Compound) resembles Trichlormethiazide (Compound) Methylprednisolone (Compound) upregulates SERPINA3 (Gene) and SERPINA3 (Gene) is upregulated by Trichlormethiazide (Compound) Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a minor interaction that can limit clinical effects when taken with Trichlormethiazide Methylprednisolone 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 Trichlormethiazide Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide and Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide and Dulaglutide may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide Methylprednisolone may lead to a major life threatening interaction when taken with Iohexol and Iohexol may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide Methylprednisolone (Compound) resembles Betamethasone (Compound) and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide
DB00046
DB14276
1,179
1,631
[ "DDInter940", "DDInter1892" ]
Insulin lispro
Turmeric
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
Turmeric is a plant/plant extract used in some OTC (over-the-counter) products. It is not an approved drug.
Moderate
1
[ [ [ 1179, 24, 1631 ] ], [ [ 1179, 24, 1479 ], [ 1479, 23, 1631 ] ], [ [ 1179, 24, 1281 ], [ 1281, 24, 1631 ] ], [ [ 1179, 24, 1479 ], [ 1479, 63, 20 ], [ 20, 23, 1631 ] ], [ [ 1179, 24, 1281 ], [ 1281, 63, 473 ], [ 473, 24, 1631 ] ], [ [ 1179, 24, 1645 ], [ 1645, 24, 126 ], [ 126, 23, 1631 ] ], [ [ 1179, 24, 135 ], [ 135, 62, 126 ], [ 126, 23, 1631 ] ], [ [ 1179, 24, 245 ], [ 245, 23, 1347 ], [ 1347, 23, 1631 ] ], [ [ 1179, 24, 1130 ], [ 1130, 64, 1347 ], [ 1347, 23, 1631 ] ], [ [ 1179, 24, 1645 ], [ 1645, 24, 473 ], [ 473, 24, 1631 ] ] ]
[ [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ] ], [ [ "Insulin lispro", "{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}", "Turmeric" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ], [ "Linagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tenecteplase" ], [ "Tenecteplase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linagliptin" ], [ "Linagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Albiglutide" ], [ "Albiglutide", "{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}", "Turmeric" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pioglitazone" ], [ "Pioglitazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ] ] ]
Insulin lispro 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 Turmeric Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin and Linagliptin may cause a moderate interaction that could exacerbate diseases when taken with Turmeric Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Tenecteplase and Tenecteplase may cause a minor interaction that can limit clinical effects when taken with Turmeric Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Linagliptin and Linagliptin may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Turmeric Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a minor interaction that can limit clinical effects when taken with Turmeric Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Albiglutide and Albiglutide 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 Turmeric Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a minor interaction that can limit clinical effects when taken with Clopidogrel and Clopidogrel may cause a minor interaction that can limit clinical effects when taken with Turmeric Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Pioglitazone and Pioglitazone may lead to a major life threatening interaction when taken with Clopidogrel and Clopidogrel may cause a minor interaction that can limit clinical effects when taken with Turmeric Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Turmeric
DB00975
DB01073
1,317
1,488
[ "DDInter573", "DDInter745" ]
Dipyridamole
Fludarabine
A phosphodiesterase inhibitor that blocks uptake and metabolism of adenosine by erythrocytes and vascular endothelial cells. Dipyridamole also potentiates the antiaggregating action of prostacyclin. (From AMA Drug Evaluations Annual, 1994, p752)
Fludarabine is a chemotherapeutic agent used in the treatment of hematological malignancies. It is commonly marketed under the brand name Fludara.
Moderate
1
[ [ [ 1317, 24, 1488 ] ], [ [ 1317, 63, 1585 ], [ 1585, 1, 1488 ] ], [ [ 1317, 6, 6882 ], [ 6882, 45, 1488 ] ], [ [ 1317, 21, 28701 ], [ 28701, 60, 1488 ] ], [ [ 1317, 25, 4 ], [ 4, 63, 1488 ] ], [ [ 1317, 24, 738 ], [ 738, 63, 1488 ] ], [ [ 1317, 63, 1461 ], [ 1461, 24, 1488 ] ], [ [ 1317, 63, 1064 ], [ 1064, 36, 1488 ] ], [ [ 1317, 63, 1585 ], [ 1585, 40, 11382 ], [ 11382, 1, 1488 ] ], [ [ 1317, 6, 6882 ], [ 6882, 45, 909 ], [ 909, 1, 1488 ] ] ]
[ [ [ "Dipyridamole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ] ], [ [ "Dipyridamole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Adenosine" ], [ "Adenosine", "{u} (Compound) resembles {v} (Compound)", "Fludarabine" ] ], [ [ "Dipyridamole", "{u} (Compound) binds {v} (Gene)", "SLC29A1" ], [ "SLC29A1", "{u} (Gene) is bound by {v} (Compound)", "Fludarabine" ] ], [ [ "Dipyridamole", "{u} (Compound) causes {v} (Side Effect)", "Discomfort" ], [ "Discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Fludarabine" ] ], [ [ "Dipyridamole", "{u} may lead to a major life threatening interaction when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ] ], [ [ "Dipyridamole", "{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}", "Fludarabine" ] ], [ [ "Dipyridamole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ] ], [ [ "Dipyridamole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Fludarabine" ] ], [ [ "Dipyridamole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Adenosine" ], [ "Adenosine", "{u} (Compound) resembles {v} (Compound)", "Adenosine triphosphate" ], [ "Adenosine triphosphate", "{u} (Compound) resembles {v} (Compound)", "Fludarabine" ] ], [ [ "Dipyridamole", "{u} (Compound) binds {v} (Gene)", "SLC29A1" ], [ "SLC29A1", "{u} (Gene) is bound by {v} (Compound)", "Ribavirin" ], [ "Ribavirin", "{u} (Compound) resembles {v} (Compound)", "Fludarabine" ] ] ]
Dipyridamole may cause a moderate interaction that could exacerbate diseases when taken with Adenosine and Adenosine (Compound) resembles Fludarabine (Compound) Dipyridamole (Compound) binds SLC29A1 (Gene) and SLC29A1 (Gene) is bound by Fludarabine (Compound) Dipyridamole (Compound) causes Discomfort (Side Effect) and Discomfort (Side Effect) is caused by Fludarabine (Compound) Dipyridamole may lead to a major life threatening interaction when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Fludarabine Dipyridamole 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 Fludarabine Dipyridamole may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Fludarabine Dipyridamole may cause a moderate interaction that could exacerbate diseases when taken with Cladribine and Cladribine (Compound) resembles Fludarabine (Compound) and Cladribine may lead to a major life threatening interaction when taken with Fludarabine Dipyridamole may cause a moderate interaction that could exacerbate diseases when taken with Adenosine and Adenosine (Compound) resembles Adenosine triphosphate (Compound) and Adenosine triphosphate (Compound) resembles Fludarabine (Compound) Dipyridamole (Compound) binds SLC29A1 (Gene) and SLC29A1 (Gene) is bound by Ribavirin (Compound) and Ribavirin (Compound) resembles Fludarabine (Compound)
DB00880
DB11126
359
900
[ "DDInter360", "DDInter276" ]
Chlorothiazide
Calcium gluconate
A thiazide diuretic with actions and uses similar to those of hydrochlorothiazide. (From Martindale, The Extra Pharmacopoeia, 30th ed, p812)
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
[ [ [ 359, 24, 900 ] ], [ [ 359, 40, 674 ], [ 674, 24, 900 ] ], [ [ 359, 23, 1669 ], [ 1669, 24, 900 ] ], [ [ 359, 62, 1572 ], [ 1572, 24, 900 ] ], [ [ 359, 40, 674 ], [ 674, 40, 504 ], [ 504, 24, 900 ] ], [ [ 359, 40, 504 ], [ 504, 1, 674 ], [ 674, 24, 900 ] ], [ [ 359, 23, 1669 ], [ 1669, 23, 674 ], [ 674, 24, 900 ] ], [ [ 359, 62, 1572 ], [ 1572, 23, 674 ], [ 674, 24, 900 ] ], [ [ 359, 40, 811 ], [ 811, 23, 1669 ], [ 1669, 24, 900 ] ], [ [ 359, 5, 11590 ], [ 11590, 44, 729 ], [ 729, 24, 900 ] ] ]
[ [ [ "Chlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Chlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Chlorothiazide", "{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 gluconate" ] ], [ [ "Chlorothiazide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Chlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Chlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Chlorothiazide", "{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}", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Chlorothiazide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Calcium gluconate" ] ], [ [ "Chlorothiazide", "{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 gluconate" ] ], [ [ "Chlorothiazide", "{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" ] ] ]
Chlorothiazide (Compound) resembles Trichlormethiazide (Compound) and Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Chlorothiazide 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 gluconate Chlorothiazide may cause a minor interaction that can limit clinical effects when taken with Demeclocycline and Demeclocycline may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Chlorothiazide (Compound) resembles Trichlormethiazide (Compound) and Trichlormethiazide (Compound) resembles Hydrochlorothiazide (Compound) and Hydro Chlorothiazide (Compound) resembles Hydrochlorothiazide (Compound) and Hydrochlorothiazide (Compound) resembles Trichlormethiazide (Compound) and Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Chlorothiazide 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 Trichlormethiazide and Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Chlorothiazide may cause a minor interaction that can limit clinical effects when taken with Demeclocycline and Demeclocycline may cause a minor interaction that can limit clinical effects when taken with Trichlormethiazide and Trichlormethiazide may cause a moderate interaction that could exacerbate diseases when taken with Calcium gluconate Chlorothiazide (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 gluconate Chlorothiazide (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
DB09488
DB13913
103
1,536
[ "DDInter23", "DDInter175" ]
Acrivastine
Belladonna
Acrivastine is a triprolidine analog antihistamine indicated for the treatment of allergies and hay fever. As an H1 receptor antagonist, it functions by blocking the action of histamine at this receptor thereby preventing the symptoms associated with histamine release such as pruritis, vasodilation, hypotension, edema, bronchoconstriction, and tachycardia. Acrivastine is currently available in combination with pseudoephedrine as the FDA-approved product Semprex-D.
