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DB00604
DB00916
1,425
112
[ "DDInter385", "DDInter1202" ]
Cisapride
Metronidazole
In many countries (including Canada) cisapride has been either withdrawn or has had its indications limited due to reports about long QT syndrome due to cisapride, which predisposes to arrhythmias.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.
Metronidazole is a commonly used antibiotic, belonging to the nitroimidazole class of antibiotics. It is frequently used to treat gastrointestinal infections as well as trichomoniasis and giardiasis, and amebiasis which are parasitic infections.[A181036,A181039] Metronidazole has been used as an antibiotic for several decades, with added antiparasitic properties that set it apart from many other antibacterial drugs, allowing it to treat a wide variety of infections. It is available in capsule form, tablet form, and topical form, and suppository preparations for the treatment of various infections.
Minor
0
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[ [ [ "Cisapride", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ] ], [ [ "Cisapride", "{u} (Compound) binds {v} (Gene)", "CYP2C8" ], [ "CYP2C8", "{u} (Gene) is bound by {v} (Compound)", "Metronidazole" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Atomoxetine" ], [ "Atomoxetine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetrabenazine" ], [ "Tetrabenazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Trazodone" ], [ "Trazodone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olanzapine" ], [ "Olanzapine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propofol" ], [ "Propofol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ] ], [ [ "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}", "Metronidazole" ] ], [ [ "Cisapride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ] ], [ [ "Cisapride", "{u} may lead to a major life threatening interaction when taken with {v}", "Vardenafil" ], [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ] ] ]
Cisapride (Compound) binds CYP2C8 (Gene) and CYP2C8 (Gene) is bound by Metronidazole (Compound) Cisapride may lead to a major life threatening interaction when taken with Atomoxetine and Atomoxetine may cause a minor interaction that can limit clinical effects when taken with Metronidazole Cisapride may lead to a major life threatening interaction when taken with Tetrabenazine and Tetrabenazine may cause a minor interaction that can limit clinical effects when taken with Metronidazole Cisapride may lead to a major life threatening interaction when taken with Trazodone and Trazodone may cause a minor interaction that can limit clinical effects when taken with Metronidazole Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Olanzapine and Olanzapine may cause a minor interaction that can limit clinical effects when taken with Metronidazole Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Propofol and Propofol may cause a minor interaction that can limit clinical effects when taken with Metronidazole 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 Metronidazole Cisapride may cause a moderate interaction that could exacerbate diseases when taken with Famotidine and Famotidine may cause a minor interaction that can limit clinical effects when taken with Metronidazole Cisapride may lead to a major life threatening interaction when taken with Vardenafil and Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole
DB01045
DB12015
463
1,033
[ "DDInter1590", "DDInter53" ]
Rifampicin
Alpelisib
A semisynthetic antibiotic produced from Streptomyces mediterranei. It has a broad antibacterial spectrum, including activity against several forms of Mycobacterium. In susceptible organisms it inhibits DNA-dependent RNA polymerase activity by forming a stable complex with the enzyme. It thus suppresses the initiation of RNA synthesis. Rifampin is bactericidal, and acts on both intracellular and extracellular organisms. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p1160)
Alpelisib is a phosphatidylinositol 3-kinase (PI3K) inhibitor with potent antitumor activity. It works by selectively inhibiting class I PI3K p110α , which is the catalytic subunit of PI3K, a lipid kinase that plays a role in various biological processes, including proliferation, survival, differentiation, and metabolism. Alpelisib was designed to target this enzyme that appears to be mutated at a rate of nearly 30% in human cancers, leading to hyperactivation. There are several isoform-specific PI3K inhibitors that are under clinical development or currently approved, such as [idelalisib] used for chronic lymphocytic leukemia (CLL). Approved by the FDA in May 2019, alpelisib is the first approved PI3K inhibitor indicated for the treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, PIK3CA-mutated, advanced or metastatic breast cancer in combination with [fulvestrant] for postmenopausal women and male patients. To initiate alpelisib therapy, it is required that the presence of a PIK3CA mutation in the tissue and/or liquid biopsy sample collection should be confirmed via FDA-approved diagnostic tests. Alpelisib is marketed under the trade name Piqray and is available as oral tablets. Studies evaluating the therapeutic effectiveness of alpelisib in other cancers, such as ovarian cancer and colorectal cancer , are under ongoing investigations. Alpelisib was granted FDA approval on 24 May 2019. In April 2022, the FDA granted the use of alpelisib in the treatment of PIK3CA-Related Overgrowth Spectrum (PROS) in adults and children who require systemic therapy.
Major
2
[ [ [ 463, 25, 1033 ] ], [ [ 463, 25, 1135 ], [ 1135, 23, 1033 ] ], [ [ 463, 24, 738 ], [ 738, 24, 1033 ] ], [ [ 463, 25, 951 ], [ 951, 24, 1033 ] ], [ [ 463, 63, 10 ], [ 10, 24, 1033 ] ], [ [ 463, 64, 467 ], [ 467, 24, 1033 ] ], [ [ 463, 23, 1264 ], [ 1264, 24, 1033 ] ], [ [ 463, 25, 982 ], [ 982, 63, 1033 ] ], [ [ 463, 24, 1619 ], [ 1619, 63, 1033 ] ], [ [ 463, 62, 1101 ], [ 1101, 24, 1033 ] ] ]
[ [ [ "Rifampicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Alpelisib" ] ], [ [ "Rifampicin", "{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}", "Alpelisib" ] ], [ [ "Rifampicin", "{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}", "Alpelisib" ] ], [ [ "Rifampicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ], [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Rifampicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Rifampicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Rifampicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Rifampicin", "{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}", "Alpelisib" ] ], [ [ "Rifampicin", "{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}", "Alpelisib" ] ], [ [ "Rifampicin", "{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}", "Alpelisib" ] ] ]
Rifampicin 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 Alpelisib Rifampicin 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 Alpelisib Rifampicin may lead to a major life threatening interaction when taken with Palbociclib and Palbociclib may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Rifampicin may cause a moderate interaction that could exacerbate diseases when taken with Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Rifampicin may lead to a major life threatening interaction when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Rifampicin may cause a minor interaction that can limit clinical effects when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Rifampicin 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 Alpelisib Rifampicin 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 Alpelisib Rifampicin 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 Alpelisib
DB00446
DB00601
597
453
[ "DDInter351", "DDInter1073" ]
Chloramphenicol
Linezolid
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]
Linezolid is a synthetic antibiotic which is used for the treatment of infections caused by aerobic Gram-positive bacteria. Its effects are bacteriostatic against both enterococci and staphylococci and bactericidal against most isolates of streptococci. Linezolid exerts its antibacterial activity by inhibiting the initiation of bacterial protein synthesis - more specifically, it binds to the 23S ribosomal RNA of the 50S subunit[A11227,A199050] and, in doing so, prevents the formation of the 70S initiation complex which is essential for bacterial reproduction. Linezolid was initially approved in 2000 and was the first member of the oxazolidinone antibiotic class. A second member of this class, [tedizolid], was approved by the FDA in 2014 and is considered generally more effective and tolerable than its predecessor.
Moderate
1
[ [ [ 597, 24, 453 ] ], [ [ 597, 24, 792 ], [ 792, 1, 453 ] ], [ [ 597, 21, 28882 ], [ 28882, 60, 453 ] ], [ [ 597, 24, 770 ], [ 770, 63, 453 ] ], [ [ 597, 63, 10 ], [ 10, 24, 453 ] ], [ [ 597, 24, 522 ], [ 522, 24, 453 ] ], [ [ 597, 64, 1064 ], [ 1064, 25, 453 ] ], [ [ 597, 63, 581 ], [ 581, 25, 453 ] ], [ [ 597, 24, 1510 ], [ 1510, 64, 453 ] ], [ [ 597, 25, 1292 ], [ 1292, 64, 453 ] ] ]
[ [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rivaroxaban" ], [ "Rivaroxaban", "{u} (Compound) resembles {v} (Compound)", "Linezolid" ] ], [ [ "Chloramphenicol", "{u} (Compound) causes {v} (Side Effect)", "Body temperature increased" ], [ "Body temperature increased", "{u} (Side Effect) is caused by {v} (Compound)", "Linezolid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zafirlukast" ], [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Linezolid" ] ], [ [ "Chloramphenicol", "{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}", "Linezolid" ] ], [ [ "Chloramphenicol", "{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}", "Linezolid" ] ], [ [ "Chloramphenicol", "{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}", "Linezolid" ] ], [ [ "Chloramphenicol", "{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}", "Linezolid" ] ] ]
Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Rivaroxaban and Rivaroxaban (Compound) resembles Linezolid (Compound) Chloramphenicol (Compound) causes Body temperature increased (Side Effect) and Body temperature increased (Side Effect) is caused by Linezolid (Compound) Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Linezolid Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Linezolid Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Zafirlukast and Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Linezolid Chloramphenicol 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 Linezolid Chloramphenicol 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 Linezolid Chloramphenicol 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 Linezolid Chloramphenicol 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 Linezolid
DB00819
DB00959
471
1,486
[ "DDInter15", "DDInter1191" ]
Acetazolamide
Methylprednisolone
One of the carbonic anhydrase inhibitors that is sometimes effective against absence seizures. It is sometimes useful also as an adjunct in the treatment of tonic-clonic, myoclonic, and atonic seizures, particularly in women whose seizures occur or are exacerbated at specific times in the menstrual cycle. However, its usefulness is transient often because of rapid development of tolerance. Its antiepileptic effect may be due to its inhibitory effect on brain carbonic anhydrase, which leads to an increased transneuronal chloride gradient, increased chloride current, and increased inhibition. (From Smith and Reynard, Textbook of Pharmacology, 1991, p337)
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.
Moderate
1
[ [ [ 471, 24, 1486 ] ], [ [ 471, 63, 175 ], [ 175, 40, 1486 ] ], [ [ 471, 63, 167 ], [ 167, 1, 1486 ] ], [ [ 471, 24, 1220 ], [ 1220, 1, 1486 ] ], [ [ 471, 6, 8374 ], [ 8374, 45, 1486 ] ], [ [ 471, 21, 28997 ], [ 28997, 60, 1486 ] ], [ [ 471, 63, 1674 ], [ 1674, 23, 1486 ] ], [ [ 471, 24, 455 ], [ 455, 23, 1486 ] ], [ [ 471, 24, 480 ], [ 480, 62, 1486 ] ], [ [ 471, 63, 127 ], [ 127, 24, 1486 ] ] ]
[ [ [ "Acetazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{u} (Compound) causes {v} (Side Effect)", "Ill-defined disorder" ], [ "Ill-defined disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{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}", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methylprednisolone" ] ], [ [ "Acetazolamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miglitol" ], [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ] ] ]
Acetazolamide may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone (Compound) resembles Methylprednisolone (Compound) Acetazolamide may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone (Compound) resembles Methylprednisolone (Compound) Acetazolamide may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone (Compound) resembles Methylprednisolone (Compound) Acetazolamide (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Methylprednisolone (Compound) Acetazolamide (Compound) causes Ill-defined disorder (Side Effect) and Ill-defined disorder (Side Effect) is caused by Methylprednisolone (Compound) Acetazolamide 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 Methylprednisolone Acetazolamide may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Methylprednisolone Acetazolamide may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a minor interaction that can limit clinical effects when taken with Methylprednisolone Acetazolamide may cause a moderate interaction that could exacerbate diseases when taken with Miglitol and Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone
DB00697
DB13074
876
877
[ "DDInter1821", "DDInter1110" ]
Tizanidine
Macimorelin
Tizanidine is a fast-acting drug used for the management of muscle spasm, which may result from the effects of multiple sclerosis, stroke, an acquired brain injury, or a spinal cord injury. It may also be caused by musculoskeletal injury. Regardless of the cause, muscle spasticity can be an extremely painful and debilitating condition. Initially approved by the FDA in 1996, tizanidine is an Alpha-2 adrenergic receptor agonist reducing spasticity by the presynaptic inhibition of excitatory neurotransmitters that cause firing of neurons promoting muscle spasm [FDA label].
Macimorelin, a novel and orally active ghrelin mimetic that stimulates GH secretion, is used in the diagnosis of adult GH deficiency (AGHD). More specifically, macimorelin is a peptidomimetic growth hormone secretagogue (GHS) that acts as an agonist of GH secretagogue receptor, or ghrelin receptor (GHS-R1a) to dose-dependently increase GH levels . Growth hormone secretagogues (GHS) represent a new class of pharmacological agents which have the potential to be used in numerous clinical applications. They include treatment for growth retardation in children and cachexia associated with chronic disease such as AIDS and cancer. Growth hormone (GH) is classically linked with linear growth during childhood. In deficiency of this hormone, AGHD is commonly associated with increased fat mass (particularly in the abdominal region), decreased lean body mass, osteopenia, dyslipidemia, insulin resistance, and/or glucose intolerance overtime. In addition, individuals with may be susceptible to cardiovascular complications from altered structures and function . Risk factors of AGHD include a history of childhood-onset GH deficiency or with hypothalamic/pituitary disease, surgery, or irradiation to these areas, head trauma, or evidence of other pituitary hormone deficiencies . While there are various therapies available such as GH replacement therapy, the absence of panhypopituitarism and low serum IGF-I levels with nonspecific clinical symptoms pose challenges to the detection and diagnosis of AGHD. The diagnosis of AGHD requires biochemical confirmation with at least 1 GH stimulation test . Macimorelin is clinically useful since it displays good stability and oral bioavailability with comparable affinity to ghrelin receptor as its endogenous ligand. In clinical studies involving healthy subjects, macimorelin stimulated GH release in a dose-dependent manner with good tolerability . Macimorelin, developed by Aeterna Zentaris, was approved by the FDA in December 2017 under the market name Macrilen for oral solution.
Major
2
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[ [ [ "Tizanidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{u} (Compound) resembles {v} (Compound)", "Clonidine" ], [ "Clonidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivosidenib" ], [ "Ivosidenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ] ], [ [ "Tizanidine", "{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}", "Macimorelin" ] ] ]
Tizanidine may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Macimorelin Tizanidine may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Tizanidine (Compound) resembles Clonidine (Compound) and Clonidine may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Tizanidine may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin Tizanidine may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine may lead to a major life threatening interaction when taken with Macimorelin Tizanidine may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Macimorelin Tizanidine may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may lead to a major life threatening interaction when taken with Macimorelin Tizanidine may lead to a major life threatening interaction when taken with Ivosidenib and Ivosidenib may lead to a major life threatening interaction when taken with Macimorelin Tizanidine 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 Macimorelin
DB06206
DB12364
1,268
1,421
[ "DDInter1719", "DDInter200" ]
Sugammadex
Betrixaban
Sugammadex is a selective relaxant binding agent indicated for reversal of neuromuscular blockade induced by rocuronium bromide and vecuronium bromide during surgery. Rocuronium bromide and vecuronium bromide are neuromuscular blocking medications that cause temporary paralysis and are especially useful for general anesthesia, ventilation, or tracheal intubation that patients may require for surgery. Sugammadex provides a new treatment option to reverse the effects of those medications and possibly help patients recover sooner post-surgery. Sugammadex (brand name Bridion) is marketed by Merck Sharp and Dohme, and was approved by the United States FDA on December 15, 2015.
Betrixaban is a non-vitamin K oral anticoagulant whose action is driven by the competitive and reversible inhibition of the factor Xa . It was selected among all lead compounds due to its low hERG channel affinity while sustaining its factor Xa inhibition capacity . Betrixaban, now developed by Portola Pharmaceuticals Inc., is prescribed as a venous thromboembolism (VTE) prophylactic for adult patients with moderate to severe restricted motility or with other risks for VTE . VTE can be manifested as deep vein thrombosis or pulmonary embolism and it is a leading cause of preventable death in hospitalized patients .
Moderate
1
[ [ [ 1268, 24, 1421 ] ], [ [ 1268, 24, 18 ], [ 18, 25, 1421 ] ], [ [ 1268, 63, 291 ], [ 291, 25, 1421 ] ], [ [ 1268, 24, 18 ], [ 18, 63, 1074 ], [ 1074, 24, 1421 ] ], [ [ 1268, 24, 235 ], [ 235, 62, 297 ], [ 297, 23, 1421 ] ], [ [ 1268, 63, 291 ], [ 291, 23, 297 ], [ 297, 23, 1421 ] ], [ [ 1268, 63, 279 ], [ 279, 24, 1151 ], [ 1151, 24, 1421 ] ], [ [ 1268, 24, 792 ], [ 792, 23, 297 ], [ 297, 23, 1421 ] ], [ [ 1268, 63, 291 ], [ 291, 23, 1631 ], [ 1631, 62, 1421 ] ], [ [ 1268, 24, 792 ], [ 792, 23, 1631 ], [ 1631, 62, 1421 ] ] ]
[ [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betrixaban" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Antithrombin Alfa" ], [ "Antithrombin Alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Betrixaban" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may lead to a major life threatening interaction when taken with {v}", "Betrixaban" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Antithrombin Alfa" ], [ "Antithrombin Alfa", "{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}", "Betrixaban" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desirudin" ], [ "Desirudin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clove" ], [ "Clove", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Betrixaban" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clove" ], [ "Clove", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Betrixaban" ] ], [ [ "Sugammadex", "{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}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betrixaban" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rivaroxaban" ], [ "Rivaroxaban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clove" ], [ "Clove", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Betrixaban" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ], [ "Turmeric", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Betrixaban" ] ], [ [ "Sugammadex", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rivaroxaban" ], [ "Rivaroxaban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Turmeric" ], [ "Turmeric", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Betrixaban" ] ] ]
Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Antithrombin Alfa and Antithrombin Alfa may lead to a major life threatening interaction when taken with Betrixaban Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Argatroban and Argatroban may lead to a major life threatening interaction when taken with Betrixaban Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Antithrombin Alfa and Antithrombin Alfa 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 Betrixaban Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Desirudin and Desirudin may cause a minor interaction that can limit clinical effects when taken with Clove and Clove may cause a minor interaction that can limit clinical effects when taken with Betrixaban Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Argatroban and Argatroban may cause a minor interaction that can limit clinical effects when taken with Clove and Clove may cause a minor interaction that can limit clinical effects when taken with Betrixaban Sugammadex 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 Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Betrixaban Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Rivaroxaban and Rivaroxaban may cause a minor interaction that can limit clinical effects when taken with Clove and Clove may cause a minor interaction that can limit clinical effects when taken with Betrixaban Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Argatroban and Argatroban may cause a minor interaction that can limit clinical effects when taken with Turmeric and Turmeric may cause a minor interaction that can limit clinical effects when taken with Betrixaban Sugammadex may cause a moderate interaction that could exacerbate diseases when taken with Rivaroxaban and Rivaroxaban may cause a minor interaction that can limit clinical effects when taken with Turmeric and Turmeric may cause a minor interaction that can limit clinical effects when taken with Betrixaban
DB00834
DB09082
932
659
[ "DDInter1215", "DDInter1934" ]
Mifepristone
Vilanterol
Mifepristone is a progestational and glucocorticoid hormone antagonist. Its inhibition of progesterone induces bleeding during the luteal phase and in early pregnancy by releasing endogenous prostaglandins from the endometrium or decidua. As a glucocorticoid receptor antagonist, the drug has been used to treat hypercortisolism in patients with nonpituitary cushing syndrome. The two marketed forms of mifepristone are Mifeprex® (mifepristone 200mg) and Korlym™ (mifepristone 300mg). Currently under investigation for use in psychotic depression (phase 3 trials).
Vilanterol is a selective long-acting β2-adrenergic agonist (LABA) with inherent 24-hour activity for the once-daily treatment of COPD and asthma. This is in response to the need for longer-acting β2-adrenergic agonists to overcome poor patient compliance (due to the frequency of dosing regimens or complexities of drug administration). Vilanterol was designed based on the salmeterol molecular scaffold, particularly as a antedrug analog of salmeterol modification by modifying the salmeterol molecule to create homochiral compounds with the (R)-configuration. Vilanterol is 1000 and 400 fold more selective for β2 than β1 and β3 adrenoceptors, respectively, with a faster onset of action than salmeterol. Additionally, vilanterol demonstrated a significantly longer duration of action than salmeterol, with the bronchodilator effect still apparent at 22h. Vilanterol's pharmacological effect is attributable to stimulation of intracellular adenylyl cyclase which catalyzes the conversion of adenosine triphosphate (ATP) to cyclic-3',5'-adenosine monophosphate (cAMP). Increases in cyclic AMP are associated with the relaxation of bronchial smooth muscle and inhibition of the release of hypersensitivity mediators from mast cells in the lungs.[A7738,A259961] Vilanterol is approved for use in several combination products such as with [fluticasone furoate] under the tradename BREO ELLIPTA, with [umeclidinium bromide] as ANORO ELLIPTA, and with both [fluticasone furoate] and [umeclidinium bromide] under the trade name TRELEGY ELLIPTA.[L46481,L44461,L44456] BREO ELLIPTA is the first vilanterol-containing product to be approved by the FDA in May 2013, followed by ANORO ELLIPTA in December 2013 and TRELEGY ELLIPTA in September 2020.[L46876,L46881,L46886] Although all 3 products are approved for the maintenance treatment of chronic obstructive pulmonary disease (COPD), only TRELEGY ELLIPTA and BREO ELLIPTA are approved for maintenance treatments of asthma in patients aged 18 years and older and 5 years and older respectively.[L46481,L44461,L44456]
Moderate
1
[ [ [ 932, 24, 659 ] ], [ [ 932, 25, 1220 ], [ 1220, 23, 659 ] ], [ [ 932, 64, 1351 ], [ 1351, 23, 659 ] ], [ [ 932, 25, 927 ], [ 927, 63, 659 ] ], [ [ 932, 25, 1069 ], [ 1069, 24, 659 ] ], [ [ 932, 24, 959 ], [ 959, 24, 659 ] ], [ [ 932, 64, 485 ], [ 485, 24, 659 ] ], [ [ 932, 63, 245 ], [ 245, 24, 659 ] ], [ [ 932, 24, 214 ], [ 214, 63, 659 ] ], [ [ 932, 25, 877 ], [ 877, 64, 659 ] ] ]
[ [ [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vilanterol" ] ], [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Flunisolide" ], [ "Flunisolide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vilanterol" ] ], [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ], [ "Vandetanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Mifepristone", "{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}", "Vilanterol" ] ], [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Mifepristone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vilanterol" ] ], [ [ "Mifepristone", "{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}", "Vilanterol" ] ], [ [ "Mifepristone", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Vilanterol" ] ] ]
Mifepristone may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Vilanterol Mifepristone may lead to a major life threatening interaction when taken with Flunisolide and Flunisolide may cause a minor interaction that can limit clinical effects when taken with Vilanterol Mifepristone may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Mifepristone may lead to a major life threatening interaction when taken with Vandetanib and Vandetanib may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Mifepristone 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 Vilanterol Mifepristone may lead to a major life threatening interaction when taken with Pentamidine and Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Mifepristone may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Vilanterol Mifepristone 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 Vilanterol Mifepristone may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Vilanterol
DB01128
DB08868
918
1,011
[ "DDInter204", "DDInter737" ]
Bicalutamide
Fingolimod
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.
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
[ [ [ 918, 25, 1011 ] ], [ [ 918, 6, 12523 ], [ 12523, 45, 1011 ] ], [ [ 918, 21, 28892 ], [ 28892, 60, 1011 ] ], [ [ 918, 62, 1247 ], [ 1247, 23, 1011 ] ], [ [ 918, 24, 144 ], [ 144, 63, 1011 ] ], [ [ 918, 63, 867 ], [ 867, 24, 1011 ] ], [ [ 918, 24, 673 ], [ 673, 24, 1011 ] ], [ [ 918, 62, 479 ], [ 479, 24, 1011 ] ], [ [ 918, 25, 880 ], [ 880, 63, 1011 ] ], [ [ 918, 63, 876 ], [ 876, 25, 1011 ] ] ]
[ [ [ "Bicalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} (Compound) causes {v} (Side Effect)", "Cardiac arrest" ], [ "Cardiac arrest", "{u} (Side Effect) is caused by {v} (Compound)", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olodaterol" ], [ "Olodaterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olanzapine" ], [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ], [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivabradine" ], [ "Ivabradine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tizanidine" ], [ "Tizanidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ] ]
Bicalutamide (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Fingolimod (Compound) Bicalutamide (Compound) causes Cardiac arrest (Side Effect) and Cardiac arrest (Side Effect) is caused by Fingolimod (Compound) Bicalutamide may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Fingolimod Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Olodaterol and Olodaterol may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Olanzapine and Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole and Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Bicalutamide may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Bicalutamide may lead to a major life threatening interaction when taken with Ivabradine and Ivabradine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Tizanidine and Tizanidine may lead to a major life threatening interaction when taken with Fingolimod
DB00792
DB11186
832
1,609
[ "DDInter1878", "DDInter1427" ]
Tripelennamine
Pentoxyverine
A histamine H1 antagonist with low sedative action but frequent gastrointestinal irritation. It is used to treat asthma; HAY fever; urticaria; and rhinitis; and also in veterinary applications. Tripelennamine is administered by various routes, including topically.
Pentoxyverine, also referred to as carbetapentane, is a non-opioid central acting antitussive with antimuscarinic, anticonvulsant , and local anesthetic properties. It is an active ingredient in over-the-counter cough suppressants in combination with guaifenesin and H1-receptor antagonists . Pentoxyverine acts on sigma-1 receptors, as well as kappa and mu-opioid receptors. The FDA withdrew the use of all oral gel drug products containing pentoxyverine citrate. Other forms of pentoxyverine citrate continue to be marketed.
Moderate
1
[ [ [ 832, 24, 1609 ] ], [ [ 832, 24, 314 ], [ 314, 24, 1609 ] ], [ [ 832, 63, 556 ], [ 556, 24, 1609 ] ], [ [ 832, 40, 508 ], [ 508, 24, 1609 ] ], [ [ 832, 25, 306 ], [ 306, 24, 1609 ] ], [ [ 832, 24, 418 ], [ 418, 63, 1609 ] ], [ [ 832, 74, 21 ], [ 21, 24, 1609 ] ], [ [ 832, 35, 272 ], [ 272, 24, 1609 ] ], [ [ 832, 24, 1163 ], [ 1163, 25, 1609 ] ], [ [ 832, 63, 551 ], [ 551, 25, 1609 ] ] ]
[ [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nalbuphine" ], [ "Nalbuphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valproic acid" ], [ "Valproic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound)", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zonisamide" ], [ "Zonisamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexanolone" ], [ "Brexanolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rasagiline" ], [ "Rasagiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Pentoxyverine" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenelzine" ], [ "Phenelzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Pentoxyverine" ] ] ]
Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Nalbuphine and Nalbuphine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Valproic acid and Valproic acid may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Tripelennamine (Compound) resembles Promazine (Compound) and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Tripelennamine may lead to a major life threatening interaction when taken with Zonisamide and Zonisamide may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Brexanolone and Brexanolone may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Tripelennamine (Compound) resembles Amitriptyline (Compound) and Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Tripelennamine (Compound) resembles Chlorpheniramine (Compound) and Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Rasagiline and Rasagiline may lead to a major life threatening interaction when taken with Pentoxyverine Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Phenelzine and Phenelzine may lead to a major life threatening interaction when taken with Pentoxyverine
DB00678
DB14723
240
159
[ "DDInter1095", "DDInter1026" ]
Losartan
Larotrectinib
Losartan is an angiotensin II receptor blocker (ARB) used to treat hypertension. Angiotensin-converting enzyme (ACE) inhibitors are used for a similar indication but are associated with a cough. When patients with ACE inhibitor associated coughs are switched to ARBs like losartan, they have an incidence of cough similar to placebo or [hydrochlorothiazide]. Losartan is available as losartan potassium oral tablets as well as a combination tablet of losartan potassium and hydrochlorothiazide.[L7423,L7426] Patients taking losartan should have their renal function and potassium levels monitored. Losartan was granted FDA approval on 14 April 1995.
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
[ [ [ 240, 24, 159 ] ], [ [ 240, 24, 98 ], [ 98, 24, 159 ] ], [ [ 240, 63, 530 ], [ 530, 24, 159 ] ], [ [ 240, 24, 1377 ], [ 1377, 25, 159 ] ], [ [ 240, 24, 98 ], [ 98, 63, 222 ], [ 222, 23, 159 ] ], [ [ 240, 24, 1619 ], [ 1619, 62, 222 ], [ 222, 23, 159 ] ], [ [ 240, 24, 1486 ], [ 1486, 24, 1375 ], [ 1375, 24, 159 ] ], [ [ 240, 24, 1220 ], [ 1220, 25, 907 ], [ 907, 23, 159 ] ], [ [ 240, 63, 530 ], [ 530, 24, 222 ], [ 222, 23, 159 ] ], [ [ 240, 63, 1419 ], [ 1419, 23, 222 ], [ 222, 23, 159 ] ] ]
[ [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Losartan", "{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}", "Larotrectinib" ] ], [ [ "Losartan", "{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}", "Larotrectinib" ] ], [ [ "Losartan", "{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}", "Larotrectinib" ] ], [ [ "Losartan", "{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}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ], [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ], [ [ "Losartan", "{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}", "Lefamulin" ], [ "Lefamulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ], [ [ "Losartan", "{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}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ], [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ] ]
Losartan 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 Larotrectinib Losartan 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 Larotrectinib Losartan 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 Larotrectinib Losartan 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 Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib Losartan may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a minor interaction that can limit clinical effects when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib Losartan 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 Lefamulin and Lefamulin may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Losartan may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may lead to a major life threatening interaction when taken with Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib Losartan 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 Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib Losartan may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may cause a minor interaction that can limit clinical effects when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib
DB00450
DB01114
78
272
[ "DDInter603", "DDInter362" ]
Droperidol
Chlorpheniramine
A butyrophenone with general properties similar to those of haloperidol. It is used in conjunction with an opioid analgesic such as fentanyl to maintain the patient in a calm state of neuroleptanalgesia with indifference to surroundings but still able to cooperate with the surgeon. It is also used as a premedicant, as an antiemetic, and for the control of agitation in acute psychoses. (From Martindale, The Extra Pharmacopoeia, 29th ed, p593)
A histamine H1 antagonist used in allergic reactions, hay fever, rhinitis, urticaria, and asthma. It has also been used in veterinary applications. One of the most widely used of the classical antihistaminics, it generally causes less drowsiness and sedation than promethazine.
Moderate
1
[ [ [ 78, 24, 272 ] ], [ [ 78, 24, 849 ], [ 849, 63, 272 ] ], [ [ 78, 63, 128 ], [ 128, 24, 272 ] ], [ [ 78, 24, 28 ], [ 28, 1, 272 ] ], [ [ 78, 21, 28705 ], [ 28705, 60, 272 ] ], [ [ 78, 25, 1264 ], [ 1264, 63, 272 ] ], [ [ 78, 24, 530 ], [ 530, 24, 272 ] ], [ [ 78, 40, 1568 ], [ 1568, 24, 272 ] ], [ [ 78, 25, 401 ], [ 401, 24, 272 ] ], [ [ 78, 64, 475 ], [ 475, 24, 272 ] ] ]
[ [ [ "Droperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Droperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepyramine" ], [ "Mepyramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Droperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ], [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Droperidol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ], [ "Bisacodyl", "{u} (Compound) resembles {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Droperidol", "{u} (Compound) causes {v} (Side Effect)", "Drowsiness" ], [ "Drowsiness", "{u} (Side Effect) is caused by {v} (Compound)", "Chlorpheniramine" ] ], [ [ "Droperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Droperidol", "{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}", "Chlorpheniramine" ] ], [ [ "Droperidol", "{u} (Compound) resembles {v} (Compound)", "Pimozide" ], [ "Pimozide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Droperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ] ], [ [ "Droperidol", "{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}", "Chlorpheniramine" ] ] ]
Droperidol may cause a moderate interaction that could exacerbate diseases when taken with Mepyramine and Mepyramine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Droperidol may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine and Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Droperidol may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl and Bisacodyl (Compound) resembles Chlorpheniramine (Compound) Droperidol (Compound) causes Drowsiness (Side Effect) and Drowsiness (Side Effect) is caused by Chlorpheniramine (Compound) Droperidol may lead to a major life threatening interaction when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Droperidol 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 Chlorpheniramine Droperidol (Compound) resembles Pimozide (Compound) and Pimozide may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Droperidol may lead to a major life threatening interaction when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine Droperidol 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 Chlorpheniramine
DB09237
DB11827
1,586
433
[ "DDInter1045", "DDInter669" ]
Levamlodipine
Ertugliflozin
Levamlodipine, also known as S-amlodipine, is a pharmacologically active enantiomer of [amlodipine], an antihypertensive medication. Levamlodipine belongs to the dihydropyridine group of calcium channel blockers. This medication was first marketed in Russia and India before being granted FDA approval. The names S-amlodipine and levamlodipine may be used interchangeably as both substances are the same, however. As a racemic mixture, amlodipine contains (R) and (S)-amlodipine isomers, but only (S)-amlodipine as the active moiety possesses therapeutic activity. Levamlodipine was granted FDA approval on 19 December 2019.
Ertugliflozin is a sodium-dependent glucose cotransporter-2 (SGLT2) inhibitor used to treat type II diabetes mellitus. It works to block glucose reabsorption from the glomerulus. Ertugliflozin was first approved by the FDA in December 2017.[A261951, L1132] It was also approved by the European Commission in March 2018.
Moderate
1
[ [ [ 1586, 24, 433 ] ], [ [ 1586, 63, 251 ], [ 251, 24, 433 ] ], [ [ 1586, 24, 1019 ], [ 1019, 63, 433 ] ], [ [ 1586, 63, 251 ], [ 251, 40, 1103 ], [ 1103, 23, 433 ] ], [ [ 1586, 63, 870 ], [ 870, 1, 1103 ], [ 1103, 23, 433 ] ], [ [ 1586, 63, 820 ], [ 820, 63, 1020 ], [ 1020, 24, 433 ] ], [ [ 1586, 63, 167 ], [ 167, 25, 646 ], [ 646, 24, 433 ] ], [ [ 1586, 63, 999 ], [ 999, 24, 1020 ], [ 1020, 24, 433 ] ], [ [ 1586, 63, 609 ], [ 609, 24, 1654 ], [ 1654, 63, 433 ] ], [ [ 1586, 24, 1019 ], [ 1019, 64, 646 ], [ 646, 24, 433 ] ] ]
[ [ [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{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}", "Clonidine" ], [ "Clonidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Cinoxacin" ], [ "Cinoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{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}", "Clonidine" ], [ "Clonidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{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}", "Somapacitan" ], [ "Somapacitan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may lead to a major life threatening interaction when taken with {v}", "Cinoxacin" ], [ "Cinoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ] ]
Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Ertugliflozin Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Ertugliflozin Levamlodipine 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 Clonidine and Clonidine may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone may lead to a major life threatening interaction when taken with Cinoxacin and Cinoxacin may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Levamlodipine 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 Clonidine and Clonidine may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Levamlodipine 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 Somapacitan and Somapacitan may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort and Deflazacort may lead to a major life threatening interaction when taken with Cinoxacin and Cinoxacin may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin
DB00206
DB01088
1,245
714
[ "DDInter1582", "DDInter908" ]
Reserpine
Iloprost
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.
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.
Moderate
1
[ [ [ 1245, 24, 714 ] ], [ [ 1245, 63, 1648 ], [ 1648, 24, 714 ] ], [ [ 1245, 24, 1445 ], [ 1445, 24, 714 ] ], [ [ 1245, 24, 22 ], [ 22, 63, 714 ] ], [ [ 1245, 40, 1340 ], [ 1340, 63, 714 ] ], [ [ 1245, 24, 1421 ], [ 1421, 64, 714 ] ], [ [ 1245, 63, 1648 ], [ 1648, 24, 1638 ], [ 1638, 24, 714 ] ], [ [ 1245, 24, 1445 ], [ 1445, 63, 1205 ], [ 1205, 24, 714 ] ], [ [ 1245, 24, 22 ], [ 22, 40, 1445 ], [ 1445, 24, 714 ] ], [ [ 1245, 24, 1450 ], [ 1450, 63, 402 ], [ 402, 23, 714 ] ] ]
[ [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ] ], [ [ "Reserpine", "{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}", "Iloprost" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ] ], [ [ "Reserpine", "{u} (Compound) resembles {v} (Compound)", "Deserpidine" ], [ "Deserpidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloprost" ] ], [ [ "Reserpine", "{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}", "Trandolapril" ], [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prazosin" ], [ "Prazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ] ], [ [ "Reserpine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} (Compound) resembles {v} (Compound)", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ] ], [ [ "Reserpine", "{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}", "Tadalafil" ], [ "Tadalafil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Iloprost" ] ] ]
Reserpine 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 Iloprost Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Iloprost Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Iloprost Reserpine (Compound) resembles Deserpidine (Compound) and Deserpidine may cause a moderate interaction that could exacerbate diseases when taken with Iloprost Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Betrixaban and Betrixaban may lead to a major life threatening interaction when taken with Iloprost Reserpine 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 Trandolapril and Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Iloprost Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Prazosin and Prazosin may cause a moderate interaction that could exacerbate diseases when taken with Iloprost Reserpine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine (Compound) resembles Pseudoephedrine (Compound) and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Iloprost Reserpine 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 Tadalafil and Tadalafil may cause a minor interaction that can limit clinical effects when taken with Iloprost
DB00035
DB01242
1,314
1,237
[ "DDInter507", "DDInter410" ]
Desmopressin
Clomipramine
Desmopressin (dDAVP), a synthetic analogue of 8-arginine vasopressin (ADH), is an antidiuretic peptide drug modified by deamination of 1-cysteine and substitution of 8-L-arginine by 8-D-arginine. ADH is an endogenous pituitary hormone that has a crucial role in the control of the water content in the body. Upon release from the stimulation of increased plasma osmolarity or decreased circulating blood volume, ADH mainly acts on the cells of the distal part of the nephron and the collecting tubules in the kidney. The hormone interacts with V1, V2 or V3 receptors with differing signal cascade systems. Desmopressin displays enhanced antidiuretic potency, fewer pressor effects due to V2-selective actions, and a prolonged half-life and duration of action compared to endogenous ADH. It has been employed clinically since 1972
Clomipramine, the 3-chloro analog of imipramine, is a dibenzazepine-derivative tricyclic antidepressant (TCA). TCAs are structurally similar to phenothiazines. They contain a tricyclic ring system with an alkyl amine substituent on the central ring. In non-depressed individuals, clomipramine does not affect mood or arousal, but may cause sedation. In depressed individuals, clomipramine exerts a positive effect on mood. TCAs are potent inhibitors of serotonin and norepinephrine reuptake. Tertiary amine TCAs, such as clomipramine, are more potent inhibitors of serotonin reuptake than secondary amine TCAs, such as nortriptyline and desipramine. TCAs also down-regulate cerebral cortical &beta;-adrenergic receptors and sensitize post-synaptic serotonergic receptors with chronic use. The antidepressant effects of TCAs are thought to be due to an overall increase in serotonergic neurotransmission. TCAs also block histamine-H<sub>1</sub> receptors, &alpha;<sub>1</sub>-adrenergic receptors and muscarinic receptors, which accounts for their sedative, hypotensive and anticholinergic effects (e.g. blurred vision, dry mouth, constipation, urinary retention), respectively. See toxicity section below for a complete listing of side effects. Clomipramine may be used to treat obsessive-compulsive disorder and disorders with an obsessive-compulsive component (e.g. depression, schizophrenia, Tourette’s disorder). Unlabeled indications include panic disorder, chronic pain (e.g. central pain, idiopathic pain disorder, tension headache, diabetic peripheral neuropathy, neuropathic pain), cataplexy and associated narcolepsy, autistic disorder, trichotillomania, onchophagia, stuttering, premature ejaculation, and premenstrual syndrome. Clomipramine is rapidly absorbed from the gastrointestinal tract and demethylated in the liver to its primary active metabolite, desmethylclomipramine.
