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DB00281
DB04834
608
276
[ "DDInter1066", "DDInter1571" ]
Lidocaine
Rapacuronium
Ever since its discovery and availability for sale and use in the late 1940s, lidocaine has become an exceptionally commonly used medication. In particular, lidocaine's principal mode of action in acting as a local anesthetic that numbs the sensations of tissues means the agent is indicated for facilitating local anesthesia for a large variety of surgical procedures [F4349, L5930, L5948]. It ultimately elicits its numbing activity by blocking sodium channels so that the neurons of local tissues that have the medication applied on are transiently incapable of signaling the brain regarding sensations [F4349, L5930, L5948]. In doing so, however, it can block or decrease muscle contractile, resulting in effects like vasodilation, hypotension, and irregular heart rate, among others [F4349, L5930, L5948]. As a result, lidocaine is also considered a class Ib anti-arrhythmic agent [L
Rapacuronium was withdrawn in 2001 in many countries due to risk of fatal bronchospasm.
Moderate
1
[ [ [ 608, 24, 276 ] ], [ [ 608, 23, 1220 ], [ 1220, 24, 276 ] ], [ [ 608, 23, 1448 ], [ 1448, 25, 276 ] ], [ [ 608, 23, 1220 ], [ 1220, 63, 613 ], [ 613, 23, 276 ] ], [ [ 608, 23, 1448 ], [ 1448, 63, 91 ], [ 91, 24, 276 ] ], [ [ 608, 6, 8374 ], [ 8374, 45, 613 ], [ 613, 23, 276 ] ], [ [ 608, 23, 1448 ], [ 1448, 64, 1441 ], [ 1441, 24, 276 ] ], [ [ 608, 23, 1132 ], [ 1132, 24, 568 ], [ 568, 24, 276 ] ], [ [ 608, 6, 6799 ], [ 6799, 45, 1220 ], [ 1220, 24, 276 ] ], [ [ 608, 23, 1220 ], [ 1220, 40, 251 ], [ 251, 24, 276 ] ] ]
[ [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Streptomycin" ], [ "Streptomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Irinotecan" ], [ "Irinotecan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Streptomycin" ], [ "Streptomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vancomycin" ], [ "Vancomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Irinotecan" ], [ "Irinotecan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Streptomycin" ], [ "Streptomycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bacitracin" ], [ "Bacitracin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gentamicin" ], [ "Gentamicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clindamycin" ], [ "Clindamycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} (Compound) binds {v} (Gene)", "CYP3A7" ], [ "CYP3A7", "{u} (Gene) is bound by {v} (Compound)", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rapacuronium" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rapacuronium" ] ] ]
Lidocaine may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Rapacuronium Lidocaine may cause a minor interaction that can limit clinical effects when taken with Streptomycin and Streptomycin may lead to a major life threatening interaction when taken with Rapacuronium Lidocaine may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Irinotecan and Irinotecan may cause a minor interaction that can limit clinical effects when taken with Rapacuronium Lidocaine may cause a minor interaction that can limit clinical effects when taken with Streptomycin and Streptomycin may cause a moderate interaction that could exacerbate diseases when taken with Vancomycin and Vancomycin may cause a moderate interaction that could exacerbate diseases when taken with Rapacuronium Lidocaine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Irinotecan (Compound) and Irinotecan may cause a minor interaction that can limit clinical effects when taken with Rapacuronium Lidocaine may cause a minor interaction that can limit clinical effects when taken with Streptomycin and Streptomycin may lead to a major life threatening interaction when taken with Bacitracin and Bacitracin may cause a moderate interaction that could exacerbate diseases when taken with Rapacuronium Lidocaine may cause a minor interaction that can limit clinical effects when taken with Gentamicin and Gentamicin may cause a moderate interaction that could exacerbate diseases when taken with Clindamycin and Clindamycin may cause a moderate interaction that could exacerbate diseases when taken with Rapacuronium Lidocaine (Compound) binds CYP3A7 (Gene) and CYP3A7 (Gene) is bound by Dexamethasone (Compound) and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Rapacuronium Lidocaine may cause a minor interaction that can limit clinical effects when taken with Dexamethasone and Dexamethasone (Compound) resembles Betamethasone (Compound) and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Rapacuronium
DB01246
DB08824
820
591
[ "DDInter45", "DDInter959" ]
Alimemazine
Ioflupane I-123
A phenothiazine derivative that is used as an antipruritic.
Ioflupane (I-123) is a radiopharmaceutical used to image dopamine neurons and diagnose Parkinsonian syndromes.
Moderate
1
[ [ [ 820, 24, 591 ] ], [ [ 820, 21, 28666 ], [ 28666, 60, 591 ] ], [ [ 820, 63, 109 ], [ 109, 24, 591 ] ], [ [ 820, 25, 924 ], [ 924, 24, 591 ] ], [ [ 820, 75, 684 ], [ 684, 24, 591 ] ], [ [ 820, 74, 1630 ], [ 1630, 24, 591 ] ], [ [ 820, 40, 508 ], [ 508, 24, 591 ] ], [ [ 820, 24, 1177 ], [ 1177, 24, 591 ] ], [ [ 820, 64, 318 ], [ 318, 24, 591 ] ], [ [ 820, 1, 104 ], [ 104, 24, 591 ] ] ]
[ [ [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} (Compound) causes {v} (Side Effect)", "Nervous system disorder" ], [ "Nervous system disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duloxetine" ], [ "Duloxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iloperidone" ], [ "Iloperidone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} (Compound) resembles {v} (Compound) and {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}", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} (Compound) resembles {v} (Compound)", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexmethylphenidate" ], [ "Dexmethylphenidate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Escitalopram" ], [ "Escitalopram", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ], [ [ "Alimemazine", "{u} (Compound) resembles {v} (Compound)", "Methdilazine" ], [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ioflupane I-123" ] ] ]
Alimemazine (Compound) causes Nervous system disorder (Side Effect) and Nervous system disorder (Side Effect) is caused by Ioflupane I-123 (Compound) Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Duloxetine and Duloxetine may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Alimemazine may lead to a major life threatening interaction when taken with Iloperidone and Iloperidone may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Alimemazine (Compound) resembles Thioridazine (Compound) and Alimemazine may lead to a major life threatening interaction when taken with Thioridazine and Thioridazine may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Alimemazine (Compound) resembles Perphenazine (Compound) and Alimemazine 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 Ioflupane I-123 Alimemazine (Compound) resembles Promazine (Compound) and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Dexmethylphenidate and Dexmethylphenidate may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Alimemazine may lead to a major life threatening interaction when taken with Escitalopram and Escitalopram may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123 Alimemazine (Compound) resembles Methdilazine (Compound) and Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Ioflupane I-123
DB06176
DB12245
1,342
823
[ "DDInter1616", "DDInter1863" ]
Romidepsin
Triclabendazole
Romidepsin is a selective inhibitor of histone deacetylase, approved in the US in 2009 for the treatment of cutaneous T-cell lymphoma (CTCL) in patients who have received at least one prior systemic therapy.
Triclabendazole, manufactured by Novartis pharmaceuticals, is an antihelminthic drug that was approved by the FDA in February 2019 for the treatment of fascioliasis in humans.[FDA label, L5452] Fascioliasis is a parasitic infection often caused by the helminth, _Fasciola hepatica_, which is also known as “the common liver fluke” or “the sheep liver fluke” or by _Fasciola gigantica_, another helminth. These parasites can infect humans following ingestion of larvae in contaminated water or food. Triclabendazole was previously used in the treatment of fascioliasis in livestock, but is now approved for human use. This drug is currently the only FDA-approved drug for individuals with fascioliasis, which affects 2.4 million people worldwide.[A174988,L5452]
Moderate
1
[ [ [ 1342, 24, 823 ] ], [ [ 1342, 62, 1247 ], [ 1247, 23, 823 ] ], [ [ 1342, 24, 1612 ], [ 1612, 24, 823 ] ], [ [ 1342, 63, 1010 ], [ 1010, 24, 823 ] ], [ [ 1342, 24, 1619 ], [ 1619, 63, 823 ] ], [ [ 1342, 25, 868 ], [ 868, 25, 823 ] ], [ [ 1342, 64, 702 ], [ 702, 25, 823 ] ], [ [ 1342, 25, 982 ], [ 982, 64, 823 ] ], [ [ 1342, 62, 1247 ], [ 1247, 62, 112 ], [ 112, 23, 823 ] ], [ [ 1342, 62, 112 ], [ 112, 23, 1247 ], [ 1247, 23, 823 ] ] ]
[ [ [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ] ], [ [ "Romidepsin", "{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}", "Triclabendazole" ] ], [ [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostemsavir" ], [ "Fostemsavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ] ], [ [ "Romidepsin", "{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}", "Triclabendazole" ] ], [ [ "Romidepsin", "{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}", "Triclabendazole" ] ], [ [ "Romidepsin", "{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}", "Triclabendazole" ] ], [ [ "Romidepsin", "{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}", "Triclabendazole" ] ], [ [ "Romidepsin", "{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}", "Triclabendazole" ] ], [ [ "Romidepsin", "{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" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Triclabendazole" ] ], [ [ "Romidepsin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Triclabendazole" ] ] ]
Romidepsin 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 Triclabendazole Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Fostemsavir and Fostemsavir may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole Romidepsin 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 Triclabendazole Romidepsin 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 Triclabendazole Romidepsin 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 Triclabendazole Romidepsin 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 Triclabendazole Romidepsin 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 Triclabendazole Romidepsin 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 and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Triclabendazole Romidepsin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Triclabendazole
DB00777
DB01105
146
222
[ "DDInter1537", "DDInter1665" ]
Propiomazine
Sibutramine
Propiomazine, an atypical antipsychotic agent, is used to treat both negative and positive symptoms of schizophrenia, acute mania with bipolar disorder, agitation, and psychotic symptoms in dementia. Future uses may include the treatment of obsessive-compulsive disorder and severe behavioral disorders in autism. Structurally and pharmacologically similar to clozapine, propiomazine binds to alpha(1), dopamine, histamine H1, muscarinic, and serotonin type 2 (5-HT2) receptors.
Sibutramine (trade name Meridia in the USA, Reductil in Europe and other countries), usually as sibutramide hydrochloride monohydrate, is an orally administered agent for the treatment of obesity. It is a centrally acting stimulant chemically related to amphetamines thus it is classified as a Schedule IV controlled substance in the United States. In October 2010, Sibutramine was withdrawn from Canadian and U.S. markets due to concerns that the drug increases the risk of heart attack and stroke in patients with a history of heart disease.
Moderate
1
[ [ [ 146, 24, 222 ] ], [ [ 146, 63, 1419 ], [ 1419, 23, 222 ] ], [ [ 146, 63, 128 ], [ 128, 24, 222 ] ], [ [ 146, 24, 549 ], [ 549, 63, 222 ] ], [ [ 146, 24, 100 ], [ 100, 24, 222 ] ], [ [ 146, 40, 216 ], [ 216, 24, 222 ] ], [ [ 146, 25, 1311 ], [ 1311, 63, 222 ] ], [ [ 146, 40, 820 ], [ 820, 63, 222 ] ], [ [ 146, 1, 1301 ], [ 1301, 63, 222 ] ], [ [ 146, 64, 475 ], [ 475, 24, 222 ] ] ]
[ [ [ "Propiomazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Propiomazine", "{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" ] ], [ [ "Propiomazine", "{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}", "Sibutramine" ] ], [ [ "Propiomazine", "{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}", "Sibutramine" ] ], [ [ "Propiomazine", "{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}", "Sibutramine" ] ], [ [ "Propiomazine", "{u} (Compound) resembles {v} (Compound)", "Chlorpromazine" ], [ "Chlorpromazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Propiomazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metoclopramide" ], [ "Metoclopramide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Propiomazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Propiomazine", "{u} (Compound) resembles {v} (Compound)", "Levacetylmethadol" ], [ "Levacetylmethadol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sibutramine" ] ], [ [ "Propiomazine", "{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}", "Sibutramine" ] ] ]
Propiomazine 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 Propiomazine 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 Sibutramine Propiomazine 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 Sibutramine Propiomazine 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 Sibutramine Propiomazine (Compound) resembles Chlorpromazine (Compound) and Chlorpromazine may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Propiomazine may lead to a major life threatening interaction when taken with Metoclopramide and Metoclopramide may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Propiomazine (Compound) resembles Alimemazine (Compound) and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Propiomazine (Compound) resembles Levacetylmethadol (Compound) and Levacetylmethadol may cause a moderate interaction that could exacerbate diseases when taken with Sibutramine Propiomazine 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 Sibutramine
DB00912
DB01174
473
697
[ "DDInter1581", "DDInter1442" ]
Repaglinide
Phenobarbital
Repaglinide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It belongs to the meglitinide class of short-acting insulin secretagogues, which act by binding to β cells of the pancreas to stimulate insulin release. Repaglinide induces an early insulin response to meals decreasing postprandial blood glucose levels. It should only be taken with meals and meal-time doses should be skipped with any skipped meal. Approximately one month of therapy is required before a decrease in fasting blood glucose is seen. Meglitnides may have a neutral effect on weight or cause a slight increase in weight. The average weight gain caused by meglitinides appears to be lower than that caused by sulfonylureas and insulin and appears to occur only in those naïve to oral antidiabetic agents. Due to their mechanism of action, meglitinides may cause hypoglycemia
A barbituric acid derivative that acts as a nonselective central nervous system depressant. It promotes binding to inhibitory gamma-aminobutyric acid subtype receptors, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
Moderate
1
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[ [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primidone" ], [ "Primidone", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ] ], [ [ "Repaglinide", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Phenobarbital" ] ], [ [ "Repaglinide", "{u} (Compound) causes {v} (Side Effect)", "Erythema multiforme" ], [ "Erythema multiforme", "{u} (Side Effect) is caused by {v} (Compound)", "Phenobarbital" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sulfasalazine" ], [ "Sulfasalazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Phenobarbital" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promethazine" ], [ "Promethazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenobarbital" ] ], [ [ "Repaglinide", "{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}", "Phenobarbital" ] ], [ [ "Repaglinide", "{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}", "Phenobarbital" ] ], [ [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sunitinib" ], [ "Sunitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenobarbital" ] ] ]
Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Primidone and Primidone (Compound) resembles Phenobarbital (Compound) Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Secobarbital and Secobarbital (Compound) resembles Phenobarbital (Compound) Repaglinide (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Phenobarbital (Compound) Repaglinide (Compound) causes Erythema multiforme (Side Effect) and Erythema multiforme (Side Effect) is caused by Phenobarbital (Compound) Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Sulfasalazine and Sulfasalazine may cause a minor interaction that can limit clinical effects when taken with Phenobarbital Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Promethazine and Promethazine may cause a moderate interaction that could exacerbate diseases when taken with Phenobarbital Repaglinide 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 Phenobarbital Repaglinide 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 Phenobarbital Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Sunitinib and Sunitinib may lead to a major life threatening interaction when taken with Phenobarbital
DB00570
DB08865
147
1,593
[ "DDInter1936", "DDInter448" ]
Vinblastine
Crizotinib
Antitumor alkaloid isolated from Vinca rosea. (Merck, 11th ed.)
Crizotinib is a tyrosine kinase receptor inhibitor used for the treatment of anaplastic lymphoma kinase (ALK) or ROS1-positive non-small cell lung cancer (NSCLC) tumors, as well as ALK-positive anaplastic large cell lymphoma (ALCL) and inflammatory myofibroblastic tumor (IMT). By targeting the echinoderm microtubule-associated protein-like 4 (EML4)-ALK fusion protein, crizotinib offers robust effectiveness in treating NSCLC in patients with this type of rearrangement. Crizotinib was the first-in-class drug used to treat ALK-positive tumors. Second- and third-generation ALK-tyrosine kinase-inhibitors have overcome many of the pharmacodynamic and genetic resistance mechanisms crizotinib is prone to. Crizotinib was approved by the FDA in 2011, and its use is accompanied by FDA-approved tests used to detect ALK and ROS1 rearrangements.
Moderate
1
[ [ [ 147, 24, 1593 ] ], [ [ 147, 5, 11582 ], [ 11582, 44, 1593 ] ], [ [ 147, 6, 8374 ], [ 8374, 45, 1593 ] ], [ [ 147, 7, 10365 ], [ 10365, 45, 1593 ] ], [ [ 147, 7, 5335 ], [ 5335, 46, 1593 ] ], [ [ 147, 18, 8839 ], [ 8839, 46, 1593 ] ], [ [ 147, 18, 2879 ], [ 2879, 57, 1593 ] ], [ [ 147, 7, 4729 ], [ 4729, 57, 1593 ] ], [ [ 147, 6, 3004 ], [ 3004, 57, 1593 ] ], [ [ 147, 34, 16974 ], [ 16974, 57, 1593 ] ] ]
[ [ [ "Vinblastine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) treats {v} (Disease)", "lung cancer" ], [ "lung cancer", "{u} (Disease) is treated by {v} (Compound)", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) upregulates {v} (Gene)", "STK10" ], [ "STK10", "{u} (Gene) is bound by {v} (Compound)", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) upregulates {v} (Gene)", "LDLR" ], [ "LDLR", "{u} (Gene) is upregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) downregulates {v} (Gene)", "GNPDA1" ], [ "GNPDA1", "{u} (Gene) is upregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) downregulates {v} (Gene)", "FEN1" ], [ "FEN1", "{u} (Gene) is downregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) upregulates {v} (Gene)", "EBNA1BP2" ], [ "EBNA1BP2", "{u} (Gene) is downregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) binds {v} (Gene)", "TUBG1" ], [ "TUBG1", "{u} (Gene) is downregulated by {v} (Compound)", "Crizotinib" ] ], [ [ "Vinblastine", "{u} (Compound) binds {v} (Gene) and {u} (Compound) upregulates {v} (Gene)", "TUBB6" ], [ "TUBB6", "{u} (Gene) is downregulated by {v} (Compound)", "Crizotinib" ] ] ]
Vinblastine (Compound) treats lung cancer (Disease) and lung cancer (Disease) is treated by Crizotinib (Compound) Vinblastine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Crizotinib (Compound) Vinblastine (Compound) upregulates STK10 (Gene) and STK10 (Gene) is bound by Crizotinib (Compound) Vinblastine (Compound) upregulates LDLR (Gene) and LDLR (Gene) is upregulated by Crizotinib (Compound) Vinblastine (Compound) downregulates GNPDA1 (Gene) and GNPDA1 (Gene) is upregulated by Crizotinib (Compound) Vinblastine (Compound) downregulates FEN1 (Gene) and FEN1 (Gene) is downregulated by Crizotinib (Compound) Vinblastine (Compound) upregulates EBNA1BP2 (Gene) and EBNA1BP2 (Gene) is downregulated by Crizotinib (Compound) Vinblastine (Compound) binds TUBG1 (Gene) and TUBG1 (Gene) is downregulated by Crizotinib (Compound) Vinblastine (Compound) binds TUBB6 (Gene) and Vinblastine (Compound) upregulates TUBB6 (Gene) and TUBB6 (Gene) is downregulated by Crizotinib (Compound)
DB00264
DB00635
88
1,573
[ "DDInter1200", "DDInter1515" ]
Metoprolol
Prednisone
Metoprolol is a selective beta-1 blocker commonly employed as the succinate and tartrate derivatives depending if the formulation is designed to be of immediate release or extended release.[A175159, L5530] The possibility of the generation of these formulations comes from the lower systemic bioavailability of the succinate derivative. To this date, it is one of the preferred beta-blockers in general clinical guidelines and it is widely prescribed in the Netherlands, New Zealand, and the US. Metoprolol was developed since 1969 by US Pharmaceutical Holdings I and FDA approved in 1978.
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
[ [ [ 88, 24, 1573 ] ], [ [ 88, 24, 175 ], [ 175, 40, 1573 ] ], [ [ 88, 24, 251 ], [ 251, 1, 1573 ] ], [ [ 88, 6, 10215 ], [ 10215, 45, 1573 ] ], [ [ 88, 7, 7248 ], [ 7248, 46, 1573 ] ], [ [ 88, 21, 28957 ], [ 28957, 60, 1573 ] ], [ [ 88, 23, 115 ], [ 115, 62, 1573 ] ], [ [ 88, 24, 659 ], [ 659, 62, 1573 ] ], [ [ 88, 24, 478 ], [ 478, 63, 1573 ] ], [ [ 88, 63, 1648 ], [ 1648, 24, 1573 ] ] ]
[ [ [ "Metoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisone" ] ], [ [ "Metoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ] ], [ [ "Metoprolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} (Compound) resembles {v} (Compound)", "Prednisone" ] ], [ [ "Metoprolol", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Prednisone" ] ], [ [ "Metoprolol", "{u} (Compound) upregulates {v} (Gene)", "RPP38" ], [ "RPP38", "{u} (Gene) is upregulated by {v} (Compound)", "Prednisone" ] ], [ [ "Metoprolol", "{u} (Compound) causes {v} (Side Effect)", "Arthralgia" ], [ "Arthralgia", "{u} (Side Effect) is caused by {v} (Compound)", "Prednisone" ] ], [ [ "Metoprolol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aluminum hydroxide" ], [ "Aluminum hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prednisone" ] ], [ [ "Metoprolol", "{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" ] ], [ [ "Metoprolol", "{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}", "Prednisone" ] ], [ [ "Metoprolol", "{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}", "Prednisone" ] ] ]
Metoprolol may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone (Compound) resembles Prednisone (Compound) Metoprolol may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone (Compound) resembles Prednisone (Compound) Metoprolol (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Prednisone (Compound) Metoprolol (Compound) upregulates RPP38 (Gene) and RPP38 (Gene) is upregulated by Prednisone (Compound) Metoprolol (Compound) causes Arthralgia (Side Effect) and Arthralgia (Side Effect) is caused by Prednisone (Compound) Metoprolol may cause a minor interaction that can limit clinical effects when taken with Aluminum hydroxide and Aluminum hydroxide may cause a minor interaction that can limit clinical effects when taken with Prednisone Metoprolol 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 Metoprolol 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 Prednisone Metoprolol 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 Prednisone
DB00781
DB01339
1,481
728
[ "DDInter1489", "DDInter1922" ]
Polymyxin B
Vecuronium
Polymyxin B was discovered in the 1940s. They are basic polypeptides of about eight amino acids and have cationic detergent action on cell membranes. Polymyxin B is used for infections with gram-negative organisms, but may be neurotoxic and nephrotoxic[A176426,FDA Label]. All gram-positive bacteria, fungi, and the gram-negative cocci, are resistant. It is appropriate for treatment of infections of the urinary tract, meninges, and blood stream, caused by susceptible strains of _Pseudomonas aeruginosa_[FDA Label]. Polymyxin B has a narrow therapeutic index and so its use is limited and unlikely to be used first line.