Belladonna, also known as atropa belladonna or deadly nightshade, is a perennial herbaceous plant in the nightshade family _Solanaceae_. Its roots, leaves and fruits contain , , and mostly, . These alkaloids are naturally-occurring muscarinic antagonists. is a non-selective muscarinic antagonist that is mainly used as an adjunct for anaesthesia. The name "belladonna" originates from the Italian words "beautiful woman" and the historical use of herb eye-drops by women to dilate the pupils of the eyes for aesthetic purposes. Belladonna is a poisonous plant and belladonna intoxication from accidental ingestion may result in a severe anticholinergic syndrome, which is associated with both central and peripheral manifestations .
Moderate
1
[ [ [ 103, 24, 1536 ] ], [ [ 103, 63, 849 ], [ 849, 24, 1536 ] ], [ [ 103, 64, 1621 ], [ 1621, 25, 1536 ] ], [ [ 103, 63, 849 ], [ 849, 63, 128 ], [ 128, 24, 1536 ] ], [ [ 103, 63, 128 ], [ 128, 24, 849 ], [ 849, 24, 1536 ] ], [ [ 103, 63, 100 ], [ 100, 35, 849 ], [ 849, 24, 1536 ] ], [ [ 103, 64, 1621 ], [ 1621, 25, 849 ], [ 849, 24, 1536 ] ], [ [ 103, 23, 771 ], [ 771, 62, 849 ], [ 849, 24, 1536 ] ], [ [ 103, 64, 1621 ], [ 1621, 64, 128 ], [ 128, 24, 1536 ] ], [ [ 103, 63, 1264 ], [ 1264, 74, 1376 ], [ 1376, 24, 1536 ] ] ]
[ [ [ "Acrivastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belladonna" ] ], [ [ "Acrivastine", "{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}", "Belladonna" ] ], [ [ "Acrivastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium chloride" ], [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Belladonna" ] ], [ [ "Acrivastine", "{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}", "Dexbrompheniramine" ], [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belladonna" ] ], [ [ "Acrivastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ], [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belladonna" ] ], [ [ "Acrivastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brompheniramine" ], [ "Brompheniramine", "{u} (Compound) resembles {v} (Compound) and {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}", "Belladonna" ] ], [ [ "Acrivastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium chloride" ], [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belladonna" ] ], [ [ "Acrivastine", "{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}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belladonna" ] ], [ [ "Acrivastine", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium chloride" ], [ "Potassium chloride", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexbrompheniramine" ], [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belladonna" ] ], [ [ "Acrivastine", "{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}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belladonna" ] ] ]
Acrivastine 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 Belladonna Acrivastine may lead to a major life threatening interaction when taken with Potassium chloride and Potassium chloride may lead to a major life threatening interaction when taken with Belladonna Acrivastine 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 Dexbrompheniramine and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Belladonna Acrivastine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Belladonna Acrivastine may cause a moderate interaction that could exacerbate diseases when taken with Brompheniramine and Brompheniramine (Compound) resembles Mepyramine (Compound) and Brompheniramine 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 Belladonna Acrivastine may lead to a major life threatening interaction when taken with Potassium chloride and Potassium chloride may lead to a major life threatening interaction when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Belladonna Acrivastine 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 Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Belladonna Acrivastine may lead to a major life threatening interaction when taken with Potassium chloride and Potassium chloride may lead to a major life threatening interaction when taken with Dexbrompheniramine and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Belladonna Acrivastine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin (Compound) resembles Diphenhydramine (Compound) and Doxepin 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 Belladonna
DB06335
DB09118
761
1,580
[ "DDInter1646", "DDInter1711" ]
Saxagliptin
Stiripentol
Saxagliptin (rINN) is an orally active hypoglycemic (anti-diabetic drug) of the new dipeptidyl peptidase-4 (DPP-4) inhibitor class of drugs. FDA approved on July 31, 2009.
Stiripentol is an antiepileptic agent that is an aromatic allylic alcohol drug, which makes it structurally unique from other antiepileptic drugs.[A19740, A250825] The clinical development and marketing of stiripentol were first delayed due to the drug's potent inhibitory effects on hepatic cytochrome P450 (CYP) enzymes. However, its clinical efficacy as adjunctive therapy for epilepsies stems from its inhibitory action on CYP enzymes, as stiripentol reduces the degradation of CYP-sensitive antiepileptic drugs, hence boosting their therapeutic efficacy. Stiripentol may also exhibit direct anticonvulsant properties, although the exact mechanism of action is fully understood. Approved in the US, Canada, and Europe, stiripentol is used to treat seizures associated with Dravet syndrome.[L880,L42500,L42510] It is marketed under the brand name Diacomit.
Moderate
1
[ [ [ 761, 24, 1580 ] ], [ [ 761, 24, 283 ], [ 283, 63, 1580 ] ], [ [ 761, 63, 168 ], [ 168, 24, 1580 ] ], [ [ 761, 24, 98 ], [ 98, 24, 1580 ] ], [ [ 761, 64, 1101 ], [ 1101, 24, 1580 ] ], [ [ 761, 24, 982 ], [ 982, 64, 1580 ] ], [ [ 761, 24, 129 ], [ 129, 25, 1580 ] ], [ [ 761, 24, 283 ], [ 283, 23, 466 ], [ 466, 62, 1580 ] ], [ [ 761, 63, 168 ], [ 168, 24, 283 ], [ 283, 63, 1580 ] ], [ [ 761, 63, 473 ], [ 473, 24, 466 ], [ 466, 62, 1580 ] ] ]
[ [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Saxagliptin", "{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}", "Stiripentol" ] ], [ [ "Saxagliptin", "{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}", "Stiripentol" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somatrem" ], [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Saxagliptin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Stiripentol" ] ], [ [ "Saxagliptin", "{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}", "Stiripentol" ] ], [ [ "Saxagliptin", "{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" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Stiripentol" ] ], [ [ "Saxagliptin", "{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}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Stiripentol" ] ] ]
Saxagliptin 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 Stiripentol Saxagliptin 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 Stiripentol Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Somatrem and Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Saxagliptin may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Stiripentol Saxagliptin 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 Stiripentol Saxagliptin 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 and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Stiripentol Saxagliptin 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 Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Stiripentol
DB00108
DB15719
1,066
487
[ "DDInter1268", "DDInter171" ]
Natalizumab
Belantamab mafodotin
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.
Belantamab mafodotin, or GSK2857916, is an afucosylated monoclonal antibody that targets B cell maturation antigen conjugated to the microtubule disrupter monomethyl auristatin-F (MMAF). Belantamab mafodotin was granted FDA accelerated approval on 5 August 2020 for the treatment of multiple myeloma; however, its manufacturer began the process for withdrawal of the US marketing authorization in November 2022. In the meantime, belantamab mafodotin will be available for patients in the Risk Evaluation and Mitigation Strategy (REMS) program who can enrol in a compassionate use program.