Moderate
1
[ [ [ 1314, 24, 1237 ] ], [ [ 1314, 24, 1164 ], [ 1164, 1, 1237 ] ], [ [ 1314, 21, 28703 ], [ 28703, 60, 1237 ] ], [ [ 1314, 24, 1274 ], [ 1274, 24, 1237 ] ], [ [ 1314, 24, 407 ], [ 407, 63, 1237 ] ], [ [ 1314, 23, 1479 ], [ 1479, 24, 1237 ] ], [ [ 1314, 40, 1154 ], [ 1154, 64, 1237 ] ], [ [ 1314, 24, 874 ], [ 874, 25, 1237 ] ], [ [ 1314, 24, 1264 ], [ 1264, 35, 1237 ] ], [ [ 1314, 24, 1164 ], [ 1164, 1, 11320 ], [ 11320, 40, 1237 ] ] ]
[ [ [ "Desmopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ] ], [ [ "Desmopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ] ], [ [ "Desmopressin", "{u} (Compound) causes {v} (Side Effect)", "Pruritus" ], [ "Pruritus", "{u} (Side Effect) is caused by {v} (Compound)", "Clomipramine" ] ], [ [ "Desmopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ] ], [ [ "Desmopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ] ], [ [ "Desmopressin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ] ], [ [ "Desmopressin", "{u} (Compound) resembles {v} (Compound)", "Pasireotide" ], [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Clomipramine" ] ], [ [ "Desmopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epinephrine" ], [ "Epinephrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clomipramine" ] ], [ [ "Desmopressin", "{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}", "Clomipramine" ] ], [ [ "Desmopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Acepromazine" ], [ "Acepromazine", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ] ] ]
Desmopressin may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine (Compound) resembles Clomipramine (Compound) Desmopressin (Compound) causes Pruritus (Side Effect) and Pruritus (Side Effect) is caused by Clomipramine (Compound) Desmopressin may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine Desmopressin may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine Desmopressin may cause a minor interaction that can limit clinical effects when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine Desmopressin (Compound) resembles Pasireotide (Compound) and Pasireotide may lead to a major life threatening interaction when taken with Clomipramine Desmopressin may cause a moderate interaction that could exacerbate diseases when taken with Epinephrine and Epinephrine may lead to a major life threatening interaction when taken with Clomipramine Desmopressin may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin (Compound) resembles Clomipramine (Compound) and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine Desmopressin may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine (Compound) resembles Acepromazine (Compound) and Acepromazine (Compound) resembles Clomipramine (Compound)
DB00515
DB09074
589
1,362
[ "DDInter387", "DDInter1327" ]
Cisplatin
Olaparib
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.
Olaparib is a selective and potent inhibitor of poly (ADP-ribose) polymerase (PARP) enzymes, PARP1 and PARP2.[L41100, L40908, L43792] PARP inhibitors represent a novel class of anti-cancer therapy and they work by taking advantage of a defect in DNA repair in cancer cells with BRCA mutations and inducing cell death. Olaparib is used to treat a number of BRCA-associated tumours, including ovarian cancer, breast cancer, pancreatic cancer, and prostate cancer.[L41100, L40908, L43792] It was first approved by the FDA and EU in December 2014, and by Health Canada in April 2016.
Moderate
1
[ [ [ 589, 24, 1362 ] ], [ [ 589, 24, 896 ], [ 896, 24, 1362 ] ], [ [ 589, 63, 139 ], [ 139, 24, 1362 ] ], [ [ 589, 24, 385 ], [ 385, 63, 1362 ] ], [ [ 589, 25, 33 ], [ 33, 24, 1362 ] ], [ [ 589, 64, 1648 ], [ 1648, 24, 1362 ] ], [ [ 589, 62, 839 ], [ 839, 24, 1362 ] ], [ [ 589, 25, 962 ], [ 962, 64, 1362 ] ], [ [ 589, 64, 1066 ], [ 1066, 25, 1362 ] ], [ [ 589, 63, 362 ], [ 362, 25, 1362 ] ] ]
[ [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "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}", "Olaparib" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zidovudine" ], [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isatuximab" ], [ "Isatuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "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}", "Olaparib" ] ], [ [ "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}", "Olaparib" ] ], [ [ "Cisplatin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacillus calmette-guerin substrain tice live antigen" ], [ "Bacillus calmette-guerin substrain tice live antigen", "{u} may lead to a major life threatening interaction when taken with {v}", "Olaparib" ] ], [ [ "Cisplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Olaparib" ] ], [ [ "Cisplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Olaparib" ] ] ]
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 Olaparib Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Zidovudine and Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Olaparib Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Isatuximab and Isatuximab may cause a moderate interaction that could exacerbate diseases when taken with Olaparib 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 Olaparib 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 Olaparib Cisplatin may cause a minor interaction that can limit clinical effects when taken with Grepafloxacin and Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Olaparib Cisplatin may lead to a major life threatening interaction when taken with Bacillus calmette-guerin substrain tice live antigen and Bacillus calmette-guerin substrain tice live antigen may lead to a major life threatening interaction when taken with Olaparib Cisplatin may lead to a major life threatening interaction when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Olaparib Cisplatin may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin may lead to a major life threatening interaction when taken with Olaparib
DB00308
DB08881
347
868
[ "DDInter901", "DDInter1925" ]
Ibutilide
Vemurafenib
Ibutilide is a Class III antiarrhythmic agent available in intravenous formulations. It is indicated for the conversion of acute atrial flutter and recent onset atrial fibrillation to normal sinus rhythm (NSR).
Vemurafenib is a competitive kinase inhibitor with activity against BRAF kinase with mutations like V600E. It exerts its function by binding to the ATP-binding domain of the mutant BRAF. Vemurafenib was co-developed by Roche and Plexxikon and it obtained its FDA approval on August 17, 2011, under the company Hoffmann La Roche. After approval, Roche in collaboration with Genentech launched a broad development program.
Major
2
[ [ [ 347, 25, 868 ] ], [ [ 347, 21, 28722 ], [ 28722, 60, 868 ] ], [ [ 347, 63, 608 ], [ 608, 23, 868 ] ], [ [ 347, 23, 112 ], [ 112, 23, 868 ] ], [ [ 347, 24, 480 ], [ 480, 24, 868 ] ], [ [ 347, 24, 286 ], [ 286, 63, 868 ] ], [ [ 347, 25, 1383 ], [ 1383, 63, 868 ] ], [ [ 347, 25, 478 ], [ 478, 25, 868 ] ], [ [ 347, 25, 823 ], [ 823, 64, 868 ] ], [ [ 347, 64, 702 ], [ 702, 25, 868 ] ] ]
[ [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ] ], [ [ "Ibutilide", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Vemurafenib" ] ], [ [ "Ibutilide", "{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}", "Vemurafenib" ] ], [ [ "Ibutilide", "{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}", "Vemurafenib" ] ], [ [ "Ibutilide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Ibutilide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sodium sulfate" ], [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ] ], [ [ "Ibutilide", "{u} may lead to a major life threatening interaction when taken with {v}", "Triclabendazole" ], [ "Triclabendazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ] ], [ [ "Ibutilide", "{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}", "Vemurafenib" ] ] ]
Ibutilide (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Vemurafenib (Compound) Ibutilide 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 Vemurafenib Ibutilide 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 Vemurafenib Ibutilide may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Ibutilide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Ibutilide may lead to a major life threatening interaction when taken with Sodium sulfate and Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Ibutilide may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Vemurafenib Ibutilide may lead to a major life threatening interaction when taken with Triclabendazole and Triclabendazole may lead to a major life threatening interaction when taken with Vemurafenib Ibutilide 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 Vemurafenib
DB00069
DB00649
367
231
[ "DDInter946", "DDInter1710" ]
Interferon alfacon-1
Stavudine
Interferon alfacon-1 is a recombinant non-naturally occurring type-I interferon. The 166-amino acid sequence of Interferon alfacon-1 was derived by scanning the sequences of several natural interferon alpha subtypes and assigning the most frequently observed amino acid in each corresponding position. Four additional amino acid changes were made to facilitate the molecular construction, and a corresponding synthetic DNA sequence was constructed using chemical synthesis methodology. Interferon alfacon-1 differs from interferon alfa-2b at 20/166 amino acids (88% homology), and comparison with interferon-beta shows identity at over 30% of the amino acid positions. Interferon alfacon-1 is produced in Escherichia coli (E. coli) cells that have been genetically altered by insertion of a synthetically constructed sequence that codes for Interferon alfacon-1. Prior to final purification, Interferon alfacon-
A dideoxynucleoside analog that inhibits reverse transcriptase and has in vitro activity against HIV.
Moderate
1
[ [ [ 367, 24, 231 ] ], [ [ 367, 25, 1477 ], [ 1477, 40, 231 ] ], [ [ 367, 25, 139 ], [ 139, 1, 231 ] ], [ [ 367, 24, 375 ], [ 375, 63, 231 ] ], [ [ 367, 63, 1057 ], [ 1057, 24, 231 ] ], [ [ 367, 24, 1555 ], [ 1555, 24, 231 ] ], [ [ 367, 25, 1064 ], [ 1064, 24, 231 ] ], [ [ 367, 25, 1101 ], [ 1101, 25, 231 ] ], [ [ 367, 25, 1510 ], [ 1510, 64, 231 ] ], [ [ 367, 25, 1477 ], [ 1477, 40, 11230 ], [ 11230, 1, 231 ] ] ]
[ [ [ "Interferon alfacon-1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{u} may lead to a major life threatening interaction when taken with {v}", "Telbivudine" ], [ "Telbivudine", "{u} (Compound) resembles {v} (Compound)", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{u} may lead to a major life threatening interaction when taken with {v}", "Zidovudine" ], [ "Zidovudine", "{u} (Compound) resembles {v} (Compound)", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{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}", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{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}", "Stavudine" ] ], [ [ "Interferon alfacon-1", "{u} may lead to a major life threatening interaction when taken with {v}", "Telbivudine" ], [ "Telbivudine", "{u} (Compound) resembles {v} (Compound)", "Idoxuridine" ], [ "Idoxuridine", "{u} (Compound) resembles {v} (Compound)", "Stavudine" ] ] ]
Interferon alfacon-1 may lead to a major life threatening interaction when taken with Telbivudine and Telbivudine (Compound) resembles Stavudine (Compound) Interferon alfacon-1 may lead to a major life threatening interaction when taken with Zidovudine and Zidovudine (Compound) resembles Stavudine (Compound) Interferon alfacon-1 may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol and Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Stavudine Interferon alfacon-1 may cause a moderate interaction that could exacerbate diseases when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Stavudine Interferon alfacon-1 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 Stavudine Interferon alfacon-1 may lead to a major life threatening interaction when taken with Cladribine and Cladribine may cause a moderate interaction that could exacerbate diseases when taken with Stavudine Interferon alfacon-1 may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may lead to a major life threatening interaction when taken with Stavudine Interferon alfacon-1 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 Stavudine Interferon alfacon-1 may lead to a major life threatening interaction when taken with Telbivudine and Telbivudine (Compound) resembles Idoxuridine (Compound) and Idoxuridine (Compound) resembles Stavudine (Compound)
DB01233
DB11640
1,311
1,267
[ "DDInter1197", "DDInter64" ]
Metoclopramide
Amifampridine
Diabetic gastroparesis is a condition that causes frequent nausea and vomiting, which has a negative impact on quality of life and poses a significant burden on the healthcare system. Metoclopramide is a dopamine antagonist used to treat nausea and vomiting that may be associated with diabetic gastroparesis in addition to gastroesophageal reflux disease (GERD). It can also be used to prevent nausea or vomiting associated with chemotherapy or certain surgical or diagnostic procedures. One unique property of this drug is that it does not increase gastric acid secretion. It is available in the oral tablet form or in solution, and can also be administered through the intravenous route. Metoclopramide was initially approved by the FDA in 1980.
Amifampridine, or 3,4-diaminopyridine (3,4-DAP), is a quaternary ammonium compound that blocks presynaptic potassium channels, and subsequently prolongs the action potential and increases presynaptic calcium concentrations . It was first discovered in Scotland in the 1970s and its clinical effectiveness for neuromuscular disorders, including Lambert–Eaton myasthenic syndrome (LEMS), has been investigated in the 1980s . Amifampridine phosphate is a more stable salt that serves as an active ingredient of EMA-approved Firdapse, which was previously marketed as Zenas. It is currently used as the first-line symptomatic treatment for LEMS in adult patients and is ideally given as oral tablets in divided doses, three or four times a day. Firdapse (amifampridine) was formally approved by the US FDA for the treatment of adults with LEMS as recently as November of 2018 . LEMS is a rare auto-immune disorder of the neuromuscular junction that is characterized by proximal muscle weakness, depressed tendon reflexes, and posttetanic potentiation in addition to autonomic dysfunction . About 50-60% of the patients develop more rapidly progressive LEMS and small cell lung cancer, which influences the prognosis . Patients with LEMS develop serum antibodies against presynaptic P/Q-type voltage-gated calcium channels, leading to decreased presynaptic calcium levels and reduced quantal release of acetylcholine, which is mainly responsible for causing symptoms of LEMS . Reduced acetylcholine release at the neuromuscular junction leads to decreased frequency of miniature endplate potentials of normal amplitude, and insufficient acetylcholine levels for the activation of postsynaptic muscle fibers following a single nerve impulse . This leads to the reduction of the compound muscle action potential (CMAP) . Treatment for LEMS include immunotherapy such as conventional immunosuppression or intravenous immunoglobulins, however such treatments are recommended in patients in whom symptomatic treatment would not suffice . Amifampridine is the nonimmune treatment options for LEMS. In phase III clinical trials of adult patients with LEMS, treatment of amifampridine significantly improved symptoms of LEMS compared to placebo with good tolerance . It was demonstrated in clinical studies involving healthy volunteers that the pharmacokinetics and systemic exposure to amifampridine is affected by the genetic differences in N-acetyl-transferase (NAT) enzymes (acetylator phenotype) and NAT2 genotype, which is subject to genetic variation . Slow acetylators were at higher risk for experiencing drug-associated adverse reactions, such as paresthesias, nausea, and headache .
Moderate
1
[ [ [ 1311, 24, 1267 ] ], [ [ 1311, 24, 407 ], [ 407, 24, 1267 ] ], [ [ 1311, 64, 999 ], [ 999, 24, 1267 ] ], [ [ 1311, 63, 530 ], [ 530, 24, 1267 ] ], [ [ 1311, 62, 1010 ], [ 1010, 24, 1267 ] ], [ [ 1311, 25, 820 ], [ 820, 24, 1267 ] ], [ [ 1311, 25, 497 ], [ 497, 25, 1267 ] ], [ [ 1311, 64, 593 ], [ 593, 25, 1267 ] ], [ [ 1311, 24, 407 ], [ 407, 63, 999 ], [ 999, 24, 1267 ] ], [ [ 1311, 64, 999 ], [ 999, 24, 407 ], [ 407, 24, 1267 ] ] ]
[ [ [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifampridine" ] ], [ [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifampridine" ] ], [ [ "Metoclopramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifampridine" ] ], [ [ "Metoclopramide", "{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}", "Amifampridine" ] ], [ [ "Metoclopramide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifampridine" ] ], [ [ "Metoclopramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifampridine" ] ], [ [ "Metoclopramide", "{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}", "Amifampridine" ] ], [ [ "Metoclopramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Amifampridine" ] ], [ [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifampridine" ] ], [ [ "Metoclopramide", "{u} may lead to a major life threatening interaction when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifampridine" ] ] ]
Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Amifampridine Metoclopramide may lead to a major life threatening interaction when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Amifampridine Metoclopramide 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 Amifampridine Metoclopramide may cause a minor interaction that can limit clinical effects when taken with Mefloquine and Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Amifampridine Metoclopramide may lead to a major life threatening interaction when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Amifampridine Metoclopramide 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 Amifampridine Metoclopramide may lead to a major life threatening interaction when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Amifampridine Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Amifampridine Metoclopramide may lead to a major life threatening interaction when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Amifampridine
DB00557
DB06603
252
39
[ "DDInter895", "DDInter1387" ]
Hydroxyzine
Panobinostat
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.
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.
Major
2
[ [ [ 252, 25, 39 ] ], [ [ 252, 23, 112 ], [ 112, 23, 39 ] ], [ [ 252, 24, 272 ], [ 272, 24, 39 ] ], [ [ 252, 63, 506 ], [ 506, 24, 39 ] ], [ [ 252, 24, 720 ], [ 720, 63, 39 ] ], [ [ 252, 62, 752 ], [ 752, 24, 39 ] ], [ [ 252, 24, 594 ], [ 594, 64, 39 ] ], [ [ 252, 24, 485 ], [ 485, 25, 39 ] ], [ [ 252, 63, 1181 ], [ 1181, 25, 39 ] ], [ [ 252, 40, 851 ], [ 851, 25, 39 ] ] ]
[ [ [ "Hydroxyzine", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ] ], [ [ "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}", "Panobinostat" ] ], [ [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Panobinostat" ] ], [ [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Panobinostat" ] ], [ [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mineral oil" ], [ "Mineral oil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Panobinostat" ] ], [ [ "Hydroxyzine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Panobinostat" ] ], [ [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ] ], [ [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ] ], [ [ "Hydroxyzine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ] ], [ [ "Hydroxyzine", "{u} (Compound) resembles {v} (Compound)", "Nefazodone" ], [ "Nefazodone", "{u} may lead to a major life threatening interaction when taken with {v}", "Panobinostat" ] ] ]
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 Panobinostat Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Panobinostat Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Panobinostat Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Mineral oil and Mineral oil may cause a moderate interaction that could exacerbate diseases when taken with Panobinostat Hydroxyzine may cause a minor interaction that can limit clinical effects when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Panobinostat Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may lead to a major life threatening interaction when taken with Panobinostat Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine may lead to a major life threatening interaction when taken with Panobinostat Hydroxyzine may cause a moderate interaction that could exacerbate diseases when taken with Terfenadine and Terfenadine may lead to a major life threatening interaction when taken with Panobinostat Hydroxyzine (Compound) resembles Nefazodone (Compound) and Nefazodone may lead to a major life threatening interaction when taken with Panobinostat
DB08903
DB11767
996
1,583
[ "DDInter170", "DDInter1643" ]
Bedaquiline
Sarilumab
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,
Sarilumab is a fully human anti-interleukin 6 (IL-6) receptor monoclonal IgG1 antibody that binds to both membrane-bound and soluble IL-6 receptor forms, thus blocking the cis- and trans-inflammatory signalling cascades of IL-6. Sarilumab was developed by Sanofi and Regeneron Pharmaceuticals, Inc; it was US FDA-approved in May 2017 and followed by EU approval in June 2017 for the treatment of moderate to severe rheumatoid arthritis (RA) in combination with methotrexate. RA is a chronic inflammatory disease characterized by polyarthritis, and its treatment has been challenged by the different responses in every patient. Subcutaneous administration of sarilumab has been shown to decrease acute-phase reactant levels and improve clinical RA symptoms.
Moderate
1
[ [ [ 996, 24, 1583 ] ], [ [ 996, 63, 267 ], [ 267, 24, 1583 ] ], [ [ 996, 24, 713 ], [ 713, 24, 1583 ] ], [ [ 996, 64, 322 ], [ 322, 24, 1583 ] ], [ [ 996, 64, 1011 ], [ 1011, 25, 1583 ] ], [ [ 996, 63, 1066 ], [ 1066, 25, 1583 ] ], [ [ 996, 63, 267 ], [ 267, 63, 362 ], [ 362, 24, 1583 ] ], [ [ 996, 63, 372 ], [ 372, 63, 1461 ], [ 1461, 23, 1583 ] ], [ [ 996, 24, 713 ], [ 713, 63, 267 ], [ 267, 24, 1583 ] ], [ [ 996, 63, 912 ], [ 912, 24, 267 ], [ 267, 24, 1583 ] ] ]
[ [ [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarilumab" ] ], [ [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarilumab" ] ], [ [ "Bedaquiline", "{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}", "Sarilumab" ] ], [ [ "Bedaquiline", "{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}", "Sarilumab" ] ], [ [ "Bedaquiline", "{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}", "Sarilumab" ] ], [ [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Natalizumab" ], [ "Natalizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Sarilumab" ] ], [ [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarilumab" ] ], [ [ "Bedaquiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sarilumab" ] ], [ [ "Bedaquiline", "{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}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarilumab" ] ], [ [ "Bedaquiline", "{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}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarilumab" ] ] ]
Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Sarilumab Bedaquiline 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 Sarilumab Bedaquiline 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 Sarilumab Bedaquiline 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 Sarilumab Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Natalizumab and Natalizumab may lead to a major life threatening interaction when taken with Sarilumab Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Phenytoin and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Sarilumab Bedaquiline may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Vitamin E and Vitamin E may cause a minor interaction that can limit clinical effects when taken with Sarilumab Bedaquiline 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 Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Sarilumab Bedaquiline 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 Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Sarilumab
DB00470
DB00902
530
104
[ "DDInter601", "DDInter1168" ]
Dronabinol
Methdilazine
Dronabinol (marketed as Marinol) is a synthetic form of delta-9-tetrahydrocannabinol (Δ⁹-THC), the primary psychoactive component of cannabis (marijuana). THC demonstrates its effects through weak partial agonist activity at Cannabinoid-1 (CB1R) and Cannabinoid-2 (CB2R) receptors, which results in the well-known effects of smoking cannabis such as increased appetite, reduced pain, and changes in emotional and cognitive processes. Due to its evidence as an appetite stimulant and an anti-nauseant, Dronabinol is approved for use in anorexia associated with weight loss in patients with AIDS and for the treatment of nausea and vomiting associated with cancer chemotherapy in patients who have failed to respond adequately to conventional antiemetic treatments [FDA Label]. Tetrahydrocannabinol (THC) and cannabidiol (CBD) are the two most abundant cannabinoids found naturally in
Methdilazine is a phenothiazine compound with antihistaminic activity. It is used in the treatment of various dermatoses to relieve pruritus.
Moderate
1
[ [ [ 530, 24, 104 ] ], [ [ 530, 63, 13 ], [ 13, 24, 104 ] ], [ [ 530, 24, 820 ], [ 820, 1, 104 ] ], [ [ 530, 24, 537 ], [ 537, 40, 104 ] ], [ [ 530, 63, 508 ], [ 508, 1, 104 ] ], [ [ 530, 24, 1236 ], [ 1236, 24, 104 ] ], [ [ 530, 24, 401 ], [ 401, 63, 104 ] ], [ [ 530, 1, 1614 ], [ 1614, 24, 104 ] ], [ [ 530, 25, 675 ], [ 675, 25, 104 ] ], [ [ 530, 24, 730 ], [ 730, 64, 104 ] ] ]
[ [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promazine" ], [ "Promazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbamazepine" ], [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Dronabinol", "{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}", "Methdilazine" ] ], [ [ "Dronabinol", "{u} (Compound) resembles {v} (Compound)", "Nabilone" ], [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Dronabinol", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} may lead to a major life threatening interaction when taken with {v}", "Methdilazine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ], [ "Deutetrabenazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methdilazine" ] ] ]
Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine (Compound) resembles Methdilazine (Compound) Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine (Compound) resembles Methdilazine (Compound) Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Promazine and Promazine (Compound) resembles Methdilazine (Compound) Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Carbamazepine and Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Dronabinol 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 Methdilazine Dronabinol (Compound) resembles Nabilone (Compound) and Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Dronabinol may lead to a major life threatening interaction when taken with Dextropropoxyphene and Dextropropoxyphene may lead to a major life threatening interaction when taken with Methdilazine Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine and Deutetrabenazine may lead to a major life threatening interaction when taken with Methdilazine
DB08881
DB09073
868
951
[ "DDInter1925", "DDInter1379" ]
Vemurafenib
Palbociclib
Vemurafenib is a competitive kinase inhibitor with activity against BRAF kinase with mutations like V600E. It exerts its function by binding to the ATP-binding domain of the mutant BRAF. Vemurafenib was co-developed by Roche and Plexxikon and it obtained its FDA approval on August 17, 2011, under the company Hoffmann La Roche. After approval, Roche in collaboration with Genentech launched a broad development program.
Palbociclib is a piperazine pyridopyrimidine that acts in the cell cycle machinery. It is a second generation cyclin-dependent kinase inhibitor selected from a group of pyridopyrimidine compounds due to its favorable physical and pharmaceutical properties. Palbociclib was developed by Pfizer Inc after the discovery that identified the cyclin-dependent kinases as key regulators of cell growth. It was originally FDA approved on March 2015 for the treatment of HR-positive, HER2-negative advanced or metastatic breast cancer and its indications were updated in April 2019 to include male patients based on findings from postmarketing reports and electronic health records demonstrating safety and clinical efficacy.
Moderate
1
[ [ [ 868, 24, 951 ] ], [ [ 868, 24, 907 ], [ 907, 62, 951 ] ], [ [ 868, 64, 318 ], [ 318, 23, 951 ] ], [ [ 868, 23, 271 ], [ 271, 23, 951 ] ], [ [ 868, 62, 479 ], [ 479, 23, 951 ] ], [ [ 868, 24, 1476 ], [ 1476, 63, 951 ] ], [ [ 868, 63, 1335 ], [ 1335, 24, 951 ] ], [ [ 868, 25, 351 ], [ 351, 63, 951 ] ], [ [ 868, 64, 1251 ], [ 1251, 24, 951 ] ], [ [ 868, 24, 1040 ], [ 1040, 24, 951 ] ] ]
[ [ [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Escitalopram" ], [ "Escitalopram", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Vemurafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Vemurafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ], [ "Donepezil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Vemurafenib", "{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}", "Palbociclib" ] ], [ [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxcarbazepine" ], [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Vemurafenib", "{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}", "Palbociclib" ] ], [ [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Mirtazapine" ], [ "Mirtazapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Vemurafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ] ]
Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Palbociclib Vemurafenib may lead to a major life threatening interaction when taken with Escitalopram and Escitalopram may cause a minor interaction that can limit clinical effects when taken with Palbociclib Vemurafenib may cause a minor interaction that can limit clinical effects when taken with Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Palbociclib Vemurafenib may cause a minor interaction that can limit clinical effects when taken with Donepezil and Donepezil may cause a minor interaction that can limit clinical effects when taken with Palbociclib Vemurafenib 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 Palbociclib Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Oxcarbazepine and Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Vemurafenib 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 Palbociclib Vemurafenib may lead to a major life threatening interaction when taken with Mirtazapine and Mirtazapine may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Vemurafenib may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib
DB00619
DB08903
1,419
996
[ "DDInter909", "DDInter170" ]
Imatinib
Bedaquiline
Imatinib is a small molecule kinase inhibitor that revolutionized the treatment of cancer, particularly chronic myeloid leukemia, in 2001. It was deemed a "miracle drug" due to its clinical success, as oncologist Dr. Brian noted that "complete hematologic responses were observed in 53 of 54 patients with CML treated with a daily dosage of 300 mg or more and typically occurred in the first four weeks of therapy".. The discovery of imatinib also established a new group of therapy called "targeted therapy", since treatment can be tailored specifically to the unique cancer genetics of each patient. Imatinib was approved on February 1st,2001 by the FDA and November 7th, 2001 by the EMA; however, its European approval has been withdrawn in October 2023.[A263036,L49746,L49751]
Bedaquiline is a bactericidal antimycobacterial drug belonging to the class of diarylquinoline. The quinolinic central heterocyclic nucleus with alcohol and amine side chains is responsible for bedaquiline-mediated antimycobacterial activity. Although it is closely related to fluoroquinolones, bedaquiline does not affect DNA gyrase; instead, bedaquiline inhibits the c subunit of ATP synthase responsible for synthesizing ATP. Consequently, bedaquiline can be used to treat mycobacterial infection, particularly tuberculosis (TB). Although the current standard of TB treatment of anti-TB drugs for 2 months, including 2 key drugs [isoniazid] and [rifampin], is highly effective, the emergence of multidrug-resistant TB (MDR-TB) to [isoniazid] and [rifampin] has substantially worsened patients outcome. Bedaquiline was approved by the FDA on December 28, 2012, to treat pulmonary MDR-TB, following favorable results in multiple pre-clinical and clinical studies.[A261856,A261861] It is the first drug that was approved in the last 40 years by the FDA for TB unresponsive to current treatments on the market. Currently, bedaquiline is the last-line anti-TB drug and must only be used in an appropriate combination regimen.[L48506,A261866]
Moderate
1
[ [ [ 1419, 24, 996 ] ], [ [ 1419, 6, 8374 ], [ 8374, 45, 996 ] ], [ [ 1419, 21, 29282 ], [ 29282, 60, 996 ] ], [ [ 1419, 24, 713 ], [ 713, 63, 996 ] ], [ [ 1419, 24, 848 ], [ 848, 24, 996 ] ], [ [ 1419, 63, 883 ], [ 883, 24, 996 ] ], [ [ 1419, 64, 581 ], [ 581, 24, 996 ] ], [ [ 1419, 62, 1101 ], [ 1101, 24, 996 ] ], [ [ 1419, 25, 1478 ], [ 1478, 24, 996 ] ], [ [ 1419, 35, 1468 ], [ 1468, 24, 996 ] ] ]
[ [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Imatinib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Bedaquiline" ] ], [ [ "Imatinib", "{u} (Compound) causes {v} (Side Effect)", "Arrhythmia" ], [ "Arrhythmia", "{u} (Side Effect) is caused by {v} (Compound)", "Bedaquiline" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ], [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Imatinib", "{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}", "Bedaquiline" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Imatinib", "{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}", "Bedaquiline" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Imatinib", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ] ]
Imatinib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Bedaquiline (Compound) Imatinib (Compound) causes Arrhythmia (Side Effect) and Arrhythmia (Side Effect) is caused by Bedaquiline (Compound) Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen and Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Imatinib 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 Bedaquiline Imatinib may lead to a major life threatening interaction when taken with Infliximab and Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Imatinib 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 Bedaquiline Imatinib may lead to a major life threatening interaction when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Imatinib (Compound) resembles Ponatinib (Compound) and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline
DB01105
DB12161
222
730
[ "DDInter1665", "DDInter512" ]
Sibutramine
Deutetrabenazine
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.
Deutetrabenazine is a novel, highly selective vesicular monoamine transporter 2 (VMAT2) inhibitor indicated for the management of chorea associated with Huntington’s disease. It is a hexahydro-dimethoxybenzoquinolizine derivative and a deuterated . The presence of deuterium in deutetrabenazine increases the half-lives of the active metabolite and prolongs their pharmacological activity by attenuating CYP2D6 metabolism of the compound . This allows less frequent dosing and a lower daily dose with improvement in tolerability . Decreased plasma fluctuations of deutetrabenazine due to attenuated metabolism may explain a lower incidence of adverse reactions associated with deutetrabenazine . Deutetrabenazine is a racemic mixture containing RR-Deutetrabenazine and SS-Deutetrabenazine [FDA Label]. Huntington's disease (HD) is a hereditary, progressive neurodegenerative disorder characterized by motor dysfunction, cognitive decline, and neuropsychiatric disturbances that interfere with daily functioning and significantly reduce the quality of life. The most prominent physical symptom of HD that may increase the risk of injury is chorea, which is an involuntary, sudden movement that can affect any muscle and flow randomly across body regions . Psychomotor symptoms of HD, such as chorea, are related to hyperactive dopaminergic neurotransmission . Deutetrabenazine depletes the levels of presynaptic dopamine by blocking VMAT2, which is responsible for the uptake of dopamine into synaptic vesicles in monoaminergic neurons and exocytotic release . As with other agents for the treatment of neurodegenerative diseases, deutetrabenazine is a drug to alleviate the motor symptoms of HD and is not proposed to halt the progression of the disease . In clinical trials of patients with HD, 12 weeks of treatment of deutetrabenazine resulted in overall improvement in mean total maximal chorea scores and motor signs than placebo . It was approved by FDA in April 2017 and is marketed under the trade name Austedo as oral tablets.
Moderate
1
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[ [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brompheniramine" ], [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{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}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Deutetrabenazine" ] ] ]
Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Brompheniramine and Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Sibutramine 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 Deutetrabenazine Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Sibutramine may cause a minor interaction that can limit clinical effects when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Sibutramine may lead to a major life threatening interaction when taken with Palonosetron and Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Sibutramine may cause a minor interaction that can limit clinical effects when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Sibutramine may cause a minor interaction that can limit clinical effects when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine Sibutramine may lead to a major life threatening interaction when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Deutetrabenazine
DB00209
DB00902
352
104
[ "DDInter1886", "DDInter1168" ]
Trospium
Methdilazine
Trospium is an antispasmodic agent used to treat the symptoms of overactive bladder, a condition that causes the bladder muscles to contract uncontrollably. An overactive bladder leads to an increased urge to urinate, frequent urination, and sometimes, loss of control over urination. Trospium is manufactured by _Indevus Pharmaceutical Inc._ and was granted FDA approval in 2007.
Methdilazine is a phenothiazine compound with antihistaminic activity. It is used in the treatment of various dermatoses to relieve pruritus.
Moderate
1
[ [ [ 352, 24, 104 ] ], [ [ 352, 24, 13 ], [ 13, 24, 104 ] ], [ [ 352, 40, 11286 ], [ 11286, 1, 104 ] ], [ [ 352, 24, 820 ], [ 820, 1, 104 ] ], [ [ 352, 24, 537 ], [ 537, 40, 104 ] ], [ [ 352, 24, 401 ], [ 401, 63, 104 ] ], [ [ 352, 35, 1192 ], [ 1192, 63, 104 ] ], [ [ 352, 23, 1605 ], [ 1605, 24, 104 ] ], [ [ 352, 63, 677 ], [ 677, 24, 104 ] ], [ [ 352, 23, 504 ], [ 504, 63, 104 ] ] ]
[ [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Trospium", "{u} (Compound) resembles {v} (Compound)", "Diphenylpyraline" ], [ "Diphenylpyraline", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ] ], [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Trospium", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glycopyrronium" ], [ "Glycopyrronium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Trospium", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Indapamide" ], [ "Indapamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Trospium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Botulinum toxin type A" ], [ "Botulinum toxin type A", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ], [ [ "Trospium", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydrochlorothiazide" ], [ "Hydrochlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ] ] ]
Trospium may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Trospium (Compound) resembles Diphenylpyraline (Compound) and Diphenylpyraline (Compound) resembles Methdilazine (Compound) Trospium may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine (Compound) resembles Methdilazine (Compound) Trospium may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine (Compound) resembles Methdilazine (Compound) Trospium may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Trospium (Compound) resembles Glycopyrronium (Compound) and Trospium may cause a moderate interaction that could exacerbate diseases when taken with Glycopyrronium and Glycopyrronium may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Trospium may cause a minor interaction that can limit clinical effects when taken with Indapamide and Indapamide may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Trospium may cause a moderate interaction that could exacerbate diseases when taken with Botulinum toxin type A and Botulinum toxin type A may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine Trospium may cause a minor interaction that can limit clinical effects when taken with Hydrochlorothiazide and Hydrochlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine
DB00673
DB01394
723
1,554
[ "DDInter112", "DDInter431" ]
Aprepitant
Colchicine
Aprepitant, an antiemetic, is a substance P/neurokinin 1 (NK1) receptor antagonist which, in combination with other antiemetic agents, is indicated for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of highly emetogenic cancer chemotherapy. Aprepitant is a selective high-affinity antagonist of human substance P/neurokinin 1 (NK1) receptors. Aprepitant has little or no affinity for serotonin (5-HT3), dopamine, and corticosteroid receptors, the targets of existing therapies for chemotherapy-induced nausea and vomiting (CI NV).
Colchicine is an alkaloid drug derived from a plant belonging to the Lily family, known as _Colchicum autumnale_, or "autumn crocus." Its use was first approved by the FDA in 1961. Colchicine is used in the treatment of gout flares and Familial Mediterranean fever, and prevention of major cardiovascular events. It has also been investigated in other inflammatory and fibrotic conditions.
Major
2
[ [ [ 723, 25, 1554 ] ], [ [ 723, 6, 8374 ], [ 8374, 45, 1554 ] ], [ [ 723, 54, 19146 ], [ 19146, 15, 1554 ] ], [ [ 723, 21, 28714 ], [ 28714, 60, 1554 ] ], [ [ 723, 24, 1017 ], [ 1017, 63, 1554 ] ], [ [ 723, 63, 168 ], [ 168, 24, 1554 ] ], [ [ 723, 24, 896 ], [ 896, 24, 1554 ] ], [ [ 723, 25, 484 ], [ 484, 63, 1554 ] ], [ [ 723, 25, 1406 ], [ 1406, 64, 1554 ] ], [ [ 723, 63, 467 ], [ 467, 25, 1554 ] ] ]
[ [ [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Colchicine" ] ], [ [ "Aprepitant", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Colchicine" ] ], [ [ "Aprepitant", "{u} (Compound) is included by {v} (Pharmacologic Class)", "Cytochrome P450 3A4 Inhibitors" ], [ "Cytochrome P450 3A4 Inhibitors", "{u} (Pharmacologic Class) includes {v} (Compound)", "Colchicine" ] ], [ [ "Aprepitant", "{u} (Compound) causes {v} (Side Effect)", "Asthenia" ], [ "Asthenia", "{u} (Side Effect) is caused by {v} (Compound)", "Colchicine" ] ], [ [ "Aprepitant", "{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}", "Colchicine" ] ], [ [ "Aprepitant", "{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}", "Colchicine" ] ], [ [ "Aprepitant", "{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}", "Colchicine" ] ], [ [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Colchicine" ] ], [ [ "Aprepitant", "{u} may lead to a major life threatening interaction when taken with {v}", "Neratinib" ], [ "Neratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Colchicine" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Colchicine" ] ] ]
Aprepitant (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Colchicine (Compound) Aprepitant (Compound) is included by Cytochrome P450 3A4 Inhibitors (Pharmacologic Class) and Cytochrome P450 3A4 Inhibitors (Pharmacologic Class) includes Colchicine (Compound) Aprepitant (Compound) causes Asthenia (Side Effect) and Asthenia (Side Effect) is caused by Colchicine (Compound) Aprepitant 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 Colchicine Aprepitant 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 Colchicine Aprepitant 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 Colchicine Aprepitant may lead to a major life threatening interaction when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Colchicine Aprepitant may lead to a major life threatening interaction when taken with Neratinib and Neratinib may lead to a major life threatening interaction when taken with Colchicine Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may lead to a major life threatening interaction when taken with Colchicine
DB00978
DB01069
739
401
[ "DDInter1084", "DDInter1533" ]
Lomefloxacin
Promethazine
Lomefloxacin is a fluoroquinolone antibiotic, used to treat bacterial infections including bronchitis and urinary tract infections (UTIs). Additionally, it has been employed for the prophylaxis of UTIs prior to surgery as well.
Promethazine, originally known as 3,277 R.P., is an N-dimethylaminopropyl derivative of [phenothiazine] that was developed in France in 1946. Promethazine antagonizes a variety of receptors, allowing it to be used for a number of indications including allergic reactions, pain, sedation, nausea, and vomiting.[A189907,A190153,A190159,A190150,A190171] Promethazine was granted FDA approval before 29 March 1951.[A190177,L4000]
Moderate
1
[ [ [ 739, 24, 401 ] ], [ [ 739, 24, 1264 ], [ 1264, 63, 401 ] ], [ [ 739, 21, 28709 ], [ 28709, 60, 401 ] ], [ [ 739, 24, 460 ], [ 460, 62, 401 ] ], [ [ 739, 62, 112 ], [ 112, 23, 401 ] ], [ [ 739, 63, 417 ], [ 417, 23, 401 ] ], [ [ 739, 23, 1532 ], [ 1532, 63, 401 ] ], [ [ 739, 25, 1296 ], [ 1296, 63, 401 ] ], [ [ 739, 63, 1559 ], [ 1559, 24, 401 ] ], [ [ 739, 24, 770 ], [ 770, 24, 401 ] ] ]
[ [ [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} (Compound) causes {v} (Side Effect)", "Decreased appetite" ], [ "Decreased appetite", "{u} (Side Effect) is caused by {v} (Compound)", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium carbonate" ], [ "Magnesium carbonate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ], [ [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ] ] ]
Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Lomefloxacin (Compound) causes Decreased appetite (Side Effect) and Decreased appetite (Side Effect) is caused by Promethazine (Compound) Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Magnesium carbonate and Magnesium carbonate may cause a minor interaction that can limit clinical effects when taken with Promethazine Lomefloxacin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Promethazine Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Sucralfate and Sucralfate may cause a minor interaction that can limit clinical effects when taken with Promethazine Lomefloxacin may cause a minor interaction that can limit clinical effects when taken with Ifosfamide and Ifosfamide may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Lomefloxacin may lead to a major life threatening interaction when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Promethazine Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Promethazine
DB09472
DB14879
1,383
163
[ "DDInter1693", "DDInter318" ]
Sodium sulfate
Cefiderocol
Sodium Sulfate Anhydrous is the anhydrous, sodium salt form of sulfuric acid. Sodium sulfate anhydrous disassociates in water to provide sodium ions and sulfate ions. Sodium ion is the principal cation of the extracellular fluid and plays a large part in the therapy of fluid and electrolyte disturbances. Sodium sulfate anhydrous is an electrolyte replenisher and is used in isosmotic solutions so that administration does not disturb normal electrolyte balance and does not lead to absorption or excretion of water and ions.