Monoquaternary homolog of pancuronium. A non-depolarizing neuromuscular blocking agent with shorter duration of action than pancuronium. Its lack of significant cardiovascular effects and lack of dependence on good kidney function for elimination as well as its short duration of action and easy reversibility provide advantages over, or alternatives to, other established neuromuscular blocking agents.
Major
2
[ [ [ 1481, 25, 728 ] ], [ [ 1481, 64, 1610 ], [ 1610, 1, 728 ] ], [ [ 1481, 25, 1579 ], [ 1579, 40, 728 ] ], [ [ 1481, 21, 28717 ], [ 28717, 60, 728 ] ], [ [ 1481, 1, 1441 ], [ 1441, 24, 728 ] ], [ [ 1481, 63, 91 ], [ 91, 24, 728 ] ], [ [ 1481, 25, 416 ], [ 416, 25, 728 ] ], [ [ 1481, 64, 1610 ], [ 1610, 1, 1665 ], [ 1665, 1, 728 ] ], [ [ 1481, 25, 1579 ], [ 1579, 40, 1610 ], [ 1610, 1, 728 ] ], [ [ 1481, 21, 28717 ], [ 28717, 60, 1579 ], [ 1579, 40, 728 ] ] ]
[ [ [ "Polymyxin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Rocuronium" ], [ "Rocuronium", "{u} (Compound) resembles {v} (Compound)", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Pancuronium" ], [ "Pancuronium", "{u} (Compound) resembles {v} (Compound)", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} (Compound) causes {v} (Side Effect)", "Flushing" ], [ "Flushing", "{u} (Side Effect) is caused by {v} (Compound)", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} (Compound) resembles {v} (Compound)", "Bacitracin" ], [ "Bacitracin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vancomycin" ], [ "Vancomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Rocuronium" ], [ "Rocuronium", "{u} (Compound) resembles {v} (Compound)", "Pipecuronium" ], [ "Pipecuronium", "{u} (Compound) resembles {v} (Compound)", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} may lead to a major life threatening interaction when taken with {v}", "Pancuronium" ], [ "Pancuronium", "{u} (Compound) resembles {v} (Compound)", "Rocuronium" ], [ "Rocuronium", "{u} (Compound) resembles {v} (Compound)", "Vecuronium" ] ], [ [ "Polymyxin B", "{u} (Compound) causes {v} (Side Effect)", "Flushing" ], [ "Flushing", "{u} (Side Effect) is caused by {v} (Compound)", "Pancuronium" ], [ "Pancuronium", "{u} (Compound) resembles {v} (Compound)", "Vecuronium" ] ] ]
Polymyxin B may lead to a major life threatening interaction when taken with Rocuronium and Rocuronium (Compound) resembles Vecuronium (Compound) Polymyxin B may lead to a major life threatening interaction when taken with Pancuronium and Pancuronium (Compound) resembles Vecuronium (Compound) Polymyxin B (Compound) causes Flushing (Side Effect) and Flushing (Side Effect) is caused by Vecuronium (Compound) Polymyxin B (Compound) resembles Bacitracin (Compound) and Bacitracin may cause a moderate interaction that could exacerbate diseases when taken with Vecuronium Polymyxin B may cause a moderate interaction that could exacerbate diseases when taken with Vancomycin and Vancomycin may cause a moderate interaction that could exacerbate diseases when taken with Vecuronium Polymyxin B may lead to a major life threatening interaction when taken with Kanamycin and Kanamycin may lead to a major life threatening interaction when taken with Vecuronium Polymyxin B may lead to a major life threatening interaction when taken with Rocuronium and Rocuronium (Compound) resembles Pipecuronium (Compound) and Pipecuronium (Compound) resembles Vecuronium (Compound) Polymyxin B may lead to a major life threatening interaction when taken with Pancuronium and Pancuronium (Compound) resembles Rocuronium (Compound) and Rocuronium (Compound) resembles Vecuronium (Compound) Polymyxin B (Compound) causes Flushing (Side Effect) and Flushing (Side Effect) is caused by Pancuronium (Compound) and Pancuronium (Compound) resembles Vecuronium (Compound)
DB00549
DB00995
522
1,112
[ "DDInter1955", "DDInter139" ]
Zafirlukast
Auranofin
Zafirlukast is an oral leukotriene receptor antagonist (LTRA) for the maintenance treatment of asthma, often used in conjunction with an inhaled steroid and/or long-acting bronchodilator. It is available as a tablet and is usually dosed twice daily. Another leukotriene receptor antagonist is montelukast (Singulair), which is usually taken just once daily. Zafirlukast blocks the action of the cysteinyl leukotrienes on the CysLT1 receptors, thus reducing constriction of the airways, build-up of mucus in the lungs and inflammation of the breathing passages.
Auranofin is a gold salt that is capable of eliciting pharmacologic actions that suppress inflammation and stimulate cell-mediated immunity. It has subsequently been listed by the World Health Organization as a member of the antirheumatic agent category. Auranofin appears to induce heme oxygenase 1 (HO-1) mRNA. Heme oxygenase 1 is an inducible heme-degrading enzyme with anti-inflammatory properties.
Moderate
1
[ [ [ 522, 24, 1112 ] ], [ [ 522, 21, 28757 ], [ 28757, 60, 1112 ] ], [ [ 522, 24, 36 ], [ 36, 63, 1112 ] ], [ [ 522, 63, 134 ], [ 134, 24, 1112 ] ], [ [ 522, 24, 467 ], [ 467, 24, 1112 ] ], [ [ 522, 25, 1510 ], [ 1510, 64, 1112 ] ], [ [ 522, 24, 1487 ], [ 1487, 64, 1112 ] ], [ [ 522, 21, 28757 ], [ 28757, 60, 310 ], [ 310, 63, 1112 ] ], [ [ 522, 21, 28826 ], [ 28826, 60, 467 ], [ 467, 24, 1112 ] ], [ [ 522, 24, 36 ], [ 36, 63, 134 ], [ 134, 24, 1112 ] ] ]
[ [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Auranofin" ] ], [ [ "Zafirlukast", "{u} (Compound) causes {v} (Side Effect)", "Dyspepsia" ], [ "Dyspepsia", "{u} (Side Effect) is caused by {v} (Compound)", "Auranofin" ] ], [ [ "Zafirlukast", "{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}", "Auranofin" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Auranofin" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Auranofin" ] ], [ [ "Zafirlukast", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Auranofin" ] ], [ [ "Zafirlukast", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Auranofin" ] ], [ [ "Zafirlukast", "{u} (Compound) causes {v} (Side Effect)", "Dyspepsia" ], [ "Dyspepsia", "{u} (Side Effect) is caused by {v} (Compound)", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Auranofin" ] ], [ [ "Zafirlukast", "{u} (Compound) causes {v} (Side Effect)", "Jaundice" ], [ "Jaundice", "{u} (Side Effect) is caused by {v} (Compound)", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Auranofin" ] ], [ [ "Zafirlukast", "{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}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Auranofin" ] ] ]
Zafirlukast (Compound) causes Dyspepsia (Side Effect) and Dyspepsia (Side Effect) is caused by Auranofin (Compound) Zafirlukast 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 Auranofin Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Auranofin Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Simvastatin and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Auranofin Zafirlukast may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Auranofin Zafirlukast may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine and Hydroxychloroquine may lead to a major life threatening interaction when taken with Auranofin Zafirlukast (Compound) causes Dyspepsia (Side Effect) and Dyspepsia (Side Effect) is caused by Cabazitaxel (Compound) and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Auranofin Zafirlukast (Compound) causes Jaundice (Side Effect) and Jaundice (Side Effect) is caused by Simvastatin (Compound) and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Auranofin Zafirlukast 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 Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Auranofin
DB01041
DB11853
770
230
[ "DDInter1789", "DDInter1577" ]
Thalidomide
Relugolix
A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of inflammatory disorders and cancers. Thalidomide displays immunosuppressive and anti-angiogenic activity through modulating the release of inflammatory mediators like tumor necrosis factor-alpha (TNF-a) and other cytokine action. Due to severe teratogenicity, pregnancy must be excluded before the start of treatment and patients must enrol in the THALIDOMID Risk Evaluation and Mitigation Strategy (REMS) program to ensure contraception adherence.
Relugolix is a gonadotropin-releasing hormone (GnRH) receptor antagonist used in the treatment of several hormone-responsive conditions. It was first approved in Japan in 2019, under the brand name Relumina, for the symptomatic treatment of uterine fibroids, and more recently by the United States' FDA in 2020, under the brand name Orgovyx, for the treatment of advanced prostate cancer.[L27991,L27996] This branded product was later approved by the European Commission on April 29, 2022. Relugolix has also been studied in the symptomatic treatment of endometriosis. Relugolix is the first (and currently only) orally-administered GnRH receptor antagonist approved for the treatment of prostate cancer - similar therapies such as [degarelix] require subcutaneous administration - and therefore provides a less burdensome therapeutic option for patients who might otherwise require clinic visits for administration by healthcare professionals. In addition to its relative ease-of-use, relugolix was shown to be superior in the depression of testosterone levels when compared to [leuprolide], another androgen deprivation therapy used in the treatment of prostate cancer. In May 2021, the FDA approved the combination product made up of relugolix, [estradiol], and [norethindrone] under the market name Myfembree for the first once-daily treatment for the management of heavy menstrual bleeding associated with uterine fibroids in premenopausal women.
Moderate
1
[ [ [ 770, 24, 230 ] ], [ [ 770, 24, 129 ], [ 129, 23, 230 ] ], [ [ 770, 63, 112 ], [ 112, 23, 230 ] ], [ [ 770, 24, 1476 ], [ 1476, 62, 230 ] ], [ [ 770, 24, 1662 ], [ 1662, 24, 230 ] ], [ [ 770, 63, 79 ], [ 79, 24, 230 ] ], [ [ 770, 64, 1555 ], [ 1555, 24, 230 ] ], [ [ 770, 25, 77 ], [ 77, 24, 230 ] ], [ [ 770, 24, 1619 ], [ 1619, 63, 230 ] ], [ [ 770, 24, 351 ], [ 351, 25, 230 ] ] ]
[ [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Relugolix" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Relugolix" ] ], [ [ "Thalidomide", "{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}", "Relugolix" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Relugolix" ] ], [ [ "Thalidomide", "{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}", "Relugolix" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sorafenib" ], [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Relugolix" ] ], [ [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Relugolix" ] ], [ [ "Thalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Idarubicin" ], [ "Idarubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Relugolix" ] ], [ [ "Thalidomide", "{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}", "Relugolix" ] ], [ [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Relugolix" ] ] ]
Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Enzalutamide and Enzalutamide may cause a minor interaction that can limit clinical effects when taken with Relugolix Thalidomide 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 Relugolix Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may cause a minor interaction that can limit clinical effects when taken with Relugolix Thalidomide 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 Relugolix Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Sorafenib and Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Relugolix Thalidomide may lead to a major life threatening interaction when taken with Oxaliplatin and Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Relugolix Thalidomide may lead to a major life threatening interaction when taken with Idarubicin and Idarubicin may cause a moderate interaction that could exacerbate diseases when taken with Relugolix Thalidomide 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 Relugolix Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Relugolix
DB01064
DB06764
1,148
1,090
[ "DDInter987", "DDInter1787" ]
Isoprenaline
Tetryzoline (nasal)
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.
Tetryzoline is a member of imidazolines and a carboxamidine. It has a role as a sympathomimetic agent and a nasal decongestant. It is a conjugate base of a tetryzoline(1+).
Moderate
1
[ [ [ 1148, 24, 1090 ] ], [ [ 1148, 63, 1000 ], [ 1000, 24, 1090 ] ], [ [ 1148, 24, 1032 ], [ 1032, 63, 1090 ] ], [ [ 1148, 24, 901 ], [ 901, 24, 1090 ] ], [ [ 1148, 74, 1674 ], [ 1674, 24, 1090 ] ], [ [ 1148, 24, 1629 ], [ 1629, 76, 1090 ] ], [ [ 1148, 63, 1161 ], [ 1161, 37, 1090 ] ], [ [ 1148, 24, 1053 ], [ 1053, 37, 1090 ] ], [ [ 1148, 63, 1000 ], [ 1000, 37, 247 ], [ 247, 25, 1090 ] ], [ [ 1148, 24, 1032 ], [ 1032, 63, 144 ], [ 144, 63, 1090 ] ] ]
[ [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetryzoline" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanadrel" ], [ "Guanadrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetryzoline" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ], [ "Levosalbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetryzoline" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Milnacipran" ], [ "Milnacipran", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetryzoline" ] ], [ [ "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}", "Tetryzoline" ] ], [ [ "Isoprenaline", "{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} and {u} may lead to a major life threatening interaction when taken with {v}", "Tetryzoline" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Selegiline" ], [ "Selegiline", "{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}", "Tetryzoline" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Procarbazine" ], [ "Procarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v} and {u} may lead to a major life threatening interaction when taken with {v}", "Tetryzoline" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Guanadrel" ], [ "Guanadrel", "{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}", "Iobenguane" ], [ "Iobenguane", "{u} may lead to a major life threatening interaction when taken with {v}", "Tetryzoline" ] ], [ [ "Isoprenaline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ], [ "Levosalbutamol", "{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}", "Tetryzoline" ] ] ]
Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Guanadrel and Guanadrel may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol and Levosalbutamol may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Milnacipran and Milnacipran may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline 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 Tetryzoline Isoprenaline 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 Tetryzoline and Methylene blue may lead to a major life threatening interaction when taken with Tetryzoline Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Selegiline and Selegiline may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline and Selegiline may lead to a major life threatening interaction when taken with Tetryzoline Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Procarbazine and Procarbazine may cause a moderate interaction that could exacerbate diseases when taken with Tetryzoline and Procarbazine may lead to a major life threatening interaction when taken with Tetryzoline Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Guanadrel and Guanadrel may cause a moderate interaction that could exacerbate diseases when taken with Iobenguane and Guanadrel 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 Tetryzoline Isoprenaline may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol and Levosalbutamol 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 Tetryzoline
DB08899
DB08932
129
1,398
[ "DDInter649", "DDInter1111" ]
Enzalutamide
Macitentan
Enzalutamide is an androgen receptor (AR) inhibitor for the treatment of castration-resistant prostate cancer (CRPC), both metastatic and non-metastatic. It is a second-generation antiandrogen agent that the FDA approved on August 31, 2012.[L40639, A252667] Although androgen deprivation therapy (ADT) is the first-line treatment of prostate cancer and remission can be achieved, arising resistance is inevitable, becoming castration-resistant prostate cancer. Until recently, docetaxel is the only treatment available for metastatic CRPC; however, AR inhibitors have been developed for more targeted therapy, although first-generation AR inhibitors like bicalutamide did not substantially increase the survival rate. Second-generation such as enzalutamide is more efficacious due to a higher affinity to AR and no partial agonist activity compared to bicalutamide.[A252667,A252642] Due to a favorable pharmacological profile,
Macitentan is a dual endothelin receptor antagonist used in the treatment of pulmonary arterial hypertension. It was first approved by the FDA in 2013. Macitentan differs from its predecessor [bosentan] due to its lower risk of hepatotoxicity.
Major
2
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[ [ [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Macitentan" ] ], [ [ "Enzalutamide", "{u} (Compound) binds {v} (Gene)", "ALB" ], [ "ALB", "{u} (Gene) is bound by {v} (Compound)", "Macitentan" ] ], [ [ "Enzalutamide", "{u} (Compound) causes {v} (Side Effect)", "Infestation NOS" ], [ "Infestation NOS", "{u} (Side Effect) is caused by {v} (Compound)", "Macitentan" ] ], [ [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macitentan" ] ], [ [ "Enzalutamide", "{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}", "Macitentan" ] ], [ [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macitentan" ] ], [ [ "Enzalutamide", "{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}", "Macitentan" ] ], [ [ "Enzalutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Macitentan" ] ], [ [ "Enzalutamide", "{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}", "Macitentan" ] ], [ [ "Enzalutamide", "{u} (Compound) binds {v} (Gene)", "ALB" ], [ "ALB", "{u} (Gene) is bound by {v} (Compound)", "Ivacaftor" ], [ "Ivacaftor", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Macitentan" ] ] ]
Enzalutamide (Compound) binds ALB (Gene) and ALB (Gene) is bound by Macitentan (Compound) Enzalutamide (Compound) causes Infestation NOS (Side Effect) and Infestation NOS (Side Effect) is caused by Macitentan (Compound) Enzalutamide may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may cause a moderate interaction that could exacerbate diseases when taken with Macitentan Enzalutamide 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 Macitentan Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Macitentan Enzalutamide 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 Macitentan Enzalutamide may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Macitentan Enzalutamide 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 Macitentan Enzalutamide (Compound) binds ALB (Gene) and ALB (Gene) is bound by Ivacaftor (Compound) and Ivacaftor may cause a moderate interaction that could exacerbate diseases when taken with Macitentan
DB00439
DB08820
289
1,478
[ "DDInter341", "DDInter997" ]
Cerivastatin
Ivacaftor
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]
Ivacaftor (also known as Kalydeco or VX-770) is a drug used for the management of Cystic Fibrosis (CF). It is manufactured and distributed by Vertex Pharmaceuticals. It was approved by the Food and Drug Administration on January 31, 2012, and by Health Canada in late 2012. Ivacaftor is administered as a monotherapy and also administered in combination with other drugs for the management of CF.[L6814,L6979,L6847] Cystic Fibrosis is an autosomal recessive disorder caused by one of several different mutations in the gene for the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) protein, an ion channel involved in the transport of chloride and sodium ions across cell membranes. CFTR is active in epithelial cells of organs such as of the lungs, pancreas, liver, digestive system, and reproductive tract. Alterations in the CFTR gene result in altered production, misfolding, or function of the protein and consequently abnormal fluid and ion transport across cell membranes.[A20298, A20299] As a result, CF patients produce thick, sticky mucus that clogs the ducts of organs where it is produced making patients more susceptible to complications such as infections, lung damage, pancreatic insufficiency, and malnutrition. Prior to the development of ivacaftor, management of CF primarily involved therapies for the control of infections, nutritional support, clearance of mucus, and management of symptoms rather than improvements in the underlying disease process or lung function (FEV1). Notably, ivacaftor was the first medication approved for the management of the underlying causes of CF (abnormalities in CFTR protein function) rather than control of symptoms.
Moderate
1
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[ [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{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}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{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}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Ivacaftor" ] ], [ [ "Cerivastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dabrafenib" ], [ "Dabrafenib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Ivacaftor" ] ] ]
Cerivastatin 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 Ivacaftor Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine and Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Ivacaftor Cerivastatin 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 Ivacaftor Cerivastatin may lead to a major life threatening interaction when taken with Fluconazole and Fluconazole may lead to a major life threatening interaction when taken with Ivacaftor Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Crizotinib and Crizotinib may lead to a major life threatening interaction when taken with Ivacaftor Cerivastatin may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Ivacaftor Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may lead to a major life threatening interaction when taken with Ivacaftor Cerivastatin may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Ivacaftor Cerivastatin may cause a moderate interaction that could exacerbate diseases when taken with Dabrafenib and Dabrafenib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Ivacaftor (Compound)
DB00911
DB01097
458
1,377
[ "DDInter1811", "DDInter1033" ]
Tinidazole
Leflunomide
A nitroimidazole antitrichomonal agent effective against _Trichomonas vaginalis_, _Entamoeba histolytica_, and _Giardia lamblia_ infections.
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.