Major
2
[ [ [ 1066, 25, 487 ] ], [ [ 1066, 25, 259 ], [ 259, 24, 487 ] ], [ [ 1066, 64, 1184 ], [ 1184, 24, 487 ] ], [ [ 1066, 24, 1430 ], [ 1430, 24, 487 ] ], [ [ 1066, 25, 976 ], [ 976, 25, 487 ] ], [ [ 1066, 64, 581 ], [ 581, 25, 487 ] ], [ [ 1066, 25, 259 ], [ 259, 63, 4 ], [ 4, 24, 487 ] ], [ [ 1066, 25, 1683 ], [ 1683, 24, 259 ], [ 259, 24, 487 ] ], [ [ 1066, 64, 1184 ], [ 1184, 24, 259 ], [ 259, 24, 487 ] ], [ [ 1066, 24, 1430 ], [ 1430, 63, 259 ], [ 259, 24, 487 ] ] ]
[ [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{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}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{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}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{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}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ], [ [ "Natalizumab", "{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}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Belantamab mafodotin" ] ] ]
Natalizumab may lead to a major life threatening interaction when taken with Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Natalizumab may lead to a major life threatening interaction when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Natalizumab 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 Belantamab mafodotin Natalizumab may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Belantamab mafodotin Natalizumab 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 Belantamab mafodotin Natalizumab may lead to a major life threatening interaction when taken with Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Natalizumab 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 Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Natalizumab may lead to a major life threatening interaction when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin Natalizumab 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 Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Belantamab mafodotin
DB00446
DB00762
597
613
[ "DDInter351", "DDInter973" ]
Chloramphenicol
Irinotecan
An antibiotic first isolated from cultures of _Streptomyces venezuelae_ in 1947 but now produced synthetically. It has a relatively simple structure and was the first broad-spectrum antibiotic to be discovered. It acts by interfering with bacterial protein synthesis and is mainly bacteriostatic. (From Martindale, The Extra Pharmacopoeia, 29th ed, p106) The FDA has withdrawn all oral drug products containing chloramphenicol, due to the high risk of fatal aplastic anemia associated with this specific route of administration.[L43942,L44022]
Irinotecan is an antineoplastic enzyme inhibitor primarily used in the treatment of colorectal cancer. It is a derivative of camptothecin that inhibits the action of topoisomerase I. Irinotecan prevents religation of the DNA strand by binding to topoisomerase I-DNA complex, and causes double-strand DNA breakage and cell death. It is a derivative of camptothecin. Irinotecan was approved for the treatment of advanced pancreatic cancer in October, 2015 (irinotecan liposome injection, trade name Onivyde).
Moderate
1
[ [ [ 597, 24, 613 ] ], [ [ 597, 24, 869 ], [ 869, 63, 613 ] ], [ [ 597, 6, 8374 ], [ 8374, 45, 613 ] ], [ [ 597, 7, 5182 ], [ 5182, 45, 613 ] ], [ [ 597, 7, 2067 ], [ 2067, 46, 613 ] ], [ [ 597, 18, 4930 ], [ 4930, 57, 613 ] ], [ [ 597, 21, 28658 ], [ 28658, 60, 613 ] ], [ [ 597, 62, 1230 ], [ 1230, 23, 613 ] ], [ [ 597, 63, 536 ], [ 536, 24, 613 ] ], [ [ 597, 24, 1249 ], [ 1249, 24, 613 ] ] ]
[ [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ] ], [ [ "Chloramphenicol", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Irinotecan" ] ], [ [ "Chloramphenicol", "{u} (Compound) upregulates {v} (Gene)", "CES1" ], [ "CES1", "{u} (Gene) is bound by {v} (Compound)", "Irinotecan" ] ], [ [ "Chloramphenicol", "{u} (Compound) upregulates {v} (Gene)", "IKBKB" ], [ "IKBKB", "{u} (Gene) is upregulated by {v} (Compound)", "Irinotecan" ] ], [ [ "Chloramphenicol", "{u} (Compound) downregulates {v} (Gene)", "DLD" ], [ "DLD", "{u} (Gene) is downregulated by {v} (Compound)", "Irinotecan" ] ], [ [ "Chloramphenicol", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Irinotecan" ] ], [ [ "Chloramphenicol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Irinotecan" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ] ], [ [ "Chloramphenicol", "{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}", "Irinotecan" ] ] ]
Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Irinotecan Chloramphenicol (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Irinotecan (Compound) Chloramphenicol (Compound) upregulates CES1 (Gene) and CES1 (Gene) is bound by Irinotecan (Compound) Chloramphenicol (Compound) upregulates IKBKB (Gene) and IKBKB (Gene) is upregulated by Irinotecan (Compound) Chloramphenicol (Compound) downregulates DLD (Gene) and DLD (Gene) is downregulated by Irinotecan (Compound) Chloramphenicol (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Irinotecan (Compound) Chloramphenicol may cause a minor interaction that can limit clinical effects when taken with Citalopram and Citalopram may cause a minor interaction that can limit clinical effects when taken with Irinotecan Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Irinotecan Chloramphenicol 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 Irinotecan
DB00780
DB01364
551
22
[ "DDInter1440", "DDInter650" ]
Phenelzine
Ephedrine
Phenelzine, with the formula β-phenylethylhydrazine, is a monoamine oxidase inhibiting antidepressant that is effective in the treatment of panic disorder and social anxiety disorder. It was developed by Parke Davis and originally FDA approved on June 9th, 1961. It is currently approved under prescription by the name of Nardil.
Ephedrine was first described in western literature in 1888, as a naturally occurring component of the ephedra plant, along with [pseudoephedrine]. Ephedrine acts as both a direct and indirect sympathomimetic. It is an alpha- and beta-adrenergic receptor agonist; however, it also causes the indirect release of norepinephrine from sympathetic neurons, inhibiting norepinephrine reuptake and displacing more norepinephrine from storage vesicles.[A193650,L12972] Ephedrine is used for its vasoconstrictive, positive chronotropic, and positive inotropic effects. Ephedrine and [phenylephrine] are still used to treat hypotension, but their use in other indications has decreased due to the development of more selective adrenergic agonists.[A193701,A193704,L12975] Ephedrine was granted a type 7 FDA Approval on 29 April 2016.
Major
2
[ [ [ 551, 25, 22 ] ], [ [ 551, 1, 80 ], [ 80, 24, 22 ] ], [ [ 551, 1, 11353 ], [ 11353, 40, 22 ] ], [ [ 551, 1, 11216 ], [ 11216, 1, 22 ] ], [ [ 551, 40, 11246 ], [ 11246, 1, 22 ] ], [ [ 551, 1, 1529 ], [ 1529, 63, 22 ] ], [ [ 551, 25, 1445 ], [ 1445, 1, 22 ] ], [ [ 551, 21, 29494 ], [ 29494, 60, 22 ] ], [ [ 551, 64, 475 ], [ 475, 23, 22 ] ], [ [ 551, 24, 959 ], [ 959, 24, 22 ] ] ]
[ [ [ "Phenelzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ephedrine" ] ], [ [ "Phenelzine", "{u} (Compound) resembles {v} (Compound)", "Amphetamine" ], [ "Amphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ], [ [ "Phenelzine", "{u} (Compound) resembles {v} (Compound)", "Benzyl alcohol" ], [ "Benzyl alcohol", "{u} (Compound) resembles {v} (Compound)", "Ephedrine" ] ], [ [ "Phenelzine", "{u} (Compound) resembles {v} (Compound)", "Phenol" ], [ "Phenol", "{u} (Compound) resembles {v} (Compound)", "Ephedrine" ] ], [ [ "Phenelzine", "{u} (Compound) resembles {v} (Compound)", "Bethanidine" ], [ "Bethanidine", "{u} (Compound) resembles {v} (Compound)", "Ephedrine" ] ], [ [ "Phenelzine", "{u} (Compound) resembles {v} (Compound)", "Metamfetamine" ], [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ], [ [ "Phenelzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} (Compound) resembles {v} (Compound)", "Ephedrine" ] ], [ [ "Phenelzine", "{u} (Compound) causes {v} (Side Effect)", "Delirium" ], [ "Delirium", "{u} (Side Effect) is caused by {v} (Compound)", "Ephedrine" ] ], [ [ "Phenelzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ephedrine" ] ], [ [ "Phenelzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ] ] ]
Phenelzine (Compound) resembles Amphetamine (Compound) and Amphetamine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine Phenelzine (Compound) resembles Benzyl alcohol (Compound) and Benzyl alcohol (Compound) resembles Ephedrine (Compound) Phenelzine (Compound) resembles Phenol (Compound) and Phenol (Compound) resembles Ephedrine (Compound) Phenelzine (Compound) resembles Bethanidine (Compound) and Bethanidine (Compound) resembles Ephedrine (Compound) Phenelzine (Compound) resembles Metamfetamine (Compound) and Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine Phenelzine may lead to a major life threatening interaction when taken with Pseudoephedrine and Pseudoephedrine (Compound) resembles Ephedrine (Compound) Phenelzine (Compound) causes Delirium (Side Effect) and Delirium (Side Effect) is caused by Ephedrine (Compound) Phenelzine may lead to a major life threatening interaction when taken with Morphine and Morphine may cause a minor interaction that can limit clinical effects when taken with Ephedrine Phenelzine may cause a moderate interaction that could exacerbate diseases when taken with Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine
DB01030
DB11760
869
119
[ "DDInter1835", "DDInter1742" ]
Topotecan
Talazoparib
An antineoplastic agent used to treat ovarian cancer. It works by inhibiting DNA topoisomerases, type I.