Cefiderocol is a cephalosporin antibacterial drug and exerts a mechanism of action similar to other β-lactam antibiotics.[FDA Label] Unlike other agents in this category, cefiderocol is a siderophore able to undergo active transport into the bacterial cell through iron channels. It represents a significant addition to antibacterial treatment option as it has proven to be effective *in vitro* against multidrug resistant strains including extended spectrum β-lactamase producers and carbapenemase producing bacteria. Cefiderocol was granted designation as a Qualified Infectious Disease Product and granted priority review status by the FDA on November 14, 2019. It is indicated for use in complicated urinary tract infections in patients with limited or no alternative treatments available.[FDA Label] This indication was supported by a positive clinical trial composed of 448 patients with complicated urinary tract infections which demonstrated a 72.6% rate of symptom resolution and bacterial eradication with cefiderocol compared to 54.6% with the comparator, imipenem/cilastatin. A concern noted in the trial was a 0.3% higher rate of all cause mortality, the cause of which has not been determined.
Moderate
1
[ [ [ 1383, 24, 163 ] ], [ [ 1383, 63, 1503 ], [ 1503, 24, 163 ] ], [ [ 1383, 63, 593 ], [ 593, 25, 163 ] ], [ [ 1383, 63, 1503 ], [ 1503, 24, 1662 ], [ 1662, 24, 163 ] ], [ [ 1383, 63, 847 ], [ 847, 40, 126 ], [ 126, 24, 163 ] ], [ [ 1383, 63, 593 ], [ 593, 63, 126 ], [ 126, 24, 163 ] ], [ [ 1383, 63, 1503 ], [ 1503, 25, 497 ], [ 497, 25, 163 ] ], [ [ 1383, 63, 443 ], [ 443, 23, 126 ], [ 126, 24, 163 ] ], [ [ 1383, 63, 847 ], [ 847, 24, 593 ], [ 593, 25, 163 ] ], [ [ 1383, 63, 593 ], [ 593, 64, 1503 ], [ 1503, 24, 163 ] ] ]
[ [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ], [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ], [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Picosulfuric acid" ], [ "Picosulfuric acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atomoxetine" ], [ "Atomoxetine", "{u} (Compound) resembles {v} (Compound)", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ], [ "Lindane", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} may lead to a major life threatening interaction when taken with {v}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Spironolactone" ], [ "Spironolactone", "{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}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{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}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Cefiderocol" ] ], [ [ "Sodium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Lindane" ], [ "Lindane", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cefiderocol" ] ] ]
Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Lindane and Lindane may cause a moderate interaction that could exacerbate diseases when taken with Cefiderocol Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Cefiderocol Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Lindane and Lindane may cause a moderate interaction that could exacerbate diseases when taken with Picosulfuric acid and Picosulfuric acid may cause a moderate interaction that could exacerbate diseases when taken with Cefiderocol Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Atomoxetine and Atomoxetine (Compound) resembles Warfarin (Compound) and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Cefiderocol Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Cefiderocol Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Lindane and Lindane may lead to a major life threatening interaction when taken with Iohexol and Iohexol may lead to a major life threatening interaction when taken with Cefiderocol Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Spironolactone and Spironolactone 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 Cefiderocol Sodium sulfate 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 Bupropion and Bupropion may lead to a major life threatening interaction when taken with Cefiderocol Sodium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Lindane and Lindane may cause a moderate interaction that could exacerbate diseases when taken with Cefiderocol
DB00278
DB00991
291
97
[ "DDInter117", "DDInter1358" ]
Argatroban
Oxaprozin
Argatroban is a direct, selective thrombin inhibitor. The American College of Cardiologists (ACC) recommend using bivalirudin or argatroban in patients who have had, or at risk for, heparin induced thrombocytopenia (HIT) and are undergoing percutaneous coronary intervention. Argatroban is a non-heparin anticoagulant shown to both normalize platelet count in patients with HIT and prevent the formation of thrombi. Parental anticoagulants must be stopped and a baseline activated partial thromboplastin time must be obtained prior to administering argatroban.
Oxaprozin is a non-narcotic, non-steroidal anti-inflammatory drug (NSAID), used to relieve the inflammation, swelling, stiffness, and joint pain associated with osteoarthritis and rheumatoid arthritis.
Moderate
1
[ [ [ 291, 24, 97 ] ], [ [ 291, 24, 1274 ], [ 1274, 24, 97 ] ], [ [ 291, 24, 998 ], [ 998, 1, 97 ] ], [ [ 291, 21, 29102 ], [ 29102, 60, 97 ] ], [ [ 291, 25, 936 ], [ 936, 63, 97 ] ], [ [ 291, 64, 582 ], [ 582, 24, 97 ] ], [ [ 291, 24, 714 ], [ 714, 63, 97 ] ], [ [ 291, 25, 1317 ], [ 1317, 24, 97 ] ], [ [ 291, 25, 1213 ], [ 1213, 64, 97 ] ], [ [ 291, 64, 834 ], [ 834, 25, 97 ] ] ]
[ [ [ "Argatroban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Argatroban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Argatroban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylbutazone" ], [ "Phenylbutazone", "{u} (Compound) resembles {v} (Compound)", "Oxaprozin" ] ], [ [ "Argatroban", "{u} (Compound) causes {v} (Side Effect)", "Kidney function abnormal" ], [ "Kidney function abnormal", "{u} (Side Effect) is caused by {v} (Compound)", "Oxaprozin" ] ], [ [ "Argatroban", "{u} may lead to a major life threatening interaction when taken with {v}", "Cangrelor" ], [ "Cangrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Argatroban", "{u} may lead to a major life threatening interaction when taken with {v}", "Reteplase" ], [ "Reteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Argatroban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ], [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Argatroban", "{u} may lead to a major life threatening interaction when taken with {v}", "Dipyridamole" ], [ "Dipyridamole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ] ], [ [ "Argatroban", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxaprozin" ] ], [ [ "Argatroban", "{u} may lead to a major life threatening interaction when taken with {v}", "Drotrecogin alfa" ], [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxaprozin" ] ] ]
Argatroban may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin Argatroban may cause a moderate interaction that could exacerbate diseases when taken with Phenylbutazone and Phenylbutazone (Compound) resembles Oxaprozin (Compound) Argatroban (Compound) causes Kidney function abnormal (Side Effect) and Kidney function abnormal (Side Effect) is caused by Oxaprozin (Compound) Argatroban may lead to a major life threatening interaction when taken with Cangrelor and Cangrelor may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin Argatroban may lead to a major life threatening interaction when taken with Reteplase and Reteplase may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin Argatroban may cause a moderate interaction that could exacerbate diseases when taken with Iloprost and Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin Argatroban may lead to a major life threatening interaction when taken with Dipyridamole and Dipyridamole may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin Argatroban may lead to a major life threatening interaction when taken with Dasatinib and Dasatinib may lead to a major life threatening interaction when taken with Oxaprozin Argatroban may lead to a major life threatening interaction when taken with Drotrecogin alfa and Drotrecogin alfa may lead to a major life threatening interaction when taken with Oxaprozin
DB00959
DB11095
1,486
235
[ "DDInter1191", "DDInter505" ]
Methylprednisolone
Desirudin
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.
Desirudin is a direct inhibitor of human thrombin. It has a protein structure that is similar to that of hirudin, the naturally occurring anticoagulant present in the peripharyngeal glands in the medicinal leech, Hirudo medicinalis. Hirudin is a single polypeptide chain of 65 amino acids residues and contains three disulfide bridges. Desirudin has a chemical formula of C287H440N80O110S6 with a molecular weight of 6963.52. It is mainly indicated for the prevention of deep vein thrombosis in hip replacement surgery patients. Common side effects include: Bleeding gums, collection of blood under the skin, coughing up blood, deep, dark purple bruise and difficulty with breathing or swallowing.
Major
2
[ [ [ 1486, 25, 235 ] ], [ [ 1486, 24, 1004 ], [ 1004, 24, 235 ] ], [ [ 1486, 62, 1461 ], [ 1461, 24, 235 ] ], [ [ 1486, 63, 529 ], [ 529, 24, 235 ] ], [ [ 1486, 24, 972 ], [ 972, 63, 235 ] ], [ [ 1486, 63, 59 ], [ 59, 25, 235 ] ], [ [ 1486, 1, 175 ], [ 175, 25, 235 ] ], [ [ 1486, 24, 283 ], [ 283, 64, 235 ] ], [ [ 1486, 24, 97 ], [ 97, 25, 235 ] ], [ [ 1486, 62, 1018 ], [ 1018, 25, 235 ] ] ]
[ [ [ "Methylprednisolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyl salicylate" ], [ "Phenyl salicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desirudin" ] ], [ [ "Methylprednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vitamin E" ], [ "Vitamin E", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desirudin" ] ], [ [ "Methylprednisolone", "{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}", "Desirudin" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Choline salicylate" ], [ "Choline salicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desirudin" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etodolac" ], [ "Etodolac", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ], [ [ "Methylprednisolone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ], [ "Triamcinolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaprozin" ], [ "Oxaprozin", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ], [ [ "Methylprednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ] ]
Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Phenyl salicylate and Phenyl salicylate may cause a moderate interaction that could exacerbate diseases when taken with Desirudin Methylprednisolone may cause a minor interaction that can limit clinical effects when taken with Vitamin E and Vitamin E may cause a moderate interaction that could exacerbate diseases when taken with Desirudin Methylprednisolone 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 Desirudin Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Choline salicylate and Choline salicylate may cause a moderate interaction that could exacerbate diseases when taken with Desirudin Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Etodolac and Etodolac may lead to a major life threatening interaction when taken with Desirudin Methylprednisolone (Compound) resembles Triamcinolone (Compound) and Triamcinolone may lead to a major life threatening interaction when taken with Desirudin Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may lead to a major life threatening interaction when taken with Desirudin Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Oxaprozin and Oxaprozin may lead to a major life threatening interaction when taken with Desirudin Methylprednisolone may cause a minor interaction that can limit clinical effects when taken with Ticlopidine and Ticlopidine may lead to a major life threatening interaction when taken with Desirudin
DB00804
DB11160
1,507
337
[ "DDInter543", "DDInter1459" ]
Dicyclomine
Phenyltoloxamine
Dicyclomine is a muscarinic M1, M3, and M2 receptor antagonist as well as a non-competitive inhibitor of histamine and bradykinin used to treat spasms of the intestines seen in functional bowel disorder and irritable bowel syndrome.[A6556,A182555,A234659,L7967] Though it is commonly prescribed, its recommendation may have been based on a small amount of evidence and so its prescription is becoming less favourable. Dicyclomine was granted FDA approval on 11 May 1950.
Phenyltoloxamine is an antihistamine drug with sedative and analgesic effects. It is a H1 receptor blocker and a member of the ethanolamine class of antihistaminergic drugs. It is available in combination products that also contain other analgesics and antitussives such as acetaminophen. Phenyltoloxamine citrate is the more common salt form that acts as an active ingredient in pharmaceutical products and promotes hay fever relief via reversing the effects of histamine. Phenyltoloxamine acts as an adjuvant analgesic, which augments the analgesic effect of acetaminophen. It also potentiates the effects of other drugs, such as codeine and codeine derivatives. Although phenyltoloxamine's ability to potentiate the effects of analgesics may be explained in part by its chemical nature as a first-generation H1 antihistamine that is capable of crossing the blood-brain barrier and causing tranquilizing effects at CNS histamine receptors, many of the drug's specific pharmacokinetics are not readily available - perhaps also because many early (phenyltoloxamine was involved in studies as early as the 1950s) first-generation antihistamines were not optimally investigated . Nevertheless, phenyltoloxamine is used to a fairly limited extent in contemporary medicine, with only very few products involving it as an active ingredient.
Moderate
1
[ [ [ 1507, 24, 337 ] ], [ [ 1507, 24, 820 ], [ 820, 24, 337 ] ], [ [ 1507, 63, 999 ], [ 999, 24, 337 ] ], [ [ 1507, 64, 1621 ], [ 1621, 25, 337 ] ], [ [ 1507, 24, 820 ], [ 820, 23, 771 ], [ 771, 62, 337 ] ], [ [ 1507, 63, 999 ], [ 999, 63, 1594 ], [ 1594, 24, 337 ] ], [ [ 1507, 63, 1594 ], [ 1594, 24, 820 ], [ 820, 24, 337 ] ], [ [ 1507, 24, 1511 ], [ 1511, 63, 820 ], [ 820, 24, 337 ] ], [ [ 1507, 63, 128 ], [ 128, 23, 771 ], [ 771, 62, 337 ] ], [ [ 1507, 24, 1311 ], [ 1311, 25, 820 ], [ 820, 24, 337 ] ] ]
[ [ [ "Dicyclomine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{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}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{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}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thiethylperazine" ], [ "Thiethylperazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ], [ "Mepenzolate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ], [ "Dexbrompheniramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hyaluronidase" ], [ "Hyaluronidase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenyltoloxamine" ] ], [ [ "Dicyclomine", "{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}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyltoloxamine" ] ] ]
Dicyclomine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine Dicyclomine 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 Phenyltoloxamine Dicyclomine 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 Phenyltoloxamine Dicyclomine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a minor interaction that can limit clinical effects when taken with Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Phenyltoloxamine Dicyclomine may cause a moderate interaction that could exacerbate diseases when taken with Thiethylperazine and Thiethylperazine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine Dicyclomine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine Dicyclomine may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate and Mepenzolate may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine Dicyclomine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine and Dexbrompheniramine may cause a minor interaction that can limit clinical effects when taken with Hyaluronidase and Hyaluronidase may cause a minor interaction that can limit clinical effects when taken with Phenyltoloxamine Dicyclomine 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 Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Phenyltoloxamine
DB01320
DB09278
651
852
[ "DDInter783", "DDInter24" ]
Fosphenytoin
Activated charcoal
Fosphenytoin is a water-soluble phenytoin prodrug used only in hospitals for the treatment of epileptic seizures. It works by slowing down impulses in the brain that cause seizures. Its main mechanism is to block frequency-dependent, use-dependent and voltage-dependent neuronal sodium channels, and therefore limit repetitive firing of action potentials.
Activated charcoal, or activated carbon, is an amorphous form of carbon prepared from incomplete combustion of carbonaceous organic matter. It is activated by an oxidizing gas flow at high temperature passed over its surface to make a fine network of pores, producing a material with large surface area and high affinity for various substances. It is used as a gastric decontaminant and emergency medication to treat poisonings following excessive oral ingestion of certain medications or poisons by absorbing most drugs and toxins. However its effects is rendered poor on some compounds including strong acids or bases, methanol and substances with limited absorptive capacity (including iron, lithium, arsenic). It works by binding to the poison in the gastric contents in a reversible fashion thus may be adminstered together with a cathartic to reduce the small intestine transit time. The clinical applications of activated charcoal occured in the early 1800's. While this management for acute poisoning is considered fairly invasive, it is on the World Health Organization's List of Essential Medicines that includes the most important medications needed in a basic health system.
Moderate
1
[ [ [ 651, 24, 852 ] ], [ [ 651, 63, 127 ], [ 127, 24, 852 ] ], [ [ 651, 62, 1479 ], [ 1479, 24, 852 ] ], [ [ 651, 64, 1377 ], [ 1377, 24, 852 ] ], [ [ 651, 40, 362 ], [ 362, 24, 852 ] ], [ [ 651, 25, 1510 ], [ 1510, 24, 852 ] ], [ [ 651, 62, 1096 ], [ 1096, 25, 852 ] ], [ [ 651, 63, 127 ], [ 127, 24, 1411 ], [ 1411, 24, 852 ] ], [ [ 651, 63, 1411 ], [ 1411, 63, 21 ], [ 21, 24, 852 ] ], [ [ 651, 63, 1264 ], [ 1264, 74, 21 ], [ 21, 24, 852 ] ] ]
[ [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miglitol" ], [ "Miglitol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{u} (Compound) resembles {v} (Compound)", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miglitol" ], [ "Miglitol", "{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}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{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}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Activated charcoal" ] ], [ [ "Fosphenytoin", "{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}", "Amitriptyline" ], [ "Amitriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Activated charcoal" ] ] ]
Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Miglitol and Miglitol may cause a moderate interaction that could exacerbate diseases when taken with Activated charcoal Fosphenytoin may cause a minor interaction that can limit clinical effects when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a moderate interaction that could exacerbate diseases when taken with Activated charcoal Fosphenytoin may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Activated charcoal Fosphenytoin (Compound) resembles Phenytoin (Compound) and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Activated charcoal Fosphenytoin may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Activated charcoal Fosphenytoin may cause a minor interaction that can limit clinical effects when taken with Mycophenolic acid and Mycophenolic acid may lead to a major life threatening interaction when taken with Activated charcoal Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Miglitol and Miglitol 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 Activated charcoal Fosphenytoin 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 Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Activated charcoal Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin (Compound) resembles Amitriptyline (Compound) and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline may cause a moderate interaction that could exacerbate diseases when taken with Activated charcoal
DB00316
DB12130
474
1,017
[ "DDInter14", "DDInter1094" ]
Acetaminophen
Lorlatinib
Acetaminophen (paracetamol), also commonly known as _Tylenol_, is the most commonly taken analgesic worldwide and is recommended as first-line therapy in pain conditions by the World Health Organization (WHO). It is also used for its antipyretic effects, helping to reduce fever. This drug was initially approved by the U.S. FDA in 1951 and is available in a variety of forms including syrup form, regular tablets, effervescent tablets, injection, suppository, and other forms.[L5756,L5774,F4124,Label] Acetaminophen is often found combined with other drugs in more than 600 over the counter (OTC) allergy medications, cold medications, sleep medications, pain relievers, and other products. Confusion about dosing of this drug may be caused by the availability of different formulas, strengths, and dosage instructions for children of different ages. Due to the possibility of fatal overdose and liver
Lorlatinib is a third-generation ALK tyrosine kinase inhibitor (TKI) for patients with ALK-positive metastatic non-small cell lung cancer which was first approved by the US FDA in November of 2018. It was subsequently approved by the EMA in 2019 for the treatment of select patients with previously treated advanced ALK-positive non-small cell lung cancer, followed by an expanded approval in 2022 to include lorlatinib as a first-line treatment option in advanced ALK-positive NSCLC.
Moderate
1
[ [ [ 474, 24, 1017 ] ], [ [ 474, 24, 126 ], [ 126, 24, 1017 ] ], [ [ 474, 23, 752 ], [ 752, 24, 1017 ] ], [ [ 474, 24, 1619 ], [ 1619, 63, 1017 ] ], [ [ 474, 63, 10 ], [ 10, 24, 1017 ] ], [ [ 474, 24, 384 ], [ 384, 25, 1017 ] ], [ [ 474, 24, 126 ], [ 126, 23, 271 ], [ 271, 23, 1017 ] ], [ [ 474, 24, 850 ], [ 850, 63, 1101 ], [ 1101, 23, 1017 ] ], [ [ 474, 23, 752 ], [ 752, 63, 608 ], [ 608, 23, 1017 ] ], [ [ 474, 63, 10 ], [ 10, 24, 1554 ], [ 1554, 24, 1017 ] ] ]
[ [ [ "Acetaminophen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{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}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{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}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{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}", "Mirabegron" ], [ "Mirabegron", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{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}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lorlatinib" ] ], [ [ "Acetaminophen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Colchicine" ], [ "Colchicine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ] ] ]
Acetaminophen may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Acetaminophen may cause a minor interaction that can limit clinical effects when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Acetaminophen 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 Lorlatinib Acetaminophen may cause a moderate interaction that could exacerbate diseases when taken with Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib Acetaminophen 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 Lorlatinib Acetaminophen 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 Mirabegron and Mirabegron may cause a minor interaction that can limit clinical effects when taken with Lorlatinib Acetaminophen 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 Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Lorlatinib Acetaminophen may cause a minor interaction that can limit clinical effects when taken with Cimetidine and Cimetidine may cause a moderate interaction that could exacerbate diseases when taken with Lidocaine and Lidocaine may cause a minor interaction that can limit clinical effects when taken with Lorlatinib Acetaminophen may cause a moderate interaction that could exacerbate diseases when taken with Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Colchicine and Colchicine may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib
DB00224
DB00635
215
1,573
[ "DDInter917", "DDInter1515" ]
Indinavir
Prednisone
A potent and specific HIV protease inhibitor that appears to have good oral bioavailability. [PubChem]
A synthetic anti-inflammatory glucocorticoid derived from [cortisone]. It is biologically inert and converted to [prednisolone] in the liver. Prednisone was granted FDA approval on 21 February 1955.
Moderate
1
[ [ [ 215, 24, 1573 ] ], [ [ 215, 25, 175 ], [ 175, 40, 1573 ] ], [ [ 215, 24, 423 ], [ 423, 40, 1573 ] ], [ [ 215, 63, 1351 ], [ 1351, 40, 1573 ] ], [ [ 215, 24, 251 ], [ 251, 1, 1573 ] ], [ [ 215, 6, 8374 ], [ 8374, 45, 1573 ] ], [ [ 215, 7, 7245 ], [ 7245, 46, 1573 ] ], [ [ 215, 21, 28957 ], [ 28957, 60, 1573 ] ], [ [ 215, 24, 659 ], [ 659, 62, 1573 ] ], [ [ 215, 25, 455 ], [ 455, 62, 1573 ] ] ]
[ [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisone" ] ], [ [ "Indinavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ] ], [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ciclesonide" ], [ "Ciclesonide", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ] ], [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flunisolide" ], [ "Flunisolide", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ] ], [ [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ] ], [ [ "Indinavir", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Prednisone" ] ], [ [ "Indinavir", "{u} (Compound) upregulates {v} (Gene)", "SSBP2" ], [ "SSBP2", "{u} (Gene) is upregulated by {v} (Compound)", "Prednisone" ] ], [ [ "Indinavir", "{u} (Compound) causes {v} (Side Effect)", "Arthralgia" ], [ "Arthralgia", "{u} (Side Effect) is caused by {v} (Compound)", "Prednisone" ] ], [ [ "Indinavir", "{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}", "Prednisone" ] ], [ [ "Indinavir", "{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}", "Prednisone" ] ] ]
Indinavir may lead to a major life threatening interaction when taken with Triamcinolone and Triamcinolone (Compound) resembles Prednisone (Compound) Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Ciclesonide and Ciclesonide (Compound) resembles Prednisone (Compound) Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Flunisolide and Flunisolide (Compound) resembles Prednisone (Compound) Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone (Compound) resembles Prednisone (Compound) Indinavir (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Prednisone (Compound) Indinavir (Compound) upregulates SSBP2 (Gene) and SSBP2 (Gene) is upregulated by Prednisone (Compound) Indinavir (Compound) causes Arthralgia (Side Effect) and Arthralgia (Side Effect) is caused by Prednisone (Compound) Indinavir 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 Prednisone Indinavir 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 Prednisone
DB00585
DB08901
1,127
1,468
[ "DDInter1309", "DDInter1492" ]
Nizatidine
Ponatinib
A histamine H2 receptor antagonist with low toxicity that inhibits gastric acid secretion. The drug is used for the treatment of duodenal ulcers.
Ponatinib is a novel Bcr-Abl tyrosine kinase inhibitor that is especially effective against the T315I mutation for the treatment of chronic myeloid leukemia. FDA approved on December 14, 2012.
Minor
0
[ [ [ 1127, 23, 1468 ] ], [ [ 1127, 24, 478 ], [ 478, 24, 1468 ] ], [ [ 1127, 6, 4973 ], [ 4973, 45, 1468 ] ], [ [ 1127, 18, 2065 ], [ 2065, 45, 1468 ] ], [ [ 1127, 7, 2060 ], [ 2060, 46, 1468 ] ], [ [ 1127, 18, 5818 ], [ 5818, 57, 1468 ] ], [ [ 1127, 21, 28722 ], [ 28722, 60, 1468 ] ], [ [ 1127, 1, 1194 ], [ 1194, 23, 1468 ] ], [ [ 1127, 23, 1283 ], [ 1283, 23, 1468 ] ], [ [ 1127, 23, 460 ], [ 460, 62, 1468 ] ] ]
[ [ [ "Nizatidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ] ], [ [ "Nizatidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ] ], [ [ "Nizatidine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Ponatinib" ] ], [ [ "Nizatidine", "{u} (Compound) downregulates {v} (Gene)", "SRC" ], [ "SRC", "{u} (Gene) is bound by {v} (Compound)", "Ponatinib" ] ], [ [ "Nizatidine", "{u} (Compound) upregulates {v} (Gene)", "PIK3CA" ], [ "PIK3CA", "{u} (Gene) is upregulated by {v} (Compound)", "Ponatinib" ] ], [ [ "Nizatidine", "{u} (Compound) downregulates {v} (Gene)", "ATP6V0B" ], [ "ATP6V0B", "{u} (Gene) is downregulated by {v} (Compound)", "Ponatinib" ] ], [ [ "Nizatidine", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Ponatinib" ] ], [ [ "Nizatidine", "{u} (Compound) resembles {v} (Compound)", "Ranitidine" ], [ "Ranitidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ] ], [ [ "Nizatidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ] ], [ [ "Nizatidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium carbonate" ], [ "Magnesium carbonate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ponatinib" ] ] ]
Nizatidine may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib Nizatidine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Ponatinib (Compound) Nizatidine (Compound) downregulates SRC (Gene) and SRC (Gene) is bound by Ponatinib (Compound) Nizatidine (Compound) upregulates PIK3CA (Gene) and PIK3CA (Gene) is upregulated by Ponatinib (Compound) Nizatidine (Compound) downregulates ATP6V0B (Gene) and ATP6V0B (Gene) is downregulated by Ponatinib (Compound) Nizatidine (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Ponatinib (Compound) Nizatidine (Compound) resembles Ranitidine (Compound) and Ranitidine may cause a minor interaction that can limit clinical effects when taken with Ponatinib Nizatidine may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide and Magnesium oxide may cause a minor interaction that can limit clinical effects when taken with Ponatinib Nizatidine may cause a minor interaction that can limit clinical effects when taken with Magnesium carbonate and Magnesium carbonate may cause a minor interaction that can limit clinical effects when taken with Ponatinib
DB09098
DB09128
98
1,241
[ "DDInter1700", "DDInter231" ]
Somatrem
Brexpiprazole
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.
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.
Moderate
1
[ [ [ 98, 24, 1241 ] ], [ [ 98, 63, 549 ], [ 549, 24, 1241 ] ], [ [ 98, 24, 1296 ], [ 1296, 63, 1241 ] ], [ [ 98, 24, 283 ], [ 283, 64, 1241 ] ], [ [ 98, 63, 384 ], [ 384, 25, 1241 ] ], [ [ 98, 63, 549 ], [ 549, 24, 1296 ], [ 1296, 63, 1241 ] ], [ [ 98, 63, 761 ], [ 761, 24, 129 ], [ 129, 24, 1241 ] ], [ [ 98, 63, 1647 ], [ 1647, 23, 135 ], [ 135, 24, 1241 ] ], [ [ 98, 63, 129 ], [ 129, 63, 761 ], [ 761, 24, 1241 ] ], [ [ 98, 24, 1296 ], [ 1296, 63, 549 ], [ 549, 24, 1241 ] ] ]
[ [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Somatrem", "{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}", "Brexpiprazole" ] ], [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexpiprazole" ] ], [ [ "Somatrem", "{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" ] ], [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ], [ "Insulin degludec", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Somatrem", "{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}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acarbose" ], [ "Acarbose", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Albiglutide" ], [ "Albiglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Somatrem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Saxagliptin" ], [ "Saxagliptin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ], [ [ "Somatrem", "{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}", "Dapagliflozin" ], [ "Dapagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brexpiprazole" ] ] ]
Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Somatrem 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 Brexpiprazole Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib and Fedratinib may lead to a major life threatening interaction when taken with Brexpiprazole Somatrem 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 Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Dapagliflozin and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec and Insulin degludec may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Somatrem 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 Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Acarbose and Acarbose may cause a minor interaction that can limit clinical effects when taken with Albiglutide and Albiglutide may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Somatrem may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Saxagliptin and Saxagliptin may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole Somatrem 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 Dapagliflozin and Dapagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Brexpiprazole
DB00196
DB06595
600
1,491
[ "DDInter743", "DDInter1214" ]
Fluconazole
Midostaurin
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.
Midostaurin (as Rydapt) is a multitarget kinase inhibitor for the treatment for adult patients with newly diagnosed acute myeloid leukemia (AML) who have a specific genetic mutation called FLT3. It was initially characterized as a potential broad-spectrum antineoplastic agent, with activity toward diverse solid and hematopoietic tumors . It was approved on April 28, 2017 and has shown to increase the overall survival rate in patients with AML as an adjunct therapy along with chemotherapeutic agents.
Moderate
1
[ [ [ 600, 24, 1491 ] ], [ [ 600, 25, 1135 ], [ 1135, 62, 1491 ] ], [ [ 600, 23, 112 ], [ 112, 23, 1491 ] ], [ [ 600, 24, 761 ], [ 761, 24, 1491 ] ], [ [ 600, 25, 289 ], [ 289, 24, 1491 ] ], [ [ 600, 24, 1017 ], [ 1017, 63, 1491 ] ], [ [ 600, 25, 927 ], [ 927, 63, 1491 ] ], [ [ 600, 63, 317 ], [ 317, 24, 1491 ] ], [ [ 600, 23, 1091 ], [ 1091, 24, 1491 ] ], [ [ 600, 25, 1377 ], [ 1377, 25, 1491 ] ] ]
[ [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Fluconazole", "{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}", "Midostaurin" ] ], [ [ "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}", "Midostaurin" ] ], [ [ "Fluconazole", "{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}", "Midostaurin" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Cerivastatin" ], [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Fluconazole", "{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}", "Midostaurin" ] ], [ [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vasopressin" ], [ "Vasopressin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Fluconazole", "{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}", "Midostaurin" ] ] ]
Fluconazole 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 Midostaurin 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 Midostaurin Fluconazole 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 Midostaurin Fluconazole may lead to a major life threatening interaction when taken with Cerivastatin and Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Fluconazole 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 Midostaurin Fluconazole may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Vasopressin and Vasopressin may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Fluconazole may cause a minor interaction that can limit clinical effects when taken with Amprenavir and Amprenavir may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Fluconazole 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 Midostaurin
DB04865
DB15762
4
725
[ "DDInter1335", "DDInter1644" ]
Omacetaxine mepesuccinate
Satralizumab
Omacetaxine mepesuccinate (formerly known as HHT or Homoharringtonine), is a cephalotaxine ester and protein synthesis inhibitor with established clinical activity as a single agent in hematological malignancies. Omacetaxine mepesuccinate is synthesized from cephalotaxine, which is an extract from the leaves of the plant, Cephalotaxus species. In October 2005, omacetaxine mepesuccinate received Orphan Drug designation from the EMEA for the treatment of chronic myeloid leukemia (CML). Then in March 2006, it received Orphan Drug status from the FDA for the treatment of CML. In November 2006, omacetaxine mepesuccinate, for the treatment of CML, was granted Fast Track designation by the FDA. Most recently, in October 2012, omacetaxine mepesuccinate was
Satralizumab is a recombinant humanized monoclonal antibody targeted against human interleukin-6 (IL-6) receptors, similar to [tocilizumab], which is produced in Chinese hamster ovary cells and based on an IgG2 framework. Satralizumab is used in the treatment of neuromyelitis optica spectrum disorder (NMOSD), a rare autoimmune inflammatory disorder of the central nervous system (CNS) involving demyelinating lesions in the optic nerve, spinal cord, brainstem, and cerebrum. Some of the pro-inflammatory mechanisms involved in NMOSD are thought to be mediated, at least in part, by IL-6, including increased production of anti-aquaporin-4 (AQP4) autoantibodies and increased permeability of the blood-brain barrier, which allows for the passage of pro-inflammatory mediators into the CNS.[A218546,A218551] Satralizumab is thought to exert its therapeutic benefits by blocking IL-6 receptors and, subsequently, these inflammatory responses. Enspryng®, a satralizumab formulation developed by Chugai Pharmaceutical and Roche, is uniquely formulated with "recycling antibody technology" whereby the association of satralizumab to IL-6 receptors occurs in a pH-dependent manner - this allows satralizumab to bind an IL-6 receptor until it reaches an endosome, after which the drug may dissociate from the receptor and move back into the plasma to act again. This novel mechanism effectively increases the duration of action of satralizumab, as it allows for single drug molecules to interact with multiple endogenous IL-6 receptors prior to elimination. Satralizumab was first approved for use in Canada in June 2020 for the treatment of AQP4 antibody-positive patients with NMOSD. It received subsequent approvals in Switzerland and Japan, and was approved for use by the FDA in August 2020, becoming the 3rd treatment to receive FDA approval for NMOSD (after [eculizumab] in June 2019 and [inebilizumab] in June 2020).
Moderate
1
[ [ [ 4, 24, 725 ] ], [ [ 4, 24, 1362 ], [ 1362, 24, 725 ] ], [ [ 4, 63, 372 ], [ 372, 24, 725 ] ], [ [ 4, 25, 1409 ], [ 1409, 24, 725 ] ], [ [ 4, 64, 126 ], [ 126, 24, 725 ] ], [ [ 4, 64, 1066 ], [ 1066, 25, 725 ] ], [ [ 4, 24, 1531 ], [ 1531, 25, 725 ] ], [ [ 4, 25, 676 ], [ 676, 25, 725 ] ], [ [ 4, 63, 881 ], [ 881, 25, 725 ] ], [ [ 4, 24, 1362 ], [ 1362, 64, 384 ], [ 384, 24, 725 ] ] ]
[ [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofarabine" ], [ "Clofarabine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{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}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{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}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canakinumab" ], [ "Canakinumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{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}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abatacept" ], [ "Abatacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Satralizumab" ] ], [ [ "Omacetaxine mepesuccinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Satralizumab" ] ] ]
Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Olaparib and Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Satralizumab Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Clofarabine and Clofarabine may cause a moderate interaction that could exacerbate diseases when taken with Satralizumab Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Apixaban and Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Satralizumab Omacetaxine mepesuccinate 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 Satralizumab Omacetaxine mepesuccinate 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 Satralizumab Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Canakinumab and Canakinumab may lead to a major life threatening interaction when taken with Satralizumab Omacetaxine mepesuccinate 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 Satralizumab Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Abatacept and Abatacept may lead to a major life threatening interaction when taken with Satralizumab Omacetaxine mepesuccinate may cause a moderate interaction that could exacerbate diseases when taken with Olaparib and Olaparib may lead to a major life threatening interaction when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Satralizumab
DB00065
DB00877
581
629
[ "DDInter923", "DDInter1678" ]
Infliximab
Sirolimus
Infliximab is a tumor necrosis factor (TNF-alpha or TNF-α) blocker and a chimeric monoclonal IgG1 antibody composed of human constant (75%) and murine variable (25%) regions. Infliximab is produced by a recombinant cell line cultured by continuous perfusion. Tumor necrosis factor-alpha (TNF-α) is a key proinflammatory cytokine involved in chronic inflammatory diseases. Its hyperactivity and enhanced signalling pathways can be observed in inflammatory diseases where it activates further pro-inflammatory cascades. By binding to both the soluble subunit and the membrane-bound precursor of TNF-α, infliximab disrupts the interaction of TNF-α with its receptors and may also cause lysis of cells that produce TNF-α. Infliximab was first approved by the FDA in 1998 under the market name Remicade as an intravenous injection. It is indicated for the treatment
Sirolimus, also known as rapamycin, is a macrocyclic lactone antibiotic produced by bacteria _Streptomyces hygroscopicus_, which was isolated from the soil of the Vai Atari region of Rapa Nui (Easter Island). It was first isolated and identified as an antifungal agent with potent anticandida activity; however, after its potent antitumor and immunosuppressive activities were later discovered, it was extensively investigated as an immunosuppressive and antitumour agent. Its primary mechanism of action is the inhibition of the mammalian target of rapamycin (mTOR), which is a serine/threonine-specific protein kinase that regulates cell growth, proliferation, and survival. mTOR is an important therapeutic target for various diseases, as it was shown to regulate longevity and maintain normal glucose homeostasis. Targeting mTOR received more attention especially in cancer, as mTOR signalling pathways are constitutively activated in many types of human cancer. Sirolimus was first approved by the FDA in 1999 for the prophylaxis of organ rejection in patients aged 13 years and older receiving renal transplants. In November 2000, the drug was recognized by the European Agency as an alternative to calcineurin antagonists for maintenance therapy with corticosteroids. In May 2015, the FDA approved sirolimus for the treatment of patients with lymphangioleiomyomatosis. In November 2021, albumin-bound sirolimus for intravenous injection was approved by the FDA for the treatment of adults with locally advanced unresectable or metastatic malignant perivascular epithelioid cell tumour (PEComa). Sirolimus was also investigated in other cancers such as skin cancer, Kaposi’s Sarcoma, cutaneous T-cell lymphomas, and tuberous sclerosis. The topical formulation of sirolimus, marketed as HYFTOR, was approved by the FDA in April 2022: this marks the first topical treatment approved in the US for facial angiofibroma associated with tuberous sclerosis complex.
Major
2
[ [ [ 581, 25, 629 ] ], [ [ 581, 23, 1114 ], [ 1114, 62, 629 ] ], [ [ 581, 23, 1461 ], [ 1461, 23, 629 ] ], [ [ 581, 25, 1476 ], [ 1476, 63, 629 ] ], [ [ 581, 25, 167 ], [ 167, 24, 629 ] ], [ [ 581, 24, 788 ], [ 788, 63, 629 ] ], [ [ 581, 24, 599 ], [ 599, 24, 629 ] ], [ [ 581, 64, 1184 ], [ 1184, 24, 629 ] ], [ [ 581, 25, 1066 ], [ 1066, 25, 629 ] ], [ [ 581, 25, 676 ], [ 676, 64, 629 ] ] ]
[ [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ] ], [ [ "Infliximab", "{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}", "Sirolimus" ] ], [ [ "Infliximab", "{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}", "Sirolimus" ] ], [ [ "Infliximab", "{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}", "Sirolimus" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitavastatin" ], [ "Pitavastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Infliximab", "{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}", "Sirolimus" ] ], [ [ "Infliximab", "{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}", "Sirolimus" ] ] ]
Infliximab 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 Sirolimus Infliximab 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 Sirolimus Infliximab 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 Sirolimus Infliximab may lead to a major life threatening interaction when taken with Hydrocortisone and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Pitavastatin and Pitavastatin may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Alemtuzumab and Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Infliximab may lead to a major life threatening interaction when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Infliximab 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 Sirolimus Infliximab 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 Sirolimus
DB00344
DB06788
1,302
1,616
[ "DDInter1543", "DDInter864" ]
Protriptyline
Histrelin
Protriptyline hydrochloride is a dibenzocycloheptene-derivative tricyclic antidepressant (TCA). TCAs are structurally similar to phenothiazines. They contain a tricyclic ring system with an alkyl amine substituent on the central ring. In non-depressed individuals, protriptyline does not affect mood or arousal, but may cause sedation. In depressed individuals, protriptyline exerts a positive effect on mood. TCAs are potent inhibitors of serotonin and norepinephrine reuptake. In addition, TCAs down-regulate cerebral cortical &beta;-adrenergic receptors and sensitize post-synaptic serotonergic receptors with chronic use. The antidepressant effects of TCAs are thought to be due to an overall increase in serotonergic neurotransmission. TCAs also block histamine H<sub>1</sub> receptors, alpha<sub>1</sub
Histrelin is a gonadotropin-releasing hormone (GnRH) agonist that acts as a potent inhibitor of gonadotropin when administered as an implant delivering continuous therapeutic doses. This drug is a synthetic analog of naturally occurring GnRH with a higher potency. Histrelin implants are non-biodegradable, diffusion-controlled, hydrogel polymer reservoirs containing histrelin acetate that need to be replaced every 52 weeks.[L41700,L41715,L41755] Initially, histrelin implants were developed to reduce testosterone to castration levels in patients with advanced prostate cancer. The Vantas product was approved by the FDA in October 2004 for the palliative treatment of this condition. Vantas was later discontinued by Endo Pharmaceuticals Inc. on September 21, 2021. GnRH agonists are the first line of treatment for children with central precocious puberty (CPP) due to their capacity to reduce LH levels and the concentration of sex steroids. As the product Supprelin LA, histrelin is indicated for the treatment of CPP in children (approved by the FDA in May 2007).