Moderate
1
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[ [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ] ], [ [ "Tinidazole", "{u} (Compound) downregulates {v} (Gene)", "GDF15" ], [ "GDF15", "{u} (Gene) is downregulated by {v} (Compound)", "Leflunomide" ] ], [ [ "Tinidazole", "{u} (Compound) causes {v} (Side Effect)", "Neutropenia" ], [ "Neutropenia", "{u} (Side Effect) is caused by {v} (Compound)", "Leflunomide" ] ], [ [ "Tinidazole", "{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}", "Leflunomide" ] ], [ [ "Tinidazole", "{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}", "Leflunomide" ] ], [ [ "Tinidazole", "{u} (Compound) resembles {v} (Compound)", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolate mofetil" ], [ "Mycophenolate mofetil", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Atorvastatin" ], [ "Atorvastatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Tinidazole", "{u} (Compound) downregulates {v} (Gene)", "GDF15" ], [ "GDF15", "{u} (Gene) is associated with {v} (Disease)", "systemic scleroderma" ], [ "systemic scleroderma", "{u} (Disease) is treated by {v} (Compound)", "Leflunomide" ] ] ]
Tinidazole (Compound) downregulates GDF15 (Gene) and GDF15 (Gene) is downregulated by Leflunomide (Compound) Tinidazole (Compound) causes Neutropenia (Side Effect) and Neutropenia (Side Effect) is caused by Leflunomide (Compound) Tinidazole 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 Leflunomide Tinidazole 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 Leflunomide Tinidazole (Compound) resembles Metronidazole (Compound) and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Leflunomide Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may lead to a major life threatening interaction when taken with Leflunomide Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolate mofetil and Mycophenolate mofetil may lead to a major life threatening interaction when taken with Leflunomide Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Atorvastatin and Atorvastatin may lead to a major life threatening interaction when taken with Leflunomide Tinidazole (Compound) downregulates GDF15 (Gene) and GDF15 (Gene) is associated with systemic scleroderma (Disease) and systemic scleroderma (Disease) is treated by Leflunomide (Compound)
DB00530
DB00701
1,195
1,091
[ "DDInter667", "DDInter90" ]
Erlotinib
Amprenavir
Erlotinib is an inhibitor of the epidermal growth factor receptor (EGFR) tyrosine kinase that is used in the treatment of non-small cell lung cancer, pancreatic cancer and several other types of cancer. It is typically marketed under the trade name Tarceva. Erlotinib binds to the epidermal growth factor receptor (EGFR) tyrosine kinase in a reversible fashion at the adenosine triphosphate (ATP) binding site of the receptor. Recent studies demonstrate that erlotinib is also a potent inhibitor of JAK2V617F, which is a mutant form of tyrosine kinase JAK2 found in most patients with polycythemia vera (PV) and a substantial proportion of patients with idiopathic myelofibrosis or essential thrombocythemia. This finding introduces the potential use of erlotinib in the treatment of JAK2V617F-positive PV and other myeloprolifer
Amprenavir is a protease inhibitor used to treat HIV infection.
Moderate
1
[ [ [ 1195, 24, 1091 ] ], [ [ 1195, 24, 34 ], [ 34, 1, 1091 ] ], [ [ 1195, 6, 4973 ], [ 4973, 45, 1091 ] ], [ [ 1195, 21, 28996 ], [ 28996, 60, 1091 ] ], [ [ 1195, 24, 86 ], [ 86, 62, 1091 ] ], [ [ 1195, 63, 752 ], [ 752, 23, 1091 ] ], [ [ 1195, 24, 1283 ], [ 1283, 63, 1091 ] ], [ [ 1195, 63, 1101 ], [ 1101, 24, 1091 ] ], [ [ 1195, 24, 126 ], [ 126, 24, 1091 ] ], [ [ 1195, 1, 883 ], [ 883, 24, 1091 ] ] ]
[ [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amprenavir" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosamprenavir" ], [ "Fosamprenavir", "{u} (Compound) resembles {v} (Compound)", "Amprenavir" ] ], [ [ "Erlotinib", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Amprenavir" ] ], [ [ "Erlotinib", "{u} (Compound) causes {v} (Side Effect)", "Musculoskeletal discomfort" ], [ "Musculoskeletal discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Amprenavir" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Miconazole" ], [ "Miconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amprenavir" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cimetidine" ], [ "Cimetidine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amprenavir" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amprenavir" ] ], [ [ "Erlotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amprenavir" ] ], [ [ "Erlotinib", "{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}", "Amprenavir" ] ], [ [ "Erlotinib", "{u} (Compound) resembles {v} (Compound)", "Gefitinib" ], [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amprenavir" ] ] ]
Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Fosamprenavir and Fosamprenavir (Compound) resembles Amprenavir (Compound) Erlotinib (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Amprenavir (Compound) Erlotinib (Compound) causes Musculoskeletal discomfort (Side Effect) and Musculoskeletal discomfort (Side Effect) is caused by Amprenavir (Compound) Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Miconazole and Miconazole may cause a minor interaction that can limit clinical effects when taken with Amprenavir Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Cimetidine and Cimetidine may cause a minor interaction that can limit clinical effects when taken with Amprenavir Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide and Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Amprenavir Erlotinib may cause a moderate interaction that could exacerbate diseases when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Amprenavir Erlotinib 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 Amprenavir Erlotinib (Compound) resembles Gefitinib (Compound) and Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Amprenavir
DB00005
DB10429
1,057
200
[ "DDInter687", "DDInter282" ]
Etanercept
Candida albicans
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).
Candida albicans is a fungus which can provoke allergic reactions. Candida albicans is used in allergenic testing.
Moderate
1
[ [ [ 1057, 24, 200 ] ], [ [ 1057, 25, 1096 ], [ 1096, 24, 200 ] ], [ [ 1057, 25, 1019 ], [ 1019, 63, 200 ] ], [ [ 1057, 64, 669 ], [ 669, 24, 200 ] ], [ [ 1057, 24, 58 ], [ 58, 24, 200 ] ], [ [ 1057, 25, 1096 ], [ 1096, 24, 1683 ], [ 1683, 24, 200 ] ], [ [ 1057, 25, 1683 ], [ 1683, 63, 1096 ], [ 1096, 24, 200 ] ], [ [ 1057, 25, 976 ], [ 976, 64, 1096 ], [ 1096, 24, 200 ] ], [ [ 1057, 25, 1064 ], [ 1064, 25, 1096 ], [ 1096, 24, 200 ] ], [ [ 1057, 64, 669 ], [ 669, 24, 1683 ], [ 1683, 24, 200 ] ] ]
[ [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Deflazacort" ], [ "Deflazacort", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Denileukin diftitox" ], [ "Denileukin diftitox", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{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}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Etanercept", "{u} may lead to a major life threatening interaction when taken with {v}", "Denileukin diftitox" ], [ "Denileukin diftitox", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ] ]
Etanercept may lead to a major life threatening interaction when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Etanercept may lead to a major life threatening interaction when taken with Deflazacort and Deflazacort may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Etanercept may lead to a major life threatening interaction when taken with Denileukin diftitox and Denileukin diftitox may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Etanercept may lead to a major life threatening interaction when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Etanercept may lead to a major life threatening interaction when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Etanercept may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Etanercept 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 Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Etanercept may lead to a major life threatening interaction when taken with Denileukin diftitox and Denileukin diftitox may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans
DB00398
DB09078
79
1,228
[ "DDInter1702", "DDInter1036" ]
Sorafenib
Lenvatinib
Sorafenib is a bi-aryl urea and an oral multikinase inhibitor. It targets cell surface tyrosine kinase receptors and downstream intracellular kinases that are implicated in tumour cell proliferation and tumour angiogenesis. First approved by the FDA and European Commission in 2007 for the treatment of hepatocellular carcinoma, sorafenib is also indicated to treat renal carcinoma and differentiated thyroid carcinoma.
Lenvatinib is a receptor tyrosine kinase (RTK) inhibitor that inhibits the kinase activities of vascular endothelial growth factor (VEGF) receptors VEGFR1 (FLT1), VEGFR2 (KDR), and VEGFR3 (FLT4). Lenvatinib also inhibits other RTKs that have been implicated in pathogenic angiogenesis, tumor growth, and cancer progression in addition to their normal cellular functions, including fibroblast growth factor (FGF) receptors FGFR1, 2, 3, and 4; the platelet derived growth factor receptor alpha (PDGFRα), KIT, and RET. These receptor tyrosine kinases (RTKs) located in the cell membrane play a central role in the activation of signal transduction pathways involved in the normal regulation of cellular processes, such as cell proliferation, migration, apoptosis and differentiation, and in pathogenic angiogenesis, lymphogenesis, tumour growth and cancer progression. In particular, VEGF has been identified as a crucial regulator of both physiologic and pathologic angiogenesis and increased expression of VEGF is associated with a poor prognosis in many types of cancers. Lenvatinib is indicated for the treatment of patients with locally recurrent or metastatic, progressive, radioactive iodine (RAI)-refractory differentiated thyroid cancer. Most patients with thyroid cancer have a very good prognosis with treatment (98% 5 year survival rate) involving surgery and hormone therapy. However, for patients with RAI-refractory thyroid cancer, treatment options are limited and the prognosis is poor, leading to a push for the development of more targeted therapies such as lenvatinib.
Moderate
1
[ [ [ 79, 24, 1228 ] ], [ [ 79, 23, 112 ], [ 112, 23, 1228 ] ], [ [ 79, 24, 463 ], [ 463, 23, 1228 ] ], [ [ 79, 63, 1100 ], [ 1100, 24, 1228 ] ], [ [ 79, 24, 609 ], [ 609, 24, 1228 ] ], [ [ 79, 24, 603 ], [ 603, 63, 1228 ] ], [ [ 79, 25, 1069 ], [ 1069, 25, 1228 ] ], [ [ 79, 64, 1176 ], [ 1176, 25, 1228 ] ], [ [ 79, 25, 982 ], [ 982, 64, 1228 ] ], [ [ 79, 23, 112 ], [ 112, 24, 463 ], [ 463, 23, 1228 ] ] ]
[ [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lenvatinib" ] ], [ [ "Sorafenib", "{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}", "Lenvatinib" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rifampicin" ], [ "Rifampicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lenvatinib" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venlafaxine" ], [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lenvatinib" ] ], [ [ "Sorafenib", "{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}", "Lenvatinib" ] ], [ [ "Sorafenib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ], [ "Magnesium citrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lenvatinib" ] ], [ [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Vandetanib" ], [ "Vandetanib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lenvatinib" ] ], [ [ "Sorafenib", "{u} may lead to a major life threatening interaction when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lenvatinib" ] ], [ [ "Sorafenib", "{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}", "Lenvatinib" ] ], [ [ "Sorafenib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rifampicin" ], [ "Rifampicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lenvatinib" ] ] ]
Sorafenib 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 Lenvatinib Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Rifampicin and Rifampicin may cause a minor interaction that can limit clinical effects when taken with Lenvatinib Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Venlafaxine and Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Lenvatinib Sorafenib 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 Lenvatinib Sorafenib may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate and Magnesium citrate may cause a moderate interaction that could exacerbate diseases when taken with Lenvatinib Sorafenib may lead to a major life threatening interaction when taken with Vandetanib and Vandetanib may lead to a major life threatening interaction when taken with Lenvatinib Sorafenib may lead to a major life threatening interaction when taken with Moxifloxacin and Moxifloxacin may lead to a major life threatening interaction when taken with Lenvatinib Sorafenib 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 Lenvatinib Sorafenib may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Rifampicin and Rifampicin may cause a minor interaction that can limit clinical effects when taken with Lenvatinib
DB00281
DB00619
608
1,419
[ "DDInter1066", "DDInter909" ]
Lidocaine
Imatinib
Ever since its discovery and availability for sale and use in the late 1940s, lidocaine has become an exceptionally commonly used medication. In particular, lidocaine's principal mode of action in acting as a local anesthetic that numbs the sensations of tissues means the agent is indicated for facilitating local anesthesia for a large variety of surgical procedures [F4349, L5930, L5948]. It ultimately elicits its numbing activity by blocking sodium channels so that the neurons of local tissues that have the medication applied on are transiently incapable of signaling the brain regarding sensations [F4349, L5930, L5948]. In doing so, however, it can block or decrease muscle contractile, resulting in effects like vasodilation, hypotension, and irregular heart rate, among others [F4349, L5930, L5948]. As a result, lidocaine is also considered a class Ib anti-arrhythmic agent [L
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
[ [ [ 608, 24, 1419 ] ], [ [ 608, 6, 4973 ], [ 4973, 45, 1419 ] ], [ [ 608, 21, 28847 ], [ 28847, 60, 1419 ] ], [ [ 608, 23, 307 ], [ 307, 62, 1419 ] ], [ [ 608, 23, 1101 ], [ 1101, 23, 1419 ] ], [ [ 608, 24, 1619 ], [ 1619, 63, 1419 ] ], [ [ 608, 24, 1622 ], [ 1622, 24, 1419 ] ], [ [ 608, 23, 1335 ], [ 1335, 63, 1419 ] ], [ [ 608, 23, 536 ], [ 536, 24, 1419 ] ], [ [ 608, 25, 1080 ], [ 1080, 63, 1419 ] ] ]
[ [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Lidocaine", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Imatinib" ] ], [ [ "Lidocaine", "{u} (Compound) causes {v} (Side Effect)", "Eye disorder" ], [ "Eye disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Imatinib" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Imatinib" ] ], [ [ "Lidocaine", "{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}", "Imatinib" ] ], [ [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Voriconazole" ], [ "Voriconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Oxcarbazepine" ], [ "Oxcarbazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Lidocaine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Secobarbital" ], [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ], [ [ "Lidocaine", "{u} may lead to a major life threatening interaction when taken with {v}", "Conivaptan" ], [ "Conivaptan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ] ] ]
Lidocaine (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Imatinib (Compound) Lidocaine (Compound) causes Eye disorder (Side Effect) and Eye disorder (Side Effect) is caused by Imatinib (Compound) Lidocaine may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Imatinib Lidocaine may cause a minor interaction that can limit clinical effects when taken with Bexarotene and Bexarotene may cause a minor interaction that can limit clinical effects when taken with Imatinib Lidocaine 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 Imatinib Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Voriconazole and Voriconazole may cause a moderate interaction that could exacerbate diseases when taken with Imatinib Lidocaine may cause a minor interaction that can limit clinical effects when taken with Oxcarbazepine and Oxcarbazepine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib Lidocaine may cause a minor interaction that can limit clinical effects when taken with Secobarbital and Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Imatinib Lidocaine may lead to a major life threatening interaction when taken with Conivaptan and Conivaptan may cause a moderate interaction that could exacerbate diseases when taken with Imatinib
DB00782
DB00960
1,123
887
[ "DDInter1535", "DDInter1471" ]
Propantheline
Pindolol
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.
Pindolol is a first generation non-selective beta blocker used in the treatment of hypertension. Early research into the use of pindolol found it had chronotropic effects, and so further investigation focused on the treatment of arrhythmia. Research into pindolol's use in the treatment of hypertension began in the early 1970s. Pindolol was granted FDA approval on 3 September 1982.
Moderate
1
[ [ [ 1123, 24, 887 ] ], [ [ 1123, 24, 819 ], [ 819, 40, 887 ] ], [ [ 1123, 63, 88 ], [ 88, 40, 887 ] ], [ [ 1123, 63, 1121 ], [ 1121, 1, 887 ] ], [ [ 1123, 18, 2826 ], [ 2826, 57, 887 ] ], [ [ 1123, 21, 28691 ], [ 28691, 60, 887 ] ], [ [ 1123, 24, 1384 ], [ 1384, 62, 887 ] ], [ [ 1123, 63, 19 ], [ 19, 24, 887 ] ], [ [ 1123, 24, 1264 ], [ 1264, 63, 887 ] ], [ [ 1123, 24, 104 ], [ 104, 24, 887 ] ] ]
[ [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acebutolol" ], [ "Acebutolol", "{u} (Compound) resembles {v} (Compound)", "Pindolol" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metoprolol" ], [ "Metoprolol", "{u} (Compound) resembles {v} (Compound)", "Pindolol" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisoprolol" ], [ "Bisoprolol", "{u} (Compound) resembles {v} (Compound)", "Pindolol" ] ], [ [ "Propantheline", "{u} (Compound) downregulates {v} (Gene)", "CTNND1" ], [ "CTNND1", "{u} (Gene) is downregulated by {v} (Compound)", "Pindolol" ] ], [ [ "Propantheline", "{u} (Compound) causes {v} (Side Effect)", "Somnolence" ], [ "Somnolence", "{u} (Side Effect) is caused by {v} (Compound)", "Pindolol" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magaldrate" ], [ "Magaldrate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Pindolol" ] ], [ [ "Propantheline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hyoscyamine" ], [ "Hyoscyamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ] ], [ [ "Propantheline", "{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}", "Pindolol" ] ], [ [ "Propantheline", "{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}", "Pindolol" ] ] ]
Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Acebutolol and Acebutolol (Compound) resembles Pindolol (Compound) Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Metoprolol and Metoprolol (Compound) resembles Pindolol (Compound) Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Bisoprolol and Bisoprolol (Compound) resembles Pindolol (Compound) Propantheline (Compound) downregulates CTNND1 (Gene) and CTNND1 (Gene) is downregulated by Pindolol (Compound) Propantheline (Compound) causes Somnolence (Side Effect) and Somnolence (Side Effect) is caused by Pindolol (Compound) Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Magaldrate and Magaldrate may cause a minor interaction that can limit clinical effects when taken with Pindolol Propantheline may cause a moderate interaction that could exacerbate diseases when taken with Hyoscyamine and Hyoscyamine may cause a moderate interaction that could exacerbate diseases when taken with Pindolol Propantheline 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 Pindolol Propantheline 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 Pindolol
DB00065
DB00497
581
828
[ "DDInter923", "DDInter1366" ]
Infliximab
Oxycodone
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
Oxycodone is a semisynthetic opioid analgesic derived from thebaine in Germany in 1917. It is currently indicated as an immediate release product for moderate to severe pain and as an extended release product for chronic moderate to severe pain requiring continuous opioid analgesics for an extended period.[Label] The first oxycodone containing product, Percodan, was approved by the FDA on April 12, 1950.
Moderate
1
[ [ [ 581, 24, 828 ] ], [ [ 581, 24, 267 ], [ 267, 64, 828 ] ], [ [ 581, 25, 812 ], [ 812, 63, 828 ] ], [ [ 581, 64, 1648 ], [ 1648, 24, 828 ] ], [ [ 581, 25, 1101 ], [ 1101, 24, 828 ] ], [ [ 581, 24, 58 ], [ 58, 24, 828 ] ], [ [ 581, 24, 522 ], [ 522, 63, 828 ] ], [ [ 581, 25, 1419 ], [ 1419, 64, 828 ] ], [ [ 581, 24, 597 ], [ 597, 25, 828 ] ], [ [ 581, 24, 267 ], [ 267, 75, 421 ], [ 421, 1, 828 ] ] ]
[ [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxycodone" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxycodone" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Siltuximab" ], [ "Siltuximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxycodone" ] ], [ [ "Infliximab", "{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}", "Oxycodone" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxycodone" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxycodone" ] ], [ [ "Infliximab", "{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}", "Oxycodone" ] ], [ [ "Infliximab", "{u} may lead to a major life threatening interaction when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxycodone" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Oxycodone" ] ], [ [ "Infliximab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Hydromorphone" ], [ "Hydromorphone", "{u} (Compound) resembles {v} (Compound)", "Oxycodone" ] ] ]
Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone may lead to a major life threatening interaction when taken with Oxycodone Infliximab may lead to a major life threatening interaction when taken with Siltuximab and Siltuximab may cause a moderate interaction that could exacerbate diseases when taken with Oxycodone Infliximab 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 Oxycodone Infliximab may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Oxycodone Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Oxycodone Infliximab 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 Oxycodone Infliximab may lead to a major life threatening interaction when taken with Imatinib and Imatinib may lead to a major life threatening interaction when taken with Oxycodone Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may lead to a major life threatening interaction when taken with Oxycodone Infliximab may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone (Compound) resembles Hydromorphone (Compound) and Naltrexone may lead to a major life threatening interaction when taken with Hydromorphone and Hydromorphone (Compound) resembles Oxycodone (Compound)
DB00959
DB08868
1,486
1,011
[ "DDInter1191", "DDInter737" ]
Methylprednisolone
Fingolimod
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.
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
[ [ [ 1486, 25, 1011 ] ], [ [ 1486, 5, 11594 ], [ 11594, 44, 1011 ] ], [ [ 1486, 6, 8374 ], [ 8374, 45, 1011 ] ], [ [ 1486, 21, 28892 ], [ 28892, 60, 1011 ] ], [ [ 1486, 24, 61 ], [ 61, 24, 1011 ] ], [ [ 1486, 63, 751 ], [ 751, 24, 1011 ] ], [ [ 1486, 25, 915 ], [ 915, 24, 1011 ] ], [ [ 1486, 24, 748 ], [ 748, 63, 1011 ] ], [ [ 1486, 23, 480 ], [ 480, 24, 1011 ] ], [ [ 1486, 62, 1052 ], [ 1052, 24, 1011 ] ] ]
[ [ [ "Methylprednisolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} (Compound) treats {v} (Disease)", "multiple sclerosis" ], [ "multiple sclerosis", "{u} (Disease) is treated by {v} (Compound)", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} (Compound) causes {v} (Side Effect)", "Cardiac arrest" ], [ "Cardiac arrest", "{u} (Side Effect) is caused by {v} (Compound)", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edrophonium" ], [ "Edrophonium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pyridostigmine" ], [ "Pyridostigmine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Atazanavir" ], [ "Atazanavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anthrax vaccine" ], [ "Anthrax vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ], [ [ "Methylprednisolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ritodrine" ], [ "Ritodrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fingolimod" ] ] ]
Methylprednisolone (Compound) treats multiple sclerosis (Disease) and multiple sclerosis (Disease) is treated by Fingolimod (Compound) Methylprednisolone (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Fingolimod (Compound) Methylprednisolone (Compound) causes Cardiac arrest (Side Effect) and Cardiac arrest (Side Effect) is caused by Fingolimod (Compound) Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Edrophonium and Edrophonium may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Pyridostigmine and Pyridostigmine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Methylprednisolone may lead to a major life threatening interaction when taken with Atazanavir and Atazanavir may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Anthrax vaccine and Anthrax vaccine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Methylprednisolone may cause a minor interaction that can limit clinical effects when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod Methylprednisolone may cause a minor interaction that can limit clinical effects when taken with Ritodrine and Ritodrine may cause a moderate interaction that could exacerbate diseases when taken with Fingolimod
DB00377
DB00843
1,494
479
[ "DDInter1382", "DDInter583" ]
Palonosetron
Donepezil
Palonosetron (INN, trade name Aloxi) is an antagonist of 5-HT3 receptors that is indicated for the prevention and treatment of chemotherapy-induced nausea and vomiting (CINV). It is the most effective of the 5-HT3 antagonists in controlling delayed CINV nausea and vomiting that appear more than 24 hours after the first dose of a course of chemotherapy and is the only drug of its class approved for this use by the U.S. Food and Drug Administration. As of 2008, it is the most recent 5-HT3 antagonist to enter clinical use.