Talazoparib is an inhibitor of mammalian polyadenosine 5’-diphosphoribose polymerases (PARPs), enzymes responsible for regulating essential cellular functions, such as DNA transcription and DNA repair. Developed by Pfizer, talazoparib was first approved by the FDA in October 2018 and by the EMA in June 2019. It was approved by Health Canada in September 2020. Talazoparib is currently used in the treatment of BRCA-mutated breast cancer and HRR-mutated prostate cancer.[L47236, L47301, L47306]
Moderate
1
[ [ [ 869, 24, 119 ] ], [ [ 869, 63, 66 ], [ 66, 24, 119 ] ], [ [ 869, 24, 1129 ], [ 1129, 63, 119 ] ], [ [ 869, 24, 713 ], [ 713, 24, 119 ] ], [ [ 869, 25, 1137 ], [ 1137, 25, 119 ] ], [ [ 869, 25, 779 ], [ 779, 64, 119 ] ], [ [ 869, 64, 1066 ], [ 1066, 25, 119 ] ], [ [ 869, 63, 1064 ], [ 1064, 25, 119 ] ], [ [ 869, 63, 66 ], [ 66, 24, 1129 ], [ 1129, 63, 119 ] ], [ [ 869, 24, 1129 ], [ 1129, 63, 66 ], [ 66, 24, 119 ] ] ]
[ [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ], [ "Human adenovirus e serotype 4 strain cl-68578 antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Topotecan", "{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}", "Talazoparib" ] ], [ [ "Topotecan", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ], [ "Smallpox (Vaccinia) Vaccine, Live", "{u} may lead to a major life threatening interaction when taken with {v}", "Talazoparib" ] ], [ [ "Topotecan", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Talazoparib" ] ], [ [ "Topotecan", "{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}", "Talazoparib" ] ], [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ], [ "Human adenovirus e serotype 4 strain cl-68578 antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ], [ [ "Topotecan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ], [ "Human adenovirus e serotype 4 strain cl-68578 antigen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Talazoparib" ] ] ]
Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen and Human adenovirus e serotype 4 strain cl-68578 antigen may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Topotecan 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 Talazoparib Topotecan may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live and Smallpox (Vaccinia) Vaccine, Live may lead to a major life threatening interaction when taken with Talazoparib Topotecan may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Talazoparib Topotecan 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 Talazoparib Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen and Human adenovirus e serotype 4 strain cl-68578 antigen may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib Topotecan may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen and Human adenovirus e serotype 4 strain cl-68578 antigen may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Talazoparib
DB00515
DB09156
589
777
[ "DDInter387", "DDInter964" ]
Cisplatin
Iopromide
Cisplatin, cisplatinum or cis-diamminedichloroplatinum(II) (CDDP) is a platinum-based chemotherapy drug used to treat various types of cancers, including sarcomas, some carcinomas (e.g. small cell lung cancer, and ovarian cancer), lymphomas and germ cell tumors. It was the first member of its class, which now also includes carboplatin and oxaliplatin.
Iopromide is a low osmolar, non-ionic X-ray contrast agent for intravascular administration. It functions as a contrast agent by opacifying blood vessels in the flow path of the contrast agent, permitting radiographic visualization of the internal structures until significant hemodilution occurs. Although iopromide can cause several serious adverse effects, including cardiac events, thromboembolism, hypersensitivity reaction, and even death if administered intrathecally inadvertently, it is still deemed to have a favorable safety profile, with only 0.7% of patients in a 2 years study experiencing adverse events. Although the mechanism is unclear, women and outpatients tend to have a higher incidence of adverse events compared to other population groups. Approved by the FDA in 1995 and Health Canada in 1994 under the brand name ULTRAVIST, iopromide is used in radiological diagnosis, including, but not limited to, intra-arterial digital subtraction angiography (IA-DSA), cerebral and peripheral arteriography, peripheral venography, excretory urography, brain computer tomography (CT), coronary arteriography, left ventriculography, visceral angiography, and orthography.[L46906,L46911]
Major
2
[ [ [ 589, 25, 777 ] ], [ [ 589, 64, 1648 ], [ 1648, 24, 777 ] ], [ [ 589, 25, 33 ], [ 33, 24, 777 ] ], [ [ 589, 63, 1028 ], [ 1028, 24, 777 ] ], [ [ 589, 24, 1680 ], [ 1680, 24, 777 ] ], [ [ 589, 24, 242 ], [ 242, 63, 777 ] ], [ [ 589, 24, 372 ], [ 372, 25, 777 ] ], [ [ 589, 63, 963 ], [ 963, 25, 777 ] ], [ [ 589, 24, 1381 ], [ 1381, 64, 777 ] ], [ [ 589, 23, 1399 ], [ 1399, 64, 777 ] ] ]
[ [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ] ], [ [ "Cisplatin", "{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}", "Iopromide" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Amiodarone" ], [ "Amiodarone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Torasemide" ], [ "Torasemide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etacrynic acid" ], [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ], [ [ "Cisplatin", "{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}", "Iopromide" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zoledronic acid" ], [ "Zoledronic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Plazomicin" ], [ "Plazomicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ] ], [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ] ] ]
Cisplatin 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 Iopromide Cisplatin may lead to a major life threatening interaction when taken with Amiodarone and Amiodarone may cause a moderate interaction that could exacerbate diseases when taken with Iopromide Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Torasemide and Torasemide may cause a moderate interaction that could exacerbate diseases when taken with Iopromide Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Etacrynic acid and Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Iopromide Cisplatin 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 Iopromide Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may lead to a major life threatening interaction when taken with Iopromide Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Zoledronic acid and Zoledronic acid may lead to a major life threatening interaction when taken with Iopromide Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Plazomicin and Plazomicin may lead to a major life threatening interaction when taken with Iopromide Cisplatin may cause a minor interaction that can limit clinical effects when taken with Lithium carbonate and Lithium carbonate may lead to a major life threatening interaction when taken with Iopromide
DB00405
DB00475
128
1,119
[ "DDInter517", "DDInter355" ]
Dexbrompheniramine
Chlordiazepoxide
Dexbrompheniramine maleate is an antihistamine agent that is used for the treatment of allergic conditions, such as hay fever or urticaria.
An anxiolytic benzodiazepine derivative with anticonvulsant, sedative, and amnesic properties. It has also been used in the symptomatic treatment of alcohol withdrawal.
Moderate
1
[ [ [ 128, 24, 1119 ] ], [ [ 128, 24, 87 ], [ 87, 40, 1119 ] ], [ [ 128, 63, 905 ], [ 905, 40, 1119 ] ], [ [ 128, 63, 1174 ], [ 1174, 1, 1119 ] ], [ [ 128, 24, 1382 ], [ 1382, 1, 1119 ] ], [ [ 128, 24, 849 ], [ 849, 63, 1119 ] ], [ [ 128, 63, 701 ], [ 701, 24, 1119 ] ], [ [ 128, 74, 1594 ], [ 1594, 24, 1119 ] ], [ [ 128, 24, 1233 ], [ 1233, 24, 1119 ] ], [ [ 128, 63, 475 ], [ 475, 25, 1119 ] ] ]
[ [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amoxapine" ], [ "Amoxapine", "{u} (Compound) resembles {v} (Compound)", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorazepam" ], [ "Lorazepam", "{u} (Compound) resembles {v} (Compound)", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Temazepam" ], [ "Temazepam", "{u} (Compound) resembles {v} (Compound)", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midazolam" ], [ "Midazolam", "{u} (Compound) resembles {v} (Compound)", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{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}", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{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}", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triprolidine" ], [ "Triprolidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlordiazepoxide" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Chlordiazepoxide" ] ] ]
Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Amoxapine and Amoxapine (Compound) resembles Chlordiazepoxide (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Lorazepam and Lorazepam (Compound) resembles Chlordiazepoxide (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Temazepam and Temazepam (Compound) resembles Chlordiazepoxide (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Midazolam and Midazolam (Compound) resembles Chlordiazepoxide (Compound) Dexbrompheniramine 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 Chlordiazepoxide Dexbrompheniramine 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 Chlordiazepoxide Dexbrompheniramine (Compound) resembles Doxylamine (Compound) and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Chlordiazepoxide Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Triprolidine and Triprolidine may cause a moderate interaction that could exacerbate diseases when taken with Chlordiazepoxide Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Chlordiazepoxide
DB00208
DB01105
1,018
222
[ "DDInter1804", "DDInter1665" ]
Ticlopidine
Sibutramine
Ticlopidine is an effective inhibitor of platelet aggregation. It is a prodrug that is metabolised to an active form, which blocks the ADP receptor that is involved in GPIIb/IIIa receptor activation leading to platelet aggregation. Ticlopidine is marketed under the brand name Ticlid and is indicated for patients who cannot take aspirin or in whom aspirin has not worked to prevent a thrombotic stroke. The FDA label includes a black-box warning of neutropenia, aplastic anemia, thrombotic thrombocytopenia purpura, and agranulocytosis, so it is necessary to monitor patients' WBC and platelets when they are taking ticlopidine.