Moderate
1
[ [ [ 1302, 24, 1616 ] ], [ [ 1302, 23, 112 ], [ 112, 23, 1616 ] ], [ [ 1302, 24, 1342 ], [ 1342, 24, 1616 ] ], [ [ 1302, 24, 927 ], [ 927, 63, 1616 ] ], [ [ 1302, 63, 600 ], [ 600, 24, 1616 ] ], [ [ 1302, 25, 1494 ], [ 1494, 24, 1616 ] ], [ [ 1302, 40, 413 ], [ 413, 24, 1616 ] ], [ [ 1302, 25, 57 ], [ 57, 25, 1616 ] ], [ [ 1302, 25, 868 ], [ 868, 64, 1616 ] ], [ [ 1302, 64, 702 ], [ 702, 25, 1616 ] ] ]
[ [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{u} (Compound) resembles {v} (Compound)", "Maprotiline" ], [ "Maprotiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ], [ "Vemurafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Histrelin" ] ], [ [ "Protriptyline", "{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}", "Histrelin" ] ] ]
Protriptyline may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Histrelin Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Protriptyline may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Protriptyline may lead to a major life threatening interaction when taken with Palonosetron and Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Protriptyline (Compound) resembles Maprotiline (Compound) and Maprotiline may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Protriptyline may lead to a major life threatening interaction when taken with Arsenic trioxide and Arsenic trioxide may lead to a major life threatening interaction when taken with Histrelin Protriptyline may lead to a major life threatening interaction when taken with Vemurafenib and Vemurafenib may lead to a major life threatening interaction when taken with Histrelin Protriptyline 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 Histrelin
DB00055
DB08816
834
578
[ "DDInter605", "DDInter1802" ]
Drotrecogin alfa
Ticagrelor
Drotrecogin alfa is activated human protein C that is synthesized by recombinant DNA technology. It is a glycoprotein of approximately 55 kilodalton molecular weight, consisting of a heavy chain and a light chain linked by a disulfide bond. Drotrecogin alfa was withdrawn from the market after a major study indicated that it was not effective in improving outcomes in patients with sepsis.
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.
Major
2
[ [ [ 834, 25, 578 ] ], [ [ 834, 23, 539 ], [ 539, 62, 578 ] ], [ [ 834, 64, 1578 ], [ 1578, 24, 578 ] ], [ [ 834, 25, 1172 ], [ 1172, 24, 578 ] ], [ [ 834, 24, 1039 ], [ 1039, 24, 578 ] ], [ [ 834, 24, 41 ], [ 41, 63, 578 ] ], [ [ 834, 25, 927 ], [ 927, 63, 578 ] ], [ [ 834, 25, 1046 ], [ 1046, 25, 578 ] ], [ [ 834, 25, 1650 ], [ 1650, 64, 578 ] ], [ [ 834, 23, 539 ], [ 539, 62, 1578 ], [ 1578, 24, 578 ] ] ]
[ [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ], [ "Capsicum", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{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}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Ibritumomab tiuxetan" ], [ "Ibritumomab tiuxetan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Encorafenib" ], [ "Encorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Caplacizumab" ], [ "Caplacizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ], [ "Avapritinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ticagrelor" ] ], [ [ "Drotrecogin alfa", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Capsicum" ], [ "Capsicum", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lepirudin" ], [ "Lepirudin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ] ] ]
Drotrecogin alfa may cause a minor interaction that can limit clinical effects when taken with Capsicum and Capsicum may cause a minor interaction that can limit clinical effects when taken with Ticagrelor Drotrecogin alfa 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 Ticagrelor Drotrecogin alfa may lead to a major life threatening interaction when taken with Ibritumomab tiuxetan and Ibritumomab tiuxetan may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Drotrecogin alfa may cause a moderate interaction that could exacerbate diseases when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Drotrecogin alfa may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Drotrecogin alfa may lead to a major life threatening interaction when taken with Encorafenib and Encorafenib may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor Drotrecogin alfa may lead to a major life threatening interaction when taken with Caplacizumab and Caplacizumab may lead to a major life threatening interaction when taken with Ticagrelor Drotrecogin alfa may lead to a major life threatening interaction when taken with Avapritinib and Avapritinib may lead to a major life threatening interaction when taken with Ticagrelor Drotrecogin alfa may cause a minor interaction that can limit clinical effects when taken with Capsicum and Capsicum may cause a minor interaction that can limit clinical effects when taken with Lepirudin and Lepirudin may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor
DB00679
DB04843
684
1,511
[ "DDInter1796", "DDInter1149" ]
Thioridazine
Mepenzolate
A phenothiazine antipsychotic used in the management of psychoses, including schizophrenia, and in the control of severely disturbed or agitated behavior. It has little antiemetic activity. Thioridazine has a higher incidence of antimuscarinic effects, but a lower incidence of extrapyramidal symptoms, than chlorpromazine. (From Martindale, The Extra Pharmacopoeia, 30th ed, p618). Thioridazine was withdrawn worldwide in 2005 due to its association with cardiac arrythmias.
Mepenzolate is a post-ganglionic parasympathetic inhibitor. It decreases gastric acid and pepsin secretion and suppresses spontaneous contractions of the colon. Mepenzolate diminishes gastric acid and pepsin secretion. Mepenzolate also suppresses spontaneous contractions of the colon. Pharmacologically, it is a post-ganglionic parasympathetic inhibitor. It has not been shown to be effective in contributing to the healing of peptic ulcer, decreasing the rate of recurrence, or preventing complications.
Moderate
1
[ [ [ 684, 24, 1511 ] ], [ [ 684, 24, 537 ], [ 537, 24, 1511 ] ], [ [ 684, 63, 352 ], [ 352, 24, 1511 ] ], [ [ 684, 24, 649 ], [ 649, 1, 1511 ] ], [ [ 684, 24, 1429 ], [ 1429, 63, 1511 ] ], [ [ 684, 6, 4304 ], [ 4304, 45, 1511 ] ], [ [ 684, 7, 4634 ], [ 4634, 46, 1511 ] ], [ [ 684, 18, 4930 ], [ 4930, 57, 1511 ] ], [ [ 684, 7, 5833 ], [ 5833, 57, 1511 ] ], [ [ 684, 21, 28898 ], [ 28898, 60, 1511 ] ] ]
[ [ [ "Thioridazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Thioridazine", "{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}", "Mepenzolate" ] ], [ [ "Thioridazine", "{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}", "Mepenzolate" ] ], [ [ "Thioridazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Mepenzolate" ] ], [ [ "Thioridazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aclidinium" ], [ "Aclidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mepenzolate" ] ], [ [ "Thioridazine", "{u} (Compound) binds {v} (Gene)", "CHRM2" ], [ "CHRM2", "{u} (Gene) is bound by {v} (Compound)", "Mepenzolate" ] ], [ [ "Thioridazine", "{u} (Compound) upregulates {v} (Gene)", "FOXO4" ], [ "FOXO4", "{u} (Gene) is upregulated by {v} (Compound)", "Mepenzolate" ] ], [ [ "Thioridazine", "{u} (Compound) downregulates {v} (Gene)", "DLD" ], [ "DLD", "{u} (Gene) is downregulated by {v} (Compound)", "Mepenzolate" ] ], [ [ "Thioridazine", "{u} (Compound) upregulates {v} (Gene)", "ACAT2" ], [ "ACAT2", "{u} (Gene) is downregulated by {v} (Compound)", "Mepenzolate" ] ], [ [ "Thioridazine", "{u} (Compound) causes {v} (Side Effect)", "Constipation" ], [ "Constipation", "{u} (Side Effect) is caused by {v} (Compound)", "Mepenzolate" ] ] ]
Thioridazine 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 Mepenzolate Thioridazine 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 Mepenzolate Thioridazine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Mepenzolate (Compound) Thioridazine may cause a moderate interaction that could exacerbate diseases when taken with Aclidinium and Aclidinium may cause a moderate interaction that could exacerbate diseases when taken with Mepenzolate Thioridazine (Compound) binds CHRM2 (Gene) and CHRM2 (Gene) is bound by Mepenzolate (Compound) Thioridazine (Compound) upregulates FOXO4 (Gene) and FOXO4 (Gene) is upregulated by Mepenzolate (Compound) Thioridazine (Compound) downregulates DLD (Gene) and DLD (Gene) is downregulated by Mepenzolate (Compound) Thioridazine (Compound) upregulates ACAT2 (Gene) and ACAT2 (Gene) is downregulated by Mepenzolate (Compound) Thioridazine (Compound) causes Constipation (Side Effect) and Constipation (Side Effect) is caused by Mepenzolate (Compound)
DB00687
DB01023
870
409
[ "DDInter747", "DDInter716" ]
Fludrocortisone
Felodipine
Fludrocortisone is a synthetic mineralocorticoid used in conjunction with [hydrocortisone] to replace missing endogenous corticosteroids in patients with adrenal insufficiency.[A187169,A187187] It is functionally similar to [aldosterone], the body's primary endogenous mineralocorticoid, and is structurally analogous to [cortisol], differing only by a fluorine atom at the 9-position of the steroid structure - this fluorination is thought to be crucial to fludrocortisone's significant mineralocorticoid potency.
Felodipine is a long-acting 1,4-dihydropyridine calcium channel blocker (CCB)b. It acts primarily on vascular smooth muscle cells by stabilizing voltage-gated L-type calcium channels in their inactive conformation. By inhibiting the influx of calcium in smooth muscle cells, felodipine prevents calcium-dependent myocyte contraction and vasoconstriction. Felodipine is the most potent CCB in use and is unique in that it exhibits fluorescent activity. In addition to binding to L-type calcium channels, felodipine binds to a number of calcium-binding proteins, exhibits competitive antagonism of the mineralcorticoid receptor, inhibits the activity of calmodulin-dependent cyclic nucleotide phosphodiesterase, and blocks calcium influx through voltage-gated T-type calcium channels. Felodipine is used to treat mild to moderate essential hypertension.
Moderate
1
[ [ [ 870, 24, 409 ] ], [ [ 870, 63, 376 ], [ 376, 40, 409 ] ], [ [ 870, 63, 1428 ], [ 1428, 1, 409 ] ], [ [ 870, 24, 336 ], [ 336, 40, 409 ] ], [ [ 870, 6, 3996 ], [ 3996, 45, 409 ] ], [ [ 870, 21, 29543 ], [ 29543, 60, 409 ] ], [ [ 870, 63, 1031 ], [ 1031, 23, 409 ] ], [ [ 870, 24, 1479 ], [ 1479, 24, 409 ] ], [ [ 870, 24, 1017 ], [ 1017, 63, 409 ] ], [ [ 870, 25, 375 ], [ 375, 63, 409 ] ] ]
[ [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amlodipine" ], [ "Amlodipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isradipine" ], [ "Isradipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ], [ "Nifedipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ] ], [ [ "Fludrocortisone", "{u} (Compound) binds {v} (Gene)", "NR3C2" ], [ "NR3C2", "{u} (Gene) is bound by {v} (Compound)", "Felodipine" ] ], [ [ "Fludrocortisone", "{u} (Compound) causes {v} (Side Effect)", "Contusion" ], [ "Contusion", "{u} (Side Effect) is caused by {v} (Compound)", "Felodipine" ] ], [ [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Theophylline" ], [ "Theophylline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Felodipine" ] ], [ [ "Fludrocortisone", "{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}", "Felodipine" ] ], [ [ "Fludrocortisone", "{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}", "Felodipine" ] ], [ [ "Fludrocortisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ] ] ]
Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Amlodipine and Amlodipine (Compound) resembles Felodipine (Compound) Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Isradipine and Isradipine (Compound) resembles Felodipine (Compound) Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine and Nifedipine (Compound) resembles Felodipine (Compound) Fludrocortisone (Compound) binds NR3C2 (Gene) and NR3C2 (Gene) is bound by Felodipine (Compound) Fludrocortisone (Compound) causes Contusion (Side Effect) and Contusion (Side Effect) is caused by Felodipine (Compound) Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Theophylline and Theophylline may cause a minor interaction that can limit clinical effects when taken with Felodipine Fludrocortisone 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 Felodipine Fludrocortisone 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 Felodipine Fludrocortisone may lead to a major life threatening interaction when taken with Certolizumab pegol and Certolizumab pegol may cause a moderate interaction that could exacerbate diseases when taken with Felodipine
DB01367
DB11130
1,163
407
[ "DDInter1572", "DDInter1344" ]
Rasagiline
Opium
Rasagiline is an irreversible inhibitor of monoamine oxidase and is used as a monotherapy in early Parkinson's disease or as an adjunct therapy in more advanced cases.
Opium is the first substance of the diverse group of the opiates. It has been known for a long time, and the first evidence of a poppy culture dates from 5 thousand years by the Sumerians. During the years, opium was used as a sedative and hypnotic, but it was determined to be addictive. Opium is extracted from _Papaver somniferum_, which is more known as poppies. This plant is an integrant of the Papaveraceae family, and it is characterized by solitary leaves and capsulated fruits. Therefore, opium is a sticky brown resin obtained by collecting and drying the latex that exudes from the poppy pods. Once extracted, opium contains two main groups of alkaloids; the psychoactive constituents which are in the category of phenanthrenes and alkaloids that have no central nervous system effect in the category of isoquinolines. Morphine is the most prevalent and principal alkaloid in opium, and it is responsible for most of the harmful effects of opium. Opium has gradually been superseded by a variety of synthetic opioids and general anesthetics. Some of the isolated derivatives of opium are morphine, noscapine, strychnine, veratrine, colchicine, codeine, and quinine. Opium is a prohibited drug of abuse in most countries, but the illegal production of this drug and its derivatives keeps being registered. There is some legal production of opium in different countries for the obtention of alkaloids by extraction.
Moderate
1
[ [ [ 1163, 24, 407 ] ], [ [ 1163, 63, 662 ], [ 662, 24, 407 ] ], [ [ 1163, 24, 849 ], [ 849, 24, 407 ] ], [ [ 1163, 64, 1264 ], [ 1264, 24, 407 ] ], [ [ 1163, 25, 1609 ], [ 1609, 63, 407 ] ], [ [ 1163, 64, 1053 ], [ 1053, 25, 407 ] ], [ [ 1163, 25, 1629 ], [ 1629, 25, 407 ] ], [ [ 1163, 63, 662 ], [ 662, 63, 558 ], [ 558, 24, 407 ] ], [ [ 1163, 63, 104 ], [ 104, 24, 409 ], [ 409, 24, 407 ] ], [ [ 1163, 24, 849 ], [ 849, 63, 409 ], [ 409, 24, 407 ] ] ]
[ [ [ "Rasagiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Rasagiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Rasagiline", "{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}", "Opium" ] ], [ [ "Rasagiline", "{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}", "Opium" ] ], [ [ "Rasagiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Rasagiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ] ], [ [ "Rasagiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ], [ "Methylene blue", "{u} may lead to a major life threatening interaction when taken with {v}", "Opium" ] ], [ [ "Rasagiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zolpidem" ], [ "Zolpidem", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Rasagiline", "{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}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ], [ [ "Rasagiline", "{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}", "Felodipine" ], [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ] ] ]
Rasagiline may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Opium Rasagiline 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 Opium Rasagiline 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 Opium Rasagiline may lead to a major life threatening interaction when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Opium Rasagiline may lead to a major life threatening interaction when taken with Procarbazine and Procarbazine may lead to a major life threatening interaction when taken with Opium Rasagiline may lead to a major life threatening interaction when taken with Methylene blue and Methylene blue may lead to a major life threatening interaction when taken with Opium Rasagiline may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Zolpidem and Zolpidem may cause a moderate interaction that could exacerbate diseases when taken with Opium Rasagiline 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 Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Opium Rasagiline 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 Felodipine and Felodipine may cause a moderate interaction that could exacerbate diseases when taken with Opium
DB00307
DB10276
1,101
1,624
[ "DDInter202", "DDInter1623" ]
Bexarotene
Rotavirus vaccine
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.
Rotavirus commonly infects children and infants causing severe diarrhea and vomiting leading to potentially fatal dehydration. Two rotavirus vaccines are available for the prevention of rotavirus gastroenteritis, Rotateq and Rotarix. Rotateq is a live vaccine consisting of 5 reassorted human-bovine viral strains. Rotarix is a live attenuated vaccine containing the 89-12 human strain.[Label] Rotavirus vaccines are 90% effective in protecting against severe rotavirus infection.
Major
2
[ [ [ 1101, 25, 1624 ] ], [ [ 1101, 24, 322 ], [ 322, 25, 1624 ] ], [ [ 1101, 25, 375 ], [ 375, 25, 1624 ] ], [ [ 1101, 63, 58 ], [ 58, 25, 1624 ] ], [ [ 1101, 62, 168 ], [ 168, 25, 1624 ] ], [ [ 1101, 24, 270 ], [ 270, 64, 1624 ] ], [ [ 1101, 64, 581 ], [ 581, 25, 1624 ] ], [ [ 1101, 25, 1476 ], [ 1476, 64, 1624 ] ], [ [ 1101, 23, 1419 ], [ 1419, 25, 1624 ] ], [ [ 1101, 24, 322 ], [ 322, 63, 552 ], [ 552, 25, 1624 ] ] ]
[ [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{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}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ], [ [ "Bexarotene", "{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}", "Carmustine" ], [ "Carmustine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rotavirus vaccine" ] ] ]
Bexarotene 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 Rotavirus vaccine Bexarotene may lead to a major life threatening interaction when taken with Certolizumab pegol and Certolizumab pegol may lead to a major life threatening interaction when taken with Rotavirus vaccine Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may lead to a major life threatening interaction when taken with Rotavirus vaccine Bexarotene may cause a minor interaction that can limit clinical effects when taken with Bortezomib and Bortezomib may lead to a major life threatening interaction when taken with Rotavirus vaccine Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Rotavirus vaccine Bexarotene may lead to a major life threatening interaction when taken with Infliximab and Infliximab may lead to a major life threatening interaction when taken with Rotavirus vaccine Bexarotene may lead to a major life threatening interaction when taken with Brigatinib and Brigatinib may lead to a major life threatening interaction when taken with Rotavirus vaccine Bexarotene may cause a minor interaction that can limit clinical effects when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Rotavirus vaccine Bexarotene 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 Carmustine and Carmustine may lead to a major life threatening interaction when taken with Rotavirus vaccine
DB00818
DB00927
898
1,559
[ "DDInter1538", "DDInter712" ]
Propofol
Famotidine
Propofol is an intravenous anaesthetic agent used for induction and maintenance of general anaesthesia. IV administration of propfol is used to induce unconsciousness after which anaesthesia may be maintained using a combination of medications. Recovery from propofol-induced anaesthesia is generally rapid and associated with less frequent side effects (e.g. drowsiness, nausea, vomiting) than with thiopental, methohexital, and etomidate. Propofol may be used prior to diagnostic procedures requiring anaesthesia, in the management of refractory status epilepticus, and for induction and/or maintenance of anaesthesia prior to and during surgeries.
Famotidine is a competitive histamine-2 (H<sub>2</sub>) receptor antagonist that works to inhibit gastric acid secretion. It is commonly used in gastrointestinal conditions related to acid secretion, such as gastric ulcers and gastroesophageal reflux disease (GERD), in adults and children. Compared to other H<sub>2</sub> receptor antagonists, famotidine displays high selectivity towards this receptor; in a study consisting of healthy volunteers and patients with acid hypersecretory disease, famotidine was about 20 to 50 times more potent at inhibiting gastric acid secretion than [cimetidine] and eight times more potent than [ranitidine] on a weight basis. Famotidine is used in various over-the-counter and off-label uses. While oral formulations of famotidine are more commonly used, the intravenous solution of the drug is available for use in hospital settings.
Moderate
1
[ [ [ 898, 24, 1559 ] ], [ [ 898, 6, 10215 ], [ 10215, 45, 1559 ] ], [ [ 898, 21, 28729 ], [ 28729, 60, 1559 ] ], [ [ 898, 24, 286 ], [ 286, 62, 1559 ] ], [ [ 898, 23, 256 ], [ 256, 62, 1559 ] ], [ [ 898, 23, 112 ], [ 112, 23, 1559 ] ], [ [ 898, 24, 594 ], [ 594, 63, 1559 ] ], [ [ 898, 63, 1494 ], [ 1494, 24, 1559 ] ], [ [ 898, 62, 1031 ], [ 1031, 24, 1559 ] ], [ [ 898, 24, 1133 ], [ 1133, 24, 1559 ] ] ]
[ [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ] ], [ [ "Propofol", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Famotidine" ] ], [ [ "Propofol", "{u} (Compound) causes {v} (Side Effect)", "Pain in extremity" ], [ "Pain in extremity", "{u} (Side Effect) is caused by {v} (Compound)", "Famotidine" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Famotidine" ] ], [ [ "Propofol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prasugrel" ], [ "Prasugrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Famotidine" ] ], [ [ "Propofol", "{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}", "Famotidine" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ] ], [ [ "Propofol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palonosetron" ], [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ] ], [ [ "Propofol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Theophylline" ], [ "Theophylline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ] ], [ [ "Propofol", "{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}", "Famotidine" ] ] ]
Propofol (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Famotidine (Compound) Propofol (Compound) causes Pain in extremity (Side Effect) and Pain in extremity (Side Effect) is caused by Famotidine (Compound) Propofol may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a minor interaction that can limit clinical effects when taken with Famotidine Propofol may cause a minor interaction that can limit clinical effects when taken with Prasugrel and Prasugrel may cause a minor interaction that can limit clinical effects when taken with Famotidine Propofol 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 Famotidine Propofol may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Famotidine Propofol may cause a moderate interaction that could exacerbate diseases when taken with Palonosetron and Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Famotidine Propofol may cause a minor interaction that can limit clinical effects when taken with Theophylline and Theophylline may cause a moderate interaction that could exacerbate diseases when taken with Famotidine Propofol 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 Famotidine
DB00417
DB09293
1,667
116
[ "DDInter1445", "DDInter954" ]
Phenoxymethylpenicillin
Iodide I-131
Phenoxymethylpenicillin is a narrow spectrum antibiotic also commonly referred to as Penicillin V or Penicillin VK. It is a phenoxymethyl analog of Penicillin G, or [benzylpenicillin]. An orally active naturally penicillin, phenoxymethylpenicillin is used to treat mild to moderate infections in the respiratory tract, skin, and soft tissues caused by penicillin G­-sensitive microorganisms. Phenoxymethylpenicillin has also be used in some cases as prophylaxis against susceptible organisms. While there have been no controlled clinical efficacy studies that were conducted, phenoxymethylpenicillin has been suggested by the American Heart Association and the American Dental Association for use as an oral regimen for prophylaxis against bacterial endocarditis in patients with congenital heart disease or rheumatic or other acquired valvular heart disease when they undergo dental procedures and surgical procedures of the upper respiratory tract,
Iodide I-131 (as Sodium iodide I-131) is a radioisotopic drug used for the treatment and palliation of thyroid malignancy. Iodine-131 is notable for causing mutation and death in cells that it penetrates, which is due to its mode of beta decay. As a result of beta decay, approximately 10% of its energy and radiation dose is via gamma radiation, while the other 90% (beta radiation) causes tissue damage without contributing to any ability to see or image the isotope. Low levels of beta radiation are also known for causing cancer as this dose is highly mutagenic. For this reason, less toxic iodine isotopes such as I-123 are more frequently used in nuclear imaging, while I-131 is reserved for its tissue destroying effects. Because the thyroid gland naturally takes up iodine from the body, therapeutic methods using radioisotopes can take advantage of this mechanism for localization of drug to the site of malignancy. Therapeutic solutions of Sodium Iodide-131 are indicated for the treatment of hyperthyroidism and thyroid carcinomas that take up iodine. Palliative effects may be observed in patients with advanced thyroid malignancy if the metastatic lesions take up iodine. It is also indicated for use in performance of the radioactive iodide (RAI) uptake test to evaluate thyroid function.
Moderate
1
[ [ [ 1667, 24, 116 ] ], [ [ 1667, 1, 1249 ], [ 1249, 24, 116 ] ], [ [ 1667, 24, 126 ], [ 126, 24, 116 ] ], [ [ 1667, 40, 1138 ], [ 1138, 24, 116 ] ], [ [ 1667, 1, 1249 ], [ 1249, 25, 126 ], [ 126, 24, 116 ] ], [ [ 1667, 24, 126 ], [ 126, 24, 1486 ], [ 1486, 24, 116 ] ], [ [ 1667, 40, 1138 ], [ 1138, 1, 1249 ], [ 1249, 24, 116 ] ], [ [ 1667, 1, 1681 ], [ 1681, 40, 1249 ], [ 1249, 24, 116 ] ], [ [ 1667, 1, 1249 ], [ 1249, 24, 978 ], [ 978, 24, 116 ] ], [ [ 1667, 24, 126 ], [ 126, 64, 1249 ], [ 1249, 24, 116 ] ] ]
[ [ [ "Phenoxymethylpenicillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} (Compound) resembles {v} (Compound)", "Nafcillin" ], [ "Nafcillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} (Compound) resembles {v} (Compound)", "Oxacillin" ], [ "Oxacillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} (Compound) resembles {v} (Compound)", "Nafcillin" ], [ "Nafcillin", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} (Compound) resembles {v} (Compound)", "Oxacillin" ], [ "Oxacillin", "{u} (Compound) resembles {v} (Compound)", "Nafcillin" ], [ "Nafcillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} (Compound) resembles {v} (Compound)", "Mezlocillin" ], [ "Mezlocillin", "{u} (Compound) resembles {v} (Compound)", "Nafcillin" ], [ "Nafcillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} (Compound) resembles {v} (Compound)", "Nafcillin" ], [ "Nafcillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Praziquantel" ], [ "Praziquantel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ], [ [ "Phenoxymethylpenicillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may lead to a major life threatening interaction when taken with {v}", "Nafcillin" ], [ "Nafcillin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ] ] ]
Phenoxymethylpenicillin (Compound) resembles Nafcillin (Compound) and Nafcillin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Phenoxymethylpenicillin may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Phenoxymethylpenicillin (Compound) resembles Oxacillin (Compound) and Oxacillin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Phenoxymethylpenicillin (Compound) resembles Nafcillin (Compound) and Nafcillin may lead to a major life threatening interaction when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Phenoxymethylpenicillin may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Methylprednisolone and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Phenoxymethylpenicillin (Compound) resembles Oxacillin (Compound) and Oxacillin (Compound) resembles Nafcillin (Compound) and Nafcillin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Phenoxymethylpenicillin (Compound) resembles Mezlocillin (Compound) and Mezlocillin (Compound) resembles Nafcillin (Compound) and Nafcillin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Phenoxymethylpenicillin (Compound) resembles Nafcillin (Compound) and Nafcillin may cause a moderate interaction that could exacerbate diseases when taken with Praziquantel and Praziquantel may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 Phenoxymethylpenicillin may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may lead to a major life threatening interaction when taken with Nafcillin and Nafcillin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131
DB00073
DB11793
1,394
738
[ "DDInter1608", "DDInter1297" ]
Rituximab
Niraparib
Rituximab is a genetically engineered chimeric murine/human monoclonal antibody directed against the CD20 antigen found on the surface of normal and malignant B lymphocytes. The antibody is an IgG1 kappa immunoglobulin containing murine light and heavy-chain variable region sequences and human constant region sequences, [FDA label]. It was originally approved by the U.S. FDA in 1997 as a single agent to treat patients with B-cell Non-Hodgkin's Lymphoma (NHL), however, has now been approved for a variety of conditions [FDA label]. On November 28, 2018, the US FDA approved _Truxima_, the first biosimilar to Rituxan (Rituximab).
Niraparib is an orally active poly (ADP-ribose) polymerase (PARP) inhibitor. By blocking the enzymes responsible for DNA repair, niraparib induces cytotoxicity in cancer cells. Niraparib is selective towards PARP-1 and PARP-2. First approved by the FDA on March 27, 2017, niraparib is used to treat epithelial ovarian, fallopian tube, or primary peritoneal cancer. Niraparib was approved by the European Commission on November 16, 2017 and by Health Canada on June 27, 2019.
Moderate
1
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[ [ [ "Rituximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rituximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palifermin" ], [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rituximab", "{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}", "Niraparib" ] ], [ [ "Rituximab", "{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}", "Niraparib" ] ], [ [ "Rituximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Sarilumab" ], [ "Sarilumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ], [ [ "Rituximab", "{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}", "Niraparib" ] ], [ [ "Rituximab", "{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}", "Niraparib" ] ], [ [ "Rituximab", "{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}", "Niraparib" ] ], [ [ "Rituximab", "{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}", "Niraparib" ] ], [ [ "Rituximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palifermin" ], [ "Palifermin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ] ] ]
Rituximab may cause a moderate interaction that could exacerbate diseases when taken with Palifermin and Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Rituximab 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 Niraparib Rituximab 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 Niraparib Rituximab may lead to a major life threatening interaction when taken with Sarilumab and Sarilumab may cause a moderate interaction that could exacerbate diseases when taken with Niraparib Rituximab 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 Niraparib Rituximab 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 Niraparib Rituximab 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 Niraparib Rituximab 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 Niraparib Rituximab may cause a moderate interaction that could exacerbate diseases when taken with Palifermin and Palifermin may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib
DB01404
DB06754
757
707
[ "DDInter820", "DDInter471" ]
Ginseng
Danaparoid
Ginseng is promoted as an adaptogen (a product that increases the body's resistance to stress), one which can to a certain extent be supported with reference to its anticarcinogenic and antioxidant properties. Ginseng is also known to contain phytoestrogens.
Danaparoid is a low-molecular-weight heparinoid with an average molecular weight of 5500 Daltons consisting of a mixture of glycosaminoglycans . The active constituents are heparan, dermatan and , and they are isolated from the porcine intestinal mucosa [FDA Label]. Danaparoid possesses a potent antithrombic activity that works by inhibiting activated factor X (Factor Xa) and activated factor II (Factor IIa). It is chemically distinct from heparin by containing different protein binding properties, thus has lower cross-reactivity in heparin-intolerant patients. Danaproid is used in the treatment of heparin-induced thrombocytopenia (HIT) as an off-label indication and prevention of post-operative deep venous thrombosis (DVT). While it was initially approved by the FDA as Orgaran™, danaparoid was withdrawn by Organon International on August 14, 2002, due to a shortage in drug substance by the manufacturer. The use of Orgaran™ was discontinued in the United States however it is available in several other countries including European countries and Japan. Danaparoid sodium is the common salt form in therapeutic preparations and is typically administered subcutaneously.
Moderate
1
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[ [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ], [ "Dalteparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cangrelor" ], [ "Cangrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chamomile" ], [ "Chamomile", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dalteparin" ], [ "Dalteparin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Chamomile" ], [ "Chamomile", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{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 lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Turmeric" ], [ "Turmeric", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clove" ], [ "Clove", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Danaparoid" ] ], [ [ "Ginseng", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetohexamide" ], [ "Acetohexamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Citalopram" ], [ "Citalopram", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Danaparoid" ] ] ]
Ginseng may cause a moderate interaction that could exacerbate diseases when taken with Argatroban and Argatroban may lead to a major life threatening interaction when taken with Danaparoid Ginseng may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin and Dalteparin may lead to a major life threatening interaction when taken with Danaparoid Ginseng may cause a moderate interaction that could exacerbate diseases when taken with Cangrelor and Cangrelor may lead to a major life threatening interaction when taken with Danaparoid Ginseng may cause a moderate interaction that could exacerbate diseases when taken with Argatroban and Argatroban may cause a minor interaction that can limit clinical effects when taken with Chamomile and Chamomile may cause a minor interaction that can limit clinical effects when taken with Danaparoid Ginseng may cause a moderate interaction that could exacerbate diseases when taken with Dalteparin and Dalteparin may cause a minor interaction that can limit clinical effects when taken with Chamomile and Chamomile may cause a minor interaction that can limit clinical effects when taken with Danaparoid Ginseng 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 lead to a major life threatening interaction when taken with Danaparoid Ginseng may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Turmeric and Turmeric may cause a minor interaction that can limit clinical effects when taken with Danaparoid Ginseng may cause a moderate interaction that could exacerbate diseases when taken with Betrixaban and Betrixaban may cause a minor interaction that can limit clinical effects when taken with Clove and Clove may cause a minor interaction that can limit clinical effects when taken with Danaparoid Ginseng may cause a moderate interaction that could exacerbate diseases when taken with Acetohexamide and Acetohexamide may cause a moderate interaction that could exacerbate diseases when taken with Citalopram and Citalopram may cause a moderate interaction that could exacerbate diseases when taken with Danaparoid
DB00471
DB00951
201
1,072
[ "DDInter1242", "DDInter986" ]
Montelukast
Isoniazid
Montelukast was first approved for clinical use by the US FDA in 1998 as Merck's brand name Singulair. The medication is a member of the leukotriene receptor antagonist (LTRA) category of drugs.[L6301,L6304,L6307,L6310,L6325,L6328,L6331] Although capable of demonstrating effectiveness, the use of such LTRAs like montelukast is typically in addition to or complementary with the use of inhaled corticosteroids or other agents in asthma step therapy. Regardless, in 2008-2009, there were FDA-led investigations into the possibility of montelukast to elicit neuropsychiatric effects like agitation, hallucinations, suicidal behaviour, and others in individuals who used the medication. And although these kinds of effects are currently included in the official prescribing information for montelukast,[L6301,L6304,L6307,L6310,L6325,L632
Antibacterial agent used primarily as a tuberculostatic. It remains the treatment of choice for tuberculosis.
Moderate
1
[ [ [ 201, 24, 1072 ] ], [ [ 201, 6, 8374 ], [ 8374, 45, 1072 ] ], [ [ 201, 21, 28722 ], [ 28722, 60, 1072 ] ], [ [ 201, 24, 1220 ], [ 1220, 62, 1072 ] ], [ [ 201, 24, 1144 ], [ 1144, 24, 1072 ] ], [ [ 201, 24, 1017 ], [ 1017, 63, 1072 ] ], [ [ 201, 63, 254 ], [ 254, 24, 1072 ] ], [ [ 201, 24, 1377 ], [ 1377, 64, 1072 ] ], [ [ 201, 6, 8374 ], [ 8374, 45, 1486 ], [ 1486, 62, 1072 ] ], [ [ 201, 21, 28722 ], [ 28722, 60, 1486 ], [ 1486, 62, 1072 ] ] ]
[ [ [ "Montelukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoniazid" ] ], [ [ "Montelukast", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Isoniazid" ] ], [ [ "Montelukast", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Isoniazid" ] ], [ [ "Montelukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isoniazid" ] ], [ [ "Montelukast", "{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}", "Isoniazid" ] ], [ [ "Montelukast", "{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}", "Isoniazid" ] ], [ [ "Montelukast", "{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}", "Isoniazid" ] ], [ [ "Montelukast", "{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}", "Isoniazid" ] ], [ [ "Montelukast", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isoniazid" ] ], [ [ "Montelukast", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isoniazid" ] ] ]
Montelukast (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Isoniazid (Compound) Montelukast (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Isoniazid (Compound) Montelukast may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Isoniazid Montelukast 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 Isoniazid Montelukast 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 Isoniazid Montelukast 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 Isoniazid Montelukast 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 Isoniazid Montelukast (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Methylprednisolone (Compound) and Methylprednisolone may cause a minor interaction that can limit clinical effects when taken with Isoniazid Montelukast (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Methylprednisolone (Compound) and Methylprednisolone may cause a minor interaction that can limit clinical effects when taken with Isoniazid
DB00619
DB08886
1,419
637
[ "DDInter909", "DDInter126" ]
Imatinib
Asparaginase Erwinia chrysanthemi
Imatinib is a small molecule kinase inhibitor that revolutionized the treatment of cancer, particularly chronic myeloid leukemia, in 2001. It was deemed a "miracle drug" due to its clinical success, as oncologist Dr. Brian noted that "complete hematologic responses were observed in 53 of 54 patients with CML treated with a daily dosage of 300 mg or more and typically occurred in the first four weeks of therapy".. The discovery of imatinib also established a new group of therapy called "targeted therapy", since treatment can be tailored specifically to the unique cancer genetics of each patient. Imatinib was approved on February 1st,2001 by the FDA and November 7th, 2001 by the EMA; however, its European approval has been withdrawn in October 2023.[A263036,L49746,L49751]
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
[ [ [ 1419, 24, 637 ] ], [ [ 1419, 24, 392 ], [ 392, 24, 637 ] ], [ [ 1419, 24, 159 ], [ 159, 63, 637 ] ], [ [ 1419, 63, 663 ], [ 663, 24, 637 ] ], [ [ 1419, 35, 478 ], [ 478, 24, 637 ] ], [ [ 1419, 25, 484 ], [ 484, 63, 637 ] ], [ [ 1419, 35, 1468 ], [ 1468, 63, 637 ] ], [ [ 1419, 25, 1478 ], [ 1478, 24, 637 ] ], [ [ 1419, 64, 581 ], [ 581, 24, 637 ] ], [ [ 1419, 25, 1510 ], [ 1510, 25, 637 ] ] ]
[ [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{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}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{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}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Infliximab" ], [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Imatinib", "{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}", "Asparaginase Erwinia chrysanthemi" ] ] ]
Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Imatinib 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 Asparaginase Erwinia chrysanthemi Imatinib 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 Asparaginase Erwinia chrysanthemi Imatinib (Compound) resembles Nilotinib (Compound) and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Imatinib may lead to a major life threatening interaction when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Imatinib (Compound) resembles Ponatinib (Compound) and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Imatinib may lead to a major life threatening interaction when taken with Ivacaftor and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Imatinib may lead to a major life threatening interaction when taken with Infliximab and Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Imatinib 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 Asparaginase Erwinia chrysanthemi
DB01244
DB12267
762
1,476
[ "DDInter192", "DDInter233" ]
Bepridil
Brigatinib
A long-acting, non selective, calcium channel blocker with significant anti-anginal activity. The drug produces significant coronary vasodilation and modest peripheral effects. It has antihypertensive and selective anti-arrhythmia activities and acts as a calmodulin antagonist. It is no longer marketed in the United States, as it has been implicated in causing ventricular arrhythmias (ie. Torsade de pointes).
Brigatinib, originally named AP26113, is a reversible dual inhibitor of anaplastic lymphoma kinase (ALK) and epidermal growth factor receptor (EGFR). It presents selectivity against the mutant forms of EGFR compared to the wild-type. It also exhibits selectivity against 9 different Crizotinib-resistant mutants of the EML4-ALK fusion gene, which is a pivotal player in the transformation of susceptible lung parenchyma. Brigatinib was developed by Ariad Pharmaceuticals, a subsidiary of Takeda Pharmaceutical Company Limited, and FDA-approved on April 28, 2017.
Moderate
1
[ [ [ 762, 24, 1476 ] ], [ [ 762, 23, 1135 ], [ 1135, 23, 1476 ] ], [ [ 762, 63, 629 ], [ 629, 24, 1476 ] ], [ [ 762, 64, 918 ], [ 918, 24, 1476 ] ], [ [ 762, 25, 1456 ], [ 1456, 24, 1476 ] ], [ [ 762, 40, 704 ], [ 704, 24, 1476 ] ], [ [ 762, 25, 1421 ], [ 1421, 63, 1476 ] ], [ [ 762, 24, 578 ], [ 578, 24, 1476 ] ], [ [ 762, 24, 159 ], [ 159, 63, 1476 ] ], [ [ 762, 25, 129 ], [ 129, 25, 1476 ] ] ]
[ [ [ "Bepridil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bepridil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Brigatinib" ] ], [ [ "Bepridil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bepridil", "{u} may lead to a major life threatening interaction when taken with {v}", "Bicalutamide" ], [ "Bicalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bepridil", "{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" ] ], [ [ "Bepridil", "{u} (Compound) resembles {v} (Compound)", "Fentanyl" ], [ "Fentanyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bepridil", "{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}", "Brigatinib" ] ], [ [ "Bepridil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ] ], [ [ "Bepridil", "{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}", "Brigatinib" ] ], [ [ "Bepridil", "{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}", "Brigatinib" ] ] ]
Bepridil may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Brigatinib Bepridil may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus and Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Bepridil may lead to a major life threatening interaction when taken with Bicalutamide and Bicalutamide may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Bepridil 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 Bepridil (Compound) resembles Fentanyl (Compound) and Fentanyl may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Bepridil 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 Brigatinib Bepridil may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib Bepridil 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 Brigatinib Bepridil 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 Brigatinib
DB00405
DB01242
128
1,237
[ "DDInter517", "DDInter410" ]
Dexbrompheniramine
Clomipramine
Dexbrompheniramine maleate is an antihistamine agent that is used for the treatment of allergic conditions, such as hay fever or urticaria.