In 2016, the global burden of dementia was estimated to be 43.8 million, demonstrating a significant increase from a global prevalence of 20.2 million in 1990. Donepezil, also known as Aricept, is a piperidine derivative acetylcholinesterase inhibitor used in the management of the dementia of Alzheimer's Disease, and in some cases, is used to manage other types of dementia. Donepezil was first approved by the FDA in 1996, and its extended-release form was approved in combination with [Memantine] in 2014 to manage moderate and severe forms of Alzheimer's dementia.[L7916,L7937] A donepezil transdermal delivery system, Adlarity, was approved by the FDA in March 2022 for the treatment of Alzheimer's dementia. Though it does not alter the progression of Alzheimer's disease, donepezil is effective in managing the symptoms of its associated dementia.
Moderate
1
[ [ [ 1494, 24, 479 ] ], [ [ 1494, 24, 843 ], [ 843, 1, 479 ] ], [ [ 1494, 6, 12523 ], [ 12523, 45, 479 ] ], [ [ 1494, 21, 29220 ], [ 29220, 60, 479 ] ], [ [ 1494, 24, 392 ], [ 392, 62, 479 ] ], [ [ 1494, 25, 1593 ], [ 1593, 62, 479 ] ], [ [ 1494, 63, 600 ], [ 600, 23, 479 ] ], [ [ 1494, 25, 121 ], [ 121, 23, 479 ] ], [ [ 1494, 24, 1424 ], [ 1424, 23, 479 ] ], [ [ 1494, 24, 1555 ], [ 1555, 24, 479 ] ] ]
[ [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Donepezil" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tetrabenazine" ], [ "Tetrabenazine", "{u} (Compound) resembles {v} (Compound)", "Donepezil" ] ], [ [ "Palonosetron", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Donepezil" ] ], [ [ "Palonosetron", "{u} (Compound) causes {v} (Side Effect)", "Abdominal pain upper" ], [ "Abdominal pain upper", "{u} (Side Effect) is caused by {v} (Compound)", "Donepezil" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ] ], [ [ "Palonosetron", "{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}", "Donepezil" ] ], [ [ "Palonosetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ] ], [ [ "Palonosetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quinine" ], [ "Quinine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Donepezil" ] ], [ [ "Palonosetron", "{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}", "Donepezil" ] ] ]
Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Tetrabenazine and Tetrabenazine (Compound) resembles Donepezil (Compound) Palonosetron (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Donepezil (Compound) Palonosetron (Compound) causes Abdominal pain upper (Side Effect) and Abdominal pain upper (Side Effect) is caused by Donepezil (Compound) Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may cause a minor interaction that can limit clinical effects when taken with Donepezil Palonosetron may lead to a major life threatening interaction when taken with Crizotinib and Crizotinib may cause a minor interaction that can limit clinical effects when taken with Donepezil Palonosetron 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 Donepezil Palonosetron may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may cause a minor interaction that can limit clinical effects when taken with Donepezil Palonosetron may cause a moderate interaction that could exacerbate diseases when taken with Quinine and Quinine may cause a minor interaction that can limit clinical effects when taken with Donepezil Palonosetron 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 Donepezil
DB00046
DB01017
1,179
1,669
[ "DDInter940", "DDInter1224" ]
Insulin lispro
Minocycline
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
Minocycline was first described in the literacture in 1966. It is a second generation tetracycline antibiotic that is active against gram-negative and gram-positive bacteria. Like other semisynthetic tetracyclines, minocycline has modifications to carbons 7-9 on the D ring to generate higher efficacy than previous tetracyclines. Minocycline was granted FDA approval on 30 June 1971.
Moderate
1
[ [ [ 1179, 24, 1669 ] ], [ [ 1179, 24, 1572 ], [ 1572, 1, 1669 ] ], [ [ 1179, 24, 1545 ], [ 1545, 40, 1669 ] ], [ [ 1179, 24, 1605 ], [ 1605, 23, 1669 ] ], [ [ 1179, 24, 674 ], [ 674, 62, 1669 ] ], [ [ 1179, 24, 850 ], [ 850, 63, 1669 ] ], [ [ 1179, 24, 1560 ], [ 1560, 24, 1669 ] ], [ [ 1179, 63, 305 ], [ 305, 24, 1669 ] ], [ [ 1179, 24, 1572 ], [ 1572, 40, 964 ], [ 964, 1, 1669 ] ], [ [ 1179, 24, 964 ], [ 964, 1, 1572 ], [ 1572, 1, 1669 ] ] ]
[ [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Minocycline" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} (Compound) resembles {v} (Compound)", "Minocycline" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxytetracycline" ], [ "Oxytetracycline", "{u} (Compound) resembles {v} (Compound)", "Minocycline" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Indapamide" ], [ "Indapamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Minocycline" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ], [ "Trichlormethiazide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Minocycline" ] ], [ [ "Insulin lispro", "{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}", "Minocycline" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pegaspargase" ], [ "Pegaspargase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Minocycline" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Escherichia coli" ], [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Minocycline" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Demeclocycline" ], [ "Demeclocycline", "{u} (Compound) resembles {v} (Compound)", "Doxycycline" ], [ "Doxycycline", "{u} (Compound) resembles {v} (Compound)", "Minocycline" ] ], [ [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxycycline" ], [ "Doxycycline", "{u} (Compound) resembles {v} (Compound)", "Demeclocycline" ], [ "Demeclocycline", "{u} (Compound) resembles {v} (Compound)", "Minocycline" ] ] ]
Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Demeclocycline and Demeclocycline (Compound) resembles Minocycline (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Oxytetracycline and Oxytetracycline (Compound) resembles Minocycline (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Indapamide and Indapamide may cause a minor interaction that can limit clinical effects when taken with Minocycline Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide and Trichlormethiazide may cause a minor interaction that can limit clinical effects when taken with Minocycline Insulin lispro 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 Minocycline Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Pegaspargase and Pegaspargase may cause a moderate interaction that could exacerbate diseases when taken with Minocycline Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Escherichia coli and Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Minocycline Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Demeclocycline and Demeclocycline (Compound) resembles Doxycycline (Compound) and Doxycycline (Compound) resembles Minocycline (Compound) Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Doxycycline and Doxycycline (Compound) resembles Demeclocycline (Compound) and Demeclocycline (Compound) resembles Minocycline (Compound)
DB00620
DB01021
175
674
[ "DDInter1855", "DDInter1861" ]
Triamcinolone
Trichlormethiazide
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
A thiazide diuretic with properties similar to those of hydrochlorothiazide. (From Martindale, The Extra Pharmacopoeia, 30th ed, p830)
Moderate
1
[ [ [ 175, 24, 674 ] ], [ [ 175, 63, 1014 ], [ 1014, 40, 674 ] ], [ [ 175, 24, 178 ], [ 178, 1, 674 ] ], [ [ 175, 24, 359 ], [ 359, 40, 674 ] ], [ [ 175, 18, 18226 ], [ 18226, 57, 674 ] ], [ [ 175, 7, 7847 ], [ 7847, 57, 674 ] ], [ [ 175, 24, 126 ], [ 126, 23, 674 ] ], [ [ 175, 23, 455 ], [ 455, 24, 674 ] ], [ [ 175, 24, 1144 ], [ 1144, 24, 674 ] ], [ [ 175, 24, 52 ], [ 52, 63, 674 ] ] ]
[ [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzthiazide" ], [ "Benzthiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polythiazide" ], [ "Polythiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} (Compound) downregulates {v} (Gene)", "GDF15" ], [ "GDF15", "{u} (Gene) is downregulated by {v} (Compound)", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} (Compound) upregulates {v} (Gene)", "BAG3" ], [ "BAG3", "{u} (Gene) is downregulated by {v} (Compound)", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Salmeterol" ], [ "Salmeterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ], [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ], [ [ "Triamcinolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ], [ "Dulaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trichlormethiazide" ] ] ]
Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Benzthiazide and Benzthiazide (Compound) resembles Trichlormethiazide (Compound) Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Polythiazide and Polythiazide (Compound) resembles Trichlormethiazide (Compound) Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide (Compound) resembles Trichlormethiazide (Compound) Triamcinolone (Compound) downregulates GDF15 (Gene) and GDF15 (Gene) is downregulated by Trichlormethiazide (Compound) Triamcinolone (Compound) upregulates BAG3 (Gene) and BAG3 (Gene) is downregulated by Trichlormethiazide (Compound) Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Warfarin and Warfarin may cause a minor interaction that can limit clinical effects when taken with Trichlormethiazide Triamcinolone may cause a minor interaction that can limit clinical effects when taken with Salmeterol and Salmeterol may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide and Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide Triamcinolone may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide and Dulaglutide may cause a moderate interaction that could exacerbate diseases when taken with Trichlormethiazide
DB00673
DB00678
723
240
[ "DDInter112", "DDInter1095" ]
Aprepitant
Losartan
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).
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.
Moderate
1
[ [ [ 723, 24, 240 ] ], [ [ 723, 6, 7524 ], [ 7524, 45, 240 ] ], [ [ 723, 21, 28778 ], [ 28778, 60, 240 ] ], [ [ 723, 24, 870 ], [ 870, 63, 240 ] ], [ [ 723, 63, 600 ], [ 600, 24, 240 ] ], [ [ 723, 25, 1478 ], [ 1478, 63, 240 ] ], [ [ 723, 6, 7524 ], [ 7524, 48, 11590 ], [ 11590, 44, 240 ] ], [ [ 723, 6, 6017 ], [ 6017, 45, 11292 ], [ 11292, 40, 240 ] ], [ [ 723, 6, 10215 ], [ 10215, 45, 1607 ], [ 1607, 1, 240 ] ], [ [ 723, 21, 28778 ], [ 28778, 60, 755 ], [ 755, 1, 240 ] ] ]
[ [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Losartan" ] ], [ [ "Aprepitant", "{u} (Compound) binds {v} (Gene)", "CYP3A5" ], [ "CYP3A5", "{u} (Gene) is bound by {v} (Compound)", "Losartan" ] ], [ [ "Aprepitant", "{u} (Compound) causes {v} (Side Effect)", "Anaphylactic shock" ], [ "Anaphylactic shock", "{u} (Side Effect) is caused by {v} (Compound)", "Losartan" ] ], [ [ "Aprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Losartan" ] ], [ [ "Aprepitant", "{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}", "Losartan" ] ], [ [ "Aprepitant", "{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}", "Losartan" ] ], [ [ "Aprepitant", "{u} (Compound) binds {v} (Gene)", "CYP3A5" ], [ "CYP3A5", "{u} (Gene) is associated with {v} (Disease)", "hypertension" ], [ "hypertension", "{u} (Disease) is treated by {v} (Compound)", "Losartan" ] ], [ [ "Aprepitant", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Candesartan" ], [ "Candesartan", "{u} (Compound) resembles {v} (Compound)", "Losartan" ] ], [ [ "Aprepitant", "{u} (Compound) binds {v} (Gene)", "CYP2C19" ], [ "CYP2C19", "{u} (Gene) is bound by {v} (Compound)", "Telmisartan" ], [ "Telmisartan", "{u} (Compound) resembles {v} (Compound)", "Losartan" ] ], [ [ "Aprepitant", "{u} (Compound) causes {v} (Side Effect)", "Anaphylactic shock" ], [ "Anaphylactic shock", "{u} (Side Effect) is caused by {v} (Compound)", "Valsartan" ], [ "Valsartan", "{u} (Compound) resembles {v} (Compound)", "Losartan" ] ] ]
Aprepitant (Compound) binds CYP3A5 (Gene) and CYP3A5 (Gene) is bound by Losartan (Compound) Aprepitant (Compound) causes Anaphylactic shock (Side Effect) and Anaphylactic shock (Side Effect) is caused by Losartan (Compound) Aprepitant may cause a moderate interaction that could exacerbate diseases when taken with Fludrocortisone and Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Losartan Aprepitant 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 Losartan Aprepitant 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 Losartan Aprepitant (Compound) binds CYP3A5 (Gene) and CYP3A5 (Gene) is associated with hypertension (Disease) and hypertension (Disease) is treated by Losartan (Compound) Aprepitant (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Candesartan (Compound) and Candesartan (Compound) resembles Losartan (Compound) Aprepitant (Compound) binds CYP2C19 (Gene) and CYP2C19 (Gene) is bound by Telmisartan (Compound) and Telmisartan (Compound) resembles Losartan (Compound) Aprepitant (Compound) causes Anaphylactic shock (Side Effect) and Anaphylactic shock (Side Effect) is caused by Valsartan (Compound) and Valsartan (Compound) resembles Losartan (Compound)
DB11581
DB12015
1,456
1,033
[ "DDInter1926", "DDInter53" ]
Venetoclax
Alpelisib
Venetoclax is a BCL-2 inhibitor that was initially approved by the FDA in April 2016 [FDA label]. Proteins in the B cell CLL/lymphoma 2 (BCL-2) family are important regulators of the apoptotic (programmed cell death) process,. Venetoclax is used to treat chronic lymphocytic leukemia (CLL) and certain types of small lymphocytic lymphoma [FDA label]. CLL is the most prevalent leukemia diagnosed in Western countries. Venetoclax was developed through reverse engineering of the BCL-2 protein family inhibitor, navitoclax. Venetoclax is approximately 10 times more potent than navitoclax with regard to induction of apoptosis in CLL cells. A new indication was approved in 2018 for the treatment patients with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL), with or without 17p deletion, who have
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.
Moderate
1
[ [ [ 1456, 24, 1033 ] ], [ [ 1456, 62, 1135 ], [ 1135, 23, 1033 ] ], [ [ 1456, 24, 738 ], [ 738, 24, 1033 ] ], [ [ 1456, 63, 951 ], [ 951, 24, 1033 ] ], [ [ 1456, 64, 1510 ], [ 1510, 24, 1033 ] ], [ [ 1456, 24, 861 ], [ 861, 63, 1033 ] ], [ [ 1456, 25, 351 ], [ 351, 24, 1033 ] ], [ [ 1456, 25, 1017 ], [ 1017, 63, 1033 ] ], [ [ 1456, 63, 498 ], [ 498, 25, 1033 ] ], [ [ 1456, 64, 697 ], [ 697, 25, 1033 ] ] ]
[ [ [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Venetoclax", "{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}", "Alpelisib" ] ], [ [ "Venetoclax", "{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" ] ], [ [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ], [ "Palbociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Venetoclax", "{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}", "Alpelisib" ] ], [ [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ], [ "Ripretinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Venetoclax", "{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}", "Alpelisib" ] ], [ [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alpelisib" ] ], [ [ "Venetoclax", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Edoxaban" ], [ "Edoxaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Alpelisib" ] ], [ [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may lead to a major life threatening interaction when taken with {v}", "Alpelisib" ] ] ]
Venetoclax 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 Alpelisib Venetoclax 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 Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib and Palbociclib may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Venetoclax 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 Alpelisib Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib and Ripretinib may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Venetoclax 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 Alpelisib Venetoclax may lead to a major life threatening interaction when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Alpelisib Venetoclax may cause a moderate interaction that could exacerbate diseases when taken with Edoxaban and Edoxaban may lead to a major life threatening interaction when taken with Alpelisib Venetoclax may lead to a major life threatening interaction when taken with Phenobarbital and Phenobarbital may lead to a major life threatening interaction when taken with Alpelisib
DB01001
DB12141
688
971
[ "DDInter1632", "DDInter817" ]
Salbutamol
Gilteritinib
Salbutamol is a short-acting, selective beta2-adrenergic receptor agonist used in the treatment of asthma and COPD. It is 29 times more selective for beta2 receptors than beta1 receptors giving it higher specificity for pulmonary beta receptors versus beta1-adrenergic receptors located in the heart. Salbutamol is formulated as a racemic mixture of the R- and S-isomers. The R-isomer has 150 times greater affinity for the beta2-receptor than the S-isomer and the S-isomer has been associated with toxicity. This lead to the development of levalbuterol, the single R-isomer of salbutamol. However, the high cost of levalbuterol compared to salbutamol has deterred wide-spread use of this enantiomerically pure version of the drug. Salbutamol is generally used for acute episodes of bronchospasm caused by bronchial asthma,
Gilteritinib, also known as ASP2215, is a small molecule part of the FLT3 tyrosine kinase inhibitors that presented a greater selectivity and potency when compared with other agents from this group. It is a pyrazinecarboxamide derivative that showed high selectivity to FLT3 preventing the c-Kit -driven myelosuppression observed in other therapies. Gilteritinib was developed by Astellas Pharma and FDA approved on November 28, 2018. This drug was approved after being designed as an orphan drug with a fast track and priority review status.
Moderate
1
[ [ [ 688, 24, 971 ] ], [ [ 688, 23, 1247 ], [ 1247, 23, 971 ] ], [ [ 688, 62, 112 ], [ 112, 23, 971 ] ], [ [ 688, 63, 485 ], [ 485, 24, 971 ] ], [ [ 688, 24, 730 ], [ 730, 63, 971 ] ], [ [ 688, 24, 820 ], [ 820, 24, 971 ] ], [ [ 688, 25, 772 ], [ 772, 24, 971 ] ], [ [ 688, 23, 1220 ], [ 1220, 24, 971 ] ], [ [ 688, 24, 540 ], [ 540, 25, 971 ] ], [ [ 688, 63, 78 ], [ 78, 25, 971 ] ] ]
[ [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Salbutamol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sulfamethoxazole" ], [ "Sulfamethoxazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gilteritinib" ] ], [ [ "Salbutamol", "{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}", "Gilteritinib" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentamidine" ], [ "Pentamidine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Deutetrabenazine" ], [ "Deutetrabenazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Salbutamol", "{u} may lead to a major life threatening interaction when taken with {v}", "Carvedilol" ], [ "Carvedilol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ] ], [ [ "Salbutamol", "{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}", "Gilteritinib" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dronedarone" ], [ "Dronedarone", "{u} may lead to a major life threatening interaction when taken with {v}", "Gilteritinib" ] ], [ [ "Salbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Droperidol" ], [ "Droperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Gilteritinib" ] ] ]
Salbutamol may cause a minor interaction that can limit clinical effects when taken with Sulfamethoxazole and Sulfamethoxazole may cause a minor interaction that can limit clinical effects when taken with Gilteritinib Salbutamol 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 Gilteritinib Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Pentamidine and Pentamidine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Deutetrabenazine and Deutetrabenazine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Alimemazine and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Salbutamol may lead to a major life threatening interaction when taken with Carvedilol and Carvedilol may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib Salbutamol 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 Gilteritinib Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Dronedarone and Dronedarone may lead to a major life threatening interaction when taken with Gilteritinib Salbutamol may cause a moderate interaction that could exacerbate diseases when taken with Droperidol and Droperidol may lead to a major life threatening interaction when taken with Gilteritinib
DB00745
DB09054
307
384
[ "DDInter1236", "DDInter905" ]
Modafinil
Idelalisib
Modafinil is a stimulant drug marketed as a 'wakefulness promoting agent' and is one of the stimulants used in the treatment of narcolepsy. Narcolepsy is caused by dysfunction of a family of wakefulness-promoting and sleep-suppressing peptides, the orexins, whose neurons are activated by modafinil. The prexin neuron activation is associated with psychoactivation and euphoria. The exact mechanism of action is unclear, although in vitro studies have shown it to inhibit the reuptake of dopamine by binding to the dopamine reuptake pump, and lead to an increase in extracellular dopamine. Modafinil activates glutamatergic circuits while inhibiting GABA.
Idelalisib is a phosphoinositide 3-kinase inhibitor indicated in the treatment of chronic lymphocytic leukemia (CLL), relapsed follicular B-cell non-Hodgkin lymphoma (FL), and relapsed small lymphocytic lymphoma (SLL). For the treatment of relapsed CLL, it is currently indicated as a second-line agent in combination with rituximab in patients for whom rituximab alone would be considered appropriate therapy due to other co-morbidities, while in the treatment of FL and SLL it is intended to be used in patients who have received at least two prior systemic therapies. More specifically, idelalisib targets P110δ, the delta isoform of the enzyme phosphatidylinositol-4,5-bisphosphate 3-kinase, also known as PI-3K. The PI-3Ks are a family of enzymes involved in cellular functions such as cell growth, proliferation, differentiation, motility, survival and intracellular trafficking, which in turn are involved in cancer. In contrast to the other class IA PI3Ks p110α and p110β, p110δ is principally expressed in leukocytes (white blood cells) and is important for the function of T cells, B cell, mast cells and neutrophils. By inhibiting this enzyme, idelalisib induces apoptosis of malignant cells and inhibits several cell signaling pathways, including B-cell receptor (BCR) signaling and C-X-C chemokine receptors type 5 and type 4 signalling, which are involved in trafficking and homing of B-cells to the lymph nodes and bone marrow. Treatment of lymphoma cells with idelalisib has been shown to result in inhibition of chemotaxis and adhesion, and reduced cell viability.