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
[ [ [ 1018, 24, 222 ] ], [ [ 1018, 6, 8374 ], [ 8374, 45, 222 ] ], [ [ 1018, 21, 29215 ], [ 29215, 60, 222 ] ], [ [ 1018, 24, 847 ], [ 847, 23, 222 ] ], [ [ 1018, 25, 802 ], [ 802, 63, 222 ] ], [ [ 1018, 24, 1027 ], [ 1027, 24, 222 ] ], [ [ 1018, 23, 697 ], [ 697, 63, 222 ] ], [ [ 1018, 24, 279 ], [ 279, 63, 222 ] ], [ [ 1018, 64, 1432 ], [ 1432, 24, 222 ] ], [ [ 1018, 63, 20 ], [ 20, 24, 222 ] ] ]
[ [ [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Ticlopidine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Sibutramine" ] ], [ [ "Ticlopidine", "{u} (Compound) causes {v} (Side Effect)", "Ecchymosis" ], [ "Ecchymosis", "{u} (Side Effect) is caused by {v} (Compound)", "Sibutramine" ] ], [ [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ], [ "Atomoxetine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sibutramine" ] ], [ [ "Ticlopidine", "{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" ] ], [ [ "Ticlopidine", "{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" ] ], [ [ "Ticlopidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anisindione" ], [ "Anisindione", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Ticlopidine", "{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" ] ], [ [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tenecteplase" ], [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ] ]
Ticlopidine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Sibutramine (Compound) Ticlopidine (Compound) causes Ecchymosis (Side Effect) and Ecchymosis (Side Effect) is caused by Sibutramine (Compound) Ticlopidine may cause a moderate interaction that could exacerbate diseases when taken with Atomoxetine and Atomoxetine may cause a minor interaction that can limit clinical effects when taken with Sibutramine Ticlopidine 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 Ticlopidine 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 Ticlopidine may cause a minor interaction that can limit clinical effects when taken with Phenobarbital and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Ticlopidine may cause a moderate interaction that could exacerbate diseases when taken with Anisindione and Anisindione may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Ticlopidine 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 Ticlopidine may cause a moderate interaction that could exacerbate diseases when taken with Tenecteplase and Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine
DB01215
DB06691
1,418
849
[ "DDInter677", "DDInter1155" ]
Estazolam
Mepyramine
A benzodiazepine with anticonvulsant, hypnotic, and muscle relaxant properties. It has been shown in some cases to be more potent than diazepam or nitrazepam.
Mepyramine, or pyrilamine, targets the H1 receptor. It is a first generation antihistamine. However, it rapidly permeates the brain and so often causes drowsiness as a side effect. It has been found in over-the-counter combination products for colds and menstrual symptoms, but is considered to be an unapproved prescription medication used for cough, cold, or allergic conditions.
Moderate
1
[ [ [ 1418, 24, 849 ] ], [ [ 1418, 63, 1594 ], [ 1594, 24, 849 ] ], [ [ 1418, 40, 1119 ], [ 1119, 24, 849 ] ], [ [ 1418, 24, 1074 ], [ 1074, 63, 849 ] ], [ [ 1418, 1, 1563 ], [ 1563, 24, 849 ] ], [ [ 1418, 24, 649 ], [ 649, 24, 849 ] ], [ [ 1418, 64, 475 ], [ 475, 24, 849 ] ], [ [ 1418, 63, 662 ], [ 662, 35, 849 ] ], [ [ 1418, 63, 1594 ], [ 1594, 1, 11775 ], [ 11775, 40, 849 ] ], [ [ 1418, 40, 1119 ], [ 1119, 63, 1594 ], [ 1594, 24, 849 ] ] ]
[ [ [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Estazolam", "{u} (Compound) resembles {v} (Compound)", "Chlordiazepoxide" ], [ "Chlordiazepoxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ], [ "Iodide I-123", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Estazolam", "{u} (Compound) resembles {v} (Compound)", "Halazepam" ], [ "Halazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Estazolam", "{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}", "Mepyramine" ] ], [ [ "Estazolam", "{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}", "Mepyramine" ] ], [ [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ], [ [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} (Compound) resembles {v} (Compound)", "Chloropyramine" ], [ "Chloropyramine", "{u} (Compound) resembles {v} (Compound)", "Mepyramine" ] ], [ [ "Estazolam", "{u} (Compound) resembles {v} (Compound)", "Chlordiazepoxide" ], [ "Chlordiazepoxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ] ] ]
Estazolam may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Estazolam (Compound) resembles Chlordiazepoxide (Compound) and Chlordiazepoxide may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Estazolam may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 and Iodide I-123 may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Estazolam (Compound) resembles Halazepam (Compound) and Halazepam may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Estazolam 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 Mepyramine Estazolam 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 Mepyramine Estazolam may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine (Compound) resembles Mepyramine (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine Estazolam may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine (Compound) resembles Chloropyramine (Compound) and Chloropyramine (Compound) resembles Mepyramine (Compound) Estazolam (Compound) resembles Chlordiazepoxide (Compound) and Chlordiazepoxide may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine
DB00418
DB08816
536
578
[ "DDInter1650", "DDInter1802" ]
Secobarbital
Ticagrelor
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.
Ticagrelor, or AZD6140, was first described in the literature in 2003.[A204170,A2903] Ticagrelor is an ADP derivative developed for its P2Y<sub>12</sub> receptor antagonism. Unlike [clopidogrel], ticagrelor is not a prodrug. It is marketed by Astra Zeneca as Brilinta in the US and Brilique or Possia in the EU,. Ticagrelor was granted EMA approval on 3 December 2010. Ticagrelor was granted FDA approval on 20 July 2011.
Moderate
1
[ [ [ 536, 24, 578 ] ], [ [ 536, 21, 28762 ], [ 28762, 60, 578 ] ], [ [ 536, 24, 1135 ], [ 1135, 62, 578 ] ], [ [ 536, 24, 723 ], [ 723, 24, 578 ] ], [ [ 536, 24, 868 ], [ 868, 63, 578 ] ], [ [ 536, 64, 475 ], [ 475, 24, 578 ] ], [ [ 536, 62, 1101 ], [ 1101, 24, 578 ] ], [ [ 536, 25, 765 ], [ 765, 24, 578 ] ], [ [ 536, 40, 1023 ], [ 1023, 24, 578 ] ], [ [ 536, 63, 79 ], [ 79, 24, 578 ] ] ]
[ [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Secobarbital", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Ticagrelor" ] ], [ [ "Secobarbital", "{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}", "Ticagrelor" ] ], [ [ "Secobarbital", "{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}", "Ticagrelor" ] ], [ [ "Secobarbital", "{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}", "Ticagrelor" ] ], [ [ "Secobarbital", "{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}", "Ticagrelor" ] ], [ [ "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}", "Ticagrelor" ] ], [ [ "Secobarbital", "{u} may lead to a major life threatening interaction when taken with {v}", "Hemin" ], [ "Hemin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Pentobarbital" ], [ "Pentobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ] ]
Secobarbital (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Ticagrelor (Compound) Secobarbital 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 Ticagrelor Secobarbital 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 Ticagrelor Secobarbital 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 Ticagrelor Secobarbital 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 Ticagrelor 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 Ticagrelor Secobarbital may lead to a major life threatening interaction when taken with Hemin and Hemin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Secobarbital (Compound) resembles Pentobarbital (Compound) and Pentobarbital may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Sorafenib and Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor
DB00092
DB11248
58
1,193
[ "DDInter40", "DDInter1965" ]
Alefacept
Zinc gluconate
Immunosuppressive dimeric fusion protein that consists of the extracellular CD2-binding portion of the human leukocyte function antigen-3 (LFA-3) linked to the Fc (hinge, CH2 and CH3 domains) portion of human IgG1. Produced by CHO cells, mW is 91.4 kD.