Clomipramine, the 3-chloro analog of imipramine, is a dibenzazepine-derivative tricyclic antidepressant (TCA). TCAs are structurally similar to phenothiazines. They contain a tricyclic ring system with an alkyl amine substituent on the central ring. In non-depressed individuals, clomipramine does not affect mood or arousal, but may cause sedation. In depressed individuals, clomipramine exerts a positive effect on mood. TCAs are potent inhibitors of serotonin and norepinephrine reuptake. Tertiary amine TCAs, such as clomipramine, are more potent inhibitors of serotonin reuptake than secondary amine TCAs, such as nortriptyline and desipramine. TCAs also down-regulate cerebral cortical &beta;-adrenergic receptors and sensitize post-synaptic serotonergic receptors with chronic use. The antidepressant effects of TCAs are thought to be due to an overall increase in serotonergic neurotransmission. TCAs also block histamine-H<sub>1</sub> receptors, &alpha;<sub>1</sub>-adrenergic receptors and muscarinic receptors, which accounts for their sedative, hypotensive and anticholinergic effects (e.g. blurred vision, dry mouth, constipation, urinary retention), respectively. See toxicity section below for a complete listing of side effects. Clomipramine may be used to treat obsessive-compulsive disorder and disorders with an obsessive-compulsive component (e.g. depression, schizophrenia, Tourette’s disorder). Unlabeled indications include panic disorder, chronic pain (e.g. central pain, idiopathic pain disorder, tension headache, diabetic peripheral neuropathy, neuropathic pain), cataplexy and associated narcolepsy, autistic disorder, trichotillomania, onchophagia, stuttering, premature ejaculation, and premenstrual syndrome. Clomipramine is rapidly absorbed from the gastrointestinal tract and demethylated in the liver to its primary active metabolite, desmethylclomipramine.
Moderate
1
[ [ [ 128, 24, 1237 ] ], [ [ 128, 24, 684 ], [ 684, 1, 1237 ] ], [ [ 128, 63, 902 ], [ 902, 40, 1237 ] ], [ [ 128, 1, 11775 ], [ 11775, 40, 1237 ] ], [ [ 128, 24, 272 ], [ 272, 24, 1237 ] ], [ [ 128, 24, 146 ], [ 146, 40, 1237 ] ], [ [ 128, 63, 21 ], [ 21, 1, 1237 ] ], [ [ 128, 40, 11439 ], [ 11439, 40, 1237 ] ], [ [ 128, 24, 649 ], [ 649, 63, 1237 ] ], [ [ 128, 63, 701 ], [ 701, 24, 1237 ] ] ]
[ [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clobazam" ], [ "Clobazam", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ] ], [ [ "Dexbrompheniramine", "{u} (Compound) resembles {v} (Compound)", "Chloropyramine" ], [ "Chloropyramine", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Propiomazine" ], [ "Propiomazine", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ] ], [ [ "Dexbrompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ] ], [ [ "Dexbrompheniramine", "{u} (Compound) resembles {v} (Compound)", "Dimetindene" ], [ "Dimetindene", "{u} (Compound) resembles {v} (Compound)", "Clomipramine" ] ], [ [ "Dexbrompheniramine", "{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}", "Clomipramine" ] ], [ [ "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}", "Clomipramine" ] ] ]
Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Thioridazine and Thioridazine (Compound) resembles Clomipramine (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Clobazam and Clobazam (Compound) resembles Clomipramine (Compound) Dexbrompheniramine (Compound) resembles Chloropyramine (Compound) and Chloropyramine (Compound) resembles Clomipramine (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Propiomazine and Propiomazine (Compound) resembles Clomipramine (Compound) Dexbrompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline (Compound) resembles Clomipramine (Compound) Dexbrompheniramine (Compound) resembles Dimetindene (Compound) and Dimetindene (Compound) resembles Clomipramine (Compound) Dexbrompheniramine 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 Clomipramine 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 Clomipramine
DB00771
DB01173
262
358
[ "DDInter397", "DDInter1349" ]
Clidinium
Orphenadrine
Clidinium is a synthetic anticholinergic agent which has been shown in experimental and clinical studies to have a pronounced antispasmodic and antisecretory effect on the gastrointestinal tract. It inhibits muscarinic actions of acetylcholine at postganglionic parasympathetic neuroeffector sites. It is used for the treatment of peptic ulcer disease and also to help relieve abdominal or stomach spasms or cramps due to colicky abdominal pain, diverticulitis, and irritable bowel syndrome.
A muscarinic antagonist used to treat drug-induced parkinsonism and to relieve pain from muscle spasm.
Moderate
1
[ [ [ 262, 24, 358 ] ], [ [ 262, 24, 211 ], [ 211, 1, 358 ] ], [ [ 262, 24, 272 ], [ 272, 24, 358 ] ], [ [ 262, 24, 820 ], [ 820, 63, 358 ] ], [ [ 262, 63, 1164 ], [ 1164, 1, 358 ] ], [ [ 262, 24, 1405 ], [ 1405, 40, 358 ] ], [ [ 262, 40, 11392 ], [ 11392, 1, 358 ] ], [ [ 262, 74, 675 ], [ 675, 40, 358 ] ], [ [ 262, 35, 1301 ], [ 1301, 40, 358 ] ], [ [ 262, 74, 357 ], [ 357, 1, 358 ] ] ]
[ [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolterodine" ], [ "Tolterodine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ] ], [ [ "Clidinium", "{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}", "Orphenadrine" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Clidinium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ], [ "Cyclobenzaprine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Clidinium", "{u} (Compound) resembles {v} (Compound)", "Methadyl Acetate" ], [ "Methadyl Acetate", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Clidinium", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Clidinium", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levacetylmethadol" ], [ "Levacetylmethadol", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Clidinium", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzatropine" ], [ "Benzatropine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ] ]
Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Tolterodine and Tolterodine (Compound) resembles Orphenadrine (Compound) Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine Clidinium 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 Orphenadrine Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine (Compound) resembles Orphenadrine (Compound) Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine and Cyclobenzaprine (Compound) resembles Orphenadrine (Compound) Clidinium (Compound) resembles Methadyl Acetate (Compound) and Methadyl Acetate (Compound) resembles Orphenadrine (Compound) Clidinium (Compound) resembles Dextropropoxyphene (Compound) and Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Dextropropoxyphene and Dextropropoxyphene (Compound) resembles Orphenadrine (Compound) Clidinium (Compound) resembles Levacetylmethadol (Compound) and Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Levacetylmethadol and Levacetylmethadol (Compound) resembles Orphenadrine (Compound) Clidinium (Compound) resembles Benzatropine (Compound) and Clidinium may cause a moderate interaction that could exacerbate diseases when taken with Benzatropine and Benzatropine (Compound) resembles Orphenadrine (Compound)
DB01064
DB06589
1,148
1,250
[ "DDInter987", "DDInter1400" ]
Isoprenaline
Pazopanib
Isoprenaline is a non-selective beta adrenergic receptor agonist indicated to treat heart block, Adams-Stokes attacks, bronchospasm in anesthesia, cadiac arrest, hypovolemic shocks, septic shock, hypoperfusion, congestive hear failure, and cardiogenic shock.[A15638,L33160] Isoprenaline research in the 1940s found that this isopropyl analog of epinephrine dilated the bronchi, as well as raising the heart rate and cardiac output, without vasoconstriction.[A233724,A233729] The US patent from 1943 states that this compound had a wider therapeutic index and a stronger action than [adrenaline]. Isoprenaline was granted FDA approval on 19 February 1948.
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
[ [ [ 1148, 24, 1250 ] ], [ [ 1148, 7, 4759 ], [ 4759, 46, 1250 ] ], [ [ 1148, 21, 28695 ], [ 28695, 60, 1250 ] ], [ [ 1148, 63, 307 ], [ 307, 23, 1250 ] ], [ [ 1148, 63, 1630 ], [ 1630, 24, 1250 ] ], [ [ 1148, 24, 1151 ], [ 1151, 24, 1250 ] ], [ [ 1148, 24, 913 ], [ 913, 63, 1250 ] ], [ [ 1148, 23, 1220 ], [ 1220, 24, 1250 ] ], [ [ 1148, 74, 1674 ], [ 1674, 24, 1250 ] ], [ [ 1148, 64, 11 ], [ 11, 25, 1250 ] ] ]
[ [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Isoprenaline", "{u} (Compound) upregulates {v} (Gene)", "SERPINA3" ], [ "SERPINA3", "{u} (Gene) is upregulated by {v} (Compound)", "Pazopanib" ] ], [ [ "Isoprenaline", "{u} (Compound) causes {v} (Side Effect)", "Dyspnoea" ], [ "Dyspnoea", "{u} (Side Effect) is caused by {v} (Compound)", "Pazopanib" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pazopanib" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Perphenazine" ], [ "Perphenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Isoprenaline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Isoprenaline", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orciprenaline" ], [ "Orciprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ] ], [ [ "Isoprenaline", "{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}", "Pazopanib" ] ] ]
Isoprenaline (Compound) upregulates SERPINA3 (Gene) and SERPINA3 (Gene) is upregulated by Pazopanib (Compound) Isoprenaline (Compound) causes Dyspnoea (Side Effect) and Dyspnoea (Side Effect) is caused by Pazopanib (Compound) Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Pazopanib Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Perphenazine and Perphenazine may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Isoprenaline may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Isoprenaline (Compound) resembles Orciprenaline (Compound) and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Orciprenaline and Orciprenaline may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib Isoprenaline 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 Pazopanib
DB00059
DB00754
1,560
157
[ "DDInter1404", "DDInter696" ]
Pegaspargase
Ethotoin
Pegaspargase is a conjugate of monomethoxypolyethylene glycol (mPEG) and L-asparaginase (L-asparagine amidohydrolase), an asparagine-specific enzyme that converts L-asparagine into aspartic acid and ammonia. Asparagine is an amino acid that is vital for cell survival. In humans, most normal tissues can produce asparagine through the action of asparagine synthetase. However, leukemia cells have low levels of this enzyme and depend on exogenous sources. Therefore, the use of pegaspargase results in leukemic cell death.[A103,A255912,L44667] Pegaspargase has the same mechanism of action as [L-asparaginase] derived from _Escherichia coli_, a previously developed enzyme used for the treatment of acute lymphoblastic leukemia (ALL). However, using L-asparaginase derived from _Escherich
Ethotoin is a hydantoin derivative and anticonvulsant. Ethotoin exerts an antiepileptic effect without causing general central nervous system depression. The mechanism of action is probably very similar to that of phenytoin. The latter drug appears to stabilize rather than to raise the normal seizure threshold, and to prevent the spread of seizure activity rather than to abolish the primary focus of seizure discharges. Ethotoin is no longer commonly used.
Moderate
1
[ [ [ 1560, 24, 157 ] ], [ [ 1560, 24, 167 ], [ 167, 24, 157 ] ], [ [ 1560, 24, 384 ], [ 384, 63, 157 ] ], [ [ 1560, 25, 770 ], [ 770, 63, 157 ] ], [ [ 1560, 25, 1510 ], [ 1510, 64, 157 ] ], [ [ 1560, 24, 600 ], [ 600, 25, 157 ] ], [ [ 1560, 24, 167 ], [ 167, 24, 759 ], [ 759, 40, 157 ] ], [ [ 1560, 24, 663 ], [ 663, 18, 7248 ], [ 7248, 46, 157 ] ], [ [ 1560, 24, 482 ], [ 482, 21, 28658 ], [ 28658, 60, 157 ] ], [ [ 1560, 24, 384 ], [ 384, 64, 759 ], [ 759, 40, 157 ] ] ]
[ [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethotoin" ] ], [ [ "Pegaspargase", "{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}", "Ethotoin" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethotoin" ] ], [ [ "Pegaspargase", "{u} may lead to a major life threatening interaction when taken with {v}", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethotoin" ] ], [ [ "Pegaspargase", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ethotoin" ] ], [ [ "Pegaspargase", "{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}", "Ethotoin" ] ], [ [ "Pegaspargase", "{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}", "Primidone" ], [ "Primidone", "{u} (Compound) resembles {v} (Compound)", "Ethotoin" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} (Compound) downregulates {v} (Gene)", "RPP38" ], [ "RPP38", "{u} (Gene) is upregulated by {v} (Compound)", "Ethotoin" ] ], [ [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} (Compound) causes {v} (Side Effect)", "Vomiting" ], [ "Vomiting", "{u} (Side Effect) is caused by {v} (Compound)", "Ethotoin" ] ], [ [ "Pegaspargase", "{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}", "Primidone" ], [ "Primidone", "{u} (Compound) resembles {v} (Compound)", "Ethotoin" ] ] ]
Pegaspargase 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 Ethotoin Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Ethotoin Pegaspargase may lead to a major life threatening interaction when taken with Thalidomide and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ethotoin Pegaspargase may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Ethotoin Pegaspargase 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 Ethotoin Pegaspargase 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 Primidone and Primidone (Compound) resembles Ethotoin (Compound) Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate (Compound) downregulates RPP38 (Gene) and RPP38 (Gene) is upregulated by Ethotoin (Compound) Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine and Tioguanine (Compound) causes Vomiting (Side Effect) and Vomiting (Side Effect) is caused by Ethotoin (Compound) Pegaspargase 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 Primidone and Primidone (Compound) resembles Ethotoin (Compound)
DB00341
DB00924
1,242
1,405
[ "DDInter343", "DDInter454" ]
Cetirizine
Cyclobenzaprine
Cetirizine, also commonly known as _Zyrtec_, is an orally active second-generation histamine H1 antagonist proven effective in the treatment of various allergic symptoms, such as sneezing, coughing, nasal congestion, hives, and other symptoms,. One of the most common uses for this drug is for a condition called _allergic rhinitis_. The prevalence of allergic rhinitis in the United States is about 15% according to physician diagnoses, and up to 30%, according to self-reported nasal symptoms. Allergic rhinitis is associated with multiple missed or unproductive days at work and school, problems with sleep, and other difficulties with day to day activities for many individuals. Furthermore, some antihistamine agents that are used to treat this condition cause undesirable, sedating effects. Cetirizine is one of the first second-generation H1 antihistamines (SGAHs) formulated to selectively inhibit the H1 receptor
Cyclobenzaprine, a centrally-acting muscle relaxant, was first synthesized in 1961 and has been available for human use since 1977. It was initially studied for use as antidepressant given its structural similarity to tricyclic antidepressants - it differs from [Amitriptyline] by only a single double bond.[A185039,A184982] Since its approval, it has remained relatively popular as an adjunctive, short-term treatment for acute skeletal muscle spasms secondary to musculoskeletal injury.
Moderate
1
[ [ [ 1242, 24, 1405 ] ], [ [ 1242, 24, 649 ], [ 649, 63, 1405 ] ], [ [ 1242, 40, 11296 ], [ 11296, 1, 1405 ] ], [ [ 1242, 24, 1302 ], [ 1302, 1, 1405 ] ], [ [ 1242, 63, 21 ], [ 21, 1, 1405 ] ], [ [ 1242, 24, 1264 ], [ 1264, 64, 1405 ] ], [ [ 1242, 21, 28963 ], [ 28963, 60, 1405 ] ], [ [ 1242, 24, 1219 ], [ 1219, 24, 1405 ] ], [ [ 1242, 63, 1648 ], [ 1648, 24, 1405 ] ], [ [ 1242, 74, 701 ], [ 701, 24, 1405 ] ] ]
[ [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound)", "Bromodiphenhydramine" ], [ "Bromodiphenhydramine", "{u} (Compound) resembles {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Protriptyline" ], [ "Protriptyline", "{u} (Compound) resembles {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amitriptyline" ], [ "Amitriptyline", "{u} (Compound) resembles {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxepin" ], [ "Doxepin", "{u} may lead to a major life threatening interaction when taken with {v}", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{u} (Compound) causes {v} (Side Effect)", "Anxiety" ], [ "Anxiety", "{u} (Side Effect) is caused by {v} (Compound)", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Azatadine" ], [ "Azatadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{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}", "Cyclobenzaprine" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ] ] ]
Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine Cetirizine (Compound) resembles Bromodiphenhydramine (Compound) and Bromodiphenhydramine (Compound) resembles Cyclobenzaprine (Compound) Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Protriptyline and Protriptyline (Compound) resembles Cyclobenzaprine (Compound) Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Amitriptyline and Amitriptyline (Compound) resembles Cyclobenzaprine (Compound) Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Doxepin and Doxepin may lead to a major life threatening interaction when taken with Cyclobenzaprine Cetirizine (Compound) causes Anxiety (Side Effect) and Anxiety (Side Effect) is caused by Cyclobenzaprine (Compound) Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Azatadine and Azatadine may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine Cetirizine 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 Cyclobenzaprine Cetirizine (Compound) resembles Clemastine (Compound) and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine
DB01203
DB09156
699
777
[ "DDInter1255", "DDInter964" ]
Nadolol
Iopromide
Nadolol is a nonselective beta adrenal receptor blocker that is used to lower blood pressure.[L7922,L7925] Nonselective beta adrenal receptor blockers may no longer be first line in the treatment of hypertension as newer generations of beta adrenal receptor blockers have higher selectivity and offer better rates of adverse effects. Nadolol was granted FDA approval on 10 December 1979.
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]
Moderate
1
[ [ [ 699, 24, 777 ] ], [ [ 699, 24, 1013 ], [ 1013, 63, 777 ] ], [ [ 699, 63, 1648 ], [ 1648, 24, 777 ] ], [ [ 699, 40, 729 ], [ 729, 24, 777 ] ], [ [ 699, 24, 512 ], [ 512, 24, 777 ] ], [ [ 699, 63, 1512 ], [ 1512, 25, 777 ] ], [ [ 699, 62, 361 ], [ 361, 25, 777 ] ], [ [ 699, 25, 247 ], [ 247, 25, 777 ] ], [ [ 699, 24, 1013 ], [ 1013, 63, 772 ], [ 772, 24, 777 ] ], [ [ 699, 63, 1648 ], [ 1648, 24, 772 ], [ 772, 24, 777 ] ] ]
[ [ [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ], [ [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ], [ "Tyropanoic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ], [ [ "Nadolol", "{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}", "Iopromide" ] ], [ [ "Nadolol", "{u} (Compound) resembles {v} (Compound)", "Penbutolol" ], [ "Penbutolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ], [ [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopanoic acid" ], [ "Iopanoic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ], [ [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ] ], [ [ "Nadolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Neomycin" ], [ "Neomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ] ], [ [ "Nadolol", "{u} may lead to a major life threatening interaction when taken with {v}", "Iobenguane" ], [ "Iobenguane", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ] ], [ [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tyropanoic acid" ], [ "Tyropanoic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carvedilol" ], [ "Carvedilol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ], [ [ "Nadolol", "{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}", "Carvedilol" ], [ "Carvedilol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iopromide" ] ] ]
Nadolol may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid and Tyropanoic acid may cause a moderate interaction that could exacerbate diseases when taken with Iopromide Nadolol 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 Iopromide Nadolol (Compound) resembles Penbutolol (Compound) and Penbutolol may cause a moderate interaction that could exacerbate diseases when taken with Iopromide Nadolol may cause a moderate interaction that could exacerbate diseases when taken with Iopanoic acid and Iopanoic acid may cause a moderate interaction that could exacerbate diseases when taken with Iopromide Nadolol may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac may lead to a major life threatening interaction when taken with Iopromide Nadolol may cause a minor interaction that can limit clinical effects when taken with Neomycin and Neomycin may lead to a major life threatening interaction when taken with Iopromide Nadolol may lead to a major life threatening interaction when taken with Iobenguane and Iobenguane may lead to a major life threatening interaction when taken with Iopromide Nadolol may cause a moderate interaction that could exacerbate diseases when taken with Tyropanoic acid and Tyropanoic acid may cause a moderate interaction that could exacerbate diseases when taken with Carvedilol and Carvedilol may cause a moderate interaction that could exacerbate diseases when taken with Iopromide Nadolol 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 Carvedilol and Carvedilol may cause a moderate interaction that could exacerbate diseases when taken with Iopromide
DB06441
DB08896
936
292
[ "DDInter283", "DDInter1576" ]
Cangrelor
Regorafenib
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.
Regorafenib is an orally-administered inhibitor of multiple kinases. It is used for the treatment of metastatic colorectal cancer, advanced gastrointestinal stromal tumours, and hepatocellular carcinoma. FDA approved on September 27, 2012. Approved use of Regorafenib was expanded to treat Hepatocellular Carcinoma in April 2017.
Major
2
[ [ [ 936, 25, 292 ] ], [ [ 936, 24, 643 ], [ 643, 24, 292 ] ], [ [ 936, 63, 1560 ], [ 1560, 24, 292 ] ], [ [ 936, 24, 41 ], [ 41, 63, 292 ] ], [ [ 936, 64, 553 ], [ 553, 25, 292 ] ], [ [ 936, 25, 707 ], [ 707, 25, 292 ] ], [ [ 936, 63, 885 ], [ 885, 25, 292 ] ], [ [ 936, 25, 1468 ], [ 1468, 64, 292 ] ], [ [ 936, 63, 1274 ], [ 1274, 37, 292 ] ], [ [ 936, 24, 643 ], [ 643, 6, 8374 ], [ 8374, 45, 292 ] ] ]
[ [ [ "Cangrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Regorafenib" ] ], [ [ "Cangrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desvenlafaxine" ], [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Regorafenib" ] ], [ [ "Cangrelor", "{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}", "Regorafenib" ] ], [ [ "Cangrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levomilnacipran" ], [ "Levomilnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Regorafenib" ] ], [ [ "Cangrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Fondaparinux" ], [ "Fondaparinux", "{u} may lead to a major life threatening interaction when taken with {v}", "Regorafenib" ] ], [ [ "Cangrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ], [ "Danaparoid", "{u} may lead to a major life threatening interaction when taken with {v}", "Regorafenib" ] ], [ [ "Cangrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may lead to a major life threatening interaction when taken with {v}", "Regorafenib" ] ], [ [ "Cangrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Regorafenib" ] ], [ [ "Cangrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Regorafenib" ] ], [ [ "Cangrelor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desvenlafaxine" ], [ "Desvenlafaxine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Regorafenib" ] ] ]
Cangrelor may cause a moderate interaction that could exacerbate diseases when taken with Desvenlafaxine and Desvenlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Regorafenib Cangrelor 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 Regorafenib Cangrelor may cause a moderate interaction that could exacerbate diseases when taken with Levomilnacipran and Levomilnacipran may cause a moderate interaction that could exacerbate diseases when taken with Regorafenib Cangrelor may lead to a major life threatening interaction when taken with Fondaparinux and Fondaparinux may lead to a major life threatening interaction when taken with Regorafenib Cangrelor may lead to a major life threatening interaction when taken with Danaparoid and Danaparoid may lead to a major life threatening interaction when taken with Regorafenib Cangrelor may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may lead to a major life threatening interaction when taken with Regorafenib Cangrelor may lead to a major life threatening interaction when taken with Ponatinib and Ponatinib may lead to a major life threatening interaction when taken with Regorafenib Cangrelor may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Regorafenib and Flurbiprofen may lead to a major life threatening interaction when taken with Regorafenib Cangrelor may cause a moderate interaction that could exacerbate diseases when taken with Desvenlafaxine and Desvenlafaxine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Regorafenib (Compound)
DB00197
DB00622
1,324
1,081
[ "DDInter1881", "DDInter1287" ]
Troglitazone
Nicardipine
Troglitazone was withdrawn in 2000 due to risk of hepatotoxicity. It was superseded by [pioglitazone] and [rosiglitazone].
A potent calcium channel blockader with marked vasodilator action. It has antihypertensive properties and is effective in the treatment of angina and coronary spasms without showing cardiodepressant effects. It has also been used in the treatment of asthma and enhances the action of specific antineoplastic agents. [PubChem]
Moderate
1
[ [ [ 1324, 24, 1081 ] ], [ [ 1324, 24, 409 ], [ 409, 1, 1081 ] ], [ [ 1324, 24, 578 ], [ 578, 62, 1081 ] ], [ [ 1324, 24, 723 ], [ 723, 63, 1081 ] ], [ [ 1324, 24, 1010 ], [ 1010, 24, 1081 ] ], [ [ 1324, 23, 1101 ], [ 1101, 24, 1081 ] ], [ [ 1324, 63, 966 ], [ 966, 24, 1081 ] ], [ [ 1324, 24, 129 ], [ 129, 64, 1081 ] ], [ [ 1324, 24, 409 ], [ 409, 1, 1444 ], [ 1444, 40, 1081 ] ], [ [ 1324, 24, 336 ], [ 336, 40, 409 ], [ 409, 1, 1081 ] ] ]
[ [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nicardipine" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nicardipine" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nicardipine" ] ], [ [ "Troglitazone", "{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}", "Nicardipine" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nicardipine" ] ], [ [ "Troglitazone", "{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}", "Nicardipine" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Octreotide" ], [ "Octreotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nicardipine" ] ], [ [ "Troglitazone", "{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}", "Nicardipine" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Clevidipine" ], [ "Clevidipine", "{u} (Compound) resembles {v} (Compound)", "Nicardipine" ] ], [ [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ], [ "Nifedipine", "{u} (Compound) resembles {v} (Compound)", "Felodipine" ], [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nicardipine" ] ] ]
Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Felodipine and Felodipine (Compound) resembles Nicardipine (Compound) Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may cause a minor interaction that can limit clinical effects when taken with Nicardipine Troglitazone 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 Nicardipine Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Mefloquine and Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Nicardipine Troglitazone 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 Nicardipine Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Octreotide and Octreotide may cause a moderate interaction that could exacerbate diseases when taken with Nicardipine Troglitazone 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 Nicardipine Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Felodipine and Felodipine (Compound) resembles Clevidipine (Compound) and Clevidipine (Compound) resembles Nicardipine (Compound) Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine and Nifedipine (Compound) resembles Felodipine (Compound) and Felodipine (Compound) resembles Nicardipine (Compound)
DB00881
DB11921
954
1,019
[ "DDInter1554", "DDInter492" ]
Quinapril
Deflazacort
Quinapril is the ethyl ester prodrug of the non-sulfhydryl angiotensin converting enzyme inhibitor quinaprilat.[L8420,L8423] It is used to treat hypertension and heart failure.[L8420,L8423] ACE inhibitors are commonly used as a first line therapy in the treatment of hypertension, along with thiazide diuretics or beta blockers. Quinapril was granted FDA approval on 19 November 1991. A combination tablet with [hydrochlorothiazide] was also approved on 28 December 1999.
Deflazacort, also known as Emflaza, is a corticosteroid prodrug used as an agent to manage Duchenne Muscular Dystrophy (DMD). It is marketed by Marathon Pharmaceuticals and was approved in February 2017 by the FDA.[L6694,FDA label] Duchenne Muscular Dystrophy is an inherited disorder resulting from mutations of the dystrophin gene, which is important for muscle function. This disease can cause serious muscle weakness and progressive breathing and cardiovascular disability, severely impacting patient quality of life and survival.[A179446,A179449,L6697] This disease usually manifests by muscle weakness in early childhood followed by loss of the ability to walk (ambulation) as early as age 7. Deflazacort delays the onset of muscle related complications resulting from DMD, prolonging the lives of children diagnosed with this disease and exerting less harmful effects on the bone health and weight than other steroid medications.[A179452,A25340]
Moderate
1
[ [ [ 954, 24, 1019 ] ], [ [ 954, 24, 959 ], [ 959, 24, 1019 ] ], [ [ 954, 63, 629 ], [ 629, 24, 1019 ] ], [ [ 954, 23, 286 ], [ 286, 24, 1019 ] ], [ [ 954, 1, 1523 ], [ 1523, 24, 1019 ] ], [ [ 954, 40, 664 ], [ 664, 24, 1019 ] ], [ [ 954, 24, 1220 ], [ 1220, 25, 1019 ] ], [ [ 954, 25, 1510 ], [ 1510, 25, 1019 ] ], [ [ 954, 24, 959 ], [ 959, 63, 1072 ], [ 1072, 23, 1019 ] ], [ [ 954, 63, 629 ], [ 629, 23, 1193 ], [ 1193, 23, 1019 ] ] ]
[ [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ] ], [ [ "Quinapril", "{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}", "Deflazacort" ] ], [ [ "Quinapril", "{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}", "Deflazacort" ] ], [ [ "Quinapril", "{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}", "Deflazacort" ] ], [ [ "Quinapril", "{u} (Compound) resembles {v} (Compound)", "Labetalol" ], [ "Labetalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ] ], [ [ "Quinapril", "{u} (Compound) resembles {v} (Compound)", "Perindopril" ], [ "Perindopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Deflazacort" ] ], [ [ "Quinapril", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Deflazacort" ] ], [ [ "Quinapril", "{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}", "Isoniazid" ], [ "Isoniazid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Deflazacort" ] ], [ [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{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}", "Deflazacort" ] ] ]
Quinapril 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 Deflazacort Quinapril 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 Deflazacort Quinapril 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 Deflazacort Quinapril (Compound) resembles Labetalol (Compound) and Labetalol may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort Quinapril (Compound) resembles Perindopril (Compound) and Perindopril may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone and Dexamethasone may lead to a major life threatening interaction when taken with Deflazacort Quinapril may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Deflazacort Quinapril 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 Isoniazid and Isoniazid may cause a minor interaction that can limit clinical effects when taken with Deflazacort Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus and Sirolimus 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 Deflazacort
DB05015
DB14711
1,077
779
[ "DDInter174", "DDInter1680" ]
Belinostat
Smallpox (Vaccinia) Vaccine, Live
Belinostat is a novel agent that inhibits the enzyme histone deacetylase (HDAC) with a sulfonamide-hydroxamide structure. It was developed as an orphan drug to target hematological malignancies and solid tumors by TopoTarget. The safety and efficacy of belinostat is currently being evaluated for use in combination with traditional front-line therapies for the treatment of PTCL. Intravenous administration of the agent is available as Beleodaq as monotherapy and the dosing regimen involves a 21-day cycle. It was US-approved in July 2014 as a therapeutic agent for relapsed or refractory peripheral T-cell lymphoma.
The New York City Board of Health strain of _Vaccinia_ is a viral strain used as a component of some smallpox vaccinations. ACAM2000, a percutaneously administered smallpox vaccine that was approved by the FDA in 2007, contains live antigens of this strain.
Major
2
[ [ [ 1077, 25, 779 ] ], [ [ 1077, 64, 1064 ], [ 1064, 25, 779 ] ], [ [ 1077, 63, 478 ], [ 478, 25, 779 ] ], [ [ 1077, 25, 1259 ], [ 1259, 25, 779 ] ], [ [ 1077, 24, 270 ], [ 270, 25, 779 ] ], [ [ 1077, 25, 676 ], [ 676, 64, 779 ] ], [ [ 1077, 64, 1064 ], [ 1064, 25, 478 ], [ 478, 25, 779 ] ], [ [ 1077, 63, 478 ], [ 478, 64, 1064 ], [ 1064, 25, 779 ] ], [ [ 1077, 64, 1377 ], [ 1377, 64, 1064 ], [ 1064, 25, 779 ] ], [ [ 1077, 63, 1560 ], [ 1560, 24, 478 ], [ 478, 25, 779 ] ] ]
[ [ [ "Belinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ], [ [ "Belinostat", "{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}", "Nilotinib" ], [ "Nilotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Smallpox (Vaccinia) Vaccine, Live" ] ] ]
Belinostat may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Belinostat may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Belinostat may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Belinostat may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Belinostat may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Belinostat may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Belinostat may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Belinostat may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live Belinostat 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 Nilotinib and Nilotinib may lead to a major life threatening interaction when taken with Smallpox (Vaccinia) Vaccine, Live
DB00188
DB08881
168
868
[ "DDInter222", "DDInter1925" ]
Bortezomib
Vemurafenib
Bortezomib is a dipeptide boronic acid derivative and proteasome inhibitor used to treat multiple myeloma and mantle cell lymphoma. The 26S proteasome is a protein complex that degrades ubiquitinated proteins in the ubiquitin-proteasome pathway: reversible inhibition of the 26S proteasome, leading to cell cycle arrest and apoptosis of cancer cells, is thought to be the main mechanism of action of bortezomib. However, multiple mechanisms may be involved in the anticancer activity of bortezomib. Bortezomib was first synthesized in 1995. In May 2003, bortezomib became the first anticancer proteasome inhibitor that was approved by the FDA under the trade name VELCADE. Phase I, II, III, and IV clinical trials are undergoing to investigate the therapeutic efficacy of bortezomib in leukemia, myasthenia gravis, systemic
Vemurafenib is a competitive kinase inhibitor with activity against BRAF kinase with mutations like V600E. It exerts its function by binding to the ATP-binding domain of the mutant BRAF. Vemurafenib was co-developed by Roche and Plexxikon and it obtained its FDA approval on August 17, 2011, under the company Hoffmann La Roche. After approval, Roche in collaboration with Genentech launched a broad development program.
Minor
0
[ [ [ 168, 23, 868 ] ], [ [ 168, 6, 8374 ], [ 8374, 45, 868 ] ], [ [ 168, 7, 7972 ], [ 7972, 46, 868 ] ], [ [ 168, 18, 2642 ], [ 2642, 46, 868 ] ], [ [ 168, 7, 1719 ], [ 1719, 57, 868 ] ], [ [ 168, 6, 3640 ], [ 3640, 57, 868 ] ], [ [ 168, 18, 3769 ], [ 3769, 57, 868 ] ], [ [ 168, 34, 2423 ], [ 2423, 57, 868 ] ], [ [ 168, 21, 28847 ], [ 28847, 60, 868 ] ], [ [ 168, 24, 112 ], [ 112, 23, 868 ] ] ]
[ [ [ "Bortezomib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} (Compound) upregulates {v} (Gene)", "COL11A1" ], [ "COL11A1", "{u} (Gene) is upregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} (Compound) downregulates {v} (Gene)", "PAN2" ], [ "PAN2", "{u} (Gene) is upregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} (Compound) upregulates {v} (Gene)", "NXF1" ], [ "NXF1", "{u} (Gene) is downregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} (Compound) binds {v} (Gene)", "PSMB2" ], [ "PSMB2", "{u} (Gene) is downregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} (Compound) downregulates {v} (Gene)", "EBP" ], [ "EBP", "{u} (Gene) is downregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} (Compound) binds {v} (Gene) and {u} (Compound) upregulates {v} (Gene)", "PSMD2" ], [ "PSMD2", "{u} (Gene) is downregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} (Compound) causes {v} (Side Effect)", "Eye disorder" ], [ "Eye disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Vemurafenib" ] ], [ [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vemurafenib" ] ] ]
Bortezomib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Vemurafenib (Compound) Bortezomib (Compound) upregulates COL11A1 (Gene) and COL11A1 (Gene) is upregulated by Vemurafenib (Compound) Bortezomib (Compound) downregulates PAN2 (Gene) and PAN2 (Gene) is upregulated by Vemurafenib (Compound) Bortezomib (Compound) upregulates NXF1 (Gene) and NXF1 (Gene) is downregulated by Vemurafenib (Compound) Bortezomib (Compound) binds PSMB2 (Gene) and PSMB2 (Gene) is downregulated by Vemurafenib (Compound) Bortezomib (Compound) downregulates EBP (Gene) and EBP (Gene) is downregulated by Vemurafenib (Compound) Bortezomib (Compound) binds PSMD2 (Gene) and Bortezomib (Compound) upregulates PSMD2 (Gene) and PSMD2 (Gene) is downregulated by Vemurafenib (Compound) Bortezomib (Compound) causes Eye disorder (Side Effect) and Eye disorder (Side Effect) is caused by Vemurafenib (Compound) Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Vemurafenib
DB00046
DB01170
1,179
1,150
[ "DDInter940", "DDInter846" ]
Insulin lispro
Guanethidine
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
An antihypertensive agent that acts by inhibiting selectively transmission in post-ganglionic adrenergic nerves. It is believed to act mainly by preventing the release of norepinephrine at nerve endings and causes depletion of norepinephrine in peripheral sympathetic nerve terminals as well as in tissues. [PubChem]
Moderate
1
[ [ [ 1179, 24, 1150 ] ], [ [ 1179, 24, 1445 ], [ 1445, 24, 1150 ] ], [ [ 1179, 24, 1344 ], [ 1344, 63, 1150 ] ], [ [ 1179, 24, 1445 ], [ 1445, 6, 7390 ], [ 7390, 45, 1150 ] ], [ [ 1179, 24, 708 ], [ 708, 24, 1344 ], [ 1344, 63, 1150 ] ], [ [ 1179, 24, 401 ], [ 401, 63, 73 ], [ 73, 24, 1150 ] ], [ [ 1179, 24, 1019 ], [ 1019, 63, 1344 ], [ 1344, 63, 1150 ] ], [ [ 1179, 24, 245 ], [ 245, 24, 1445 ], [ 1445, 24, 1150 ] ], [ [ 1179, 24, 359 ], [ 359, 5, 11590 ], [ 11590, 44, 1150 ] ], [ [ 1179, 24, 22 ], [ 22, 40, 1445 ], [ 1445, 24, 1150 ] ] ]
[ [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ], [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} (Compound) binds {v} (Gene)", "SLC6A2" ], [ "SLC6A2", "{u} (Gene) is bound by {v} (Compound)", "Guanethidine" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ], [ "Corticotropin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ], [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Insulin lispro", "{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}", "Phentermine" ], [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ], [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} (Compound) treats {v} (Disease)", "hypertension" ], [ "hypertension", "{u} (Disease) is treated by {v} (Compound)", "Guanethidine" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} (Compound) resembles {v} (Compound)", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ] ]
Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin and Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine (Compound) binds SLC6A2 (Gene) and SLC6A2 (Gene) is bound by Guanethidine (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin and Corticotropin may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin and Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Insulin lispro 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 Phentermine and Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin and Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide (Compound) treats hypertension (Disease) and hypertension (Disease) is treated by Guanethidine (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine (Compound) resembles Pseudoephedrine (Compound) and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine
DB00365
DB11110
839
603
[ "DDInter842", "DDInter1115" ]
Grepafloxacin
Magnesium citrate
Grepafloxacin is an oral broad-spectrum quinoline antibacterial agent used to treat bacterial infections. Due to the QTc-prolonging potential, as indicated by the changes in the QT interval on the electrocardiogram, and the risk for cardiovascular adverse events, grepafloxacin was withdrawn in the United States.
Magnesium citrate is a low volume and osmotic cathartic agent. The cathartic action works primarily through the high osmolarity of the solution which draws large amounts of fluid into space where is used. Magnesium citrate is considered by the FDA as an approved inactive ingredient for approved drug products under the specifications of oral administration of a maximum concentration of 237 mg. It is also considered as an active ingredient in over-the-counter products.