Minor
0
[ [ [ 307, 23, 384 ] ], [ [ 307, 24, 1618 ], [ 1618, 24, 384 ] ], [ [ 307, 23, 891 ], [ 891, 24, 384 ] ], [ [ 307, 63, 888 ], [ 888, 24, 384 ] ], [ [ 307, 62, 1512 ], [ 1512, 24, 384 ] ], [ [ 307, 1, 847 ], [ 847, 24, 384 ] ], [ [ 307, 24, 466 ], [ 466, 63, 384 ] ], [ [ 307, 23, 1619 ], [ 1619, 63, 384 ] ], [ [ 307, 74, 126 ], [ 126, 24, 384 ] ], [ [ 307, 24, 405 ], [ 405, 64, 384 ] ] ]
[ [ [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Idelalisib" ] ], [ [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cabozantinib" ], [ "Cabozantinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Modafinil", "{u} (Compound) resembles {v} (Compound)", "Atomoxetine" ], [ "Atomoxetine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ] ], [ [ "Modafinil", "{u} (Compound) resembles {v} (Compound) and {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}", "Idelalisib" ] ], [ [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acalabrutinib" ], [ "Acalabrutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Idelalisib" ] ] ]
Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Cabozantinib and Cabozantinib may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Modafinil may cause a minor interaction that can limit clinical effects when taken with Prednisolone and Prednisolone may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Modafinil may cause a minor interaction that can limit clinical effects when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Modafinil (Compound) resembles Atomoxetine (Compound) and Atomoxetine may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Modafinil may cause a minor interaction that can limit clinical effects when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib Modafinil (Compound) resembles Warfarin (Compound) and Modafinil 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 Idelalisib Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Acalabrutinib and Acalabrutinib may lead to a major life threatening interaction when taken with Idelalisib
DB01070
DB06410
1,098
1,196
[ "DDInter558", "DDInter595" ]
Dihydrotachysterol
Doxercalciferol
A vitamin D that can be regarded as a reduction product of vitamin D2.
Doxercalciferol is a synthetic vitamin D2 analog that undergoes metabolic activation in vivo to form 1α,25-dihydroxyvitamin D2 (1α,25-(OH)2D2), a naturally occurring, biologically active form of vitamin D2. Doxercalciferol is indicated for the treatment of secondary hyperparathyroidism in patients with chronic kidney disease on dialysis, as well as for the treatment of secondary hyperparathyroidism in patients with Stage 3 or Stage 4 chronic kidney disease. Doxercalciferol is marketed under the brand name Hectoral by Genzyme Corporation, and is manufactured by Catalent Pharma Solutions, Inc.
Major
2
[ [ [ 1098, 25, 1196 ] ], [ [ 1098, 23, 1142 ], [ 1142, 23, 1196 ] ], [ [ 1098, 63, 359 ], [ 359, 24, 1196 ] ], [ [ 1098, 24, 853 ], [ 853, 63, 1196 ] ], [ [ 1098, 24, 178 ], [ 178, 24, 1196 ] ], [ [ 1098, 25, 349 ], [ 349, 64, 1196 ] ], [ [ 1098, 75, 1331 ], [ 1331, 25, 1196 ] ], [ [ 1098, 64, 1041 ], [ 1041, 25, 1196 ] ], [ [ 1098, 23, 1142 ], [ 1142, 63, 188 ], [ 188, 24, 1196 ] ], [ [ 1098, 63, 359 ], [ 359, 40, 1014 ], [ 1014, 24, 1196 ] ] ]
[ [ [ "Dihydrotachysterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Orlistat" ], [ "Orlistat", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{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}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Polythiazide" ], [ "Polythiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Burosumab" ], [ "Burosumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Ergocalciferol" ], [ "Ergocalciferol", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{u} may lead to a major life threatening interaction when taken with {v}", "Paricalcitol" ], [ "Paricalcitol", "{u} may lead to a major life threatening interaction when taken with {v}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Orlistat" ], [ "Orlistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nevirapine" ], [ "Nevirapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ], [ [ "Dihydrotachysterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chlorothiazide" ], [ "Chlorothiazide", "{u} (Compound) resembles {v} (Compound)", "Benzthiazide" ], [ "Benzthiazide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ] ] ]
Dihydrotachysterol may cause a minor interaction that can limit clinical effects when taken with Orlistat and Orlistat may cause a minor interaction that can limit clinical effects when taken with Doxercalciferol Dihydrotachysterol may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol Dihydrotachysterol 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 Doxercalciferol Dihydrotachysterol may cause a moderate interaction that could exacerbate diseases when taken with Polythiazide and Polythiazide may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol Dihydrotachysterol may lead to a major life threatening interaction when taken with Burosumab and Burosumab may lead to a major life threatening interaction when taken with Doxercalciferol Dihydrotachysterol (Compound) resembles Ergocalciferol (Compound) and Dihydrotachysterol may lead to a major life threatening interaction when taken with Ergocalciferol and Ergocalciferol may lead to a major life threatening interaction when taken with Doxercalciferol Dihydrotachysterol may lead to a major life threatening interaction when taken with Paricalcitol and Paricalcitol may lead to a major life threatening interaction when taken with Doxercalciferol Dihydrotachysterol may cause a minor interaction that can limit clinical effects when taken with Orlistat and Orlistat may cause a moderate interaction that could exacerbate diseases when taken with Nevirapine and Nevirapine may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol Dihydrotachysterol may cause a moderate interaction that could exacerbate diseases when taken with Chlorothiazide and Chlorothiazide (Compound) resembles Benzthiazide (Compound) and Benzthiazide may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol
DB01234
DB11095
1,220
235
[ "DDInter513", "DDInter505" ]
Dexamethasone
Desirudin
Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like [hydrocortisone] and [prednisolone]. Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.
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
[ [ [ 1220, 25, 235 ] ], [ [ 1220, 24, 1004 ], [ 1004, 24, 235 ] ], [ [ 1220, 25, 321 ], [ 321, 63, 235 ] ], [ [ 1220, 62, 1461 ], [ 1461, 24, 235 ] ], [ [ 1220, 25, 1496 ], [ 1496, 24, 235 ] ], [ [ 1220, 63, 529 ], [ 529, 24, 235 ] ], [ [ 1220, 24, 972 ], [ 972, 63, 235 ] ], [ [ 1220, 24, 1409 ], [ 1409, 25, 235 ] ], [ [ 1220, 63, 59 ], [ 59, 25, 235 ] ], [ [ 1220, 1, 175 ], [ 175, 25, 235 ] ] ]
[ [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ], [ [ "Dexamethasone", "{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" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Selumetinib" ], [ "Selumetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desirudin" ] ], [ [ "Dexamethasone", "{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" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Nintedanib" ], [ "Nintedanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Desirudin" ] ], [ [ "Dexamethasone", "{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" ] ], [ [ "Dexamethasone", "{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" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ], [ [ "Dexamethasone", "{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" ] ], [ [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Triamcinolone" ], [ "Triamcinolone", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ] ] ]
Dexamethasone 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 Dexamethasone may lead to a major life threatening interaction when taken with Selumetinib and Selumetinib may cause a moderate interaction that could exacerbate diseases when taken with Desirudin Dexamethasone 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 Dexamethasone may lead to a major life threatening interaction when taken with Nintedanib and Nintedanib may cause a moderate interaction that could exacerbate diseases when taken with Desirudin Dexamethasone 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 Dexamethasone 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 Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Apixaban and Apixaban may lead to a major life threatening interaction when taken with Desirudin Dexamethasone 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 Dexamethasone (Compound) resembles Triamcinolone (Compound) and Triamcinolone may lead to a major life threatening interaction when taken with Desirudin
DB00238
DB00675
188
888
[ "DDInter1285", "DDInter1744" ]
Nevirapine
Tamoxifen
A potent, non-nucleoside reverse transcriptase inhibitor (NNRTI) used in combination with nucleoside analogues for treatment of Human Immunodeficiency Virus Type 1 (HIV-1) infection and AIDS. Structurally, nevirapine belongs to the dipyridodiazepinone chemical class.
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.
Moderate
1
[ [ [ 188, 24, 888 ] ], [ [ 188, 6, 12523 ], [ 12523, 45, 888 ] ], [ [ 188, 21, 28701 ], [ 28701, 60, 888 ] ], [ [ 188, 24, 1135 ], [ 1135, 62, 888 ] ], [ [ 188, 24, 303 ], [ 303, 23, 888 ] ], [ [ 188, 23, 256 ], [ 256, 62, 888 ] ], [ [ 188, 24, 1491 ], [ 1491, 63, 888 ] ], [ [ 188, 25, 866 ], [ 866, 63, 888 ] ], [ [ 188, 24, 663 ], [ 663, 24, 888 ] ], [ [ 188, 63, 600 ], [ 600, 24, 888 ] ] ]
[ [ [ "Nevirapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ] ], [ [ "Nevirapine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Tamoxifen" ] ], [ [ "Nevirapine", "{u} (Compound) causes {v} (Side Effect)", "Discomfort" ], [ "Discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Tamoxifen" ] ], [ [ "Nevirapine", "{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}", "Tamoxifen" ] ], [ [ "Nevirapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Medroxyprogesterone acetate" ], [ "Medroxyprogesterone acetate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tamoxifen" ] ], [ [ "Nevirapine", "{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}", "Tamoxifen" ] ], [ [ "Nevirapine", "{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}", "Tamoxifen" ] ], [ [ "Nevirapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ], [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ] ], [ [ "Nevirapine", "{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}", "Tamoxifen" ] ], [ [ "Nevirapine", "{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}", "Tamoxifen" ] ] ]
Nevirapine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Tamoxifen (Compound) Nevirapine (Compound) causes Discomfort (Side Effect) and Discomfort (Side Effect) is caused by Tamoxifen (Compound) Nevirapine 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 Tamoxifen Nevirapine may cause a moderate interaction that could exacerbate diseases when taken with Medroxyprogesterone acetate and Medroxyprogesterone acetate may cause a minor interaction that can limit clinical effects when taken with Tamoxifen Nevirapine 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 Tamoxifen Nevirapine 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 Tamoxifen Nevirapine may lead to a major life threatening interaction when taken with Cobimetinib and Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen Nevirapine 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 Tamoxifen Nevirapine 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 Tamoxifen
DB00889
DB11652
1,133
1,155
[ "DDInter840", "DDInter1891" ]
Granisetron
Tucatinib
A serotonin receptor (5HT-3 selective) antagonist that has been used as an antiemetic and antinauseant for cancer chemotherapy patients.
Tucatinib is a kinase inhibitor drug used with [trastuzumab] and [capecitabine] in the treatment of unresectable or metastatic HER-2 positive breast cancer. It was developed by Seattle Genetics and approved by the FDA on April 17, 2020. Tucatinib is a promising new treatment for patients with metastatic breast cancer who have not responded adequately to other chemotherapy regimens.
Moderate
1
[ [ [ 1133, 24, 1155 ] ], [ [ 1133, 25, 222 ], [ 222, 23, 1155 ] ], [ [ 1133, 63, 1101 ], [ 1101, 23, 1155 ] ], [ [ 1133, 63, 1424 ], [ 1424, 24, 1155 ] ], [ [ 1133, 24, 659 ], [ 659, 24, 1155 ] ], [ [ 1133, 24, 214 ], [ 214, 63, 1155 ] ], [ [ 1133, 25, 1487 ], [ 1487, 24, 1155 ] ], [ [ 1133, 25, 982 ], [ 982, 63, 1155 ] ], [ [ 1133, 25, 351 ], [ 351, 64, 1155 ] ], [ [ 1133, 64, 11 ], [ 11, 25, 1155 ] ] ]
[ [ [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tucatinib" ] ], [ [ "Granisetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tucatinib" ] ], [ [ "Granisetron", "{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}", "Tucatinib" ] ], [ [ "Granisetron", "{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}", "Tucatinib" ] ], [ [ "Granisetron", "{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}", "Tucatinib" ] ], [ [ "Granisetron", "{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}", "Tucatinib" ] ], [ [ "Granisetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tucatinib" ] ], [ [ "Granisetron", "{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}", "Tucatinib" ] ], [ [ "Granisetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may lead to a major life threatening interaction when taken with {v}", "Tucatinib" ] ], [ [ "Granisetron", "{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}", "Tucatinib" ] ] ]
Granisetron may lead to a major life threatening interaction when taken with Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Tucatinib Granisetron 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 Tucatinib Granisetron 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 Tucatinib Granisetron 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 Tucatinib Granisetron 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 Tucatinib Granisetron may lead to a major life threatening interaction when taken with Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Tucatinib Granisetron 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 Tucatinib Granisetron may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may lead to a major life threatening interaction when taken with Tucatinib Granisetron 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 Tucatinib
DB00749
DB06754
59
707
[ "DDInter699", "DDInter471" ]
Etodolac
Danaparoid
Etodolac is a non-steroidal anti-inflammatory drug (NSAID) with anti-inflammatory, analgesic and antipyretic properties. Its therapeutic effects are due to its ability to inhibit prostaglandin synthesis. It is indicated for relief of signs and symptoms of rheumatoid arthritis and osteoarthritis.
Danaparoid is a low-molecular-weight heparinoid with an average molecular weight of 5500 Daltons consisting of a mixture of glycosaminoglycans . The active constituents are heparan, dermatan and , and they are isolated from the porcine intestinal mucosa [FDA Label]. Danaparoid possesses a potent antithrombic activity that works by inhibiting activated factor X (Factor Xa) and activated factor II (Factor IIa). It is chemically distinct from heparin by containing different protein binding properties, thus has lower cross-reactivity in heparin-intolerant patients. Danaproid is used in the treatment of heparin-induced thrombocytopenia (HIT) as an off-label indication and prevention of post-operative deep venous thrombosis (DVT). While it was initially approved by the FDA as Orgaran™, danaparoid was withdrawn by Organon International on August 14, 2002, due to a shortage in drug substance by the manufacturer. The use of Orgaran™ was discontinued in the United States however it is available in several other countries including European countries and Japan. Danaparoid sodium is the common salt form in therapeutic preparations and is typically administered subcutaneously.
Major
2
[ [ [ 59, 25, 707 ] ], [ [ 59, 63, 121 ], [ 121, 24, 707 ] ], [ [ 59, 24, 222 ], [ 222, 24, 707 ] ], [ [ 59, 24, 738 ], [ 738, 63, 707 ] ], [ [ 59, 25, 235 ], [ 235, 64, 707 ] ], [ [ 59, 64, 1172 ], [ 1172, 25, 707 ] ], [ [ 59, 63, 702 ], [ 702, 25, 707 ] ], [ [ 59, 24, 1479 ], [ 1479, 25, 707 ] ], [ [ 59, 25, 1213 ], [ 1213, 25, 707 ] ], [ [ 59, 24, 578 ], [ 578, 64, 707 ] ] ]
[ [ [ "Etodolac", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Etodolac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Danaparoid" ] ], [ [ "Etodolac", "{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}", "Danaparoid" ] ], [ [ "Etodolac", "{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}", "Danaparoid" ] ], [ [ "Etodolac", "{u} may lead to a major life threatening interaction when taken with {v}", "Desirudin" ], [ "Desirudin", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Etodolac", "{u} may lead to a major life threatening interaction when taken with {v}", "Ibritumomab tiuxetan" ], [ "Ibritumomab tiuxetan", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Etodolac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Etodolac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Etodolac", "{u} may lead to a major life threatening interaction when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ], [ [ "Etodolac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticagrelor" ], [ "Ticagrelor", "{u} may lead to a major life threatening interaction when taken with {v}", "Danaparoid" ] ] ]
Etodolac may cause a moderate interaction that could exacerbate diseases when taken with Fenfluramine and Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Danaparoid Etodolac 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 Danaparoid Etodolac 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 Danaparoid Etodolac may lead to a major life threatening interaction when taken with Desirudin and Desirudin may lead to a major life threatening interaction when taken with Danaparoid Etodolac may lead to a major life threatening interaction when taken with Ibritumomab tiuxetan and Ibritumomab tiuxetan may lead to a major life threatening interaction when taken with Danaparoid Etodolac may cause a moderate interaction that could exacerbate diseases when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Danaparoid Etodolac may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may lead to a major life threatening interaction when taken with Danaparoid Etodolac may lead to a major life threatening interaction when taken with Dasatinib and Dasatinib may lead to a major life threatening interaction when taken with Danaparoid Etodolac may cause a moderate interaction that could exacerbate diseases when taken with Ticagrelor and Ticagrelor may lead to a major life threatening interaction when taken with Danaparoid
DB00877
DB01115
629
336
[ "DDInter1678", "DDInter1291" ]
Sirolimus
Nifedipine
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
Nifedipine, or BAY a 1040, is a first generation dihydropyridine L-type calcium channel blocker, similar to [nicardipine].[A190210,A190273,A175390,L11383] Nifedipine was developed by Bayer and first described in the literature, along with other dihydropyridines, in 1972.[A175390,A190276] Since nifedipine's development, second and third generation dihydropyridines have been developed with slower onsets and longer durations of action. The most popular of the third generation dihydropyridines is [amlodipine]. Nifedipine was granted FDA approval on 31 December 1981.
Moderate
1
[ [ [ 629, 24, 336 ] ], [ [ 629, 63, 1428 ], [ 1428, 1, 336 ] ], [ [ 629, 63, 1081 ], [ 1081, 40, 336 ] ], [ [ 629, 24, 409 ], [ 409, 1, 336 ] ], [ [ 629, 6, 4973 ], [ 4973, 45, 336 ] ], [ [ 629, 7, 15786 ], [ 15786, 46, 336 ] ], [ [ 629, 18, 8733 ], [ 8733, 46, 336 ] ], [ [ 629, 7, 4634 ], [ 4634, 57, 336 ] ], [ [ 629, 18, 7362 ], [ 7362, 57, 336 ] ], [ [ 629, 21, 28695 ], [ 28695, 60, 336 ] ] ]
[ [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nifedipine" ] ], [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isradipine" ], [ "Isradipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ] ], [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nicardipine" ], [ "Nicardipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ] ], [ [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Felodipine" ], [ "Felodipine", "{u} (Compound) resembles {v} (Compound)", "Nifedipine" ] ], [ [ "Sirolimus", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Nifedipine" ] ], [ [ "Sirolimus", "{u} (Compound) upregulates {v} (Gene)", "TCTN1" ], [ "TCTN1", "{u} (Gene) is upregulated by {v} (Compound)", "Nifedipine" ] ], [ [ "Sirolimus", "{u} (Compound) downregulates {v} (Gene)", "PHGDH" ], [ "PHGDH", "{u} (Gene) is upregulated by {v} (Compound)", "Nifedipine" ] ], [ [ "Sirolimus", "{u} (Compound) upregulates {v} (Gene)", "FOXO4" ], [ "FOXO4", "{u} (Gene) is downregulated by {v} (Compound)", "Nifedipine" ] ], [ [ "Sirolimus", "{u} (Compound) downregulates {v} (Gene)", "ATF5" ], [ "ATF5", "{u} (Gene) is downregulated by {v} (Compound)", "Nifedipine" ] ], [ [ "Sirolimus", "{u} (Compound) causes {v} (Side Effect)", "Dyspnoea" ], [ "Dyspnoea", "{u} (Side Effect) is caused by {v} (Compound)", "Nifedipine" ] ] ]
Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Isradipine and Isradipine (Compound) resembles Nifedipine (Compound) Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Nicardipine and Nicardipine (Compound) resembles Nifedipine (Compound) Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Felodipine and Felodipine (Compound) resembles Nifedipine (Compound) Sirolimus (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Nifedipine (Compound) Sirolimus (Compound) upregulates TCTN1 (Gene) and TCTN1 (Gene) is upregulated by Nifedipine (Compound) Sirolimus (Compound) downregulates PHGDH (Gene) and PHGDH (Gene) is upregulated by Nifedipine (Compound) Sirolimus (Compound) upregulates FOXO4 (Gene) and FOXO4 (Gene) is downregulated by Nifedipine (Compound) Sirolimus (Compound) downregulates ATF5 (Gene) and ATF5 (Gene) is downregulated by Nifedipine (Compound) Sirolimus (Compound) causes Dyspnoea (Side Effect) and Dyspnoea (Side Effect) is caused by Nifedipine (Compound)
DB00011
DB01610
1,451
248
[ "DDInter944", "DDInter1912" ]
Interferon alfa-n1
Valganciclovir
Interferon alfa-n1 consists of purified, natural (n is for natural) alpha interferon subtypes, at least two of which are glycosylated. This differs from recombinant alpha interferons, which are individual non-glycosylated proteins produced from individual alpha interferon genes.
Valganciclovir hydrochloride (Valcyte, manufactured by Roche) is an antiviral medication used to treat cytomegalovirus infections. As the L-valyl ester of ganciclovir, it is actually a prodrug for ganciclovir. After oral administration, it is rapidly converted to ganciclovir by intestinal and hepatic esterases.