Zinc gluconate is a zinc salt of gluconic acid comprised of two gluconic acid molecules for each zinc cation (2+). Zinc gluconate is a generally recognized as safe (GRAS) substance by FDA . It is available as a trace mineral supplement and over the counter as a lozenge form for a reduced duration of common colds and with decreased symptom severity. Although it has been nasally administered for treating the common cold, this route of administration has been associated with some cases of anosmia , , , . Studies show that zinc may be better absorbed in humans in the gluconate form , , however, results from other studies may vary.[A27280, L2082] Interestingly, zinc supplementation has become a critical intervention for treating diarrheal episodes in children. Studies suggest that administration of zinc along with new low osmolarity oral rehydration solutions/salts (oral rehydration solution), may reduce both the duration and severity of diarrheal episodes for up to 12 weeks . More information about Zinc (in its natural form) is available at .
Minor
0
[ [ [ 58, 23, 1193 ] ], [ [ 58, 24, 1096 ], [ 1096, 23, 1193 ] ], [ [ 58, 24, 725 ], [ 725, 62, 1193 ] ], [ [ 58, 63, 541 ], [ 541, 23, 1193 ] ], [ [ 58, 25, 1259 ], [ 1259, 62, 1193 ] ], [ [ 58, 25, 976 ], [ 976, 23, 1193 ] ], [ [ 58, 24, 1096 ], [ 1096, 24, 1531 ], [ 1531, 23, 1193 ] ], [ [ 58, 24, 725 ], [ 725, 64, 1531 ], [ 1531, 23, 1193 ] ], [ [ 58, 24, 1531 ], [ 1531, 63, 1096 ], [ 1096, 23, 1193 ] ], [ [ 58, 63, 541 ], [ 541, 24, 1531 ], [ 1531, 23, 1193 ] ] ]
[ [ [ "Alefacept", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Satralizumab" ], [ "Satralizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Muromonab" ], [ "Muromonab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{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}", "Canakinumab" ], [ "Canakinumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Satralizumab" ], [ "Satralizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Muromonab" ], [ "Muromonab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ] ] ]
Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Satralizumab and Satralizumab may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Muromonab and Muromonab may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate Alefacept may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate Alefacept may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate Alefacept 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 Canakinumab and Canakinumab may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Satralizumab and Satralizumab may lead to a major life threatening interaction when taken with Canakinumab and Canakinumab may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Muromonab and Muromonab may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate
DB00902
DB01174
104
697
[ "DDInter1168", "DDInter1442" ]
Methdilazine
Phenobarbital
Methdilazine is a phenothiazine compound with antihistaminic activity. It is used in the treatment of various dermatoses to relieve pruritus.
A barbituric acid derivative that acts as a nonselective central nervous system depressant. It promotes binding to inhibitory gamma-aminobutyric acid subtype receptors, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
Moderate
1
[ [ [ 104, 24, 697 ] ], [ [ 104, 63, 759 ], [ 759, 1, 697 ] ], [ [ 104, 63, 536 ], [ 536, 40, 697 ] ], [ [ 104, 24, 401 ], [ 401, 24, 697 ] ], [ [ 104, 24, 516 ], [ 516, 63, 697 ] ], [ [ 104, 1, 830 ], [ 830, 63, 697 ] ], [ [ 104, 63, 274 ], [ 274, 24, 697 ] ], [ [ 104, 40, 820 ], [ 820, 63, 697 ] ], [ [ 104, 25, 1311 ], [ 1311, 63, 697 ] ], [ [ 104, 25, 593 ], [ 593, 24, 697 ] ] ]
[ [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ], [ "Primidone", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Methdilazine", "{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}", "Phenobarbital" ] ], [ [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Phenindamine" ], [ "Phenindamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Methdilazine", "{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}", "Phenobarbital" ] ], [ [ "Methdilazine", "{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}", "Phenobarbital" ] ] ]
Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Primidone and Primidone (Compound) resembles Phenobarbital (Compound) Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital (Compound) resembles Phenobarbital (Compound) Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Methdilazine 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 Phenobarbital Methdilazine (Compound) resembles Phenindamine (Compound) and Phenindamine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Phentolamine and Phentolamine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Methdilazine (Compound) resembles Alimemazine (Compound) and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Methdilazine 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 Phenobarbital Methdilazine 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 Phenobarbital
DB00598
DB00631
1,523
372
[ "DDInter1013", "DDInter405" ]
Labetalol
Clofarabine
Labetalol is a racemic mixture of 2 diastereoisomers where dilevalol, the R,R' stereoisomer, makes up 25% of the mixture. Labetalol is formulated as an injection or tablets to treat hypertension.[L7727,L7730] Labetalol was granted FDA approval on 1 August 1984.
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
[ [ [ 1523, 24, 372 ] ], [ [ 1523, 21, 29220 ], [ 29220, 60, 372 ] ], [ [ 1523, 63, 1560 ], [ 1560, 24, 372 ] ], [ [ 1523, 24, 1476 ], [ 1476, 63, 372 ] ], [ [ 1523, 24, 1419 ], [ 1419, 24, 372 ] ], [ [ 1523, 40, 954 ], [ 954, 63, 372 ] ], [ [ 1523, 24, 777 ], [ 777, 64, 372 ] ], [ [ 1523, 25, 1011 ], [ 1011, 64, 372 ] ], [ [ 1523, 21, 29220 ], [ 29220, 60, 1426 ], [ 1426, 40, 372 ] ], [ [ 1523, 21, 28717 ], [ 28717, 60, 909 ], [ 909, 1, 372 ] ] ]
[ [ [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Labetalol", "{u} (Compound) causes {v} (Side Effect)", "Abdominal pain upper" ], [ "Abdominal pain upper", "{u} (Side Effect) is caused by {v} (Compound)", "Clofarabine" ] ], [ [ "Labetalol", "{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" ] ], [ [ "Labetalol", "{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}", "Clofarabine" ] ], [ [ "Labetalol", "{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}", "Clofarabine" ] ], [ [ "Labetalol", "{u} (Compound) resembles {v} (Compound)", "Quinapril" ], [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ] ], [ [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ], [ "Iopromide", "{u} may lead to a major life threatening interaction when taken with {v}", "Clofarabine" ] ], [ [ "Labetalol", "{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}", "Clofarabine" ] ], [ [ "Labetalol", "{u} (Compound) causes {v} (Side Effect)", "Abdominal pain upper" ], [ "Abdominal pain upper", "{u} (Side Effect) is caused by {v} (Compound)", "Azacitidine" ], [ "Azacitidine", "{u} (Compound) resembles {v} (Compound)", "Clofarabine" ] ], [ [ "Labetalol", "{u} (Compound) causes {v} (Side Effect)", "Flushing" ], [ "Flushing", "{u} (Side Effect) is caused by {v} (Compound)", "Ribavirin" ], [ "Ribavirin", "{u} (Compound) resembles {v} (Compound)", "Clofarabine" ] ] ]
Labetalol (Compound) causes Abdominal pain upper (Side Effect) and Abdominal pain upper (Side Effect) is caused by Clofarabine (Compound) Labetalol 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 Labetalol 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 Clofarabine Labetalol 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 Clofarabine Labetalol (Compound) resembles Quinapril (Compound) and Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine Labetalol may cause a moderate interaction that could exacerbate diseases when taken with Iopromide and Iopromide may lead to a major life threatening interaction when taken with Clofarabine Labetalol 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 Clofarabine Labetalol (Compound) causes Abdominal pain upper (Side Effect) and Abdominal pain upper (Side Effect) is caused by Azacitidine (Compound) and Azacitidine (Compound) resembles Clofarabine (Compound) Labetalol (Compound) causes Flushing (Side Effect) and Flushing (Side Effect) is caused by Ribavirin (Compound) and Ribavirin (Compound) resembles Clofarabine (Compound)
DB00982
DB01222
1,517
617
[ "DDInter991", "DDInter246" ]
Isotretinoin
Budesonide
Isotretinoin is a retinoid derivative of vitamin A used in the treatment of severe recalcitrant acne.[Label] It was most widely marketed under the brand name Accutane, which has since been discontinued. Isotretinoin is associated with major risks in pregnancy and is therefore only available under the iPLEDGE program in the United States. The first isotretinoin-containing product was FDA approved on 7 May 1982.