Moderate
1
[ [ [ 839, 24, 603 ] ], [ [ 839, 25, 57 ], [ 57, 24, 603 ] ], [ [ 839, 25, 484 ], [ 484, 63, 603 ] ], [ [ 839, 24, 688 ], [ 688, 24, 603 ] ], [ [ 839, 64, 702 ], [ 702, 24, 603 ] ], [ [ 839, 25, 57 ], [ 57, 64, 789 ], [ 789, 24, 603 ] ], [ [ 839, 25, 870 ], [ 870, 25, 57 ], [ 57, 24, 603 ] ], [ [ 839, 25, 251 ], [ 251, 24, 789 ], [ 789, 24, 603 ] ], [ [ 839, 25, 1486 ], [ 1486, 63, 789 ], [ 789, 24, 603 ] ], [ [ 839, 24, 688 ], [ 688, 24, 57 ], [ 57, 24, 603 ] ] ]
[ [ [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Foscarnet" ], [ "Foscarnet", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Foscarnet" ], [ "Foscarnet", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{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}", "Foscarnet" ], [ "Foscarnet", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ], [ [ "Grepafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Arsenic trioxide" ], [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ] ] ]
Grepafloxacin may lead to a major life threatening interaction when taken with Arsenic trioxide and Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Grepafloxacin may lead to a major life threatening interaction when taken with Entrectinib and Entrectinib may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Grepafloxacin may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Grepafloxacin may lead to a major life threatening interaction when taken with Arsenic trioxide and Arsenic trioxide may lead to a major life threatening interaction when taken with Foscarnet and Foscarnet may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Grepafloxacin may lead to a major life threatening interaction when taken with Fludrocortisone and Fludrocortisone may lead to a major life threatening interaction when taken with Arsenic trioxide and Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Grepafloxacin may lead to a major life threatening interaction when taken with Betamethasone and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Foscarnet and Foscarnet may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Grepafloxacin 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 Foscarnet and Foscarnet may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate Grepafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Arsenic trioxide and Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate
DB00790
DB13620
664
948
[ "DDInter1431", "DDInter1499" ]
Perindopril
Potassium gluconate
Perindopril is a nonsulfhydryl prodrug that belongs to the angiotensin-converting enzyme (ACE) inhibitor class of medications. It is rapidly metabolized in the liver to perindoprilat, its active metabolite, following oral administration. Perindoprilat is a potent, competitive inhibitor of ACE, the enzyme responsible for the conversion of angiotensin I (ATI) to angiotensin II (ATII). ATII regulates blood pressure and is a key component of the renin-angiotensin-aldosterone system (RAAS). Perindopril may be used to treat mild to moderate essential hypertension, mild to moderate congestive heart failure, and to reduce the cardiovascular risk of individuals with hypertension or post-myocardial infarction and stable coronary disease.
Potassium gluconate is a salt of and is classified as a food additive by the FDA . It is also used as a potassium supplement . Potassium is an essential nutrient. It is the most abundant cation in the intracellular fluid, where it plays a key role in maintaining cell function . In dietary supplements, potassium is often present as potassium chloride, but many other forms—including potassium citrate, phosphate, aspartate, bicarbonate, and **gluconate**—are also used . Potassium gluconate is believed to be more palatable and non-acidifying than potassium chloride (KCl) .
Major
2
[ [ [ 664, 25, 948 ] ], [ [ 664, 63, 176 ], [ 176, 23, 948 ] ], [ [ 664, 24, 1254 ], [ 1254, 23, 948 ] ], [ [ 664, 24, 848 ], [ 848, 24, 948 ] ], [ [ 664, 63, 1512 ], [ 1512, 24, 948 ] ], [ [ 664, 40, 1638 ], [ 1638, 25, 948 ] ], [ [ 664, 1, 954 ], [ 954, 25, 948 ] ], [ [ 664, 63, 176 ], [ 176, 24, 914 ], [ 914, 24, 948 ] ], [ [ 664, 24, 1254 ], [ 1254, 63, 914 ], [ 914, 24, 948 ] ], [ [ 664, 63, 1274 ], [ 1274, 35, 848 ], [ 848, 24, 948 ] ] ]
[ [ [ "Perindopril", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glargine" ], [ "Insulin glargine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glulisine" ], [ "Insulin glulisine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ], [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{u} (Compound) resembles {v} (Compound)", "Trandolapril" ], [ "Trandolapril", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{u} (Compound) resembles {v} (Compound)", "Quinapril" ], [ "Quinapril", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{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}", "Diflunisal" ], [ "Diflunisal", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin glulisine" ], [ "Insulin glulisine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ], [ "Diflunisal", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Potassium gluconate" ] ], [ [ "Perindopril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ], [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Potassium gluconate" ] ] ]
Perindopril may cause a moderate interaction that could exacerbate diseases when taken with Insulin glargine and Insulin glargine may cause a minor interaction that can limit clinical effects when taken with Potassium gluconate Perindopril may cause a moderate interaction that could exacerbate diseases when taken with Insulin glulisine and Insulin glulisine may cause a minor interaction that can limit clinical effects when taken with Potassium gluconate Perindopril may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen and Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Potassium gluconate Perindopril may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Potassium gluconate Perindopril (Compound) resembles Trandolapril (Compound) and Trandolapril may lead to a major life threatening interaction when taken with Potassium gluconate Perindopril (Compound) resembles Quinapril (Compound) and Quinapril may lead to a major life threatening interaction when taken with Potassium gluconate Perindopril 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 Diflunisal and Diflunisal may cause a moderate interaction that could exacerbate diseases when taken with Potassium gluconate Perindopril may cause a moderate interaction that could exacerbate diseases when taken with Insulin glulisine and Insulin glulisine may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal and Diflunisal may cause a moderate interaction that could exacerbate diseases when taken with Potassium gluconate Perindopril may cause a moderate interaction that could exacerbate diseases when taken with Flurbiprofen and Flurbiprofen (Compound) resembles Ibuprofen (Compound) and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen and Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Potassium gluconate
DB00782
DB01390
1,123
1,117
[ "DDInter1535", "DDInter1683" ]
Propantheline
Sodium bicarbonate
A muscarinic antagonist used as an antispasmodic, in rhinitis, in urinary incontinence, and in the treatment of ulcers. At high doses it has nicotinic effects resulting in neuromuscular blocking.
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
[ [ [ 1123, 24, 1117 ] ], [ [ 1123, 21, 28778 ], [ 28778, 60, 1117 ] ], [ [ 1123, 24, 108 ], [ 108, 23, 1117 ] ], [ [ 1123, 62, 1252 ], [ 1252, 23, 1117 ] ], [ [ 1123, 63, 85 ], [ 85, 24, 1117 ] ], [ [ 1123, 21, 28778 ], [ 28778, 60, 1220 ], [ 1220, 23, 1117 ] ], [ [ 1123, 24, 108 ], [ 108, 21, 29093 ], [ 29093, 60, 1117 ] ], [ [ 1123, 62, 1252 ], [ 1252, 21, 29601 ], [ 29601, 60, 1117 ] ], [ [ 1123, 40, 11241 ], [ 11241, 1, 939 ], [ 939, 24, 1117 ] ], [ [ 1123, 63, 85 ], [ 85, 21, 29093 ], [ 29093, 60, 1117 ] ] ]
[ [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} (Compound) causes {v} (Side Effect)", "Anaphylactic shock" ], [ "Anaphylactic shock", "{u} (Side Effect) is caused by {v} (Compound)", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Memantine" ], [ "Memantine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Digoxin" ], [ "Digoxin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} (Compound) causes {v} (Side Effect)", "Anaphylactic shock" ], [ "Anaphylactic shock", "{u} (Side Effect) is caused by {v} (Compound)", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Memantine" ], [ "Memantine", "{u} (Compound) causes {v} (Side Effect)", "Fatigue" ], [ "Fatigue", "{u} (Side Effect) is caused by {v} (Compound)", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Digoxin" ], [ "Digoxin", "{u} (Compound) causes {v} (Side Effect)", "Necrosis" ], [ "Necrosis", "{u} (Side Effect) is caused by {v} (Compound)", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} (Compound) resembles {v} (Compound)", "Isopropamide" ], [ "Isopropamide", "{u} (Compound) resembles {v} (Compound)", "Benzphetamine" ], [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sodium bicarbonate" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atropine" ], [ "Atropine", "{u} (Compound) causes {v} (Side Effect)", "Fatigue" ], [ "Fatigue", "{u} (Side Effect) is caused by {v} (Compound)", "Sodium bicarbonate" ] ] ]
Propantheline (Compound) causes Anaphylactic shock (Side Effect) and Anaphylactic shock (Side Effect) is caused by Sodium bicarbonate (Compound) Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Memantine and Memantine may cause a minor interaction that can limit clinical effects when taken with Sodium bicarbonate Propantheline may cause a minor interaction that can limit clinical effects when taken with Digoxin and Digoxin may cause a minor interaction that can limit clinical effects when taken with Sodium bicarbonate Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Propantheline (Compound) causes Anaphylactic shock (Side Effect) and Anaphylactic shock (Side Effect) is caused by Dexamethasone (Compound) and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Sodium bicarbonate Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Memantine and Memantine (Compound) causes Fatigue (Side Effect) and Fatigue (Side Effect) is caused by Sodium bicarbonate (Compound) Propantheline may cause a minor interaction that can limit clinical effects when taken with Digoxin and Digoxin (Compound) causes Necrosis (Side Effect) and Necrosis (Side Effect) is caused by Sodium bicarbonate (Compound) Propantheline (Compound) resembles Isopropamide (Compound) and Isopropamide (Compound) resembles Benzphetamine (Compound) and Benzphetamine may cause a moderate interaction that could exacerbate diseases when taken with Sodium bicarbonate Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Atropine and Atropine (Compound) causes Fatigue (Side Effect) and Fatigue (Side Effect) is caused by Sodium bicarbonate (Compound)
DB00402
DB00405
1,407
128
[ "DDInter685", "DDInter517" ]
Eszopiclone
Dexbrompheniramine
Eszopiclone, marketed by Sepracor under the brand-name Lunesta, is a nonbenzodiazepine hypnotic drug used to treat insomnia. It is the active stereoisomer of zopiclone, belonging to the class of drugs known as _cyclopyrrolones_.[A179638,L6850] Cyclopyrrolone drugs demonstrate high efficacy and low toxicity, offering a safer alternative to other drugs used for insomnia. One major benefit of eszopiclone is that it is approved by the FDA for the long-term treatment of insomnia. This sets it apart from many other hypnotic sedatives, which are generally approved only for the relief of short-term (6-8 weeks) insomnia. Eszopiclone was initially approved by the FDA in 2004.
Dexbrompheniramine maleate is an antihistamine agent that is used for the treatment of allergic conditions, such as hay fever or urticaria.
Moderate
1
[ [ [ 1407, 24, 128 ] ], [ [ 1407, 24, 662 ], [ 662, 63, 128 ] ], [ [ 1407, 64, 475 ], [ 475, 24, 128 ] ], [ [ 1407, 63, 701 ], [ 701, 24, 128 ] ], [ [ 1407, 63, 1594 ], [ 1594, 35, 128 ] ], [ [ 1407, 24, 662 ], [ 662, 35, 1376 ], [ 1376, 63, 128 ] ], [ [ 1407, 24, 1376 ], [ 1376, 74, 662 ], [ 662, 63, 128 ] ], [ [ 1407, 24, 222 ], [ 222, 63, 662 ], [ 662, 63, 128 ] ], [ [ 1407, 24, 13 ], [ 13, 24, 662 ], [ 662, 63, 128 ] ], [ [ 1407, 64, 475 ], [ 475, 24, 662 ], [ 662, 63, 128 ] ] ]
[ [ [ "Eszopiclone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{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}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{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}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{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}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{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}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ] ], [ [ "Eszopiclone", "{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}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexbrompheniramine" ] ] ]
Eszopiclone may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine Eszopiclone 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 Dexbrompheniramine Eszopiclone 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 Dexbrompheniramine Eszopiclone may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine (Compound) resembles Dexbrompheniramine (Compound) and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine Eszopiclone may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine (Compound) resembles Diphenhydramine (Compound) and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine Eszopiclone may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) resembles Carbinoxamine (Compound) and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine Eszopiclone 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 Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine Eszopiclone may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine Eszopiclone 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 Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Dexbrompheniramine
DB00289
DB00619
847
1,419
[ "DDInter132", "DDInter909" ]
Atomoxetine
Imatinib
Atomoxetine is a selective norepinephrine (NE) reuptake inhibitor used for the treatment of attention deficit hyperactivity disorder (ADHD). Also known as the marketed product Strattera, atomoxetine is used with other treatment modalities (psychological, educational, cognitive behaviour therapy, etc) to improve developmentally inappropriate symptoms associated with ADHD including distractibility, short attention span, hyperactivity, emotional lability, and impulsivity. Although the underlying pathophysiology that causes ADHD remains unclear, evidence suggests that dysregulation in noradrenergic and dopaminergic pathways plays a critical role in suboptimal executive functioning within prefrontal regions of the brain, which are involved in attention and memory. Atomoxetine has been shown to specifically increase NA and DA within the prefrontal cortex, but not in the nucleus accumbens (NA) or striatum. This is beneficial in the treatment of ADHD as DA activation in the subcortical NA and stri
Imatinib is a small molecule kinase inhibitor that revolutionized the treatment of cancer, particularly chronic myeloid leukemia, in 2001. It was deemed a "miracle drug" due to its clinical success, as oncologist Dr. Brian noted that "complete hematologic responses were observed in 53 of 54 patients with CML treated with a daily dosage of 300 mg or more and typically occurred in the first four weeks of therapy".. The discovery of imatinib also established a new group of therapy called "targeted therapy", since treatment can be tailored specifically to the unique cancer genetics of each patient. Imatinib was approved on February 1st ,2001 by the FDA and November 7th, 2001 by the EMA; however, its European approval has been withdrawn in October 2023.[A263036,L49746,L49751]
Moderate
1
[ [ [ 847, 24, 1419 ] ], [ [ 847, 6, 10215 ], [ 10215, 45, 1419 ] ], [ [ 847, 21, 29231 ], [ 29231, 60, 1419 ] ], [ [ 847, 23, 222 ], [ 222, 62, 1419 ] ], [ [ 847, 40, 307 ], [ 307, 62, 1419 ] ], [ [ 847, 24, 283 ], [ 283, 63, 1419 ] ], [ [ 847, 63, 305 ], [ 305, 24, 1419 ] ], [ [ 847, 1, 758 ], [ 758, 24, 1419 ] ], [ [ 847, 40, 576 ], [ 576, 24, 1419 ] ], [ [ 847, 40, 211 ], [ 211, 63, 1419 ] ] ]
[ [ [ "Atomoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Atomoxetine", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Imatinib" ] ], [ [ "Atomoxetine", "{u} (Compound) causes {v} (Side Effect)", "Cardiac disorder" ], [ "Cardiac disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Imatinib" ] ], [ [ "Atomoxetine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ] ], [ [ "Atomoxetine", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ] ], [ [ "Atomoxetine", "{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}", "Imatinib" ] ], [ [ "Atomoxetine", "{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}", "Imatinib" ] ], [ [ "Atomoxetine", "{u} (Compound) resembles {v} (Compound)", "Fluoxetine" ], [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Atomoxetine", "{u} (Compound) resembles {v} (Compound)", "Methadone" ], [ "Methadone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Atomoxetine", "{u} (Compound) resembles {v} (Compound)", "Tolterodine" ], [ "Tolterodine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ] ]
Atomoxetine (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Imatinib (Compound) Atomoxetine (Compound) causes Cardiac disorder (Side Effect) and Cardiac disorder (Side Effect) is caused by Imatinib (Compound) Atomoxetine may cause a minor interaction that can limit clinical effects when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Imatinib Atomoxetine (Compound) resembles Modafinil (Compound) and Modafinil may cause a minor interaction that can limit clinical effects when taken with Imatinib Atomoxetine 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 Imatinib Atomoxetine 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 Imatinib Atomoxetine (Compound) resembles Fluoxetine (Compound) and Fluoxetine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib Atomoxetine (Compound) resembles Methadone (Compound) and Methadone may cause a moderate interaction that could exacerbate diseases when taken with Imatinib Atomoxetine (Compound) resembles Tolterodine (Compound) and Tolterodine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib
DB00397
DB01170
1,466
1,150
[ "DDInter1458", "DDInter846" ]
Phenylpropanolamine
Guanethidine
Phenylpropanolamine is a sympathomimetic agent that acts as a nonselective adrenergic receptor agonist and norepinephrine reuptake inhibitor. It has been used as a decongestant and appetite suppressant. Currently, it is withdrawn from the market in Canada and the United States due to the risk for hemorrahgic strokes.
An antihypertensive agent that acts by inhibiting selectively transmission in post-ganglionic adrenergic nerves. It is believed to act mainly by preventing the release of norepinephrine at nerve endings and causes depletion of norepinephrine in peripheral sympathetic nerve terminals as well as in tissues. [PubChem]
Moderate
1
[ [ [ 1466, 24, 1150 ] ], [ [ 1466, 6, 7390 ], [ 7390, 45, 1150 ] ], [ [ 1466, 35, 1445 ], [ 1445, 24, 1150 ] ], [ [ 1466, 64, 73 ], [ 73, 24, 1150 ] ], [ [ 1466, 24, 1344 ], [ 1344, 63, 1150 ] ], [ [ 1466, 63, 1061 ], [ 1061, 24, 1150 ] ], [ [ 1466, 24, 874 ], [ 874, 24, 1150 ] ], [ [ 1466, 35, 22 ], [ 22, 63, 1150 ] ], [ [ 1466, 25, 1053 ], [ 1053, 24, 1150 ] ], [ [ 1466, 25, 1629 ], [ 1629, 63, 1150 ] ] ]
[ [ [ "Phenylpropanolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{u} (Compound) binds {v} (Gene)", "SLC6A2" ], [ "SLC6A2", "{u} (Gene) is bound by {v} (Compound)", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phentermine" ], [ "Phentermine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Canagliflozin" ], [ "Canagliflozin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{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}", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epinephrine" ], [ "Epinephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{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}", "Guanethidine" ] ], [ [ "Phenylpropanolamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ], [ "Methylene blue", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanethidine" ] ] ]
Phenylpropanolamine (Compound) binds SLC6A2 (Gene) and SLC6A2 (Gene) is bound by Guanethidine (Compound) Phenylpropanolamine (Compound) resembles Pseudoephedrine (Compound) and Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Phenylpropanolamine may lead to a major life threatening interaction when taken with Phentermine and Phentermine may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Canagliflozin and Canagliflozin may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Phenylpropanolamine 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 Guanethidine Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Epinephrine and Epinephrine may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Phenylpropanolamine (Compound) resembles Ephedrine (Compound) and Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine Phenylpropanolamine 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 Guanethidine Phenylpropanolamine may lead to a major life threatening interaction when taken with Methylene blue and Methylene blue may cause a moderate interaction that could exacerbate diseases when taken with Guanethidine
DB00903
DB01143
1,680
923
[ "DDInter686", "DDInter65" ]
Etacrynic acid
Amifostine
A compound that inhibits symport of sodium, potassium, and chloride primarily in the ascending limb of Henle, but also in the proximal and distal tubules. This pharmacological action results in excretion of these ions, increased urinary output, and reduction in extracellular fluid. This compound has been classified as a loop or high ceiling diuretic.
A phosphorothioate proposed as a radiation-protective agent. It causes splenic vasodilation and may block autonomic ganglia.
Moderate
1
[ [ [ 1680, 24, 923 ] ], [ [ 1680, 21, 28751 ], [ 28751, 60, 923 ] ], [ [ 1680, 24, 714 ], [ 714, 24, 923 ] ], [ [ 1680, 24, 885 ], [ 885, 63, 923 ] ], [ [ 1680, 63, 1061 ], [ 1061, 24, 923 ] ], [ [ 1680, 25, 922 ], [ 922, 64, 923 ] ], [ [ 1680, 21, 28751 ], [ 28751, 60, 1433 ], [ 1433, 24, 923 ] ], [ [ 1680, 24, 714 ], [ 714, 24, 336 ], [ 336, 24, 923 ] ], [ [ 1680, 24, 885 ], [ 885, 21, 28642 ], [ 28642, 60, 923 ] ], [ [ 1680, 63, 1061 ], [ 1061, 18, 2801 ], [ 2801, 57, 923 ] ] ]
[ [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} (Compound) causes {v} (Side Effect)", "Convulsion" ], [ "Convulsion", "{u} (Side Effect) is caused by {v} (Compound)", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ], [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Etelcalcetide" ], [ "Etelcalcetide", "{u} may lead to a major life threatening interaction when taken with {v}", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} (Compound) causes {v} (Side Effect)", "Convulsion" ], [ "Convulsion", "{u} (Side Effect) is caused by {v} (Compound)", "Doxazosin" ], [ "Doxazosin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iloprost" ], [ "Iloprost", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Epoprostenol" ], [ "Epoprostenol", "{u} (Compound) causes {v} (Side Effect)", "Shock" ], [ "Shock", "{u} (Side Effect) is caused by {v} (Compound)", "Amifostine" ] ], [ [ "Etacrynic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Treprostinil" ], [ "Treprostinil", "{u} (Compound) downregulates {v} (Gene)", "PUF60" ], [ "PUF60", "{u} (Gene) is downregulated by {v} (Compound)", "Amifostine" ] ] ]
Etacrynic acid (Compound) causes Convulsion (Side Effect) and Convulsion (Side Effect) is caused by Amifostine (Compound) Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Iloprost and Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Etacrynic acid may lead to a major life threatening interaction when taken with Etelcalcetide and Etelcalcetide may lead to a major life threatening interaction when taken with Amifostine Etacrynic acid (Compound) causes Convulsion (Side Effect) and Convulsion (Side Effect) is caused by Doxazosin (Compound) and Doxazosin may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Iloprost and Iloprost may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Amifostine Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Epoprostenol and Epoprostenol (Compound) causes Shock (Side Effect) and Shock (Side Effect) is caused by Amifostine (Compound) Etacrynic acid may cause a moderate interaction that could exacerbate diseases when taken with Treprostinil and Treprostinil (Compound) downregulates PUF60 (Gene) and PUF60 (Gene) is downregulated by Amifostine (Compound)
DB00593
DB00662
1,464
717
[ "DDInter695", "DDInter1873" ]
Ethosuximide
Trimethobenzamide
An anticonvulsant especially useful in the treatment of absence seizures unaccompanied by other types of seizures.
Trimethobenzamide is a novel antiemetic which prevents nausea and vomiting in humans. Its actions are unclear but most likely involves the chemoreceptor trigger zone (CTZ). In dogs pretreated with trimethobenzamide HCl, the emetic response to apomorphine is inhibited, while little or no protection is afforded against emesis induced by intragastric copper sulfate.
Moderate
1
[ [ [ 1464, 24, 717 ] ], [ [ 1464, 21, 28762 ], [ 28762, 60, 717 ] ], [ [ 1464, 63, 1594 ], [ 1594, 24, 717 ] ], [ [ 1464, 24, 1376 ], [ 1376, 63, 717 ] ], [ [ 1464, 21, 28762 ], [ 28762, 60, 1175 ], [ 1175, 1, 717 ] ], [ [ 1464, 63, 1594 ], [ 1594, 21, 28921 ], [ 28921, 60, 717 ] ], [ [ 1464, 24, 1376 ], [ 1376, 21, 28762 ], [ 28762, 60, 717 ] ], [ [ 1464, 63, 128 ], [ 128, 24, 1382 ], [ 1382, 63, 717 ] ], [ [ 1464, 24, 401 ], [ 401, 64, 1425 ], [ 1425, 40, 717 ] ], [ [ 1464, 63, 475 ], [ 475, 23, 1425 ], [ 1425, 40, 717 ] ] ]
[ [ [ "Ethosuximide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{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}", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{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}", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Papaverine" ], [ "Papaverine", "{u} (Compound) resembles {v} (Compound)", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} (Compound) causes {v} (Side Effect)", "Dizziness" ], [ "Dizziness", "{u} (Side Effect) is caused by {v} (Compound)", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{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}", "Midazolam" ], [ "Midazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{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}", "Cisapride" ], [ "Cisapride", "{u} (Compound) resembles {v} (Compound)", "Trimethobenzamide" ] ], [ [ "Ethosuximide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cisapride" ], [ "Cisapride", "{u} (Compound) resembles {v} (Compound)", "Trimethobenzamide" ] ] ]
Ethosuximide (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Trimethobenzamide (Compound) Ethosuximide 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 Trimethobenzamide Ethosuximide 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 Trimethobenzamide Ethosuximide (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Papaverine (Compound) and Papaverine (Compound) resembles Trimethobenzamide (Compound) Ethosuximide may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine (Compound) causes Dizziness (Side Effect) and Dizziness (Side Effect) is caused by Trimethobenzamide (Compound) Ethosuximide may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Trimethobenzamide (Compound) Ethosuximide 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 Midazolam and Midazolam may cause a moderate interaction that could exacerbate diseases when taken with Trimethobenzamide Ethosuximide 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 Cisapride and Cisapride (Compound) resembles Trimethobenzamide (Compound) Ethosuximide may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may cause a minor interaction that can limit clinical effects when taken with Cisapride and Cisapride (Compound) resembles Trimethobenzamide (Compound)
DB01377
DB12035
1,283
943
[ "DDInter1119", "DDInter1641" ]
Magnesium oxide
Sarecycline
Magnesium oxide is an inorganic compound that occurs in nature as the mineral periclase. In aqueous media combines quickly with water to form magnesium hydroxide. It is used as an antacid and mild laxative and has many nonmedicinal uses.
Sarecycline is a semi-synthetic derivative of tetracycline that was initially discovered by Paratek Pharmaceuticals from Boston, MA but then licensed to Warner Chilcott of Rockaway, NJ in July of 2007 . After completing various phase-II and phase-III trials demonstrating its effectiveness in treating moderate to severe facial acne vulgaris [A39993, A39994] the US Food and Drug Administration approved Barcelona based Almirall, S.A.'s Seysara (sarecylcine) as a new first in class narrow spectrum tetracycline derived oral antibiotic for the treatment of inflammatory lesions of non-nodular moderate to severe acne vulgaris in patients nine years of age and older . Seysara (sarecycline) was originally part of Allergan's US Medical Dermatology portfolio, before Almirall acquired the portfolio in the second half of 2018 as a means of consolidating and reinforcing the dermatology-focused pharmaceutical company's presence in the United States . Acne vulgaris itself is a common chronic skin condition associated with the blockage and/or inflammation of hair follicles and their accompanying sebaceous glands . The acne often presents physically as a mixture of non-inflammatory and inflammatory lesions mainly on the face but on the back and chest as well . Based upon data from Global Burden of Disease studies, the acne vulgaris condition affects up to 85% of young adults aged 12 to 25 years globally - with the possibility of permanent physical and mental scarring resulting from cases of severe acne . Subsequently, while a number of first line tetracycline therapies like doxycycline and minocycline do exist for treating acne vulgaris, sarecycline presents a new and innovative therapy choice because it exhibits the necessary antibacterial activity against relevant pathogens that cause acne vulgaris but also possesses a low propensity for resistance development in such pathogens and a narrower, more specific spectrum of antibacterial activity, resulting in fewer off-target antibacterial effects on endogenous intestinal flora and consequently fewer resultant adverse effects associated with diarrhea, fungal overgrowth, etc.
Moderate
1
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[ [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iron" ], [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erlotinib" ], [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ferrous fumarate" ], [ "Ferrous fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iron" ], [ "Iron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lanthanum carbonate" ], [ "Lanthanum carbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Terfenadine" ], [ "Terfenadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium chloride" ], [ "Magnesium chloride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium gluconate" ], [ "Magnesium gluconate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erlotinib" ], [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methyl aminolevulinate" ], [ "Methyl aminolevulinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium sulfate" ], [ "Magnesium sulfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium gluconate" ], [ "Magnesium gluconate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sarecycline" ] ], [ [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sarecycline" ] ] ]
Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Iron and Iron may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Erlotinib and Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Ferrous fumarate and Ferrous fumarate may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Iron and Iron may cause a moderate interaction that could exacerbate diseases when taken with Lanthanum carbonate and Lanthanum carbonate may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Terfenadine and Terfenadine may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium chloride and Magnesium chloride may cause a moderate interaction that could exacerbate diseases when taken with Magnesium gluconate and Magnesium gluconate may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Erlotinib and Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Methyl aminolevulinate and Methyl aminolevulinate may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium sulfate and Magnesium sulfate may cause a moderate interaction that could exacerbate diseases when taken with Magnesium gluconate and Magnesium gluconate may cause a moderate interaction that could exacerbate diseases when taken with Sarecycline Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Nilotinib and Nilotinib may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Sarecycline
DB00860
DB11988
891
270
[ "DDInter1513", "DDInter1321" ]
Prednisolone
Ocrelizumab
Prednisolone is a glucocorticoid similar to [cortisol] used for its anti-inflammatory, immunosuppressive, anti-neoplastic, and vasoconstrictive effects. Prednisolone was granted FDA approval on 21 June 1955.
Ocrelizumab is a CD20-directed cytolytic antibody indicated for the treatment of patients with primary progressive or relapsing forms of multiple sclerosis (MS). It is a second-generation recombinant humanized monoclonal IgG1 antibody that selectively targets B-cells that express the CD20 antigen. Compared to non-humanized CD20 antibodies such as [rituximab], ocrelizumab is expected to be less immunogenic with repeated infusions, improving the benefit-to-risk profile for patients with MS.[A18875,A251745] MS is a chronic, inflammatory, autoimmune disease of the central nervous system that leads to neurological disabilities and a significantly reduced quality of life. Most patients with MS experience episodes of relapses with worsening function, followed by recovery periods or remissions. Primary progressive multiple sclerosis (PPMS) accounts for 10-15% of the overall population of patients with MS, and leads to the gradual worsening of neurologic disability from symptom onset, often without early relapses or remissions . Developed by Genentech/Roche, ocrelizumab was approved by the FDA in March 2017 under the market name Ocrevus for intravenous injection. It was later approved by Health Canada in August 2017, making the drug the first available treatment for PPMS in both the US and Canada. In clinical trials of patients with relapsing forms of MS, treatment with ocrelizumab resulted in reduced relapse rates and reduced worsening of disability compared to [interferon beta-1a]. In phase 3 clinical trials of patients with PPMS, treatment with ocrelizumab led to lower clinical and MRI progression rates compared to placebo.
Moderate
1
[ [ [ 891, 24, 270 ] ], [ [ 891, 23, 1193 ], [ 1193, 23, 270 ] ], [ [ 891, 62, 1461 ], [ 1461, 23, 270 ] ], [ [ 891, 24, 713 ], [ 713, 24, 270 ] ], [ [ 891, 1, 175 ], [ 175, 24, 270 ] ], [ [ 891, 24, 287 ], [ 287, 63, 270 ] ], [ [ 891, 63, 157 ], [ 157, 24, 270 ] ], [ [ 891, 40, 1573 ], [ 1573, 24, 270 ] ], [ [ 891, 25, 652 ], [ 652, 63, 270 ] ], [ [ 891, 25, 770 ], [ 770, 24, 270 ] ] ]
[ [ [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc gluconate" ], [ "Zinc gluconate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{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}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimethyl fumarate" ], [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ], [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diroximel fumarate" ], [ "Diroximel fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ethotoin" ], [ "Ethotoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ], [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Brexucabtagene autoleucel" ], [ "Brexucabtagene autoleucel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ] ], [ [ "Prednisolone", "{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}", "Ocrelizumab" ] ] ]
Prednisolone may cause a minor interaction that can limit clinical effects when taken with Zinc gluconate and Zinc gluconate may cause a minor interaction that can limit clinical effects when taken with Ocrelizumab Prednisolone 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 Ocrelizumab Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Dimethyl fumarate and Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Prednisolone (Compound) resembles Triamcinolone (Compound) and Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Diroximel fumarate and Diroximel fumarate may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Ethotoin and Ethotoin may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Prednisolone (Compound) resembles Prednisone (Compound) and Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Prednisolone may lead to a major life threatening interaction when taken with Brexucabtagene autoleucel and Brexucabtagene autoleucel may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab Prednisolone 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 Ocrelizumab
DB00047
DB01285
176
708
[ "DDInter932", "DDInter445" ]
Insulin glargine
Corticotropin
Insulin glargine is a long-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Insulin is typically prescribed for the management of diabetes mellitus to mimic the activity of endogenously produced human insulin, a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism. Insulin is released from the pancreas following a meal to promote the uptake of glucose from the blood into internal organs and tissues such as the liver, fat cells, and skeletal muscle. Absorption of glucose into cells allows for its transformation into glycogen or fat for storage. Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis. Insulin is an important treatment in the management of Type 1 Diabetes (T1D), which is caused by an autoimmune reaction that destroys the beta cells of the pancreas, resulting in the body not being able to produce or
Corticotropin (ACTH or adrenocorticotropic hormone) is a polypeptide hormone produced and secreted by the pituitary gland. It is an important player in the hypothalamic-pituitary-adrenal axis.
Moderate
1
[ [ [ 176, 24, 708 ] ], [ [ 176, 24, 455 ], [ 455, 23, 708 ] ], [ [ 176, 24, 659 ], [ 659, 62, 708 ] ], [ [ 176, 24, 245 ], [ 245, 24, 708 ] ], [ [ 176, 24, 5 ], [ 5, 63, 708 ] ], [ [ 176, 24, 455 ], [ 455, 24, 659 ], [ 659, 62, 708 ] ], [ [ 176, 24, 659 ], [ 659, 63, 455 ], [ 455, 23, 708 ] ], [ [ 176, 24, 1052 ], [ 1052, 24, 455 ], [ 455, 23, 708 ] ], [ [ 176, 24, 155 ], [ 155, 63, 245 ], [ 245, 24, 708 ] ], [ [ 176, 24, 772 ], [ 772, 64, 455 ], [ 455, 23, 708 ] ] ]
[ [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Insulin glargine", "{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}", "Corticotropin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Liraglutide" ], [ "Liraglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ], [ [ "Insulin glargine", "{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}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Insulin glargine", "{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}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ritodrine" ], [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Corticotropin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluoxymesterone" ], [ "Fluoxymesterone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glimepiride" ], [ "Glimepiride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Corticotropin" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carvedilol" ], [ "Carvedilol", "{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}", "Corticotropin" ] ] ]
Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Corticotropin Insulin glargine 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 Corticotropin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Liraglutide and Liraglutide may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin Insulin glargine 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 Vilanterol and Vilanterol may cause a minor interaction that can limit clinical effects when taken with Corticotropin Insulin glargine 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 Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Corticotropin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Ritodrine and Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Corticotropin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Fluoxymesterone and Fluoxymesterone may cause a moderate interaction that could exacerbate diseases when taken with Glimepiride and Glimepiride may cause a moderate interaction that could exacerbate diseases when taken with Corticotropin Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Carvedilol and Carvedilol 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 Corticotropin
DB06228
DB08827
792
990
[ "DDInter1609", "DDInter1085" ]
Rivaroxaban
Lomitapide
Rivaroxaban is an anticoagulant and the first orally active direct factor Xa inhibitor. Unlike warfarin, routine lab monitoring of INR is not necessary. However there is no antidote available in the event of a major bleed. Only the 10 mg tablet can be taken without regard to food. The 15 mg and 20 mg tablet should be taken with food. FDA approved on July 1, 2011.
Lomitapide is a microsomal triglyceride transfer protein (MTP) inhibitor used in homozygous familial hypercholesterolemia (HoFH) patients. It is marketed under the name Juxtapid (R).
Moderate
1
[ [ [ 792, 24, 990 ] ], [ [ 792, 64, 1080 ], [ 1080, 1, 990 ] ], [ [ 792, 6, 8374 ], [ 8374, 45, 990 ] ], [ [ 792, 21, 28701 ], [ 28701, 60, 990 ] ], [ [ 792, 25, 1409 ], [ 1409, 24, 990 ] ], [ [ 792, 24, 1476 ], [ 1476, 63, 990 ] ], [ [ 792, 63, 752 ], [ 752, 24, 990 ] ], [ [ 792, 25, 1421 ], [ 1421, 63, 990 ] ], [ [ 792, 24, 1491 ], [ 1491, 24, 990 ] ], [ [ 792, 64, 126 ], [ 126, 24, 990 ] ] ]
[ [ [ "Rivaroxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Rivaroxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Conivaptan" ], [ "Conivaptan", "{u} (Compound) resembles {v} (Compound)", "Lomitapide" ] ], [ [ "Rivaroxaban", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Lomitapide" ] ], [ [ "Rivaroxaban", "{u} (Compound) causes {v} (Side Effect)", "Discomfort" ], [ "Discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Lomitapide" ] ], [ [ "Rivaroxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomitapide" ] ], [ [ "Rivaroxaban", "{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}", "Lomitapide" ] ], [ [ "Rivaroxaban", "{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}", "Lomitapide" ] ], [ [ "Rivaroxaban", "{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}", "Lomitapide" ] ], [ [ "Rivaroxaban", "{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}", "Lomitapide" ] ], [ [ "Rivaroxaban", "{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}", "Lomitapide" ] ] ]
Rivaroxaban may lead to a major life threatening interaction when taken with Conivaptan and Conivaptan (Compound) resembles Lomitapide (Compound) Rivaroxaban (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Lomitapide (Compound) Rivaroxaban (Compound) causes Discomfort (Side Effect) and Discomfort (Side Effect) is caused by Lomitapide (Compound) Rivaroxaban may lead to a major life threatening interaction when taken with Apixaban and Apixaban may cause a moderate interaction that could exacerbate diseases when taken with Lomitapide Rivaroxaban 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 Lomitapide Rivaroxaban 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 Lomitapide Rivaroxaban 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 Lomitapide Rivaroxaban 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 Lomitapide Rivaroxaban 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 Lomitapide
DB01097
DB08865
1,377
1,593
[ "DDInter1033", "DDInter448" ]
Leflunomide
Crizotinib
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.
Crizotinib is a tyrosine kinase receptor inhibitor used for the treatment of anaplastic lymphoma kinase (ALK) or ROS1-positive non-small cell lung cancer (NSCLC) tumors, as well as ALK-positive anaplastic large cell lymphoma (ALCL) and inflammatory myofibroblastic tumor (IMT). By targeting the echinoderm microtubule-associated protein-like 4 (EML4)-ALK fusion protein, crizotinib offers robust effectiveness in treating NSCLC in patients with this type of rearrangement. Crizotinib was the first-in-class drug used to treat ALK-positive tumors. Second- and third-generation ALK-tyrosine kinase-inhibitors have overcome many of the pharmacodynamic and genetic resistance mechanisms crizotinib is prone to. Crizotinib was approved by the FDA in 2011, and its use is accompanied by FDA-approved tests used to detect ALK and ROS1 rearrangements.
Major
2
[ [ [ 1377, 25, 1593 ] ], [ [ 1377, 6, 2602 ], [ 2602, 45, 1593 ] ], [ [ 1377, 18, 8386 ], [ 8386, 57, 1593 ] ], [ [ 1377, 21, 29093 ], [ 29093, 60, 1593 ] ], [ [ 1377, 25, 283 ], [ 283, 62, 1593 ] ], [ [ 1377, 25, 1060 ], [ 1060, 63, 1593 ] ], [ [ 1377, 64, 883 ], [ 883, 24, 1593 ] ], [ [ 1377, 24, 505 ], [ 505, 63, 1593 ] ], [ [ 1377, 25, 263 ], [ 263, 24, 1593 ] ], [ [ 1377, 24, 1477 ], [ 1477, 24, 1593 ] ] ]
[ [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ] ], [ [ "Leflunomide", "{u} (Compound) binds {v} (Gene)", "PTK2B" ], [ "PTK2B", "{u} (Gene) is bound by {v} (Compound)", "Crizotinib" ] ], [ [ "Leflunomide", "{u} (Compound) downregulates {v} (Gene)", "MTHFD2" ], [ "MTHFD2", "{u} (Gene) is downregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Leflunomide", "{u} (Compound) causes {v} (Side Effect)", "Fatigue" ], [ "Fatigue", "{u} (Side Effect) is caused by {v} (Compound)", "Crizotinib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Crizotinib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Enfortumab vedotin" ], [ "Enfortumab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Gefitinib" ], [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ], [ [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diiodohydroxyquinoline" ], [ "Diiodohydroxyquinoline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ], [ [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Axitinib" ], [ "Axitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ], [ [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Telbivudine" ], [ "Telbivudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ] ]
Leflunomide (Compound) binds PTK2B (Gene) and PTK2B (Gene) is bound by Crizotinib (Compound) Leflunomide (Compound) downregulates MTHFD2 (Gene) and MTHFD2 (Gene) is downregulated by Crizotinib (Compound) Leflunomide (Compound) causes Fatigue (Side Effect) and Fatigue (Side Effect) is caused by Crizotinib (Compound) Leflunomide may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may cause a minor interaction that can limit clinical effects when taken with Crizotinib Leflunomide may lead to a major life threatening interaction when taken with Enfortumab vedotin and Enfortumab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib Leflunomide may lead to a major life threatening interaction when taken with Gefitinib and Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Diiodohydroxyquinoline and Diiodohydroxyquinoline may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib Leflunomide may lead to a major life threatening interaction when taken with Axitinib and Axitinib may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Telbivudine and Telbivudine may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib
DB09082
DB11124
659
209
[ "DDInter1934", "DDInter1560" ]
Vilanterol
Racepinephrine
Vilanterol is a selective long-acting β2-adrenergic agonist (LABA) with inherent 24-hour activity for the once-daily treatment of COPD and asthma. This is in response to the need for longer-acting β2-adrenergic agonists to overcome poor patient compliance (due to the frequency of dosing regimens or complexities of drug administration). Vilanterol was designed based on the salmeterol molecular scaffold, particularly as a antedrug analog of salmeterol modification by modifying the salmeterol molecule to create homochiral compounds with the (R)-configuration. Vilanterol is 1000 and 400 fold more selective for β2 than β1 and β3 adrenoceptors, respectively, with a faster onset of action than salmeterol. Additionally, vilanterol demonstrated a significantly longer duration of action than salmeterol, with the bronchodilator effect still apparent at 22h. Vilanterol
Racepinephrine is a racemic mixture consisting of d- and l- enantiomers. Epinephrine is a non-selective α- and β-adrenergic receptor agonist. It is a bronchodilator used in the temporary relief of mild symptoms of intermittent asthma including wheezing, tightness of chest and shortness of breath. It is an active ingredient in oral inhalation over-the-counter products as racepinephrine hydrochloride.