Moderate
1
[ [ [ 1451, 24, 248 ] ], [ [ 1451, 24, 563 ], [ 563, 1, 248 ] ], [ [ 1451, 25, 1101 ], [ 1101, 24, 248 ] ], [ [ 1451, 24, 372 ], [ 372, 24, 248 ] ], [ [ 1451, 24, 1480 ], [ 1480, 63, 248 ] ], [ [ 1451, 25, 507 ], [ 507, 63, 248 ] ], [ [ 1451, 63, 491 ], [ 491, 24, 248 ] ], [ [ 1451, 23, 450 ], [ 450, 24, 248 ] ], [ [ 1451, 24, 375 ], [ 375, 64, 248 ] ], [ [ 1451, 24, 581 ], [ 581, 25, 248 ] ] ]
[ [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ganciclovir" ], [ "Ganciclovir", "{u} (Compound) resembles {v} (Compound)", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{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}", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixazomib" ], [ "Ixazomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ], [ "Samarium (153Sm) lexidronam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2a" ], [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cyclophosphamide" ], [ "Cyclophosphamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{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}", "Valganciclovir" ] ], [ [ "Interferon alfa-n1", "{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}", "Valganciclovir" ] ] ]
Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Ganciclovir and Ganciclovir (Compound) resembles Valganciclovir (Compound) Interferon alfa-n1 may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Valganciclovir Interferon alfa-n1 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 Valganciclovir Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Ixazomib and Ixazomib may cause a moderate interaction that could exacerbate diseases when taken with Valganciclovir Interferon alfa-n1 may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam and Samarium (153Sm) lexidronam may cause a moderate interaction that could exacerbate diseases when taken with Valganciclovir Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2a and Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Valganciclovir Interferon alfa-n1 may cause a minor interaction that can limit clinical effects when taken with Cyclophosphamide and Cyclophosphamide may cause a moderate interaction that could exacerbate diseases when taken with Valganciclovir Interferon alfa-n1 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 Valganciclovir Interferon alfa-n1 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 Valganciclovir
DB00526
DB01087
1,555
1,520
[ "DDInter1355", "DDInter1520" ]
Oxaliplatin
Primaquine
Oxaliplatin is a platinum-based chemotherapy drug in the same family as cisplatin and carboplatin. Compared to cisplatin the two amine groups are replaced by diamino cyclohexane (DACH) group to provide a greater antitumor effect. However, this leads to poorer water solubility, which was compensated by the addition of the chloride moieties. Due to this chemical moiety, oxaliplatin readily undergoes non-enzymatic biotransformation, thus complicating oxaliplatin's pharmacokinetics. Like most platinum-based compounds, oxaliplatin's mechanism of action is primarily through DNA damage through DNA crosslinking, particularly intrastrand and interstrand crosslinking. However, due to the structure of oxaliplatin, its adducts make the binding of mismatch repair protein to DNA harder compared to cisplatin or carboplatin's adducts, resulting in greater cytotoxic effects. The
An aminoquinoline that is given by mouth to produce a radical cure and prevent relapse of vivax and ovale malarias following treatment with a blood schizontocide. It has also been used to prevent transmission of falciparum malaria by those returning to areas where there is a potential for re-introduction of malaria. Adverse effects include anemias and GI disturbances. (From Martindale, The Extra Pharmacopeia, 30th ed, p404)
Moderate
1
[ [ [ 1555, 24, 1520 ] ], [ [ 1555, 25, 1487 ], [ 1487, 64, 1520 ] ], [ [ 1555, 6, 7950 ], [ 7950, 45, 1520 ] ], [ [ 1555, 24, 112 ], [ 112, 23, 1520 ] ], [ [ 1555, 23, 1247 ], [ 1247, 23, 1520 ] ], [ [ 1555, 63, 508 ], [ 508, 24, 1520 ] ], [ [ 1555, 24, 1342 ], [ 1342, 63, 1520 ] ], [ [ 1555, 24, 1133 ], [ 1133, 24, 1520 ] ], [ [ 1555, 64, 1300 ], [ 1300, 25, 1520 ] ], [ [ 1555, 25, 1166 ], [ 1166, 25, 1520 ] ] ]
[ [ [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Oxaliplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ] ], [ [ "Oxaliplatin", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Primaquine" ] ], [ [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Primaquine" ] ], [ [ "Oxaliplatin", "{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}", "Primaquine" ] ], [ [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Promazine" ], [ "Promazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Oxaliplatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Granisetron" ], [ "Granisetron", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Primaquine" ] ], [ [ "Oxaliplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Haloperidol" ], [ "Haloperidol", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ] ], [ [ "Oxaliplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Dolasetron" ], [ "Dolasetron", "{u} may lead to a major life threatening interaction when taken with {v}", "Primaquine" ] ] ]
Oxaliplatin may lead to a major life threatening interaction when taken with Hydroxychloroquine and Hydroxychloroquine may lead to a major life threatening interaction when taken with Primaquine Oxaliplatin (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Primaquine (Compound) Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Primaquine Oxaliplatin 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 Primaquine Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Promazine and Promazine may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Oxaliplatin may cause a moderate interaction that could exacerbate diseases when taken with Granisetron and Granisetron may cause a moderate interaction that could exacerbate diseases when taken with Primaquine Oxaliplatin may lead to a major life threatening interaction when taken with Haloperidol and Haloperidol may lead to a major life threatening interaction when taken with Primaquine Oxaliplatin may lead to a major life threatening interaction when taken with Dolasetron and Dolasetron may lead to a major life threatening interaction when taken with Primaquine
DB01044
DB06788
246
1,616
[ "DDInter809", "DDInter864" ]
Gatifloxacin
Histrelin
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]
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).
Major
2
[ [ [ 246, 25, 1616 ] ], [ [ 246, 62, 112 ], [ 112, 23, 1616 ] ], [ [ 246, 25, 1342 ], [ 1342, 24, 1616 ] ], [ [ 246, 64, 1179 ], [ 1179, 24, 1616 ] ], [ [ 246, 24, 603 ], [ 603, 63, 1616 ] ], [ [ 246, 63, 688 ], [ 688, 24, 1616 ] ], [ [ 246, 25, 927 ], [ 927, 63, 1616 ] ], [ [ 246, 40, 739 ], [ 739, 24, 1616 ] ], [ [ 246, 1, 1539 ], [ 1539, 24, 1616 ] ], [ [ 246, 25, 57 ], [ 57, 25, 1616 ] ] ]
[ [ [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Histrelin" ] ], [ [ "Gatifloxacin", "{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" ] ], [ [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Romidepsin" ], [ "Romidepsin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Gatifloxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Insulin lispro" ], [ "Insulin lispro", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Gatifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium citrate" ], [ "Magnesium citrate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Gatifloxacin", "{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}", "Histrelin" ] ], [ [ "Gatifloxacin", "{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}", "Histrelin" ] ], [ [ "Gatifloxacin", "{u} (Compound) resembles {v} (Compound)", "Lomefloxacin" ], [ "Lomefloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Gatifloxacin", "{u} (Compound) resembles {v} (Compound)", "Ofloxacin" ], [ "Ofloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Histrelin" ] ], [ [ "Gatifloxacin", "{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" ] ] ]
Gatifloxacin 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 Gatifloxacin may lead to a major life threatening interaction when taken with Romidepsin and Romidepsin may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Gatifloxacin may lead to a major life threatening interaction when taken with Insulin lispro and Insulin lispro may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Gatifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Magnesium citrate and Magnesium citrate may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Gatifloxacin 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 Histrelin Gatifloxacin 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 Histrelin Gatifloxacin (Compound) resembles Lomefloxacin (Compound) and Lomefloxacin may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Gatifloxacin (Compound) resembles Ofloxacin (Compound) and Ofloxacin may cause a moderate interaction that could exacerbate diseases when taken with Histrelin Gatifloxacin 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
DB00019
DB04845
1,257
309
[ "DDInter1405", "DDInter1001" ]
Pegfilgrastim
Ixabepilone
Pegfilgrastim is a PEGylated form of the recombinant human granulocyte colony-stimulating factor (G-CSF) analogue, [filgrastim]. The drug is approved for use to decrease the incidence of infection, as manifested by febrile neutropenia, in susceptible patients with with non-myeloid cancer receiving myelosuppressive anti-cancer treatment. Although the risk of developing febrile neutropenia is less than 20% in many readily used chemotherapy regimens, infections pose risks of hospitalization and mortalities. Due to the relatively short circulating half-life of filgrastim, a 20 kDa PEG moiety was covalently conjugated to the N-terminus of filgrastim (at the methionine residue) to develop longer-acting pegfilgrastim.[A29,A187607] Due to a longer half-life and slower elimination rate than filgrastim
Ixabepilone is an epothilone B analog developed by Bristol-Myers Squibb as a cancer drug. It was FDA approved on October 16, 2007, for the treatment of unresponsive aggressive metastatic or locally advanced breast cancer. Ixabepilone is administered through injection, and will be marketed under the trade name Ixempra. Ixabepilone is a semisynthetic analogue of epothilone B. It has a lactone–lactam modification that minimizes susceptibility to esterase degradation.
Moderate
1
[ [ [ 1257, 24, 309 ] ], [ [ 1257, 24, 60 ], [ 60, 23, 309 ] ], [ [ 1257, 24, 1419 ], [ 1419, 24, 309 ] ], [ [ 1257, 24, 1619 ], [ 1619, 63, 309 ] ], [ [ 1257, 63, 491 ], [ 491, 24, 309 ] ], [ [ 1257, 25, 1064 ], [ 1064, 25, 309 ] ], [ [ 1257, 24, 60 ], [ 60, 5, 11579 ], [ 11579, 44, 309 ] ], [ [ 1257, 24, 1419 ], [ 1419, 6, 8374 ], [ 8374, 45, 309 ] ], [ [ 1257, 24, 1619 ], [ 1619, 62, 307 ], [ 307, 23, 309 ] ], [ [ 1257, 24, 1213 ], [ 1213, 18, 4161 ], [ 4161, 45, 309 ] ] ]
[ [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{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}", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{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}", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2a" ], [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capecitabine" ], [ "Capecitabine", "{u} (Compound) treats {v} (Disease)", "breast cancer" ], [ "breast cancer", "{u} (Disease) is treated by {v} (Compound)", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{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}", "Modafinil" ], [ "Modafinil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ixabepilone" ] ], [ [ "Pegfilgrastim", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} (Compound) downregulates {v} (Gene)", "TUBB3" ], [ "TUBB3", "{u} (Gene) is bound by {v} (Compound)", "Ixabepilone" ] ] ]
Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Capecitabine and Capecitabine may cause a minor interaction that can limit clinical effects when taken with Ixabepilone Pegfilgrastim 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 Ixabepilone Pegfilgrastim 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 Ixabepilone Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2a and Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Ixabepilone Pegfilgrastim may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Ixabepilone Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Capecitabine and Capecitabine (Compound) treats breast cancer (Disease) and breast cancer (Disease) is treated by Ixabepilone (Compound) Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Ixabepilone (Compound) Pegfilgrastim 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 Modafinil and Modafinil may cause a minor interaction that can limit clinical effects when taken with Ixabepilone Pegfilgrastim may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib (Compound) downregulates TUBB3 (Gene) and TUBB3 (Gene) is bound by Ixabepilone (Compound)
DB00004
DB00092
669
58
[ "DDInter499", "DDInter40" ]
Denileukin diftitox
Alefacept
A recombinant DNA-derived cytotoxic protein composed of the amino acid sequences for diphtheria toxin fragments A and B (Met 1-Thr 387)-His followed by the sequences for interleukin-2 (IL-2; Ala 1-Thr 133). It is produced in an E. coli expression system.
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.
Moderate
1
[ [ [ 669, 24, 58 ] ], [ [ 669, 24, 384 ], [ 384, 63, 58 ] ], [ [ 669, 24, 599 ], [ 599, 24, 58 ] ], [ [ 669, 25, 375 ], [ 375, 63, 58 ] ], [ [ 669, 25, 1057 ], [ 1057, 24, 58 ] ], [ [ 669, 25, 676 ], [ 676, 64, 58 ] ], [ [ 669, 24, 384 ], [ 384, 63, 304 ], [ 304, 63, 58 ] ], [ [ 669, 24, 66 ], [ 66, 23, 1114 ], [ 1114, 62, 58 ] ], [ [ 669, 24, 270 ], [ 270, 62, 1114 ], [ 1114, 62, 58 ] ], [ [ 669, 24, 599 ], [ 599, 24, 329 ], [ 329, 63, 58 ] ] ]
[ [ [ "Denileukin diftitox", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{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}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{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}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{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}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{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}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{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}", "Trimetrexate" ], [ "Trimetrexate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc sulfate" ], [ "Zinc sulfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Zinc sulfate" ], [ "Zinc sulfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Alefacept" ] ], [ [ "Denileukin diftitox", "{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}", "Bleomycin" ], [ "Bleomycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ] ] ]
Denileukin diftitox 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 Alefacept Denileukin diftitox 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 Alefacept Denileukin diftitox 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 Alefacept Denileukin diftitox may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Alefacept Denileukin diftitox 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 Alefacept Denileukin diftitox 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 Trimetrexate and Trimetrexate may cause a moderate interaction that could exacerbate diseases when taken with Alefacept Denileukin diftitox may cause a moderate interaction that could exacerbate diseases when taken with Efalizumab and Efalizumab may cause a minor interaction that can limit clinical effects when taken with Zinc sulfate and Zinc sulfate may cause a minor interaction that can limit clinical effects when taken with Alefacept Denileukin diftitox may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may cause a minor interaction that can limit clinical effects when taken with Zinc sulfate and Zinc sulfate may cause a minor interaction that can limit clinical effects when taken with Alefacept Denileukin diftitox 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 Bleomycin and Bleomycin may cause a moderate interaction that could exacerbate diseases when taken with Alefacept
DB00662
DB01176
717
537
[ "DDInter1873", "DDInter453" ]
Trimethobenzamide
Cyclizine
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.
A histamine H1 antagonist given by mouth or parenterally for the control of postoperative and drug-induced vomiting and in motion sickness. (From Martindale, The Extra Pharmacopoeia, 30th ed, p935)
Moderate
1
[ [ [ 717, 24, 537 ] ], [ [ 717, 63, 1242 ], [ 1242, 24, 537 ] ], [ [ 717, 24, 358 ], [ 358, 24, 537 ] ], [ [ 717, 21, 28681 ], [ 28681, 60, 537 ] ], [ [ 717, 24, 1418 ], [ 1418, 63, 537 ] ], [ [ 717, 24, 306 ], [ 306, 25, 537 ] ], [ [ 717, 64, 675 ], [ 675, 25, 537 ] ], [ [ 717, 63, 357 ], [ 357, 35, 537 ] ], [ [ 717, 24, 1376 ], [ 1376, 35, 537 ] ], [ [ 717, 63, 1242 ], [ 1242, 40, 11304 ], [ 11304, 1, 537 ] ] ]
[ [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ], [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ], [ "Orphenadrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{u} (Compound) causes {v} (Side Effect)", "Hypersensitivity" ], [ "Hypersensitivity", "{u} (Side Effect) is caused by {v} (Compound)", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Estazolam" ], [ "Estazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zonisamide" ], [ "Zonisamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{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}", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzatropine" ], [ "Benzatropine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{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}", "Cyclizine" ] ], [ [ "Trimethobenzamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ], [ "Cetirizine", "{u} (Compound) resembles {v} (Compound)", "Ifenprodil" ], [ "Ifenprodil", "{u} (Compound) resembles {v} (Compound)", "Cyclizine" ] ] ]
Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine and Orphenadrine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine Trimethobenzamide (Compound) causes Hypersensitivity (Side Effect) and Hypersensitivity (Side Effect) is caused by Cyclizine (Compound) Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Estazolam and Estazolam may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Zonisamide and Zonisamide may lead to a major life threatening interaction when taken with Cyclizine Trimethobenzamide 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 Cyclizine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Benzatropine and Benzatropine (Compound) resembles Cyclizine (Compound) and Benzatropine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Diphenhydramine and Diphenhydramine (Compound) resembles Cyclizine (Compound) and Diphenhydramine may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine Trimethobenzamide may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine and Cetirizine (Compound) resembles Ifenprodil (Compound) and Ifenprodil (Compound) resembles Cyclizine (Compound)
DB06663
DB12245
1,154
823
[ "DDInter1398", "DDInter1863" ]
Pasireotide
Triclabendazole
Pasireotide is a synthetic long-acting cyclic hexapeptide with somatostatin-like activity. It is marketed as a diaspartate salt called Signifor, which is used in the treatment of Cushing's disease.
Triclabendazole, manufactured by Novartis pharmaceuticals, is an antihelminthic drug that was approved by the FDA in February 2019 for the treatment of fascioliasis in humans.[FDA label, L5452] Fascioliasis is a parasitic infection often caused by the helminth, _Fasciola hepatica_, which is also known as “the common liver fluke” or “the sheep liver fluke” or by _Fasciola gigantica_, another helminth. These parasites can infect humans following ingestion of larvae in contaminated water or food. Triclabendazole was previously used in the treatment of fascioliasis in livestock, but is now approved for human use. This drug is currently the only FDA-approved drug for individuals with fascioliasis, which affects 2.4 million people worldwide.[A174988,L5452]
Major
2
[ [ [ 1154, 25, 823 ] ], [ [ 1154, 62, 1247 ], [ 1247, 23, 823 ] ], [ [ 1154, 25, 1612 ], [ 1612, 24, 823 ] ], [ [ 1154, 64, 1010 ], [ 1010, 24, 823 ] ], [ [ 1154, 24, 28 ], [ 28, 24, 823 ] ], [ [ 1154, 63, 673 ], [ 673, 24, 823 ] ], [ [ 1154, 25, 1619 ], [ 1619, 63, 823 ] ], [ [ 1154, 24, 1032 ], [ 1032, 63, 823 ] ], [ [ 1154, 25, 868 ], [ 868, 25, 823 ] ], [ [ 1154, 64, 702 ], [ 702, 25, 823 ] ] ]
[ [ [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Triclabendazole" ] ], [ [ "Pasireotide", "{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}", "Triclabendazole" ] ], [ [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostemsavir" ], [ "Fostemsavir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ] ], [ [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Mefloquine" ], [ "Mefloquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ] ], [ [ "Pasireotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bisacodyl" ], [ "Bisacodyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ] ], [ [ "Pasireotide", "{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}", "Triclabendazole" ] ], [ [ "Pasireotide", "{u} may lead to a major life threatening interaction when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ] ], [ [ "Pasireotide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levosalbutamol" ], [ "Levosalbutamol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triclabendazole" ] ], [ [ "Pasireotide", "{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}", "Triclabendazole" ] ], [ [ "Pasireotide", "{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}", "Triclabendazole" ] ] ]
Pasireotide 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 Triclabendazole Pasireotide may lead to a major life threatening interaction when taken with Fostemsavir and Fostemsavir may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole Pasireotide may lead to a major life threatening interaction when taken with Mefloquine and Mefloquine may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole Pasireotide may cause a moderate interaction that could exacerbate diseases when taken with Bisacodyl and Bisacodyl may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole Pasireotide 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 Triclabendazole Pasireotide may lead to a major life threatening interaction when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole Pasireotide may cause a moderate interaction that could exacerbate diseases when taken with Levosalbutamol and Levosalbutamol may cause a moderate interaction that could exacerbate diseases when taken with Triclabendazole Pasireotide 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 Triclabendazole Pasireotide 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 Triclabendazole
DB00574
DB09291
121
741
[ "DDInter717", "DDInter1615" ]
Fenfluramine
Rolapitant
Dravet syndrome is a pediatric encephalopathy that typically manifests within the first year of life following exposure to elevated temperatures. It is characterized by recurrent pharmacoresistant seizures, which increase in frequency and severity with disease progression. Concomitantly with these seizures, patients typically display delayed development and neurocognitive impairment.[A214694, A214709, A214712, A214715] Fenfluramine is a serotonergic phenethylamine originally used as an appetite suppressant until concerns regarding cardiotoxicity in obese patients lead to its withdrawal from the market in 1997.[A214694, A214718, A11906] Through its ability to modulate neurotransmission, fenfluramine has reemerged as an effective therapy against pharmacoresistant seizures, such as those involved in Dravet syndrome.[A214688, A214691, A214700] Fenfluramine was granted initial FDA approval in 1973 prior to its withdrawal
Rolapitant is a potent, highly selective, long-acting Neurokinin-1 (NK-1) receptor antagonist approved for the prevention of delayed chemotherapy-induced nausea and vomiting (CINV) in adults. Delayed-phase CINV typically occurs >24 hours after chemotherapy treatment and is principally mediated by Neurokinin-1 and its ligand Substance P, which is released in the gut following chemotherapy administration. Neurokinin-1 is also known as Tachykinin Receptor 1 (TACR1), Neurokinin 1 Receptor (NK1R), and Substance P Receptor (SPR). By blocking Substance P from interacting with NK-1 receptors in the gut and the central nervous system, rolapitant prevents late-phase CINV. Unlike other available NK-1 receptor antagonists, rolapitant is not an inhibitor of Cytochrome P450 enzyme CYP3A4 and has a long elimination half-life, allowing a single dose to prevent both acute and late-phase CINV during the first 120 hours post-chemotherapy.
Moderate
1
[ [ [ 121, 24, 741 ] ], [ [ 121, 23, 211 ], [ 211, 23, 741 ] ], [ [ 121, 64, 506 ], [ 506, 24, 741 ] ], [ [ 121, 24, 1164 ], [ 1164, 24, 741 ] ], [ [ 121, 24, 938 ], [ 938, 63, 741 ] ], [ [ 121, 63, 847 ], [ 847, 24, 741 ] ], [ [ 121, 25, 1529 ], [ 1529, 24, 741 ] ], [ [ 121, 24, 1421 ], [ 1421, 64, 741 ] ], [ [ 121, 25, 684 ], [ 684, 25, 741 ] ], [ [ 121, 24, 1670 ], [ 1670, 25, 741 ] ] ]
[ [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Fenfluramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Tolterodine" ], [ "Tolterodine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Rolapitant" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextromethorphan" ], [ "Dextromethorphan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pitolisant" ], [ "Pitolisant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Fenfluramine", "{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}", "Rolapitant" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Metamfetamine" ], [ "Metamfetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rolapitant" ] ], [ [ "Fenfluramine", "{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}", "Rolapitant" ] ], [ [ "Fenfluramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Rolapitant" ] ], [ [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eliglustat" ], [ "Eliglustat", "{u} may lead to a major life threatening interaction when taken with {v}", "Rolapitant" ] ] ]
Fenfluramine may cause a minor interaction that can limit clinical effects when taken with Tolterodine and Tolterodine may cause a minor interaction that can limit clinical effects when taken with Rolapitant Fenfluramine may lead to a major life threatening interaction when taken with Dextromethorphan and Dextromethorphan may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Pitolisant and Pitolisant may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Fenfluramine 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 Rolapitant Fenfluramine may lead to a major life threatening interaction when taken with Metamfetamine and Metamfetamine may cause a moderate interaction that could exacerbate diseases when taken with Rolapitant Fenfluramine 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 Rolapitant Fenfluramine may lead to a major life threatening interaction when taken with Thioridazine and Thioridazine may lead to a major life threatening interaction when taken with Rolapitant Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Eliglustat and Eliglustat may lead to a major life threatening interaction when taken with Rolapitant
DB01142
DB01612
1,264
1,637
[ "DDInter593", "DDInter92" ]
Doxepin
Amyl Nitrite
Doxepin is a psychotropic agent with antidepressant and anxiolytic properties. It is a tertiary amine that can be presented as (E) and (Z) stereoisomers with the (Z) stereoisomer corresponding to [cidoxepin]. Doxepin commonly produces a 5:1 (E):(Z) racemic mixture. In a strict sense, doxepin is not a tricyclic antidepressant but it is commonly associated with the class since it shares a lot of properties with members of the drug family including [amitriptyline], [clomipramine], [desipramine], [imipramine], [nortriptyline], [protriptyline] and [trimipramine]. Doxepin was developed by Pfizer and FDA approved in 1969 as an antidepressant. However, in 2010 it was approved for the treatment of insomnia. The latter
Amyl Nitrite is an antihypertensive medicine. Amyl nitrite is employed medically to treat heart diseases such as angina and to treat cyanide poisoning. Its use as a prescription medicine comes from its ability to lower blood pressure. As an inhalant, it also has psychoactive effect which has led to illegal drug use.