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].
Moderate
1
[ [ [ 1517, 24, 617 ] ], [ [ 1517, 63, 251 ], [ 251, 1, 617 ] ], [ [ 1517, 24, 1220 ], [ 1220, 1, 617 ] ], [ [ 1517, 7, 7669 ], [ 7669, 46, 617 ] ], [ [ 1517, 18, 1870 ], [ 1870, 46, 617 ] ], [ [ 1517, 7, 2023 ], [ 2023, 57, 617 ] ], [ [ 1517, 18, 2186 ], [ 2186, 57, 617 ] ], [ [ 1517, 21, 28719 ], [ 28719, 60, 617 ] ], [ [ 1517, 24, 1478 ], [ 1478, 63, 617 ] ], [ [ 1517, 63, 1560 ], [ 1560, 24, 617 ] ] ]
[ [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Budesonide" ] ], [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Budesonide" ] ], [ [ "Isotretinoin", "{u} (Compound) upregulates {v} (Gene)", "DDIT4" ], [ "DDIT4", "{u} (Gene) is upregulated by {v} (Compound)", "Budesonide" ] ], [ [ "Isotretinoin", "{u} (Compound) downregulates {v} (Gene)", "MYC" ], [ "MYC", "{u} (Gene) is upregulated by {v} (Compound)", "Budesonide" ] ], [ [ "Isotretinoin", "{u} (Compound) upregulates {v} (Gene)", "RAP1GAP" ], [ "RAP1GAP", "{u} (Gene) is downregulated by {v} (Compound)", "Budesonide" ] ], [ [ "Isotretinoin", "{u} (Compound) downregulates {v} (Gene)", "HSPA1A" ], [ "HSPA1A", "{u} (Gene) is downregulated by {v} (Compound)", "Budesonide" ] ], [ [ "Isotretinoin", "{u} (Compound) causes {v} (Side Effect)", "Pain" ], [ "Pain", "{u} (Side Effect) is caused by {v} (Compound)", "Budesonide" ] ], [ [ "Isotretinoin", "{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}", "Budesonide" ] ], [ [ "Isotretinoin", "{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}", "Budesonide" ] ] ]
Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone (Compound) resembles Budesonide (Compound) Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone (Compound) resembles Budesonide (Compound) Isotretinoin (Compound) upregulates DDIT4 (Gene) and DDIT4 (Gene) is upregulated by Budesonide (Compound) Isotretinoin (Compound) downregulates MYC (Gene) and MYC (Gene) is upregulated by Budesonide (Compound) Isotretinoin (Compound) upregulates RAP1GAP (Gene) and RAP1GAP (Gene) is downregulated by Budesonide (Compound) Isotretinoin (Compound) downregulates HSPA1A (Gene) and HSPA1A (Gene) is downregulated by Budesonide (Compound) Isotretinoin (Compound) causes Pain (Side Effect) and Pain (Side Effect) is caused by Budesonide (Compound) Isotretinoin 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 Budesonide Isotretinoin 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 Budesonide
DB01082
DB01129
1,448
379
[ "DDInter1713", "DDInter1559" ]
Streptomycin
Rabeprazole
Streptomycin, an antibiotic derived from _Streptomyces griseus_, was the first aminoglycoside to be discovered and used in practice in the 1940s.[A233325,A233390] Selman Waksman and eventually Albert Schatz were recognized with the Nobel Prize in Medicine for their discovery of streptomycin and its antibacterial activity.[A233325,A232294] Although streptomycin was the first antibiotic determined to be effective against mycobacterium tuberculosis, it has fallen out of favor due to resistance and is now primarily used as adjunctive treatment in cases of multi-drug resistant tuberculosis.
Rabeprazole is an antiulcer drug in the class of proton pump inhibitors. It is a prodrug - in the acid environment of the parietal cells it turns into active sulphenamide form. Rabeprazole inhibits the H+, K+ATPase of the coating gastric cells and dose-dependent oppresses basal and stimulated gastric acid secretion.
Moderate
1
[ [ [ 1448, 24, 379 ] ], [ [ 1448, 63, 1215 ], [ 1215, 40, 379 ] ], [ [ 1448, 63, 660 ], [ 660, 1, 379 ] ], [ [ 1448, 21, 29232 ], [ 29232, 60, 379 ] ], [ [ 1448, 24, 972 ], [ 972, 62, 379 ] ], [ [ 1448, 63, 1479 ], [ 1479, 23, 379 ] ], [ [ 1448, 63, 955 ], [ 955, 24, 379 ] ], [ [ 1448, 24, 1024 ], [ 1024, 63, 379 ] ], [ [ 1448, 64, 1680 ], [ 1680, 24, 379 ] ], [ [ 1448, 35, 416 ], [ 416, 63, 379 ] ] ]
[ [ [ "Streptomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Streptomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lansoprazole" ], [ "Lansoprazole", "{u} (Compound) resembles {v} (Compound)", "Rabeprazole" ] ], [ [ "Streptomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esomeprazole" ], [ "Esomeprazole", "{u} (Compound) resembles {v} (Compound)", "Rabeprazole" ] ], [ [ "Streptomycin", "{u} (Compound) causes {v} (Side Effect)", "Urticaria" ], [ "Urticaria", "{u} (Side Effect) is caused by {v} (Compound)", "Rabeprazole" ] ], [ [ "Streptomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ], [ "Choline salicylate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rabeprazole" ] ], [ [ "Streptomycin", "{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}", "Rabeprazole" ] ], [ [ "Streptomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Streptomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefpodoxime" ], [ "Cefpodoxime", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ], [ [ "Streptomycin", "{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}", "Rabeprazole" ] ], [ [ "Streptomycin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rabeprazole" ] ] ]
Streptomycin may cause a moderate interaction that could exacerbate diseases when taken with Lansoprazole and Lansoprazole (Compound) resembles Rabeprazole (Compound) Streptomycin may cause a moderate interaction that could exacerbate diseases when taken with Esomeprazole and Esomeprazole (Compound) resembles Rabeprazole (Compound) Streptomycin (Compound) causes Urticaria (Side Effect) and Urticaria (Side Effect) is caused by Rabeprazole (Compound) Streptomycin may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate and Choline salicylate may cause a minor interaction that can limit clinical effects when taken with Rabeprazole Streptomycin 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 Rabeprazole Streptomycin may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolate mofetil and Mycophenolate mofetil may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole Streptomycin may cause a moderate interaction that could exacerbate diseases when taken with Cefpodoxime and Cefpodoxime may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole Streptomycin 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 Rabeprazole Streptomycin (Compound) resembles Kanamycin (Compound) and Streptomycin may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may cause a moderate interaction that could exacerbate diseases when taken with Rabeprazole
DB00853
DB14409
1,686
1,129
[ "DDInter1762", "DDInter867" ]
Temozolomide
Human adenovirus e serotype 4 strain cl-68578 antigen
Refractory anaplastic astrocytoma (WHO grade III) and Glioblastoma multiforme (WHO grade IV) are primary malignant brain tumours with poor prognosis and limited treatment options. Despite considerable genetic heterogeneity, these tumours often have impaired DNA repair systems, rendering them initially sensitive to alkylating agents, although they invariably develop resistance to these agents over time.[A229848, A229858, L32033] Temozolomide is an imidazotetrazine prodrug that is stable at acidic pH but undergoes spontaneous nonenzymatic hydrolysis at neutral or slightly basic pH; these properties allow for both oral and intravenous administration.[A229853, A229888, A229923, L32033] Following initial hydrolysis, further reactions liberate a highly reactive methyl diazonium cation capable of methylating various residues on adenosine and guanine bases leading to DNA lesions and eventual
Human adenovirus e serotype 4 strain cl-68578 antigen is a vaccine.