Moderate
1
[ [ [ 659, 24, 209 ] ], [ [ 659, 62, 1042 ], [ 1042, 23, 209 ] ], [ [ 659, 63, 688 ], [ 688, 24, 209 ] ], [ [ 659, 24, 1629 ], [ 1629, 24, 209 ] ], [ [ 659, 64, 290 ], [ 290, 25, 209 ] ], [ [ 659, 62, 1042 ], [ 1042, 62, 688 ], [ 688, 24, 209 ] ], [ [ 659, 62, 1573 ], [ 1573, 40, 870 ], [ 870, 23, 209 ] ], [ [ 659, 62, 218 ], [ 218, 1, 423 ], [ 423, 23, 209 ] ], [ [ 659, 63, 688 ], [ 688, 23, 1042 ], [ 1042, 23, 209 ] ], [ [ 659, 63, 22 ], [ 22, 62, 1220 ], [ 1220, 23, 209 ] ] ]
[ [ [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylene blue" ], [ "Methylene blue", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Cocaine" ], [ "Cocaine", "{u} may lead to a major life threatening interaction when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prednisone" ], [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Beclomethasone dipropionate" ], [ "Beclomethasone dipropionate", "{u} (Compound) resembles {v} (Compound)", "Ciclesonide" ], [ "Ciclesonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salbutamol" ], [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Racepinephrine" ] ], [ [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Racepinephrine" ] ] ]
Vilanterol may cause a minor interaction that can limit clinical effects when taken with Tetracosactide and Tetracosactide may cause a minor interaction that can limit clinical effects when taken with Racepinephrine Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Racepinephrine Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Methylene blue and Methylene blue may cause a moderate interaction that could exacerbate diseases when taken with Racepinephrine Vilanterol may lead to a major life threatening interaction when taken with Cocaine and Cocaine may lead to a major life threatening interaction when taken with Racepinephrine Vilanterol may cause a minor interaction that can limit clinical effects when taken with Tetracosactide and Tetracosactide may cause a minor interaction that can limit clinical effects when taken with Salbutamol and Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Racepinephrine Vilanterol may cause a minor interaction that can limit clinical effects when taken with Prednisone and Prednisone (Compound) resembles Fludrocortisone (Compound) and Fludrocortisone may cause a minor interaction that can limit clinical effects when taken with Racepinephrine Vilanterol may cause a minor interaction that can limit clinical effects when taken with Beclomethasone dipropionate and Beclomethasone dipropionate (Compound) resembles Ciclesonide (Compound) and Ciclesonide may cause a minor interaction that can limit clinical effects when taken with Racepinephrine Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Salbutamol and Salbutamol may cause a minor interaction that can limit clinical effects when taken with Tetracosactide and Tetracosactide may cause a minor interaction that can limit clinical effects when taken with Racepinephrine Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Ephedrine and Ephedrine may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Racepinephrine
DB00572
DB00985
85
1,443
[ "DDInter136", "DDInter562" ]
Atropine
Dimenhydrinate
Atropine is an alkaloid originally synthesized from Atropa belladonna. It is a racemic mixture of d-and l-hyoscyamine, of which only l-hyoscyamine is pharmacologically active.[A251670,L42835] Atropine is generally available as a sulfate salt and can be administered by intravenous, subcutaneous, intramuscular, intraosseous, endotracheal and ophthalmic methods. Oral atropine is only available in combination products.[A251660,L42840] Atropine is a competitive, reversible antagonist of muscarinic receptors that blocks the effects of acetylcholine and other choline esters.[A251660,L42815,L42825,L42835] It has a variety of therapeutic applications, including pupil dilation and the treatment of anticholinergic poisoning and symptomatic bradycardia in the absence of reversible causes. Atropine is a relatively inexpensive drug and
Dimehydrinate was first described in the literature in 1949, and patented in 1950. Early research into dimenhydrinate focused on its role as an antihistamine for urticaria; the treatment of motion sickness was an accidental discovery. Dimenhydrinate, also known as B-dimethylaminoethyl benzohydrol ether 8-chlorotheophyllinate, is indicated to prevent nausea, vomiting, and dizziness caused by motion sickness.[L32980,L32985,L32995] Dimenhydrinate is a combination of [Diphenhydramine] and [8-chlorotheophylline] in a salt form, with 53%-55.5% dried diphenhydramine, and 44%-47% died 8-chlorotheophylline. The antiemetic properties of dimenhydrinate are primarily thought to be produced by diphenhydramine's antagonism of H1 histamine receptors in the vestibular system while the excitatory effects are thought to be produced by 8-chlorotheophylline's adenosine receptor blockade. When used in large doses, dimenhydrinate has been shown to cause a "high" characterized by hallucinations, excitement, incoordination, and disorientation. Dimenhydrinate was granted FDA approval on 31 May 1972.
Moderate
1
[ [ [ 85, 24, 1443 ] ], [ [ 85, 24, 1376 ], [ 1376, 63, 1443 ] ], [ [ 85, 63, 357 ], [ 357, 1, 1443 ] ], [ [ 85, 24, 358 ], [ 358, 1, 1443 ] ], [ [ 85, 6, 4304 ], [ 4304, 45, 1443 ] ], [ [ 85, 21, 28705 ], [ 28705, 60, 1443 ] ], [ [ 85, 24, 662 ], [ 662, 24, 1443 ] ], [ [ 85, 63, 1233 ], [ 1233, 24, 1443 ] ], [ [ 85, 35, 1442 ], [ 1442, 24, 1443 ] ], [ [ 85, 25, 1621 ], [ 1621, 25, 1443 ] ] ]
[ [ [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimenhydrinate" ] ], [ [ "Atropine", "{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}", "Dimenhydrinate" ] ], [ [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzatropine" ], [ "Benzatropine", "{u} (Compound) resembles {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ], [ "Orphenadrine", "{u} (Compound) resembles {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Atropine", "{u} (Compound) binds {v} (Gene)", "CHRM2" ], [ "CHRM2", "{u} (Gene) is bound by {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Atropine", "{u} (Compound) causes {v} (Side Effect)", "Drowsiness" ], [ "Drowsiness", "{u} (Side Effect) is caused by {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Atropine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carbinoxamine" ], [ "Carbinoxamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimenhydrinate" ] ], [ [ "Atropine", "{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}", "Dimenhydrinate" ] ], [ [ "Atropine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Scopolamine" ], [ "Scopolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimenhydrinate" ] ], [ [ "Atropine", "{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}", "Dimenhydrinate" ] ] ]
Atropine 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 Dimenhydrinate Atropine may cause a moderate interaction that could exacerbate diseases when taken with Benzatropine and Benzatropine (Compound) resembles Dimenhydrinate (Compound) Atropine may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine and Orphenadrine (Compound) resembles Dimenhydrinate (Compound) Atropine (Compound) binds CHRM2 (Gene) and CHRM2 (Gene) is bound by Dimenhydrinate (Compound) Atropine (Compound) causes Drowsiness (Side Effect) and Drowsiness (Side Effect) is caused by Dimenhydrinate (Compound) Atropine may cause a moderate interaction that could exacerbate diseases when taken with Carbinoxamine and Carbinoxamine may cause a moderate interaction that could exacerbate diseases when taken with Dimenhydrinate Atropine 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 Dimenhydrinate Atropine (Compound) resembles Scopolamine (Compound) and Atropine may cause a moderate interaction that could exacerbate diseases when taken with Scopolamine and Scopolamine may cause a moderate interaction that could exacerbate diseases when taken with Dimenhydrinate Atropine 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 Dimenhydrinate
DB00696
DB00877
826
629
[ "DDInter665", "DDInter1678" ]
Ergotamine
Sirolimus
A vasoconstrictor found in ergot of Central Europe. It is an alpha-1 selective adrenergic agonist and is commonly used in the treatment of migraine disorders.
Sirolimus, also known as rapamycin, is a macrocyclic lactone antibiotic produced by bacteria _Streptomyces hygroscopicus_, which was isolated from the soil of the Vai Atari region of Rapa Nui (Easter Island). It was first isolated and identified as an antifungal agent with potent anticandida activity; however, after its potent antitumor and immunosuppressive activities were later discovered, it was extensively investigated as an immunosuppressive and antitumour agent. Its primary mechanism of action is the inhibition of the mammalian target of rapamycin (mTOR), which is a serine/threonine-specific protein kinase that regulates cell growth, proliferation, and survival. mTOR is an important therapeutic target for various diseases, as it was shown to regulate longevity and maintain normal glucose homeostasis. Targeting mTOR received more attention especially in cancer, as mTOR signalling pathways are constitutively activated in many types of human cancer. Sirolimus was first approved by the FDA in 1999 for the prophylaxis of organ rejection in patients aged 13 years and older receiving renal transplants. In November 2000, the drug was recognized by the European Agency as an alternative to calcineurin antagonists for maintenance therapy with corticosteroids. In May 2015, the FDA approved sirolimus for the treatment of patients with lymphangioleiomyomatosis. In November 2021, albumin-bound sirolimus for intravenous injection was approved by the FDA for the treatment of adults with locally advanced unresectable or metastatic malignant perivascular epithelioid cell tumour (PEComa). Sirolimus was also investigated in other cancers such as skin cancer, Kaposi’s Sarcoma, cutaneous T-cell lymphomas, and tuberous sclerosis. The topical formulation of sirolimus, marketed as HYFTOR, was approved by the FDA in April 2022: this marks the first topical treatment approved in the US for facial angiofibroma associated with tuberous sclerosis complex.
Moderate
1
[ [ [ 826, 24, 629 ] ], [ [ 826, 6, 4973 ], [ 4973, 45, 629 ] ], [ [ 826, 21, 29106 ], [ 29106, 60, 629 ] ], [ [ 826, 24, 1476 ], [ 1476, 63, 629 ] ], [ [ 826, 40, 588 ], [ 588, 24, 629 ] ], [ [ 826, 63, 752 ], [ 752, 24, 629 ] ], [ [ 826, 25, 222 ], [ 222, 63, 629 ] ], [ [ 826, 1, 469 ], [ 469, 63, 629 ] ], [ [ 826, 40, 628 ], [ 628, 63, 629 ] ], [ [ 826, 25, 609 ], [ 609, 64, 629 ] ] ]
[ [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Ergotamine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Sirolimus" ] ], [ [ "Ergotamine", "{u} (Compound) causes {v} (Side Effect)", "Myalgia" ], [ "Myalgia", "{u} (Side Effect) is caused by {v} (Compound)", "Sirolimus" ] ], [ [ "Ergotamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Ergotamine", "{u} (Compound) resembles {v} (Compound)", "Methylergometrine" ], [ "Methylergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Ergotamine", "{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}", "Sirolimus" ] ], [ [ "Ergotamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Ergotamine", "{u} (Compound) resembles {v} (Compound)", "Bromocriptine" ], [ "Bromocriptine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Ergotamine", "{u} (Compound) resembles {v} (Compound)", "Ergometrine" ], [ "Ergometrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ] ], [ [ "Ergotamine", "{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}", "Sirolimus" ] ] ]
Ergotamine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Sirolimus (Compound) Ergotamine (Compound) causes Myalgia (Side Effect) and Myalgia (Side Effect) is caused by Sirolimus (Compound) Ergotamine may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Ergotamine (Compound) resembles Methylergometrine (Compound) and Methylergometrine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Ergotamine 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 Sirolimus Ergotamine may lead to a major life threatening interaction when taken with Sibutramine and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Ergotamine (Compound) resembles Bromocriptine (Compound) and Bromocriptine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Ergotamine (Compound) resembles Ergometrine (Compound) and Ergometrine may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus Ergotamine 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 Sirolimus
DB01367
DB09564
1,163
1,296
[ "DDInter1572", "DDInter930" ]
Rasagiline
Insulin degludec
Rasagiline is an irreversible inhibitor of monoamine oxidase and is used as a monotherapy in early Parkinson's disease or as an adjunct therapy in more advanced cases.
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
[ [ [ 1163, 24, 1296 ] ], [ [ 1163, 63, 274 ], [ 274, 23, 1296 ] ], [ [ 1163, 63, 1411 ], [ 1411, 24, 1296 ] ], [ [ 1163, 24, 659 ], [ 659, 24, 1296 ] ], [ [ 1163, 64, 222 ], [ 222, 24, 1296 ] ], [ [ 1163, 63, 274 ], [ 274, 24, 104 ], [ 104, 24, 1296 ] ], [ [ 1163, 63, 1411 ], [ 1411, 62, 1103 ], [ 1103, 23, 1296 ] ], [ [ 1163, 24, 659 ], [ 659, 64, 17 ], [ 17, 24, 1296 ] ], [ [ 1163, 63, 104 ], [ 104, 63, 274 ], [ 274, 23, 1296 ] ], [ [ 1163, 63, 1148 ], [ 1148, 74, 17 ], [ 17, 24, 1296 ] ] ]
[ [ [ "Rasagiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Rasagiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Rasagiline", "{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" ] ], [ [ "Rasagiline", "{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}", "Insulin degludec" ] ], [ [ "Rasagiline", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Rasagiline", "{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}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Rasagiline", "{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" ] ], [ [ "Rasagiline", "{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" ] ], [ [ "Rasagiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phentolamine" ], [ "Phentolamine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Rasagiline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ], [ "Isoprenaline", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sotalol" ], [ "Sotalol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ] ]
Rasagiline may cause a moderate interaction that could exacerbate diseases when taken with Phentolamine and Phentolamine may cause a minor interaction that can limit clinical effects when taken with Insulin degludec Rasagiline 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 Rasagiline 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 Insulin degludec Rasagiline may lead to a major life threatening interaction when taken with Sibutramine and Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Rasagiline 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 Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Rasagiline 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 Rasagiline 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 Rasagiline may cause a moderate interaction that could exacerbate diseases when taken with Methdilazine and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Phentolamine and Phentolamine may cause a minor interaction that can limit clinical effects when taken with Insulin degludec Rasagiline may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline and Isoprenaline (Compound) resembles Sotalol (Compound) and Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Sotalol and Sotalol may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec
DB00472
DB00675
758
888
[ "DDInter758", "DDInter1744" ]
Fluoxetine
Tamoxifen
Fluoxetine is a 2nd generation antidepressant categorized as a selective serotonin reuptake inhibitor (SSRI). It gained FDA approval in 1987 and although it was initially intended for the treatment of depression, today it is commonly prescribed to manage depression in addition to various other pathologies.
Tamoxifen is a non-steroidal antiestrogen used to treat estrogen receptor positive breast cancers as well as prevent the incidence of breast cancer in high risk populations.[A1025,L7799,L7802] Tamoxifen is used alone or as an adjuvant in these treatments.[L7799,L7802] Tamoxifen may no longer be the preferred treatment for these types of cancers as patients generally have better survival, side effect profiles, and compliance with [anastrozole]. Tamoxifen was granted FDA approval on 30 December 1977.
Major
2
[ [ [ 758, 25, 888 ] ], [ [ 758, 40, 358 ], [ 358, 40, 888 ] ], [ [ 758, 24, 832 ], [ 832, 40, 888 ] ], [ [ 758, 63, 1594 ], [ 1594, 40, 888 ] ], [ [ 758, 24, 543 ], [ 543, 63, 888 ] ], [ [ 758, 24, 649 ], [ 649, 1, 888 ] ], [ [ 758, 24, 1376 ], [ 1376, 64, 888 ] ], [ [ 758, 6, 4973 ], [ 4973, 45, 888 ] ], [ [ 758, 7, 8606 ], [ 8606, 46, 888 ] ], [ [ 758, 18, 6797 ], [ 6797, 57, 888 ] ] ]
[ [ [ "Fluoxetine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tamoxifen" ] ], [ [ "Fluoxetine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ], [ "Orphenadrine", "{u} (Compound) resembles {v} (Compound)", "Tamoxifen" ] ], [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound)", "Tamoxifen" ] ], [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} (Compound) resembles {v} (Compound)", "Tamoxifen" ] ], [ [ "Fluoxetine", "{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}", "Tamoxifen" ] ], [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clofedanol" ], [ "Clofedanol", "{u} (Compound) resembles {v} (Compound)", "Tamoxifen" ] ], [ [ "Fluoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diphenhydramine" ], [ "Diphenhydramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Tamoxifen" ] ], [ [ "Fluoxetine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Tamoxifen" ] ], [ [ "Fluoxetine", "{u} (Compound) upregulates {v} (Gene)", "ALDOC" ], [ "ALDOC", "{u} (Gene) is upregulated by {v} (Compound)", "Tamoxifen" ] ], [ [ "Fluoxetine", "{u} (Compound) downregulates {v} (Gene)", "CYCS" ], [ "CYCS", "{u} (Gene) is downregulated by {v} (Compound)", "Tamoxifen" ] ] ]
Fluoxetine (Compound) resembles Orphenadrine (Compound) and Orphenadrine (Compound) resembles Tamoxifen (Compound) Fluoxetine may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine (Compound) resembles Tamoxifen (Compound) Fluoxetine may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine (Compound) resembles Tamoxifen (Compound) Fluoxetine 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 Tamoxifen Fluoxetine may cause a moderate interaction that could exacerbate diseases when taken with Clofedanol and Clofedanol (Compound) resembles Tamoxifen (Compound) Fluoxetine may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine may lead to a major life threatening interaction when taken with Tamoxifen Fluoxetine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Tamoxifen (Compound) Fluoxetine (Compound) upregulates ALDOC (Gene) and ALDOC (Gene) is upregulated by Tamoxifen (Compound) Fluoxetine (Compound) downregulates CYCS (Gene) and CYCS (Gene) is downregulated by Tamoxifen (Compound)
DB00081
DB06372
273
259
[ "DDInter1838", "DDInter1594" ]
Tositumomab
Rilonacept
Murine IgG2a lambda monoclonal antibody against CD20 antigen (2 heavy chains of 451 residues, 2 lambda chains of 220 residues). It is produced in an antibiotic-free culture of mammalian cells. It can be covalently linked to Iodine 131 (a radioactive isotope of iodine).
Rilonacept is a dimeric fusion protein consisting of portions of IL-1R and the IL-1R accessory protein linked to the Fc portion of immunoglobulin G1. Rilonacept functions as an interleukin 1 inhibitor and is used in the treatment of CAPS, also known as cryopyrin-associated periodic syndromes, including familial cold auto-inflammatory syndrome (FCAS) and Muckle-Wells Syndrome (MWS), in adults and children greater than 12 years old.
Moderate
1
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[ [ [ "Tositumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Tositumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis B Vaccine (Recombinant)" ], [ "Hepatitis B Vaccine (Recombinant)", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Tositumomab", "{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}", "Rilonacept" ] ], [ [ "Tositumomab", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ], [ "Avapritinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Tositumomab", "{u} may lead to a major life threatening interaction when taken with {v}", "Ibritumomab tiuxetan" ], [ "Ibritumomab tiuxetan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Tositumomab", "{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}", "Rilonacept" ] ], [ [ "Tositumomab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anakinra" ], [ "Anakinra", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ] ], [ [ "Tositumomab", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ], [ "Fingolimod", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilonacept" ] ], [ [ "Tositumomab", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Rilonacept" ] ], [ [ "Tositumomab", "{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}", "Rilonacept" ] ] ]
Tositumomab may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis B Vaccine (Recombinant) and Hepatitis B Vaccine (Recombinant) may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept Tositumomab 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 Rilonacept Tositumomab may lead to a major life threatening interaction when taken with Avapritinib and Avapritinib may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept Tositumomab may lead to a major life threatening interaction when taken with Ibritumomab tiuxetan and Ibritumomab tiuxetan may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept Tositumomab 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 Rilonacept Tositumomab may cause a moderate interaction that could exacerbate diseases when taken with Anakinra and Anakinra may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept Tositumomab may lead to a major life threatening interaction when taken with Fingolimod and Fingolimod may lead to a major life threatening interaction when taken with Rilonacept Tositumomab may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Rilonacept Tositumomab 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 Rilonacept
DB00361
DB01095
134
671
[ "DDInter1939", "DDInter769" ]
Vinorelbine
Fluvastatin
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.
Fluvastatin is an antilipemic agent that competitively inhibits hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase. HMG-CoA reductase catalyzes the conversion of HMG-CoA to mevalonic acid, the rate-limiting step in cholesterol biosynthesis. Fluvastatin belongs to a class of medications called statins and is used to reduce plasma cholesterol levels and prevent cardiovascular disease. It is also the first entirely synthetic HMG-CoA reductase inhibitor and is structurally distinct from the fungal derivatives of this therapeutic class. Fluvastatin is a racemate comprising equimolar amounts of (3R,5S)- and (3S,5R)-fluvastatin.
Moderate
1
[ [ [ 134, 24, 671 ] ], [ [ 134, 24, 788 ], [ 788, 40, 671 ] ], [ [ 134, 24, 14 ], [ 14, 63, 671 ] ], [ [ 134, 6, 12523 ], [ 12523, 45, 671 ] ], [ [ 134, 7, 7974 ], [ 7974, 46, 671 ] ], [ [ 134, 18, 17561 ], [ 17561, 46, 671 ] ], [ [ 134, 7, 4670 ], [ 4670, 57, 671 ] ], [ [ 134, 18, 4053 ], [ 4053, 57, 671 ] ], [ [ 134, 6, 16974 ], [ 16974, 57, 671 ] ], [ [ 134, 21, 29291 ], [ 29291, 60, 671 ] ] ]
[ [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluvastatin" ] ], [ [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitavastatin" ], [ "Pitavastatin", "{u} (Compound) resembles {v} (Compound)", "Fluvastatin" ] ], [ [ "Vinorelbine", "{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}", "Fluvastatin" ] ], [ [ "Vinorelbine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Fluvastatin" ] ], [ [ "Vinorelbine", "{u} (Compound) upregulates {v} (Gene)", "LAMA3" ], [ "LAMA3", "{u} (Gene) is upregulated by {v} (Compound)", "Fluvastatin" ] ], [ [ "Vinorelbine", "{u} (Compound) downregulates {v} (Gene)", "ORAI3" ], [ "ORAI3", "{u} (Gene) is upregulated by {v} (Compound)", "Fluvastatin" ] ], [ [ "Vinorelbine", "{u} (Compound) upregulates {v} (Gene)", "TOMM34" ], [ "TOMM34", "{u} (Gene) is downregulated by {v} (Compound)", "Fluvastatin" ] ], [ [ "Vinorelbine", "{u} (Compound) downregulates {v} (Gene)", "ZWINT" ], [ "ZWINT", "{u} (Gene) is downregulated by {v} (Compound)", "Fluvastatin" ] ], [ [ "Vinorelbine", "{u} (Compound) binds {v} (Gene)", "TUBB6" ], [ "TUBB6", "{u} (Gene) is downregulated by {v} (Compound)", "Fluvastatin" ] ], [ [ "Vinorelbine", "{u} (Compound) causes {v} (Side Effect)", "Muscular weakness" ], [ "Muscular weakness", "{u} (Side Effect) is caused by {v} (Compound)", "Fluvastatin" ] ] ]
Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Pitavastatin and Pitavastatin (Compound) resembles Fluvastatin (Compound) Vinorelbine 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 Fluvastatin Vinorelbine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Fluvastatin (Compound) Vinorelbine (Compound) upregulates LAMA3 (Gene) and LAMA3 (Gene) is upregulated by Fluvastatin (Compound) Vinorelbine (Compound) downregulates ORAI3 (Gene) and ORAI3 (Gene) is upregulated by Fluvastatin (Compound) Vinorelbine (Compound) upregulates TOMM34 (Gene) and TOMM34 (Gene) is downregulated by Fluvastatin (Compound) Vinorelbine (Compound) downregulates ZWINT (Gene) and ZWINT (Gene) is downregulated by Fluvastatin (Compound) Vinorelbine (Compound) binds TUBB6 (Gene) and TUBB6 (Gene) is downregulated by Fluvastatin (Compound) Vinorelbine (Compound) causes Muscular weakness (Side Effect) and Muscular weakness (Side Effect) is caused by Fluvastatin (Compound)
DB00994
DB01249
361
258
[ "DDInter1277", "DDInter958" ]
Neomycin
Iodixanol
Neomycin is a broad-spectrum aminoglycoside antibiotic drug that is derived from the metabolic products of _Streptomyces fradiae_. Neomycin is a complex comprised of three components, neomycin A, B, and C. Neomycin B, also known as [framycetin], is the most active component of the complex and neomycin C is the isomer of neomycin B, making these two stereoisomers the active components of neomycin.[A175042,A191529] Neomycin A, or [neamine], is a moiety that conjoins two molecules of neomycin B and C together. Neomycin is active against both gram-positive and gram-negative organisms and mediates its pharmacological action by binding to bacterial ribosomes and inhibiting protein synthesis, which is crucial for the survival of bacteria. Neomycin sulfate is the most common form for pharmaceutical preparations; because the compound is
Iodixanol is a nonionic hydrophilic compound commonly used as a contrast agent during coronary angiography, particularly in individuals with renal dysfunction, as it is believed to be less toxic to the kidneys than most other intravascular contrast agents.
Major
2
[ [ [ 361, 25, 258 ] ], [ [ 361, 25, 497 ], [ 497, 1, 258 ] ], [ [ 361, 21, 28722 ], [ 28722, 60, 258 ] ], [ [ 361, 64, 1680 ], [ 1680, 24, 258 ] ], [ [ 361, 23, 699 ], [ 699, 24, 258 ] ], [ [ 361, 24, 242 ], [ 242, 63, 258 ] ], [ [ 361, 24, 1532 ], [ 1532, 25, 258 ] ], [ [ 361, 24, 712 ], [ 712, 64, 258 ] ], [ [ 361, 64, 894 ], [ 894, 25, 258 ] ], [ [ 361, 35, 416 ], [ 416, 25, 258 ] ] ]
[ [ [ "Neomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Neomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} (Compound) resembles {v} (Compound)", "Iodixanol" ] ], [ [ "Neomycin", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Iodixanol" ] ], [ [ "Neomycin", "{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}", "Iodixanol" ] ], [ [ "Neomycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ], [ "Nadolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodixanol" ] ], [ [ "Neomycin", "{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}", "Iodixanol" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Neomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Olsalazine" ], [ "Olsalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Neomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Capreomycin" ], [ "Capreomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ], [ [ "Neomycin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Iodixanol" ] ] ]
Neomycin may lead to a major life threatening interaction when taken with Iohexol and Iohexol (Compound) resembles Iodixanol (Compound) Neomycin (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Iodixanol (Compound) Neomycin 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 Iodixanol Neomycin may cause a minor interaction that can limit clinical effects when taken with Nadolol and Nadolol may cause a moderate interaction that could exacerbate diseases when taken with Iodixanol Neomycin 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 Iodixanol Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may lead to a major life threatening interaction when taken with Iodixanol Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Olsalazine and Olsalazine may lead to a major life threatening interaction when taken with Iodixanol Neomycin may lead to a major life threatening interaction when taken with Capreomycin and Capreomycin may lead to a major life threatening interaction when taken with Iodixanol Neomycin (Compound) resembles Kanamycin (Compound) and Neomycin may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may lead to a major life threatening interaction when taken with Iodixanol
DB00862
DB06616
1,005
594
[ "DDInter1918", "DDInter224" ]
Vardenafil
Bosutinib
Vardenafil is a selective inhibitor of cyclic guanosine monophosphate (cGMP)-specific phosphodiesterase type 5 (PDE5) and an oral therapy for the treatment of erectile dysfunction.[L45563,L45568] During sexual stimulation, nitric oxide (NO) is released from nerve endings and endothelial cells in the corpus cavernosum, activating the enzyme guanylate cyclase and increasing the synthesis of cGMP in the smooth muscle cells of the corpus cavernosum. PDE5 inhibitors, such as vardenafil, inhibit the degradation of cGMP and allow increased blood flow into the penis, resulting in an erection.[A258303,L45563,L45568]. Compared to [sildenafil] and [tadalafil], vardenafil is a more potent inhibitor of PDE5; however, its selectivity for other PDE isoforms is lower than the one detected for tadalafil. The FDA approved the use of v
Bosutinib is a 7-alkoxy-3-quinolinecarbonitrile that functions as a potent, dual SRC and ABL tyrosine kinase inhibitor indicated for chronic myelogenous leukemia (CML), specifically Philadelphia chromosome-positive (Ph+) CML. Philadelphia chromosome is a hallmark of CML due to the reciprocal translocation t(9;22)(q34;q11), resulting in a BCR-ABL fusion protein.[A6902,A261796,A261801] The first BCR-ABL inhibitor, [imatinib], was introduced over a decade ago as a breakthrough in CML management; however, emerging resistance to [imatinib] poses challenges in achieving remission. Second-generation BCR-ABL inhibitors like bosutinib inhibit most resistance-conferring BCR-ABL mutations except V299L and T315, thus providing more therapeutic options for patients.[A6901,A17961] Bosutinib was first approved by the FDA in 2012 for the treatment of adult chronic, accelerated, or blast-phase Ph+ CML with resistance or intolerance to prior therapy. On September 26, 2023, bosutinib was also approved by the FDA for the treatment of pediatric CML that is newly diagnosed or resistant/intolerant to prior therapy. This approval was based on favorable results obtained from the open-label, randomized, multicenter trial BFORE that showed a significant improvement in major molecular response, defined as a ≤0.1% BCR ABL ratio on an international scale, with bosutinib treatment.
Moderate
1
[ [ [ 1005, 24, 594 ] ], [ [ 1005, 6, 8374 ], [ 8374, 45, 594 ] ], [ [ 1005, 21, 29231 ], [ 29231, 60, 594 ] ], [ [ 1005, 24, 112 ], [ 112, 23, 594 ] ], [ [ 1005, 24, 1559 ], [ 1559, 24, 594 ] ], [ [ 1005, 24, 1040 ], [ 1040, 63, 594 ] ], [ [ 1005, 63, 597 ], [ 597, 24, 594 ] ], [ [ 1005, 25, 478 ], [ 478, 24, 594 ] ], [ [ 1005, 25, 985 ], [ 985, 64, 594 ] ], [ [ 1005, 25, 1493 ], [ 1493, 25, 594 ] ] ]
[ [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Vardenafil", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Bosutinib" ] ], [ [ "Vardenafil", "{u} (Compound) causes {v} (Side Effect)", "Cardiac disorder" ], [ "Cardiac disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Bosutinib" ] ], [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bosutinib" ] ], [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Famotidine" ], [ "Famotidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Vardenafil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Vardenafil", "{u} may lead to a major life threatening interaction when taken with {v}", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ] ], [ [ "Vardenafil", "{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}", "Bosutinib" ] ], [ [ "Vardenafil", "{u} may lead to a major life threatening interaction when taken with {v}", "Halofantrine" ], [ "Halofantrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Bosutinib" ] ] ]
Vardenafil (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Bosutinib (Compound) Vardenafil (Compound) causes Cardiac disorder (Side Effect) and Cardiac disorder (Side Effect) is caused by Bosutinib (Compound) Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Bosutinib Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Famotidine and Famotidine may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib Vardenafil may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib Vardenafil may lead to a major life threatening interaction when taken with Nilotinib and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib Vardenafil 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 Bosutinib Vardenafil may lead to a major life threatening interaction when taken with Halofantrine and Halofantrine may lead to a major life threatening interaction when taken with Bosutinib
DB00367
DB01098
566
14
[ "DDInter1061", "DDInter1622" ]
Levonorgestrel
Rosuvastatin
Levonorgestrel (LNG) is a synthetic progestogen similar to [Progesterone] used in contraception and hormone therapy.[A181988,T659] Also known as Plan B, it is used as a single agent in emergency contraception, and as a hormonal contraceptive released from an intrauterine device, commonly referred to as an IUD. Some of these devices are known as Jaydess, Kyleena, and Mirena. A subdermal implant of levonorgestrel that slowly releases the hormone over a long-term period is also available. In addition to the above uses, levonorgestrel is used as a component of long-term combination contraceptives.[A181991,L7760,L7778] Globally, levonorgestrel is the most commonly used emergency contraceptive. It was initially granted FDA approval in 1982 and was the first emergency contraceptive containing only progesterone, showing high levels of efficacy and a lack of estrogen
Rosuvastatin, also known as the brand name product Crestor, is a lipid-lowering drug that belongs to the statin class of medications, which are used to lower the risk of cardiovascular disease and manage elevated lipid levels by inhibiting the endogenous production of cholesterol in the liver. More specifically, statin medications competitively inhibit the enzyme hydroxymethylglutaryl-coenzyme A (HMG-CoA) Reductase, which catalyzes the conversion of HMG-CoA to mevalonic acid and is the third step in a sequence of metabolic reactions involved in the production of several compounds involved in lipid metabolism and transport including cholesterol, low-density lipoprotein (LDL) (sometimes referred to as "bad cholesterol"), and very low-density lipoprotein (VLDL). Prescribing of statin medications is considered standard practice following any cardiovascular events and for people with a moderate to high risk of development of CVD, such as those with Type 2 Diabetes. The clear evidence of the benefit of statin use coupled with very minimal side effects or long term effects has resulted in this class becoming one of the most widely prescribed medications in North America.[A181087, A181406] Rosuvastatin and other drugs from the statin class of medications including [atorvastatin], [pravastatin], [simvastatin], [fluvastatin], and [lovastatin] are considered first-line options for the treatment of dyslipidemia.[A181087, A181406] This is largely due to the fact that cardiovascular disease (CVD), which includes heart attack, atherosclerosis, angina, peripheral artery disease, and stroke, has become a leading cause of death in high-income countries and a major cause of morbidity around the world. Elevated cholesterol levels, and in particular, elevated low-density lipoprotein (LDL) levels, are an important risk factor for the development of CVD.[A181087,A181553] Use of statins to target and reduce LDL levels has been shown in a number of landmark studies to significantly reduce the risk of development of CVD and all-cause mortality.[A181090,A181093,A181096,A181427,A181475,A181538] Statins are considered a cost-effective treatment option for CVD due to their evidence of reducing all-cause mortality including fatal and non-fatal CVD as well as the need for surgical revascularization or angioplasty following a heart attack.[A181087, A181406] Evidence has shown that even for low-risk individuals (with <10% risk of a major vascular event occurring within 5 years) statins cause a 20%-22% relative reduction in major cardiovascular events (heart attack, stroke, coronary revascularization, and coronary death) for every 1 mmol/L reduction in LDL without any significant side effects or risks.[A181397, A181403] While all statin medications are considered equally effective from a clinical standpoint, rosuvastatin is considered the most potent; doses of 10 to 40mg rosuvastatin per day were found in clinical studies to result in a 45.8% to 54.6% decreases in LDL cholesterol levels, which is about three-fold more potent than [atorvastatin]'s effects on LDL cholesterol.[A181409,A1793] However, the results of the SATURN trial concluded that despite this difference in potency, there was no difference in their effect on the progression of coronary atherosclerosis. Rosuvastatin is also a unique member of the class of statins due to its high hydrophilicity which increases hepatic uptake at the site of action, low bioavailability, and minimal metabolism via the Cytochrome P450 system. This last point results in less risk of drug-drug interactions compared to [atorvastatin], [lovastatin], and [simvastatin], which are all extensively metabolized by Cytochrome P450 (CYP) 3A4, an enzyme involved in the metabolism of many commonly used drugs. Drugs such as [ciclosporin], [gemfibrozil], and some antiretrovirals are more likely to interact with this statin through antagonism of OATP1B1 organic anion transporter protein 1B1-mediated hepatic uptake of rosuvastatin.[F4649, F4652]
Minor
0
[ [ [ 566, 23, 14 ] ], [ [ 566, 6, 8374 ], [ 8374, 45, 14 ] ], [ [ 566, 7, 4634 ], [ 4634, 46, 14 ] ], [ [ 566, 18, 1917 ], [ 1917, 46, 14 ] ], [ [ 566, 7, 2900 ], [ 2900, 57, 14 ] ], [ [ 566, 18, 2183 ], [ 2183, 57, 14 ] ], [ [ 566, 21, 29462 ], [ 29462, 60, 14 ] ], [ [ 566, 40, 1657 ], [ 1657, 23, 14 ] ], [ [ 566, 63, 600 ], [ 600, 23, 14 ] ], [ [ 566, 1, 1336 ], [ 1336, 23, 14 ] ] ]
[ [ [ "Levonorgestrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} (Compound) upregulates {v} (Gene)", "FOXO4" ], [ "FOXO4", "{u} (Gene) is upregulated by {v} (Compound)", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} (Compound) downregulates {v} (Gene)", "CDC25B" ], [ "CDC25B", "{u} (Gene) is upregulated by {v} (Compound)", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} (Compound) upregulates {v} (Gene)", "NFKBIA" ], [ "NFKBIA", "{u} (Gene) is downregulated by {v} (Compound)", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} (Compound) downregulates {v} (Gene)", "CDC20" ], [ "CDC20", "{u} (Gene) is downregulated by {v} (Compound)", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} (Compound) causes {v} (Side Effect)", "Influenza" ], [ "Influenza", "{u} (Side Effect) is caused by {v} (Compound)", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} (Compound) resembles {v} (Compound)", "Desogestrel" ], [ "Desogestrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rosuvastatin" ] ], [ [ "Levonorgestrel", "{u} (Compound) resembles {v} (Compound)", "Etonogestrel" ], [ "Etonogestrel", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rosuvastatin" ] ] ]
Levonorgestrel (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Rosuvastatin (Compound) Levonorgestrel (Compound) upregulates FOXO4 (Gene) and FOXO4 (Gene) is upregulated by Rosuvastatin (Compound) Levonorgestrel (Compound) downregulates CDC25B (Gene) and CDC25B (Gene) is upregulated by Rosuvastatin (Compound) Levonorgestrel (Compound) upregulates NFKBIA (Gene) and NFKBIA (Gene) is downregulated by Rosuvastatin (Compound) Levonorgestrel (Compound) downregulates CDC20 (Gene) and CDC20 (Gene) is downregulated by Rosuvastatin (Compound) Levonorgestrel (Compound) causes Influenza (Side Effect) and Influenza (Side Effect) is caused by Rosuvastatin (Compound) Levonorgestrel (Compound) resembles Desogestrel (Compound) and Desogestrel may cause a minor interaction that can limit clinical effects when taken with Rosuvastatin Levonorgestrel may cause a moderate interaction that could exacerbate diseases when taken with Fluconazole and Fluconazole may cause a minor interaction that can limit clinical effects when taken with Rosuvastatin Levonorgestrel (Compound) resembles Etonogestrel (Compound) and Etonogestrel may cause a minor interaction that can limit clinical effects when taken with Rosuvastatin
DB00092
DB01281
58
881
[ "DDInter40", "DDInter5" ]
Alefacept
Abatacept
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.
Abatacept is a soluble fusion protein, which links the extracellular domain of human cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) to the modified Fc (hinge, CH2, and CH3 domains) portion of human immunoglobulin G1 (IgG1).[L20504,L42715] Structurally, abatacept is a glycosylated fusion protein with a MALDI-MS molecular weight of 92,300 Da and it is a homodimer of two homologous polypeptide chains of 357 amino acids each. It is produced through recombinant DNA technology in mammalian CHO cells. The drug has activity as a selective co-stimulation modulator with inhibitory activity on T lymphocytes. Although approved for the treatment of rheumatoid arthritis, Repligen has entered a slightly different formulation of CTLA4-Ig into clinical trials (RG2077).