Moderate
1
[ [ [ 1264, 24, 1637 ] ], [ [ 1264, 64, 946 ], [ 946, 24, 1637 ] ], [ [ 1264, 24, 180 ], [ 180, 63, 1637 ] ], [ [ 1264, 24, 993 ], [ 993, 24, 1637 ] ], [ [ 1264, 63, 210 ], [ 210, 24, 1637 ] ], [ [ 1264, 35, 358 ], [ 358, 24, 1637 ] ], [ [ 1264, 25, 593 ], [ 593, 24, 1637 ] ], [ [ 1264, 74, 21 ], [ 21, 24, 1637 ] ], [ [ 1264, 25, 607 ], [ 607, 63, 1637 ] ], [ [ 1264, 63, 1005 ], [ 1005, 25, 1637 ] ] ]
[ [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Doxepin", "{u} may lead to a major life threatening interaction when taken with {v}", "Buspirone" ], [ "Buspirone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oliceridine" ], [ "Oliceridine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diamorphine" ], [ "Diamorphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Carisoprodol" ], [ "Carisoprodol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Doxepin", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ], [ "Orphenadrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Doxepin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bupropion" ], [ "Bupropion", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "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}", "Amyl Nitrite" ] ], [ [ "Doxepin", "{u} may lead to a major life threatening interaction when taken with {v}", "Amisulpride" ], [ "Amisulpride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Amyl Nitrite" ] ], [ [ "Doxepin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vardenafil" ], [ "Vardenafil", "{u} may lead to a major life threatening interaction when taken with {v}", "Amyl Nitrite" ] ] ]
Doxepin may lead to a major life threatening interaction when taken with Buspirone and Buspirone may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Oliceridine and Oliceridine may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Diamorphine and Diamorphine may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Carisoprodol and Carisoprodol may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Doxepin (Compound) resembles Orphenadrine (Compound) and Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine and Orphenadrine may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Doxepin may lead to a major life threatening interaction when taken with Bupropion and Bupropion may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite 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 Amyl Nitrite Doxepin may lead to a major life threatening interaction when taken with Amisulpride and Amisulpride may cause a moderate interaction that could exacerbate diseases when taken with Amyl Nitrite Doxepin may cause a moderate interaction that could exacerbate diseases when taken with Vardenafil and Vardenafil may lead to a major life threatening interaction when taken with Amyl Nitrite
DB01105
DB01365
222
280
[ "DDInter1665", "DDInter1151" ]
Sibutramine
Mephentermine
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.
A sympathomimetic agent with mainly indirect effects on adrenergic receptors. It is used to maintain blood pressure in hypotensive states, for example, following spinal anesthesia. Although the central stimulant effects of mephentermine are much less than those of amphetamine, its use may lead to amphetamine-type dependence. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1248)
Moderate
1
[ [ [ 222, 24, 280 ] ], [ [ 222, 64, 551 ], [ 551, 1, 280 ] ], [ [ 222, 64, 80 ], [ 80, 40, 280 ] ], [ [ 222, 63, 1445 ], [ 1445, 1, 280 ] ], [ [ 222, 24, 94 ], [ 94, 1, 280 ] ], [ [ 222, 25, 93 ], [ 93, 1, 280 ] ], [ [ 222, 25, 22 ], [ 22, 40, 280 ] ], [ [ 222, 18, 4930 ], [ 4930, 57, 280 ] ], [ [ 222, 24, 52 ], [ 52, 63, 280 ] ], [ [ 222, 24, 1254 ], [ 1254, 24, 280 ] ] ]
[ [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mephentermine" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenelzine" ], [ "Phenelzine", "{u} (Compound) resembles {v} (Compound)", "Mephentermine" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Amphetamine" ], [ "Amphetamine", "{u} (Compound) resembles {v} (Compound)", "Mephentermine" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pseudoephedrine" ], [ "Pseudoephedrine", "{u} (Compound) resembles {v} (Compound)", "Mephentermine" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenacemide" ], [ "Phenacemide", "{u} (Compound) resembles {v} (Compound)", "Mephentermine" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextroamphetamine" ], [ "Dextroamphetamine", "{u} (Compound) resembles {v} (Compound)", "Mephentermine" ] ], [ [ "Sibutramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} (Compound) resembles {v} (Compound)", "Mephentermine" ] ], [ [ "Sibutramine", "{u} (Compound) downregulates {v} (Gene)", "DLD" ], [ "DLD", "{u} (Gene) is downregulated by {v} (Compound)", "Mephentermine" ] ], [ [ "Sibutramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dulaglutide" ], [ "Dulaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mephentermine" ] ], [ [ "Sibutramine", "{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}", "Mephentermine" ] ] ]
Sibutramine may lead to a major life threatening interaction when taken with Phenelzine and Phenelzine (Compound) resembles Mephentermine (Compound) Sibutramine may lead to a major life threatening interaction when taken with Amphetamine and Amphetamine (Compound) resembles Mephentermine (Compound) Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Pseudoephedrine and Pseudoephedrine (Compound) resembles Mephentermine (Compound) Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Phenacemide and Phenacemide (Compound) resembles Mephentermine (Compound) Sibutramine may lead to a major life threatening interaction when taken with Dextroamphetamine and Dextroamphetamine (Compound) resembles Mephentermine (Compound) Sibutramine may lead to a major life threatening interaction when taken with Ephedrine and Ephedrine (Compound) resembles Mephentermine (Compound) Sibutramine (Compound) downregulates DLD (Gene) and DLD (Gene) is downregulated by Mephentermine (Compound) Sibutramine may cause a moderate interaction that could exacerbate diseases when taken with Dulaglutide and Dulaglutide may cause a moderate interaction that could exacerbate diseases when taken with Mephentermine Sibutramine 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 Mephentermine
DB05239
DB08913
866
1,186
[ "DDInter425", "DDInter1561" ]
Cobimetinib
Radium Ra 223 dichloride
Cobimetinib is an orally active, potent and highly selective small molecule inhibiting mitogen-activated protein kinase kinase 1 (MAP2K1 or MEK1), and central components of the RAS/RAF/MEK/ERK signal transduction pathway. It has been approved in Switzerland and the US, in combination with vemurafenib for the treatment of patients with unresectable or metastatic BRAF V600 mutation-positive melanoma.
Radium Ra 223 Dichloride is a radiopharmaceutical containing the radioisotope radium-223 that emits short range but high linear energy alpha particles. As a cation, radium mimics calicum and binds to hydroxyapatite, which is a bone mineral found in areas of high bone turnover as seen in bone metastases. It was first approved by the FDA in May 2013 and is currently marketed under the brand name Xofigo, which was formerly called Alpharadin. Xofigo is indicated in patients who have metastatic bone cancer that is symptomatic with no visceral metastases and patients who have prostate cancer that is castration resistant. The FDA label includes a warning that Radium Ra 223 Dichloride should not be used in women who are pregnant or may become pregnant due to the high risk of fetal harm.
Moderate
1
[ [ [ 866, 24, 1186 ] ], [ [ 866, 24, 1491 ], [ 1491, 24, 1186 ] ], [ [ 866, 24, 1619 ], [ 1619, 63, 1186 ] ], [ [ 866, 63, 372 ], [ 372, 24, 1186 ] ], [ [ 866, 64, 1419 ], [ 1419, 24, 1186 ] ], [ [ 866, 25, 1510 ], [ 1510, 24, 1186 ] ], [ [ 866, 25, 1259 ], [ 1259, 63, 1186 ] ], [ [ 866, 24, 1374 ], [ 1374, 25, 1186 ] ], [ [ 866, 24, 1491 ], [ 1491, 63, 134 ], [ 134, 24, 1186 ] ], [ [ 866, 24, 1250 ], [ 1250, 21, 28722 ], [ 28722, 60, 1186 ] ] ]
[ [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{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}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{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}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{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}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{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}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Baricitinib" ], [ "Baricitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Abiraterone" ], [ "Abiraterone", "{u} may lead to a major life threatening interaction when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{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}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Radium Ra 223 dichloride" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} (Compound) causes {v} (Side Effect)", "Nausea" ], [ "Nausea", "{u} (Side Effect) is caused by {v} (Compound)", "Radium Ra 223 dichloride" ] ] ]
Cobimetinib 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 Radium Ra 223 dichloride Cobimetinib 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 Radium Ra 223 dichloride Cobimetinib 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 Radium Ra 223 dichloride Cobimetinib may lead to a major life threatening interaction when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Radium Ra 223 dichloride Cobimetinib 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 Radium Ra 223 dichloride Cobimetinib may lead to a major life threatening interaction when taken with Baricitinib and Baricitinib may cause a moderate interaction that could exacerbate diseases when taken with Radium Ra 223 dichloride Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Abiraterone and Abiraterone may lead to a major life threatening interaction when taken with Radium Ra 223 dichloride Cobimetinib 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 Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Radium Ra 223 dichloride Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib and Pazopanib (Compound) causes Nausea (Side Effect) and Nausea (Side Effect) is caused by Radium Ra 223 dichloride (Compound)
DB00744
DB01097
1,288
1,377
[ "DDInter1962", "DDInter1033" ]
Zileuton
Leflunomide
Leukotrienes are substances that induce numerous biological effects including augmentation of neutrophil and eosinophil migration, neutrophil and monocyte aggregation, leukocyte adhesion, increased capillary permeability, and smooth muscle contraction. These effects contribute to inflammation, edema, mucus secretion, and bronchoconstriction in the airways of asthmatic patients. Zileuton relieves such symptoms through its selective inhibition of 5-lipoxygenase, the enzyme that catalyzes the formation of leukotrienes from arachidonic acid. Specifically, it inhibits leukotriene LTB4, LTC4, LTD4, and LTE4 formation. Both the R(+) and S(-) enantiomers are pharmacologically active as 5-lipoxygenase inhibitors in in vitro systems. The immediate release tablet of Zileuton has been withdrawn from the US market.
Leflunomide is a pyrimidine synthesis inhibitor belonging to the DMARD (disease-modifying antirheumatic drug) class of drugs, which are chemically and pharmacologically very heterogeneous. Leflunomide was approved by FDA and in many other countries (e.g., Canada, Europe) in 1999.
Major
2
[ [ [ 1288, 25, 1377 ] ], [ [ 1288, 6, 6017 ], [ 6017, 45, 1377 ] ], [ [ 1288, 21, 28701 ], [ 28701, 60, 1377 ] ], [ [ 1288, 63, 126 ], [ 126, 24, 1377 ] ], [ [ 1288, 24, 392 ], [ 392, 64, 1377 ] ], [ [ 1288, 24, 629 ], [ 629, 25, 1377 ] ], [ [ 1288, 25, 1510 ], [ 1510, 64, 1377 ] ], [ [ 1288, 63, 1324 ], [ 1324, 25, 1377 ] ], [ [ 1288, 6, 6017 ], [ 6017, 45, 240 ], [ 240, 24, 1377 ] ], [ [ 1288, 21, 28701 ], [ 28701, 60, 1477 ], [ 1477, 63, 1377 ] ] ]
[ [ [ "Zileuton", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Zileuton", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Leflunomide" ] ], [ [ "Zileuton", "{u} (Compound) causes {v} (Side Effect)", "Discomfort" ], [ "Discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Leflunomide" ] ], [ [ "Zileuton", "{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}", "Leflunomide" ] ], [ [ "Zileuton", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Zileuton", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Zileuton", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Zileuton", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ] ], [ [ "Zileuton", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Losartan" ], [ "Losartan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ] ], [ [ "Zileuton", "{u} (Compound) causes {v} (Side Effect)", "Discomfort" ], [ "Discomfort", "{u} (Side Effect) is caused by {v} (Compound)", "Telbivudine" ], [ "Telbivudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Leflunomide" ] ] ]
Zileuton (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Leflunomide (Compound) Zileuton (Compound) causes Discomfort (Side Effect) and Discomfort (Side Effect) is caused by Leflunomide (Compound) Zileuton 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 Leflunomide Zileuton may cause a moderate interaction that could exacerbate diseases when taken with Lapatinib and Lapatinib may lead to a major life threatening interaction when taken with Leflunomide Zileuton may cause a moderate interaction that could exacerbate diseases when taken with Sirolimus and Sirolimus may lead to a major life threatening interaction when taken with Leflunomide Zileuton may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Leflunomide Zileuton may cause a moderate interaction that could exacerbate diseases when taken with Troglitazone and Troglitazone may lead to a major life threatening interaction when taken with Leflunomide Zileuton (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Losartan (Compound) and Losartan may cause a moderate interaction that could exacerbate diseases when taken with Leflunomide Zileuton (Compound) causes Discomfort (Side Effect) and Discomfort (Side Effect) is caused by Telbivudine (Compound) and Telbivudine may cause a moderate interaction that could exacerbate diseases when taken with Leflunomide
DB00835
DB01173
100
358
[ "DDInter245", "DDInter1349" ]
Brompheniramine
Orphenadrine
Histamine H1 antagonist used in treatment of allergies, rhinitis, and urticaria.
A muscarinic antagonist used to treat drug-induced parkinsonism and to relieve pain from muscle spasm.
Moderate
1
[ [ [ 100, 35, 358 ] ], [ [ 100, 24, 211 ], [ 211, 1, 358 ] ], [ [ 100, 35, 272 ], [ 272, 24, 358 ] ], [ [ 100, 24, 820 ], [ 820, 63, 358 ] ], [ [ 100, 1, 11296 ], [ 11296, 1, 358 ] ], [ [ 100, 63, 758 ], [ 758, 40, 358 ] ], [ [ 100, 63, 1164 ], [ 1164, 1, 358 ] ], [ [ 100, 1, 11786 ], [ 11786, 40, 358 ] ], [ [ 100, 24, 1405 ], [ 1405, 40, 358 ] ], [ [ 100, 64, 675 ], [ 675, 40, 358 ] ] ]
[ [ [ "Brompheniramine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolterodine" ], [ "Tolterodine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Brompheniramine", "{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}", "Orphenadrine" ] ], [ [ "Brompheniramine", "{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" ] ], [ [ "Brompheniramine", "{u} (Compound) resembles {v} (Compound)", "Bromodiphenhydramine" ], [ "Bromodiphenhydramine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fluoxetine" ], [ "Fluoxetine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimipramine" ], [ "Trimipramine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Brompheniramine", "{u} (Compound) resembles {v} (Compound)", "Captodiame" ], [ "Captodiame", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Brompheniramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclobenzaprine" ], [ "Cyclobenzaprine", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ], [ [ "Brompheniramine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} (Compound) resembles {v} (Compound)", "Orphenadrine" ] ] ]
Brompheniramine (Compound) resembles Orphenadrine (Compound) and Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Tolterodine and Tolterodine (Compound) resembles Orphenadrine (Compound) Brompheniramine (Compound) resembles Chlorpheniramine (Compound) and Brompheniramine 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 Brompheniramine 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 Brompheniramine (Compound) resembles Bromodiphenhydramine (Compound) and Bromodiphenhydramine (Compound) resembles Orphenadrine (Compound) Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Fluoxetine and Fluoxetine (Compound) resembles Orphenadrine (Compound) Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Trimipramine and Trimipramine (Compound) resembles Orphenadrine (Compound) Brompheniramine (Compound) resembles Captodiame (Compound) and Captodiame (Compound) resembles Orphenadrine (Compound) Brompheniramine may cause a moderate interaction that could exacerbate diseases when taken with Cyclobenzaprine and Cyclobenzaprine (Compound) resembles Orphenadrine (Compound) Brompheniramine may lead to a major life threatening interaction when taken with Dextropropoxyphene and Dextropropoxyphene (Compound) resembles Orphenadrine (Compound)
DB00327
DB00341
421
1,242
[ "DDInter890", "DDInter343" ]
Hydromorphone
Cetirizine
Hydromorphone is a pure opioid, a semi-synthetic hydrogenated ketone derivative of [morphine] that has been available clinically since 1920. Structurally, hydromorphone derived from [morphine] in the modification of the hydroxyl group in the carbon 6 to a carbonyl and the absence of a double bond between the carbon 7 and 8. Due to these modifications, it presents a very high potency and comparable side effect profile to the parent compound. Even though hydromorphone does not present a 6-hydroxyl group, it is categorized under the family of phenanthrenes and it is considered a chemical under the schedule II (medical purposes with high addiction potential). The first reported approved product containing hydromorphone in the form of hydromorphone hydrochloride was developed by Fresenius Kabi USA and FDA approved in 1984.
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 without sedating effects .
Moderate
1
[ [ [ 421, 24, 1242 ] ], [ [ 421, 24, 537 ], [ 537, 63, 1242 ] ], [ [ 421, 21, 28841 ], [ 28841, 60, 1242 ] ], [ [ 421, 64, 475 ], [ 475, 24, 1242 ] ], [ [ 421, 1, 560 ], [ 560, 63, 1242 ] ], [ [ 421, 63, 1648 ], [ 1648, 24, 1242 ] ], [ [ 421, 25, 1053 ], [ 1053, 63, 1242 ] ], [ [ 421, 40, 993 ], [ 993, 63, 1242 ] ], [ [ 421, 63, 701 ], [ 701, 35, 1242 ] ], [ [ 421, 24, 537 ], [ 537, 40, 11304 ], [ 11304, 1, 1242 ] ] ]
[ [ [ "Hydromorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ] ], [ [ "Hydromorphone", "{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}", "Cetirizine" ] ], [ [ "Hydromorphone", "{u} (Compound) causes {v} (Side Effect)", "Bronchospasm" ], [ "Bronchospasm", "{u} (Side Effect) is caused by {v} (Compound)", "Cetirizine" ] ], [ [ "Hydromorphone", "{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}", "Cetirizine" ] ], [ [ "Hydromorphone", "{u} (Compound) resembles {v} (Compound)", "Oxymorphone" ], [ "Oxymorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ] ], [ [ "Hydromorphone", "{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}", "Cetirizine" ] ], [ [ "Hydromorphone", "{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}", "Cetirizine" ] ], [ [ "Hydromorphone", "{u} (Compound) resembles {v} (Compound)", "Diamorphine" ], [ "Diamorphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ] ], [ [ "Hydromorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clemastine" ], [ "Clemastine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cetirizine" ] ], [ [ "Hydromorphone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyclizine" ], [ "Cyclizine", "{u} (Compound) resembles {v} (Compound)", "Ifenprodil" ], [ "Ifenprodil", "{u} (Compound) resembles {v} (Compound)", "Cetirizine" ] ] ]
Hydromorphone 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 Cetirizine Hydromorphone (Compound) causes Bronchospasm (Side Effect) and Bronchospasm (Side Effect) is caused by Cetirizine (Compound) Hydromorphone 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 Cetirizine Hydromorphone (Compound) resembles Oxymorphone (Compound) and Oxymorphone may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine Hydromorphone 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 Cetirizine Hydromorphone 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 Cetirizine Hydromorphone (Compound) resembles Diamorphine (Compound) and Diamorphine may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine Hydromorphone may cause a moderate interaction that could exacerbate diseases when taken with Clemastine and Clemastine (Compound) resembles Cetirizine (Compound) and Clemastine may cause a moderate interaction that could exacerbate diseases when taken with Cetirizine Hydromorphone may cause a moderate interaction that could exacerbate diseases when taken with Cyclizine and Cyclizine (Compound) resembles Ifenprodil (Compound) and Ifenprodil (Compound) resembles Cetirizine (Compound)
DB01216
DB11952
284
800
[ "DDInter736", "DDInter612" ]
Finasteride
Duvelisib
Finasteride is a synthetic 4-azasteroid compound and specific inhibitor of steroid Type II 5α-reductase, which is an intracellular enzyme that converts the androgen testosterone into 5α-dihydrotestosterone (DHT). It works in a similar fashion as [dutasteride], which is another 5-alpha-reductase inhibitor, by exerting antiandrogenic effects. Finasteride is an orally active drug that was first approved by the FDA in 1992 for the treatment of benign prostatic hyperplasia to improve symptoms and reduce the risk for acute urinary retention or the need for surgical procedures.[L6244,L10565] In 1998, it was approved by the FDA to treat male pattern hair loss. Finasteride is commonly marketed under the brand names Propecia and Proscar to be used aloneo or in combination with [doxazosin], an alpha-blocker. Both benign prostatic hyperpl
Duvelisib, also known as IPI-145 and INK-1197, is a small-molecule inhibitor of phosphoinositide-3 kinases that was designed initially to prove that simultaneous inhibition of the isoforms delta and gamma can produce a broad adaptative and innate immune cell inhibitory activity. All the work around duvelisib showed that this agent is a potent inhibitor of both forms. Duvelisib was developed by Verastem, Inc and FDA approved on September 24, 2018.