Moderate
1
[ [ [ 1686, 24, 1129 ] ], [ [ 1686, 64, 1057 ], [ 1057, 24, 1129 ] ], [ [ 1686, 24, 1683 ], [ 1683, 24, 1129 ] ], [ [ 1686, 63, 134 ], [ 134, 24, 1129 ] ], [ [ 1686, 25, 1259 ], [ 1259, 24, 1129 ] ], [ [ 1686, 25, 676 ], [ 676, 63, 1129 ] ], [ [ 1686, 64, 1057 ], [ 1057, 25, 1683 ], [ 1683, 24, 1129 ] ], [ [ 1686, 24, 1683 ], [ 1683, 64, 1057 ], [ 1057, 24, 1129 ] ], [ [ 1686, 63, 134 ], [ 134, 64, 1057 ], [ 1057, 24, 1129 ] ], [ [ 1686, 25, 1259 ], [ 1259, 64, 1057 ], [ 1057, 24, 1129 ] ] ]
[ [ [ "Temozolomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{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}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ], [ [ "Temozolomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Human adenovirus e serotype 4 strain cl-68578 antigen" ] ] ]
Temozolomide may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Temozolomide may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Temozolomide 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 Human adenovirus e serotype 4 strain cl-68578 antigen Temozolomide may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Temozolomide may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Temozolomide may lead to a major life threatening interaction when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Temozolomide may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Temozolomide may cause a moderate interaction that could exacerbate diseases when taken with Vinorelbine and Vinorelbine may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen Temozolomide may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Human adenovirus e serotype 4 strain cl-68578 antigen
DB00945
DB01059
1,479
956
[ "DDInter20", "DDInter1313" ]
Acetylsalicylic acid
Norfloxacin
Also known as _Aspirin_, acetylsalicylic acid (ASA) is a commonly used drug for the treatment of pain and fever due to various causes. Acetylsalicylic acid has both anti-inflammatory and antipyretic effects. This drug also inhibits platelet aggregation and is used in the prevention of blood clots stroke, and myocardial infarction (MI) [FDA label]. Interestingly, the results of various studies have demonstrated that long-term use of acetylsalicylic acid may decrease the risk of various cancers, including colorectal, esophageal, breast, lung, prostate, liver and skin cancer. Aspirin is classified as a _non-selective cyclooxygenase (COX) inhibitor_ [A32682, A177268] and is available in many doses and forms, including chewable tablets, suppositories, extended release formulations, and others. Acetylsalicylic acid is a very common
A synthetic fluoroquinolone (fluoroquinolones) with broad-spectrum antibacterial activity against most gram-negative and gram-positive bacteria. Norfloxacin inhibits bacterial DNA gyrase.
Moderate
1
[ [ [ 1479, 24, 956 ] ], [ [ 1479, 24, 872 ], [ 872, 40, 956 ] ], [ [ 1479, 63, 1176 ], [ 1176, 1, 956 ] ], [ [ 1479, 24, 1539 ], [ 1539, 1, 956 ] ], [ [ 1479, 6, 10612 ], [ 10612, 45, 956 ] ], [ [ 1479, 21, 28658 ], [ 28658, 60, 956 ] ], [ [ 1479, 62, 1684 ], [ 1684, 24, 956 ] ], [ [ 1479, 25, 1213 ], [ 1213, 63, 956 ] ], [ [ 1479, 25, 848 ], [ 848, 24, 956 ] ], [ [ 1479, 24, 1384 ], [ 1384, 63, 956 ] ] ]
[ [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ], [ "Gemifloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{u} (Compound) binds {v} (Gene)", "SLC22A6" ], [ "SLC22A6", "{u} (Gene) is bound by {v} (Compound)", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Caffeine" ], [ "Caffeine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{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}", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Ibuprofen" ], [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norfloxacin" ] ], [ [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magaldrate" ], [ "Magaldrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norfloxacin" ] ] ]
Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Gemifloxacin and Gemifloxacin (Compound) resembles Norfloxacin (Compound) Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Norfloxacin (Compound) Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Ofloxacin and Ofloxacin (Compound) resembles Norfloxacin (Compound) Acetylsalicylic acid (Compound) binds SLC22A6 (Gene) and SLC22A6 (Gene) is bound by Norfloxacin (Compound) Acetylsalicylic acid (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Norfloxacin (Compound) Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Caffeine and Caffeine may cause a moderate interaction that could exacerbate diseases when taken with Norfloxacin Acetylsalicylic acid 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 Norfloxacin Acetylsalicylic acid may lead to a major life threatening interaction when taken with Ibuprofen and Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Norfloxacin Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Magaldrate and Magaldrate may cause a moderate interaction that could exacerbate diseases when taken with Norfloxacin
DB00604
DB00738
1,425
485
[ "DDInter385", "DDInter1420" ]
Cisapride
Pentamidine
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.
Antiprotozoal agent effective in trypanosomiasis, leishmaniasis, and some fungal infections; used in treatment of pneumocystis pneumonia in HIV-infected patients. It may cause diabetes mellitus, central nervous system damage, and other toxic effects.
Major
2
[ [ [ 1425, 25, 485 ] ], [ [ 1425, 6, 12523 ], [ 12523, 45, 485 ] ], [ [ 1425, 23, 1247 ], [ 1247, 62, 485 ] ], [ [ 1425, 25, 971 ], [ 971, 63, 485 ] ], [ [ 1425, 24, 1516 ], [ 1516, 24, 485 ] ], [ [ 1425, 24, 659 ], [ 659, 63, 485 ] ], [ [ 1425, 64, 322 ], [ 322, 24, 485 ] ], [ [ 1425, 63, 867 ], [ 867, 24, 485 ] ], [ [ 1425, 25, 1585 ], [ 1585, 24, 485 ] ], [ [ 1425, 25, 877 ], [ 877, 64, 485 ] ] ]
[ [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Pentamidine" ] ], [ [ "Cisapride", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Pentamidine" ] ], [ [ "Cisapride", "{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}", "Pentamidine" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Galantamine" ], [ "Galantamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ] ], [ [ "Cisapride", "{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}", "Pentamidine" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Epirubicin" ], [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ] ], [ [ "Cisapride", "{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}", "Pentamidine" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Adenosine" ], [ "Adenosine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ] ], [ [ "Cisapride", "{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}", "Pentamidine" ] ] ]
Cisapride (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Pentamidine (Compound) Cisapride 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 Pentamidine Cisapride may lead to a major life threatening interaction when taken with Gilteritinib and Gilteritinib may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Galantamine and Galantamine may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine Cisapride 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 Pentamidine Cisapride may lead to a major life threatening interaction when taken with Epirubicin and Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine Cisapride 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 Pentamidine Cisapride may lead to a major life threatening interaction when taken with Adenosine and Adenosine may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine Cisapride 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 Pentamidine
DB00307
DB08904
1,101
375
[ "DDInter202", "DDInter342" ]
Bexarotene
Certolizumab pegol
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.
Certolizumab pegol is a pegylated monoclonal antibody against the tumor necrosis factor-alpha (TNF-alpha). It is formed with a humanized Fab fragment of 50 kDa, from an IgG 1 isotype, fused to a 40 kDa polyethylene glycol moiety replacing the Fc antibody region. The absence of the Fc region was ideated to prevent complement fixation and antibody-mediated cytotoxicity as well as to markedly increase its half-life. Certolizumab does not require glycosylation for active function and hence, its production is significantly more affordable when compared to other existing TNF-alpha therapies as it can be done directly in bacterial hosts such as _E. coli_. It was developed and manufactured by UCB Pharma, first FDA approved in 2008 and updated for a new indication on March 28, 2019.
Major
2
[ [ [ 1101, 25, 375 ] ], [ [ 1101, 25, 231 ], [ 231, 24, 375 ] ], [ [ 1101, 24, 704 ], [ 704, 24, 375 ] ], [ [ 1101, 24, 200 ], [ 200, 63, 375 ] ], [ [ 1101, 64, 1336 ], [ 1336, 24, 375 ] ], [ [ 1101, 63, 66 ], [ 66, 24, 375 ] ], [ [ 1101, 25, 1525 ], [ 1525, 63, 375 ] ], [ [ 1101, 62, 608 ], [ 608, 24, 375 ] ], [ [ 1101, 23, 759 ], [ 759, 24, 375 ] ], [ [ 1101, 64, 1066 ], [ 1066, 25, 375 ] ] ]
[ [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Stavudine" ], [ "Stavudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fentanyl" ], [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ], [ "Candida albicans", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Etonogestrel" ], [ "Etonogestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Dienogest" ], [ "Dienogest", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Primidone" ], [ "Primidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ] ] ]
Bexarotene may lead to a major life threatening interaction when taken with Stavudine and Stavudine may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Fentanyl and Fentanyl may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans and Candida albicans may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Bexarotene may lead to a major life threatening interaction when taken with Etonogestrel and Etonogestrel may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Bexarotene may lead to a major life threatening interaction when taken with Dienogest and Dienogest may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Bexarotene may cause a minor interaction that can limit clinical effects when taken with Lidocaine and Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Bexarotene may cause a minor interaction that can limit clinical effects when taken with Primidone and Primidone may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol Bexarotene may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Certolizumab pegol