Moderate
1
[ [ [ 58, 24, 881 ] ], [ [ 58, 23, 1193 ], [ 1193, 62, 881 ] ], [ [ 58, 23, 1461 ], [ 1461, 23, 881 ] ], [ [ 58, 24, 4 ], [ 4, 63, 881 ] ], [ [ 58, 63, 599 ], [ 599, 24, 881 ] ], [ [ 58, 24, 66 ], [ 66, 24, 881 ] ], [ [ 58, 24, 375 ], [ 375, 64, 881 ] ], [ [ 58, 25, 1066 ], [ 1066, 25, 881 ] ], [ [ 58, 25, 976 ], [ 976, 64, 881 ] ], [ [ 58, 63, 1057 ], [ 1057, 25, 881 ] ] ]
[ [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abatacept" ] ], [ [ "Alefacept", "{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}", "Abatacept" ] ], [ [ "Alefacept", "{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}", "Abatacept" ] ], [ [ "Alefacept", "{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}", "Abatacept" ] ], [ [ "Alefacept", "{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}", "Abatacept" ] ], [ [ "Alefacept", "{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}", "Abatacept" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Certolizumab pegol" ], [ "Certolizumab pegol", "{u} may lead to a major life threatening interaction when taken with {v}", "Abatacept" ] ], [ [ "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}", "Abatacept" ] ], [ [ "Alefacept", "{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}", "Abatacept" ] ], [ [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Abatacept" ] ] ]
Alefacept 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 Abatacept Alefacept 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 Abatacept Alefacept 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 Abatacept Alefacept 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 Abatacept Alefacept 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 Abatacept Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Certolizumab pegol and Certolizumab pegol may lead to a major life threatening interaction when taken with Abatacept 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 Abatacept Alefacept 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 Abatacept Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Etanercept and Etanercept may lead to a major life threatening interaction when taken with Abatacept
DB00470
DB11823
530
858
[ "DDInter601", "DDInter673" ]
Dronabinol
Esketamine
Dronabinol (marketed as Marinol) is a synthetic form of delta-9-tetrahydrocannabinol (Δ⁹-THC), the primary psychoactive component of cannabis (marijuana). THC demonstrates its effects through weak partial agonist activity at Cannabinoid-1 (CB1R) and Cannabinoid-2 (CB2R) receptors, which results in the well-known effects of smoking cannabis such as increased appetite, reduced pain, and changes in emotional and cognitive processes. Due to its evidence as an appetite stimulant and an anti-nauseant, Dronabinol is approved for use in anorexia associated with weight loss in patients with AIDS and for the treatment of nausea and vomiting associated with cancer chemotherapy in patients who have failed to respond adequately to conventional antiemetic treatments [FDA Label]. Tetrahydrocannabinol (THC) and cannabidiol (CBD) are the two most abundant cannabinoids found naturally in
Major depressive disorder (MDD) is a significant cause of disability worldwide and the most common illness preceding suicide.[L5596,A175462] On March 5, 2019, the nasal spray drug, _esketamine_, also known as _Spravato_ (by Janssen Pharmaceuticals), was approved by the FDA for treatment-resistant major depression. Esketamine is the s-enantiomer of [Ketamine]. Ketamine is a mixture of two enantiomers (mirror image molecules). This is the first time that the FDA has approved esketamine for any use. The FDA approved ketamine (Ketalar) in 1970. Esketamine may prove to be a promising treatment for patients diagnosed with major depressive disorder who have not experienced an improvement in symptoms despite treatment with various medications and therapies. The intranasal route of administration for this drug allows for easy administration and a fast onset of action, which sets it apart from many other antidepressant agents that may take several weeks to take effect.
Moderate
1
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[ [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} (Compound) resembles {v} (Compound)", "Nabilone" ], [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tripelennamine" ], [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxylamine" ], [ "Doxylamine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ], [ [ "Dronabinol", "{u} (Compound) resembles {v} (Compound)", "Nabilone" ], [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorpheniramine" ], [ "Chlorpheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esketamine" ] ] ]
Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Esketamine Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Esketamine Dronabinol (Compound) resembles Nabilone (Compound) and Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Esketamine Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Esketamine Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Dextromethorphan and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Esketamine Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Tripelennamine and Tripelennamine (Compound) resembles Chlorpheniramine (Compound) and Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Esketamine Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Esketamine Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Doxylamine and Doxylamine (Compound) resembles Chlorpheniramine (Compound) and Doxylamine may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Esketamine Dronabinol (Compound) resembles Nabilone (Compound) and Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Chlorpheniramine and Chlorpheniramine may cause a moderate interaction that could exacerbate diseases when taken with Esketamine
DB00678
DB01284
240
1,042
[ "DDInter1095", "DDInter1782" ]
Losartan
Tetracosactide
Losartan is an angiotensin II receptor blocker (ARB) used to treat hypertension. Angiotensin-converting enzyme (ACE) inhibitors are used for a similar indication but are associated with a cough. When patients with ACE inhibitor associated coughs are switched to ARBs like losartan, they have an incidence of cough similar to placebo or [hydrochlorothiazide]. Losartan is available as losartan potassium oral tablets as well as a combination tablet of losartan potassium and hydrochlorothiazide.[L7423,L7426] Patients taking losartan should have their renal function and potassium levels monitored. Losartan was granted FDA approval on 14 April 1995.
Tetracosactide (also known as Cosyntropin) is a synthetic peptide that is identical to the 24-amino acid segment (sequence: SYSMEHFRWGKPVGKKRRPVKVYP) at the N-terminal of adrenocorticotropic hormone. ACTH (1-24), a segment similar in all species, contains the biological activity that stimulates production of corticosteroids in the adrenal cortex. Tetracosactide exhibits the same activity as natural ACTH with regard to all its biological activities. The complex results in a product whose absorption in man is effected over a longer period of time as compared to corticotropin. Therefore, therapy may be maintained with less frequent administration.
Moderate
1
[ [ [ 240, 24, 1042 ] ], [ [ 240, 24, 1144 ], [ 1144, 24, 1042 ] ], [ [ 240, 24, 1450 ], [ 1450, 63, 1042 ] ], [ [ 240, 1, 911 ], [ 911, 63, 1042 ] ], [ [ 240, 63, 1685 ], [ 1685, 24, 1042 ] ], [ [ 240, 40, 1414 ], [ 1414, 24, 1042 ] ], [ [ 240, 24, 593 ], [ 593, 25, 1042 ] ], [ [ 240, 24, 1144 ], [ 1144, 24, 455 ], [ 455, 23, 1042 ] ], [ [ 240, 24, 123 ], [ 123, 63, 455 ], [ 455, 23, 1042 ] ], [ [ 240, 1, 911 ], [ 911, 63, 123 ], [ 123, 24, 1042 ] ] ]
[ [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ], [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Losartan", "{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}", "Tetracosactide" ] ], [ [ "Losartan", "{u} (Compound) resembles {v} (Compound)", "Azilsartan medoxomil" ], [ "Azilsartan medoxomil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin human" ], [ "Insulin human", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Losartan", "{u} (Compound) resembles {v} (Compound)", "Eprosartan" ], [ "Eprosartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ], [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetracosactide" ] ], [ [ "Losartan", "{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}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracosactide" ] ], [ [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tetracosactide" ] ], [ [ "Losartan", "{u} (Compound) resembles {v} (Compound)", "Azilsartan medoxomil" ], [ "Azilsartan medoxomil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exenatide" ], [ "Exenatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ] ] ]
Losartan may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide and Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Losartan 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 Tetracosactide Losartan (Compound) resembles Azilsartan medoxomil (Compound) and Azilsartan medoxomil may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Losartan may cause a moderate interaction that could exacerbate diseases when taken with Insulin human and Insulin human may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Losartan (Compound) resembles Eprosartan (Compound) and Eprosartan may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide Losartan may cause a moderate interaction that could exacerbate diseases when taken with Bupropion and Bupropion may lead to a major life threatening interaction when taken with Tetracosactide Losartan 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 Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Tetracosactide Losartan may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Salmeterol and Salmeterol may cause a minor interaction that can limit clinical effects when taken with Tetracosactide Losartan (Compound) resembles Azilsartan medoxomil (Compound) and Azilsartan medoxomil may cause a moderate interaction that could exacerbate diseases when taken with Exenatide and Exenatide may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide
DB00603
DB01278
303
1,021
[ "DDInter1137", "DDInter1506" ]
Medroxyprogesterone acetate
Pramlintide
Medroxyprogesterone acetate (MPA) is a [progesterone] derivative that is more resistant to metabolism for improved pharmacokinetic properties. MPA can be use to treat secondary amenorrhea, endometrial hyperplasia, abnormal uterine bleeding, osteoporosis, vasomotor symptoms in menopause, vulvar and vaginal atrophy, prevent pregnancy, manage pain in endometriosis, prevent pregnancy, and is also used in palliative care for endometrial and renal carcinoma.[L8657,L8660,L8663,L8666,L8669] Medroxyprogesterone acetate was granted FDA approval on 18 June 1959.
Pramlintide is a relatively new adjunct treatment for diabetes (both type 1 and 2), developed by Amylin Pharmaceuticals. It is derived from amylin, a hormone that is released into the bloodstream, in a similar pattern as insulin, after a meal. Like insulin, amylin is deficient in individuals with diabetes.
Moderate
1
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[ [ [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{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}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{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}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{u} may lead to a major life threatening interaction when taken with {v}", "Fosamprenavir" ], [ "Fosamprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{u} may lead to a major life threatening interaction when taken with {v}", "Amprenavir" ], [ "Amprenavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosphenytoin" ], [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{u} (Compound) resembles {v} (Compound)", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Indinavir" ], [ "Indinavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{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}", "Orlistat" ], [ "Orlistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ], [ [ "Medroxyprogesterone acetate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pramlintide" ] ] ]
Medroxyprogesterone acetate 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 Pramlintide Medroxyprogesterone acetate 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 Pramlintide Medroxyprogesterone acetate may lead to a major life threatening interaction when taken with Fosamprenavir and Fosamprenavir may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Medroxyprogesterone acetate may lead to a major life threatening interaction when taken with Amprenavir and Amprenavir may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Fosphenytoin and Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Medroxyprogesterone acetate (Compound) resembles Hydrocortisone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Medroxyprogesterone acetate may cause a minor interaction that can limit clinical effects when taken with Indinavir and Indinavir may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Medroxyprogesterone acetate 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 Orlistat and Orlistat may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide Medroxyprogesterone acetate may cause a moderate interaction that could exacerbate diseases when taken with Grepafloxacin and Grepafloxacin may lead to a major life threatening interaction when taken with Prednisolone and Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Pramlintide
DB00736
DB13879
660
1,043
[ "DDInter676", "DDInter824" ]
Esomeprazole
Glecaprevir
Esomeprazole, sold under the brand name Nexium, is a proton pump inhibitor (PPI) medication used for the management of gastroesophageal reflux disease (GERD), for gastric protection to prevent recurrence of stomach ulcers or gastric damage from chronic use of NSAIDs, and for the treatment of pathological hypersecretory conditions including Zollinger-Ellison (ZE) Syndrome. It can also be found in quadruple regimens for the treatment of _H. pylori_ infections along with other antibiotics including,, and, for example.[A177271, F4498] Its efficacy is considered similar to other medications within the PPI class including,,,, and. Esomeprazole is the s-isomer of, which is a racemate of the S- and R-enantiomer. Esomeprazole has been shown to inhibit acid secretion to a similar extent as, without any significant differences between the two compounds _in vitro_. Esome
Glecaprevir is a direct acting antiviral agent and Hepatitis C virus (HCV) NS3/4A protease inhibitor that targets the the viral RNA replication. In combination with , glecaprevir is a useful therapy for patients who experienced therapeutic failure from other NS3/4A protease inhibitors. It demonstrates a high genetic barrier against resistance mutations of the virus. In cell cultures, the emergence of amino acid substitutions at NS3 resistance-associated positions A156 or D/Q168 in HCV genotype 1a, 2a or 3a replicons led to reduced susceptibility to glecaprevir [FDA Label]. The combinations of amino acid substitutions at NS3 position Y65H and D/Q168 also results in greater reductions in glecaprevir susceptibility, and NS3 Q80R in genotype 3a patients also leads to glecaprevir resistance [FDA Label]. Glecaprevir is available as an oral combination therapy with under the brand name Mavyret. This fixed-dose combination therapy was FDA-approved in August 2017 to treat adults with chronic hepatitis C virus (HCV) genotypes 1-6 without cirrhosis (liver disease) or with mild cirrhosis, including patients with moderate to severe kidney disease and those who are on dialysis . Mavyret is also indicated for HCV genotype 1-infected patients who have been previously treated with regimens either containing an NS5A inhibitor or an NS3/4A protease inhibitor, but not both . Hepatitis C viral infection often leads to decreased liver function and subsequent liver failure, causing a significantly negative impact on the patients' quality of life. The ultimate goal of the combination treatment is to achieve sustained virologic response (SVR) and cure the patients from the infection. In clinical trials, this combination therapy achieved SVR12 rate, or undetectable Hepatitis C for twelve or more weeks after the end of treatment, of ≥93% across genotypes 1a, 2a, 3a, 4, 5 and 6 [FDA Label].
Moderate
1
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[ [ [ "Esomeprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bosutinib" ], [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Griseofulvin" ], [ "Griseofulvin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{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}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{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}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glecaprevir" ] ], [ [ "Esomeprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ], [ "Apalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Naloxegol" ], [ "Naloxegol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glecaprevir" ] ] ]
Esomeprazole may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir Esomeprazole may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir Esomeprazole may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may lead to a major life threatening interaction when taken with Glecaprevir Esomeprazole may lead to a major life threatening interaction when taken with Pazopanib and Pazopanib may lead to a major life threatening interaction when taken with Glecaprevir Esomeprazole may cause a moderate interaction that could exacerbate diseases when taken with Bosutinib and Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Griseofulvin and Griseofulvin may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir Esomeprazole may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a minor interaction that can limit clinical effects when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Glecaprevir Esomeprazole 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 Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Glecaprevir Esomeprazole 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 Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Glecaprevir Esomeprazole may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide and Apalutamide may lead to a major life threatening interaction when taken with Naloxegol and Naloxegol may cause a minor interaction that can limit clinical effects when taken with Glecaprevir
DB00047
DB00983
176
480
[ "DDInter932", "DDInter776" ]
Insulin glargine
Formoterol
Insulin glargine is a long-acting form of insulin used for the treatment of hyperglycemia caused by Type 1 and Type 2 Diabetes. Insulin is typically prescribed for the management of diabetes mellitus to mimic the activity of endogenously produced human insulin, a peptide hormone produced by beta cells of the pancreas that promotes glucose metabolism. Insulin is released from the pancreas following a meal to promote the uptake of glucose from the blood into internal organs and tissues such as the liver, fat cells, and skeletal muscle. Absorption of glucose into cells allows for its transformation into glycogen or fat for storage. Insulin also inhibits hepatic glucose production, enhances protein synthesis, and inhibits lipolysis and proteolysis. Insulin is an important treatment in the management of Type 1 Diabetes (T1D), which is caused by an autoimmune reaction that destroys the beta cells of the pancreas, resulting in the body not being able to produce or
Formoterol is an inhaled beta<sub>2</sub>-agonist used in the management of COPD and asthma that was first approved for use in the United States in 2001. It acts on bronchial smooth muscle to dilate and relax airways, and is administered as a racemic mixture of its active (R;R)- and inactive (S;S)-enantiomers. A major clinical advantage of formoterol over other inhaled beta-agonists is its rapid onset of action (2-3 minutes), which is at least as fast as [salbutamol], combined with a long duration of action (12 hours) - for this reason, treatment guidelines for asthma recommend its use as both a reliever and maintenance medication. It is available as a single-entity product [L10986,L11223] and in several formulations in combination with both inhaled corticosteroids [L10995,L10619] and long-acting muscarinic antagonists.[L10992,L10989]
Moderate
1
[ [ [ 176, 24, 480 ] ], [ [ 176, 24, 1148 ], [ 1148, 63, 480 ] ], [ [ 176, 24, 1523 ], [ 1523, 25, 480 ] ], [ [ 176, 24, 870 ], [ 870, 23, 480 ] ], [ [ 176, 24, 1042 ], [ 1042, 62, 480 ] ], [ [ 176, 24, 1424 ], [ 1424, 24, 480 ] ], [ [ 176, 25, 246 ], [ 246, 63, 480 ] ], [ [ 176, 25, 739 ], [ 739, 24, 480 ] ], [ [ 176, 63, 521 ], [ 521, 24, 480 ] ], [ [ 176, 24, 877 ], [ 877, 64, 480 ] ] ]
[ [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ] ], [ [ "Insulin glargine", "{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}", "Formoterol" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Labetalol" ], [ "Labetalol", "{u} may lead to a major life threatening interaction when taken with {v}", "Formoterol" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Formoterol" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetracosactide" ], [ "Tetracosactide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Formoterol" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ] ], [ [ "Insulin glargine", "{u} may lead to a major life threatening interaction when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ] ], [ [ "Insulin glargine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ] ], [ [ "Insulin glargine", "{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}", "Formoterol" ] ], [ [ "Insulin glargine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may lead to a major life threatening interaction when taken with {v}", "Formoterol" ] ] ]
Insulin glargine 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 Formoterol Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Labetalol and Labetalol may lead to a major life threatening interaction when taken with Formoterol Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone may cause a minor interaction that can limit clinical effects when taken with Formoterol Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Tetracosactide and Tetracosactide may cause a minor interaction that can limit clinical effects when taken with Formoterol Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may cause a moderate interaction that could exacerbate diseases when taken with Formoterol Insulin glargine may lead to a major life threatening interaction when taken with Gatifloxacin and Gatifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Formoterol Insulin glargine may lead to a major life threatening interaction when taken with Lomefloxacin and Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Formoterol Insulin glargine 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 Formoterol Insulin glargine may cause a moderate interaction that could exacerbate diseases when taken with Macimorelin and Macimorelin may lead to a major life threatening interaction when taken with Formoterol
DB00531
DB01044
450
246
[ "DDInter456", "DDInter809" ]
Cyclophosphamide
Gatifloxacin
Precursor of an alkylating nitrogen mustard antineoplastic and immunosuppressive agent that must be activated in the liver to form the active aldophosphamide. It has been used in the treatment of lymphoma and leukemia. Its side effect, alopecia, has been used for defleecing sheep. Cyclophosphamide may also cause sterility, birth defects, mutations, and cancer.
Gatifloxacin is an antibiotic agent and a member of the fourth-generation fluoroquinolone family. It works by inhibiting the bacterial enzymes DNA gyrase and topoisomerase IV. It was first introduced by Bristol-Myers Squibb in 1999 under the brand name Tequin® for the treatment of respiratory tract infections. Gatifloxacin is available as tablets and in various aqueous solutions for intravenous therapy. It is also available as eye drops under the brand name Zymar® marketed by Allergan. The FDA withdrew its approval for the use of non-ophthalmic drug products containing gatifloxacin due to the high prevalence of gatifloxacin-associated dysglycemia adverse event reports and the high incidence of hyperglycemic and hypoglycemic episodes in patients taking gatifloxacin compared to those on macrolide antibiotics.[L43942,L44037]
Minor
0
[ [ [ 450, 23, 246 ] ], [ [ 450, 23, 739 ], [ 739, 1, 246 ] ], [ [ 450, 62, 1176 ], [ 1176, 1, 246 ] ], [ [ 450, 23, 945 ], [ 945, 40, 246 ] ], [ [ 450, 62, 1467 ], [ 1467, 40, 246 ] ], [ [ 450, 18, 8386 ], [ 8386, 57, 246 ] ], [ [ 450, 21, 28868 ], [ 28868, 60, 246 ] ], [ [ 450, 63, 377 ], [ 377, 23, 246 ] ], [ [ 450, 24, 147 ], [ 147, 23, 246 ] ], [ [ 450, 35, 1532 ], [ 1532, 62, 246 ] ] ]
[ [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Enoxacin" ], [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} (Compound) downregulates {v} (Gene)", "MTHFD2" ], [ "MTHFD2", "{u} (Gene) is downregulated by {v} (Compound)", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} (Compound) causes {v} (Side Effect)", "Stomatitis" ], [ "Stomatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mitomycin" ], [ "Mitomycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinblastine" ], [ "Vinblastine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gatifloxacin" ] ], [ [ "Cyclophosphamide", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gatifloxacin" ] ] ]
Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin and Lomefloxacin (Compound) resembles Gatifloxacin (Compound) Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Gatifloxacin (Compound) Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Gatifloxacin (Compound) Cyclophosphamide may cause a minor interaction that can limit clinical effects when taken with Enoxacin and Enoxacin (Compound) resembles Gatifloxacin (Compound) Cyclophosphamide (Compound) downregulates MTHFD2 (Gene) and MTHFD2 (Gene) is downregulated by Gatifloxacin (Compound) Cyclophosphamide (Compound) causes Stomatitis (Side Effect) and Stomatitis (Side Effect) is caused by Gatifloxacin (Compound) Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Mitomycin and Mitomycin may cause a minor interaction that can limit clinical effects when taken with Gatifloxacin Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Vinblastine and Vinblastine may cause a minor interaction that can limit clinical effects when taken with Gatifloxacin Cyclophosphamide (Compound) resembles Ifosfamide (Compound) and Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a minor interaction that can limit clinical effects when taken with Gatifloxacin
DB00620
DB12500
175
283
[ "DDInter1855", "DDInter714" ]
Triamcinolone
Fedratinib
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
Fedratinib, also known as SAR302503 and TG101348, is a tyrosine kinase inhibitor used to treat intermediate-2 and high risk primary and secondary myelofibrosis.[A183176,L8090] It is an anilinopyrimidine derivative. Fedratinib was granted FDA approval on August 16, 2019.
Moderate
1
[ [ [ 175, 24, 283 ] ], [ [ 175, 24, 351 ], [ 351, 23, 283 ] ], [ [ 175, 63, 1419 ], [ 1419, 24, 283 ] ], [ [ 175, 24, 336 ], [ 336, 24, 283 ] ], [ [ 175, 25, 932 ], [ 932, 24, 283 ] ], [ [ 175, 25, 676 ], [ 676, 63, 283 ] ], [ [ 175, 40, 891 ], [ 891, 24, 283 ] ], [ [ 175, 23, 1072 ], [ 1072, 24, 283 ] ], [ [ 175, 24, 1654 ], [ 1654, 63, 283 ] ], [ [ 175, 62, 1018 ], [ 1018, 24, 283 ] ] ]
[ [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fedratinib" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ], [ "Nifedipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Triamcinolone", "{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}", "Fedratinib" ] ], [ [ "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}", "Fedratinib" ] ], [ [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Prednisolone" ], [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Triamcinolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Isoniazid" ], [ "Isoniazid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Somapacitan" ], [ "Somapacitan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ], [ [ "Triamcinolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fedratinib" ] ] ]
Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a minor interaction that can limit clinical effects when taken with Fedratinib Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Nifedipine and Nifedipine may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Triamcinolone 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 Fedratinib 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 Fedratinib Triamcinolone (Compound) resembles Prednisolone (Compound) and Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Triamcinolone may cause a minor interaction that can limit clinical effects when taken with Isoniazid and Isoniazid may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Somapacitan and Somapacitan may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib Triamcinolone may cause a minor interaction that can limit clinical effects when taken with Ticlopidine and Ticlopidine may cause a moderate interaction that could exacerbate diseases when taken with Fedratinib
DB00005
DB00439
1,057
289
[ "DDInter687", "DDInter341" ]
Etanercept
Cerivastatin
Dimeric fusion protein consisting of the extracellular ligand-binding portion of the human 75 kilodalton (p75) tumor necrosis factor receptor (TNFR) linked to the Fc portion of human IgG1.[L14862,A216522] The Fc component of etanercept contains the CH2 domain, the CH3 domain and hinge region, but not the CH1 domain of IgG1. Etanercept is produced by recombinant DNA technology in a Chinese hamster ovary (CHO) mammalian cell expression system. It consists of 934 amino acids. It is used to treat or manage a variety of inflammatory conditions including rheumatoid arthritis (RA), ankylosing spondylitis (AS), and juvenile idiopathic poly-articular arthritis (JIA).
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]
Moderate
1
[ [ [ 1057, 24, 289 ] ], [ [ 1057, 25, 1491 ], [ 1491, 63, 289 ] ], [ [ 1057, 25, 1560 ], [ 1560, 24, 289 ] ], [ [ 1057, 24, 1434 ], [ 1434, 63, 289 ] ], [ [ 1057, 24, 10 ], [ 10, 24, 289 ] ], [ [ 1057, 25, 1377 ], [ 1377, 64, 289 ] ], [ [ 1057, 25, 1491 ], [ 1491, 25, 384 ], [ 384, 63, 289 ] ], [ [ 1057, 25, 1560 ], [ 1560, 24, 384 ], [ 384, 63, 289 ] ], [ [ 1057, 25, 384 ], [ 384, 64, 1491 ], [ 1491, 63, 289 ] ], [ [ 1057, 24, 1434 ], [ 1434, 63, 1555 ], [ 1555, 63, 289 ] ] ]
[ [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cerivastatin" ] ], [ [ "Etanercept", "{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}", "Cerivastatin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cerivastatin" ] ], [ [ "Etanercept", "{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}", "Cerivastatin" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dapsone" ], [ "Dapsone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cerivastatin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cerivastatin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{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}", "Cerivastatin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cerivastatin" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ], [ "Midostaurin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cerivastatin" ] ], [ [ "Etanercept", "{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}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cerivastatin" ] ] ]
Etanercept 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 Cerivastatin Etanercept may lead to a major life threatening interaction when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Cerivastatin Etanercept 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 Cerivastatin Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Dapsone and Dapsone may cause a moderate interaction that could exacerbate diseases when taken with Cerivastatin Etanercept may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Cerivastatin Etanercept may lead to a major life threatening interaction when taken with Midostaurin and Midostaurin 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 Cerivastatin Etanercept may lead to a major life threatening interaction when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Cerivastatin Etanercept may lead to a major life threatening interaction when taken with Idelalisib and Idelalisib may lead to a major life threatening interaction when taken with Midostaurin and Midostaurin may cause a moderate interaction that could exacerbate diseases when taken with Cerivastatin Etanercept 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 Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Cerivastatin
DB00031
DB00586
20
1,512
[ "DDInter1764", "DDInter537" ]
Tenecteplase
Diclofenac
Tenecteplase is a tissue plasminogen activator (tPA) developed from modifications of natural human tPA complementary DNA (cDNA). It is a 527 amino acid with a substitution of threonine 103 with asparagine and substitution of asparagine 117 with glutamine within the kringle 1 domain, and a tetra-alanine substitution at amino acids 296-299 in the protease domain.
Diclofenac is a phenylacetic acid derivative and non-steroidal anti-inflammatory drug (NSAID).[label] NSAIDs inhibit cyclooxygenase (COX)-1 and-2 which are the enzyme responsible for producing prostaglandins (PGs). PGs contribute to inflammation and pain signalling. Diclofenac, like other NSAIDs, is often used as first line therapy for acute and chronic pain and inflammation from a variety of causes. Diclofenac was the product of rational drug design based on the structures of [phenylbutazone], [mefenamic acid], and [indomethacin]. The addition of two chlorine groups in the ortho position of the phenyl ring locks the ring in maximal torsion which appears to be related to increased potency. It is often used in combination with [misoprostol] to prevent NSAID-induced gastric ulcers. Diclofenac was first approved by the FDA in July 1988 under the trade name Voltaren, marketed by Novartis (previously Ciba-Geigy).
Moderate
1
[ [ [ 20, 24, 1512 ] ], [ [ 20, 24, 1263 ], [ 1263, 63, 1512 ] ], [ [ 20, 23, 297 ], [ 297, 62, 1512 ] ], [ [ 20, 24, 598 ], [ 598, 24, 1512 ] ], [ [ 20, 25, 1564 ], [ 1564, 63, 1512 ] ], [ [ 20, 25, 366 ], [ 366, 24, 1512 ] ], [ [ 20, 64, 1578 ], [ 1578, 24, 1512 ] ], [ [ 20, 25, 1650 ], [ 1650, 64, 1512 ] ], [ [ 20, 25, 1172 ], [ 1172, 25, 1512 ] ], [ [ 20, 24, 886 ], [ 886, 25, 1512 ] ] ]
[ [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bromfenac" ], [ "Bromfenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Tenecteplase", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clove" ], [ "Clove", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Diclofenac" ] ], [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nabumetone" ], [ "Nabumetone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Tenecteplase", "{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}", "Diclofenac" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Eptifibatide" ], [ "Eptifibatide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Tenecteplase", "{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}", "Diclofenac" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Avapritinib" ], [ "Avapritinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ] ], [ [ "Tenecteplase", "{u} may lead to a major life threatening interaction when taken with {v}", "Ibritumomab tiuxetan" ], [ "Ibritumomab tiuxetan", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ] ], [ [ "Tenecteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketorolac" ], [ "Ketorolac", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ] ] ]
Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Bromfenac and Bromfenac may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac Tenecteplase may cause a minor interaction that can limit clinical effects when taken with Clove and Clove may cause a minor interaction that can limit clinical effects when taken with Diclofenac Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Nabumetone and Nabumetone may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac Tenecteplase 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 Diclofenac Tenecteplase may lead to a major life threatening interaction when taken with Eptifibatide and Eptifibatide may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac Tenecteplase 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 Diclofenac Tenecteplase may lead to a major life threatening interaction when taken with Avapritinib and Avapritinib may lead to a major life threatening interaction when taken with Diclofenac Tenecteplase may lead to a major life threatening interaction when taken with Ibritumomab tiuxetan and Ibritumomab tiuxetan may lead to a major life threatening interaction when taken with Diclofenac Tenecteplase may cause a moderate interaction that could exacerbate diseases when taken with Ketorolac and Ketorolac may lead to a major life threatening interaction when taken with Diclofenac
DB01169
DB01611
57
1,487
[ "DDInter120", "DDInter893" ]
Arsenic trioxide
Hydroxychloroquine
Arsenic trioxide is a chemotherapeutic agent of idiopathic function used to treat leukemia that is unresponsive to first line agents. It is suspected that arsenic trisulfide induces cancer cells to undergo apoptosis. In general, arsenic is known to be a naturally toxic substance capable of eliciting a variety of dangerous adverse effects. The enzyme thioredoxin reductase has recently been identified as a target for arsenic trioxide.
Hydroxychloroquine is a racemic mixture consisting of an R and S enantiomer. Hydroxychloroquine is an aminoquinoline like [chloroquine]. It is a commonly prescribed medication in the treatment of uncomplicated malaria, rheumatoid arthritis, chronic discoid lupus erythematosus, and systemic lupus erythematosus. Hydroxychloroquine is also used for the prophylaxis of malaria in regions where chloroquine resistance is unlikely. It was developed during World War II as a derivative of [quinacrine] with less severe side effects. Chloroquine and hydroxychloroquine are both being investigated for the treatment of SARS-CoV-2. **The FDA emergency use authorization for hydroxychloroquine and [chloroquine] in the treatment of COVID-19 was revoked on 15 June 2020.** Hydroxychloroquine was granted FDA approval on 18 April 1955. A recent study reported a fatality in the group being treated with hydroxychloroquine for COVID-19.
Major
2
[ [ [ 57, 25, 1487 ] ], [ [ 57, 64, 1520 ], [ 1520, 25, 1487 ] ], [ [ 57, 62, 1247 ], [ 1247, 23, 1487 ] ], [ [ 57, 24, 286 ], [ 286, 63, 1487 ] ], [ [ 57, 64, 521 ], [ 521, 24, 1487 ] ], [ [ 57, 63, 1516 ], [ 1516, 24, 1487 ] ], [ [ 57, 25, 129 ], [ 129, 63, 1487 ] ], [ [ 57, 62, 112 ], [ 112, 24, 1487 ] ], [ [ 57, 24, 673 ], [ 673, 24, 1487 ] ], [ [ 57, 25, 859 ], [ 859, 25, 1487 ] ] ]
[ [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ], [ "Primaquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Goserelin" ], [ "Goserelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Galantamine" ], [ "Galantamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{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}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aripiprazole" ], [ "Aripiprazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Arsenic trioxide", "{u} may lead to a major life threatening interaction when taken with {v}", "Posaconazole" ], [ "Posaconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ] ]
Arsenic trioxide may lead to a major life threatening interaction when taken with Primaquine and Primaquine may lead to a major life threatening interaction when taken with Hydroxychloroquine Arsenic trioxide may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Hydroxychloroquine Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Magnesium hydroxide and Magnesium hydroxide may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Arsenic trioxide may lead to a major life threatening interaction when taken with Goserelin and Goserelin may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Galantamine and Galantamine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Arsenic trioxide 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 Hydroxychloroquine Arsenic trioxide may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Arsenic trioxide may cause a moderate interaction that could exacerbate diseases when taken with Aripiprazole and Aripiprazole may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Arsenic trioxide may lead to a major life threatening interaction when taken with Posaconazole and Posaconazole may lead to a major life threatening interaction when taken with Hydroxychloroquine
DB00467
DB13928
1,467
1,385
[ "DDInter644", "DDInter1660" ]
Enoxacin
Semaglutide
A broad-spectrum 6-fluoronaphthyridinone antibacterial agent (fluoroquinolones) structurally related to nalidixic acid.
Semaglutide is a glucagon-like peptide 1 (GLP-1) analog used to manage type 2 diabetes along with lifestyle changes, such as dietary restrictions and increased physical activity.[A31421,L8681] Other members of this drug class include [Exenatide] and [Liraglutide]. Semaglutide was developed by Novo Nordisk and approved by the FDA for subcutaneous injection in December 2017. The tablet formulation was approved for oral administration in September 2019. Semaglutide works by binding to and activating the GLP-1 receptor, thereby stimulating insulin secretion and reducing blood glucose. The subcutaneous injection is administered once weekly and the tablet is administered once a day. Semaglutide offers a competitive advantage over other drugs used to manage diabetes, which may require several daily doses. Clinical trials have determined that this drug reduces glycosylated hemoglobin (HbA1c) levels and reduces body weight, proving to be effective for patients with type 2 diabetes. In June 2021, semaglutide was approved by the FDA for chronic weight management in adults with general obesity or overweight who have at least one weight-related condition, marking semaglutide as the first approved drug for such use since 2014. The use of semaglutide in weight management is also approved by Health Canada and the EMA. On May 31, 2023, the FDA issued a warning regarding the use of compounded semaglutide after receiving adverse event reports. The use of salt forms of semaglutide, including semaglutide sodium and semaglutide acetate, has not been proven to be safe or effective.
Moderate
1
[ [ [ 1467, 24, 1385 ] ], [ [ 1467, 25, 891 ], [ 891, 24, 1385 ] ], [ [ 1467, 1, 872 ], [ 872, 24, 1385 ] ], [ [ 1467, 64, 1179 ], [ 1179, 24, 1385 ] ], [ [ 1467, 40, 739 ], [ 739, 24, 1385 ] ], [ [ 1467, 63, 417 ], [ 417, 24, 1385 ] ], [ [ 1467, 40, 246 ], [ 246, 25, 1385 ] ], [ [ 1467, 25, 891 ], [ 891, 40, 1103 ], [ 1103, 23, 1385 ] ], [ [ 1467, 1, 872 ], [ 872, 25, 1154 ], [ 1154, 24, 1385 ] ], [ [ 1467, 25, 1144 ], [ 1144, 62, 1103 ], [ 1103, 23, 1385 ] ] ]
[ [ [ "Enoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ], [ "Gemifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Insulin lispro" ], [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ], [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ], [ "Gemifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Pasireotide" ], [ "Pasireotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ] ], [ [ "Enoxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Nateglinide" ], [ "Nateglinide", "{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}", "Semaglutide" ] ] ]
Enoxacin may lead to a major life threatening interaction when taken with Prednisolone and Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide Enoxacin (Compound) resembles Gemifloxacin (Compound) and Gemifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide Enoxacin may lead to a major life threatening interaction when taken with Insulin lispro and Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide Enoxacin (Compound) resembles Lomefloxacin (Compound) and Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide Enoxacin may cause a moderate interaction that could exacerbate diseases when taken with Sucralfate and Sucralfate may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide Enoxacin (Compound) resembles Gatifloxacin (Compound) and Gatifloxacin may lead to a major life threatening interaction when taken with Semaglutide Enoxacin may lead to a major life threatening interaction when taken with Prednisolone and Prednisolone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Semaglutide Enoxacin (Compound) resembles Gemifloxacin (Compound) and Gemifloxacin may lead to a major life threatening interaction when taken with Pasireotide and Pasireotide may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide Enoxacin may lead to a major life threatening interaction when taken with Nateglinide and Nateglinide 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 Semaglutide
DB01165
DB01229
1,539
973
[ "DDInter1325", "DDInter1378" ]
Ofloxacin
Paclitaxel (protein-bound)
A synthetic fluoroquinolone (fluoroquinolones) antibacterial agent that inhibits the supercoiling activity of bacterial DNA gyrase, halting DNA replication.
Paclitaxel can cause developmental toxicity, female reproductive toxicity and male reproductive toxicity according to state or federal government labeling requirements.
Minor
0
[ [ [ 1539, 23, 973 ] ], [ [ 1539, 6, 5912 ], [ 5912, 45, 973 ] ], [ [ 1539, 6, 3199 ], [ 3199, 57, 973 ] ], [ [ 1539, 21, 30098 ], [ 30098, 60, 973 ] ], [ [ 1539, 1, 945 ], [ 945, 23, 973 ] ], [ [ 1539, 40, 1467 ], [ 1467, 23, 973 ] ], [ [ 1539, 25, 1220 ], [ 1220, 63, 973 ] ], [ [ 1539, 62, 134 ], [ 134, 24, 973 ] ], [ [ 1539, 24, 36 ], [ 36, 63, 973 ] ], [ [ 1539, 63, 1555 ], [ 1555, 24, 973 ] ] ]
[ [ [ "Ofloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paclitaxel" ] ], [ [ "Ofloxacin", "{u} (Compound) binds {v} (Gene)", "ABCC2" ], [ "ABCC2", "{u} (Gene) is bound by {v} (Compound)", "Paclitaxel" ] ], [ [ "Ofloxacin", "{u} (Compound) binds {v} (Gene)", "TOP2A" ], [ "TOP2A", "{u} (Gene) is downregulated by {v} (Compound)", "Paclitaxel" ] ], [ [ "Ofloxacin", "{u} (Compound) causes {v} (Side Effect)", "Swelling face" ], [ "Swelling face", "{u} (Side Effect) is caused by {v} (Compound)", "Paclitaxel" ] ], [ [ "Ofloxacin", "{u} (Compound) resembles {v} (Compound)", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paclitaxel" ] ], [ [ "Ofloxacin", "{u} (Compound) resembles {v} (Compound)", "Enoxacin" ], [ "Enoxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Paclitaxel" ] ], [ [ "Ofloxacin", "{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}", "Paclitaxel" ] ], [ [ "Ofloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Ofloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eribulin" ], [ "Eribulin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ], [ [ "Ofloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paclitaxel" ] ] ]
Ofloxacin may cause a minor interaction that can limit clinical effects when taken with Paclitaxel Ofloxacin (Compound) binds ABCC2 (Gene) and ABCC2 (Gene) is bound by Paclitaxel (Compound) Ofloxacin (Compound) binds TOP2A (Gene) and TOP2A (Gene) is downregulated by Paclitaxel (Compound) Ofloxacin (Compound) causes Swelling face (Side Effect) and Swelling face (Side Effect) is caused by Paclitaxel (Compound) Ofloxacin (Compound) resembles Sparfloxacin (Compound) and Sparfloxacin may cause a minor interaction that can limit clinical effects when taken with Paclitaxel Ofloxacin (Compound) resembles Enoxacin (Compound) and Enoxacin may cause a minor interaction that can limit clinical effects when taken with Paclitaxel Ofloxacin 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 Paclitaxel Ofloxacin may cause a minor interaction that can limit clinical effects when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Ofloxacin may cause a moderate interaction that could exacerbate diseases when taken with Eribulin and Eribulin may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel Ofloxacin may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Paclitaxel