Moderate
1
[ [ [ 284, 24, 800 ] ], [ [ 284, 63, 629 ], [ 629, 24, 800 ] ], [ [ 284, 24, 98 ], [ 98, 24, 800 ] ], [ [ 284, 24, 159 ], [ 159, 63, 800 ] ], [ [ 284, 63, 629 ], [ 629, 24, 222 ], [ 222, 23, 800 ] ], [ [ 284, 63, 600 ], [ 600, 23, 466 ], [ 466, 62, 800 ] ], [ [ 284, 24, 98 ], [ 98, 24, 466 ], [ 466, 62, 800 ] ], [ [ 284, 40, 11324 ], [ 11324, 40, 167 ], [ 167, 24, 800 ] ], [ [ 284, 24, 159 ], [ 159, 62, 466 ], [ 466, 62, 800 ] ], [ [ 284, 63, 629 ], [ 629, 24, 310 ], [ 310, 24, 800 ] ] ]
[ [ [ "Finasteride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Finasteride", "{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}", "Duvelisib" ] ], [ [ "Finasteride", "{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}", "Duvelisib" ] ], [ [ "Finasteride", "{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}", "Duvelisib" ] ], [ [ "Finasteride", "{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}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Duvelisib" ] ], [ [ "Finasteride", "{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}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Duvelisib" ] ], [ [ "Finasteride", "{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}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Duvelisib" ] ], [ [ "Finasteride", "{u} (Compound) resembles {v} (Compound)", "Dydrogesterone" ], [ "Dydrogesterone", "{u} (Compound) resembles {v} (Compound)", "Hydrocortisone" ], [ "Hydrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ], [ [ "Finasteride", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Duvelisib" ] ], [ [ "Finasteride", "{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}", "Cabazitaxel" ], [ "Cabazitaxel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Duvelisib" ] ] ]
Finasteride 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 Duvelisib Finasteride 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 Duvelisib Finasteride 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 Duvelisib Finasteride 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 Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Duvelisib Finasteride 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 Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Duvelisib Finasteride 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 Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Duvelisib Finasteride (Compound) resembles Dydrogesterone (Compound) and Dydrogesterone (Compound) resembles Hydrocortisone (Compound) and Hydrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib Finasteride may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Duvelisib Finasteride 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 Cabazitaxel and Cabazitaxel may cause a moderate interaction that could exacerbate diseases when taken with Duvelisib
DB00865
DB01064
939
1,148
[ "DDInter187", "DDInter987" ]
Benzphetamine
Isoprenaline
A sympathomimetic agent with properties similar to dextroamphetamine. It is used in the treatment of obesity. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1222)
Isoprenaline is a non-selective beta adrenergic receptor agonist indicated to treat heart block, Adams-Stokes attacks, bronchospasm in anesthesia, cadiac arrest, hypovolemic shocks, septic shock, hypoperfusion, congestive hear failure, and cardiogenic shock.[A15638,L33160] Isoprenaline research in the 1940s found that this isopropyl analog of epinephrine dilated the bronchi, as well as raising the heart rate and cardiac output, without vasoconstriction.[A233724,A233729] The US patent from 1943 states that this compound had a wider therapeutic index and a stronger action than [adrenaline]. Isoprenaline was granted FDA approval on 19 February 1948.
Moderate
1
[ [ [ 939, 24, 1148 ] ], [ [ 939, 63, 1636 ], [ 1636, 24, 1148 ] ], [ [ 939, 24, 480 ], [ 480, 24, 1148 ] ], [ [ 939, 21, 29316 ], [ 29316, 60, 1148 ] ], [ [ 939, 24, 959 ], [ 959, 63, 1148 ] ], [ [ 939, 40, 371 ], [ 371, 63, 1148 ] ], [ [ 939, 25, 1629 ], [ 1629, 63, 1148 ] ], [ [ 939, 1, 675 ], [ 675, 24, 1148 ] ], [ [ 939, 40, 307 ], [ 307, 24, 1148 ] ], [ [ 939, 64, 1466 ], [ 1466, 24, 1148 ] ] ]
[ [ [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenylephrine" ], [ "Phenylephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Benzphetamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Formoterol" ], [ "Formoterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Benzphetamine", "{u} (Compound) causes {v} (Side Effect)", "Sweating" ], [ "Sweating", "{u} (Side Effect) is caused by {v} (Compound)", "Isoprenaline" ] ], [ [ "Benzphetamine", "{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}", "Isoprenaline" ] ], [ [ "Benzphetamine", "{u} (Compound) resembles {v} (Compound)", "Propafenone" ], [ "Propafenone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Benzphetamine", "{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}", "Isoprenaline" ] ], [ [ "Benzphetamine", "{u} (Compound) resembles {v} (Compound)", "Dextropropoxyphene" ], [ "Dextropropoxyphene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Benzphetamine", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ], [ [ "Benzphetamine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoprenaline" ] ] ]
Benzphetamine may cause a moderate interaction that could exacerbate diseases when taken with Phenylephrine and Phenylephrine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Benzphetamine may cause a moderate interaction that could exacerbate diseases when taken with Formoterol and Formoterol may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Benzphetamine (Compound) causes Sweating (Side Effect) and Sweating (Side Effect) is caused by Isoprenaline (Compound) Benzphetamine 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 Isoprenaline Benzphetamine (Compound) resembles Propafenone (Compound) and Propafenone may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Benzphetamine 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 Isoprenaline Benzphetamine (Compound) resembles Dextropropoxyphene (Compound) and Dextropropoxyphene may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Benzphetamine (Compound) resembles Modafinil (Compound) and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline Benzphetamine may lead to a major life threatening interaction when taken with Phenylpropanolamine and Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Isoprenaline
DB06209
DB11689
256
321
[ "DDInter1508", "DDInter1659" ]
Prasugrel
Selumetinib
Prasugrel, a thienopyridine derivative, is a platelet activation and aggregation inhibitor structurally and pharmacologically related to clopidogrel and ticlopidine. Similar to clopidogrel, prasugrel is a prodrug that requires enzymatic transformation in the liver to its active metabolite, R-138727. R-138727 irreversibly binds to P2Y12 type ADP receptors on platelets thus preventing activation of the GPIIb/IIIa receptor complex. As a result, inhibition of ADP-mediated platelet activation and aggregation occurs. Prasugrel was developed by Daiichi Sankyo Co. and is currently marketed in the United States and Canada in cooperation with Eli Lilly and Company for acute coronary syndromes planned for percutaneous coronary intervention (PCI). FDA approved in 2009.
Activation of the Raf-MEK-ERK signalling pathway is known to be implemented in several types of malignancies; thus, mitogen-activated protein kinase kinase (MEK) inhibitors such as selumetinib are important tools that can target the problematic overactivity of this pathway. Results from clinical trials investigating earlier developed MEK inhibitors were underwhelming. However, selumetinib demonstrated impressive efficacy and tolerability in Phase I trials, leading to its continued investigation for the treatment of various types of tumours in Phase II trials. Currently, the novel MEK 1 / 2 inhibitor, selumetinib, is approved solely for the treatment of Neurofibromatosis type 1 (NF-1) in a limited age group. NF-1 is considered rare, with an estimated incidence of 1/3000 individuals. It is a genetic, autosomal dominant condition resulting from mutations of the NF1 gene, which can lead to various complications, including the development of multiple tumours in the nervous system.[A193533,A193608] Some patients with this disorder develop plexiform neurofibromas (PN); however, this is considered relatively uncommon compared to other variants of NF-1. Luckily, the use of selumetinib in patients with NF-1 have shown efficacy in shrinking associated tumours and is linked to other positive clinical outcomes. Selumetinib was approved by the FDA on April 10, 2020. It was later approved by Health Canada on August 23, 2022.
Moderate
1
[ [ [ 256, 24, 321 ] ], [ [ 256, 64, 291 ], [ 291, 24, 321 ] ], [ [ 256, 25, 498 ], [ 498, 24, 321 ] ], [ [ 256, 62, 752 ], [ 752, 24, 321 ] ], [ [ 256, 25, 1421 ], [ 1421, 63, 321 ] ], [ [ 256, 63, 1061 ], [ 1061, 24, 321 ] ], [ [ 256, 24, 578 ], [ 578, 24, 321 ] ], [ [ 256, 75, 1347 ], [ 1347, 24, 321 ] ], [ [ 256, 25, 283 ], [ 283, 64, 321 ] ], [ [ 256, 64, 291 ], [ 291, 24, 298 ], [ 298, 24, 321 ] ] ]
[ [ [ "Prasugrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Selumetinib" ] ], [ [ "Prasugrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Selumetinib" ] ], [ [ "Prasugrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Edoxaban" ], [ "Edoxaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Selumetinib" ] ], [ [ "Prasugrel", "{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}", "Selumetinib" ] ], [ [ "Prasugrel", "{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}", "Selumetinib" ] ], [ [ "Prasugrel", "{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}", "Selumetinib" ] ], [ [ "Prasugrel", "{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}", "Selumetinib" ] ], [ [ "Prasugrel", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Clopidogrel" ], [ "Clopidogrel", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Selumetinib" ] ], [ [ "Prasugrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Fedratinib" ], [ "Fedratinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Selumetinib" ] ], [ [ "Prasugrel", "{u} may lead to a major life threatening interaction when taken with {v}", "Argatroban" ], [ "Argatroban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Protein C" ], [ "Protein C", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Selumetinib" ] ] ]
Prasugrel may lead to a major life threatening interaction when taken with Argatroban and Argatroban may cause a moderate interaction that could exacerbate diseases when taken with Selumetinib Prasugrel may lead to a major life threatening interaction when taken with Edoxaban and Edoxaban may cause a moderate interaction that could exacerbate diseases when taken with Selumetinib Prasugrel 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 Selumetinib Prasugrel 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 Selumetinib Prasugrel 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 Selumetinib Prasugrel 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 Selumetinib Prasugrel (Compound) resembles Clopidogrel (Compound) and Prasugrel may lead to a major life threatening interaction when taken with Clopidogrel and Clopidogrel may cause a moderate interaction that could exacerbate diseases when taken with Selumetinib Prasugrel may lead to a major life threatening interaction when taken with Fedratinib and Fedratinib may lead to a major life threatening interaction when taken with Selumetinib Prasugrel may lead to a major life threatening interaction when taken with Argatroban and Argatroban may cause a moderate interaction that could exacerbate diseases when taken with Protein C and Protein C may cause a moderate interaction that could exacerbate diseases when taken with Selumetinib
DB00480
DB06595
1,668
1,491
[ "DDInter1035", "DDInter1214" ]
Lenalidomide
Midostaurin
Lenalidomide (previously referred to as CC-5013) is an immunomodulatory drug with potent antineoplastic, anti-angiogenic, and anti-inflammatory properties. It is a 4-amino-glutamyl analogue of [thalidomide] and like thalidomide, lenalidomide exists as a racemic mixture of the active S(-) and R(+) forms. However, lenalidomide is much safer and potent than thalidomide, with fewer adverse effects and toxicities.[A714, A228543] Thalidomide and its analogues, including lenalidomide, are referred to as immunomodulatory imide drugs (also known as cereblon modulators), which are a class of immunomodulatory drugs that contain an imide group. Lenalidomide works through various mechanisms of actions that promote malignant cell death and enhance host immunity
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
[ [ [ 1668, 24, 1491 ] ], [ [ 1668, 25, 888 ], [ 888, 24, 1491 ] ], [ [ 1668, 64, 289 ], [ 289, 24, 1491 ] ], [ [ 1668, 63, 58 ], [ 58, 24, 1491 ] ], [ [ 1668, 24, 270 ], [ 270, 63, 1491 ] ], [ [ 1668, 24, 663 ], [ 663, 24, 1491 ] ], [ [ 1668, 25, 788 ], [ 788, 63, 1491 ] ], [ [ 1668, 1, 770 ], [ 770, 24, 1491 ] ], [ [ 1668, 25, 1377 ], [ 1377, 25, 1491 ] ], [ [ 1668, 25, 1137 ], [ 1137, 64, 1491 ] ] ]
[ [ [ "Lenalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Lenalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Lenalidomide", "{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" ] ], [ [ "Lenalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alefacept" ], [ "Alefacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Lenalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ocrelizumab" ], [ "Ocrelizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Lenalidomide", "{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}", "Midostaurin" ] ], [ [ "Lenalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Pitavastatin" ], [ "Pitavastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Lenalidomide", "{u} (Compound) resembles {v} (Compound)", "Thalidomide" ], [ "Thalidomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Midostaurin" ] ], [ [ "Lenalidomide", "{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" ] ], [ [ "Lenalidomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Measles virus vaccine live attenuated" ], [ "Measles virus vaccine live attenuated", "{u} may lead to a major life threatening interaction when taken with {v}", "Midostaurin" ] ] ]
Lenalidomide may lead to a major life threatening interaction when taken with Tamoxifen and Tamoxifen may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Lenalidomide 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 Lenalidomide may cause a moderate interaction that could exacerbate diseases when taken with Alefacept and Alefacept may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Lenalidomide may cause a moderate interaction that could exacerbate diseases when taken with Ocrelizumab and Ocrelizumab may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Lenalidomide 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 Midostaurin Lenalidomide may lead to a major life threatening interaction when taken with Pitavastatin and Pitavastatin may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Lenalidomide (Compound) resembles Thalidomide (Compound) and Thalidomide may cause a moderate interaction that could exacerbate diseases when taken with Midostaurin Lenalidomide 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 Lenalidomide may lead to a major life threatening interaction when taken with Measles virus vaccine live attenuated and Measles virus vaccine live attenuated may lead to a major life threatening interaction when taken with Midostaurin
DB00418
DB01070
536
1,098
[ "DDInter1650", "DDInter558" ]
Secobarbital
Dihydrotachysterol
Secobarbital (marketed by Eli Lilly and Company under the brand names Seconal and Tuinal) is a barbiturate derivative drug with anaesthetic, anticonvulsant, sedative and hypnotic properties. It is commonly known as quinalbarbitone in the United Kingdom.
A vitamin D that can be regarded as a reduction product of vitamin D2.
Moderate
1
[ [ [ 536, 24, 1098 ] ], [ [ 536, 63, 386 ], [ 386, 25, 1098 ] ], [ [ 536, 24, 1041 ], [ 1041, 25, 1098 ] ], [ [ 536, 40, 288 ], [ 288, 24, 1098 ] ], [ [ 536, 40, 697 ], [ 697, 63, 1098 ] ], [ [ 536, 24, 1196 ], [ 1196, 64, 1098 ] ], [ [ 536, 63, 1331 ], [ 1331, 36, 1098 ] ], [ [ 536, 63, 386 ], [ 386, 40, 1113 ], [ 1113, 1, 1098 ] ], [ [ 536, 24, 1041 ], [ 1041, 40, 1113 ], [ 1113, 1, 1098 ] ], [ [ 536, 40, 288 ], [ 288, 63, 386 ], [ 386, 25, 1098 ] ] ]
[ [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholecalciferol" ], [ "Cholecalciferol", "{u} may lead to a major life threatening interaction when taken with {v}", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paricalcitol" ], [ "Paricalcitol", "{u} may lead to a major life threatening interaction when taken with {v}", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Butalbital" ], [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Doxercalciferol" ], [ "Doxercalciferol", "{u} may lead to a major life threatening interaction when taken with {v}", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ergocalciferol" ], [ "Ergocalciferol", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholecalciferol" ], [ "Cholecalciferol", "{u} (Compound) resembles {v} (Compound)", "Calcitriol" ], [ "Calcitriol", "{u} (Compound) resembles {v} (Compound)", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Paricalcitol" ], [ "Paricalcitol", "{u} (Compound) resembles {v} (Compound)", "Calcitriol" ], [ "Calcitriol", "{u} (Compound) resembles {v} (Compound)", "Dihydrotachysterol" ] ], [ [ "Secobarbital", "{u} (Compound) resembles {v} (Compound)", "Butalbital" ], [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cholecalciferol" ], [ "Cholecalciferol", "{u} may lead to a major life threatening interaction when taken with {v}", "Dihydrotachysterol" ] ] ]
Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Cholecalciferol and Cholecalciferol may lead to a major life threatening interaction when taken with Dihydrotachysterol Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Paricalcitol and Paricalcitol may lead to a major life threatening interaction when taken with Dihydrotachysterol Secobarbital (Compound) resembles Butalbital (Compound) and Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Dihydrotachysterol Secobarbital (Compound) resembles Phenobarbital (Compound) and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Dihydrotachysterol Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Doxercalciferol and Doxercalciferol may lead to a major life threatening interaction when taken with Dihydrotachysterol Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Ergocalciferol and Ergocalciferol (Compound) resembles Dihydrotachysterol (Compound) and Ergocalciferol may lead to a major life threatening interaction when taken with Dihydrotachysterol Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Cholecalciferol and Cholecalciferol (Compound) resembles Calcitriol (Compound) and Calcitriol (Compound) resembles Dihydrotachysterol (Compound) Secobarbital may cause a moderate interaction that could exacerbate diseases when taken with Paricalcitol and Paricalcitol (Compound) resembles Calcitriol (Compound) and Calcitriol (Compound) resembles Dihydrotachysterol (Compound) Secobarbital (Compound) resembles Butalbital (Compound) and Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Cholecalciferol and Cholecalciferol may lead to a major life threatening interaction when taken with Dihydrotachysterol
DB00446
DB14840
597
861
[ "DDInter351", "DDInter1601" ]
Chloramphenicol
Ripretinib
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]
Ripretinib is a kinase inhibitor used for the treatment of advanced gastrointestinal stromal tumor (GIST) that has not adequately responded to other kinase inhibitors such as [sunitinib] and [imatinib]. Ripretinib, also known as Qinlock, is manufactured by Deciphera Pharmaceuticals and was initially approved by the FDA on May 15, 2020. It is the first drug approved as a fourth-line therapy in the specific setting of prior treatment with a minimum of 3 other kinase inhibitors.
Moderate
1
[ [ [ 597, 24, 861 ] ], [ [ 597, 24, 351 ], [ 351, 24, 861 ] ], [ [ 597, 25, 1476 ], [ 1476, 24, 861 ] ], [ [ 597, 62, 1101 ], [ 1101, 24, 861 ] ], [ [ 597, 24, 384 ], [ 384, 25, 861 ] ], [ [ 597, 24, 351 ], [ 351, 24, 214 ], [ 214, 24, 861 ] ], [ [ 597, 24, 214 ], [ 214, 63, 351 ], [ 351, 24, 861 ] ], [ [ 597, 24, 1456 ], [ 1456, 25, 351 ], [ 351, 24, 861 ] ], [ [ 597, 25, 1476 ], [ 1476, 64, 351 ], [ 351, 24, 861 ] ], [ [ 597, 62, 1101 ], [ 1101, 24, 351 ], [ 351, 24, 861 ] ] ]
[ [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{u} may lead to a major life threatening interaction when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{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}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{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}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ], [ "Fostamatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{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}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venetoclax" ], [ "Venetoclax", "{u} may lead to a major life threatening interaction when taken with {v}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{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}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ], [ [ "Chloramphenicol", "{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}", "Ribociclib" ], [ "Ribociclib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ripretinib" ] ] ]
Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Chloramphenicol may lead to a major life threatening interaction when taken with Brigatinib and Brigatinib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Chloramphenicol 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 Ripretinib Chloramphenicol 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 Ripretinib Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib and Fostamatinib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Chloramphenicol 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 Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Venetoclax and Venetoclax may lead to a major life threatening interaction when taken with Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Chloramphenicol 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 Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib Chloramphenicol 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 Ribociclib and Ribociclib may cause a moderate interaction that could exacerbate diseases when taken with Ripretinib
DB00619
DB01591
1,419
667
[ "DDInter909", "DDInter1696" ]
Imatinib
Solifenacin
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]
Solifenacin is a competitive muscarinic receptor antagonist indicated to treat an overactive bladder with urinary incontinence, urgency, and frequency. It has a long duration of action as it is usually taken once daily. Solifenacin was granted FDA approval on 19 November 2004.
Moderate
1
[ [ [ 1419, 24, 667 ] ], [ [ 1419, 6, 8374 ], [ 8374, 45, 667 ] ], [ [ 1419, 21, 28743 ], [ 28743, 60, 667 ] ], [ [ 1419, 63, 1324 ], [ 1324, 24, 667 ] ], [ [ 1419, 24, 392 ], [ 392, 24, 667 ] ], [ [ 1419, 24, 98 ], [ 98, 63, 667 ] ], [ [ 1419, 25, 1478 ], [ 1478, 63, 667 ] ], [ [ 1419, 62, 1101 ], [ 1101, 24, 667 ] ], [ [ 1419, 25, 477 ], [ 477, 24, 667 ] ], [ [ 1419, 63, 11 ], [ 11, 25, 667 ] ] ]
[ [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Solifenacin" ] ], [ [ "Imatinib", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Solifenacin" ] ], [ [ "Imatinib", "{u} (Compound) causes {v} (Side Effect)", "Atrial fibrillation" ], [ "Atrial fibrillation", "{u} (Side Effect) is caused by {v} (Compound)", "Solifenacin" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Troglitazone" ], [ "Troglitazone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Solifenacin" ] ], [ [ "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}", "Solifenacin" ] ], [ [ "Imatinib", "{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}", "Solifenacin" ] ], [ [ "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}", "Solifenacin" ] ], [ [ "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}", "Solifenacin" ] ], [ [ "Imatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Cilostazol" ], [ "Cilostazol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Solifenacin" ] ], [ [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Toremifene" ], [ "Toremifene", "{u} may lead to a major life threatening interaction when taken with {v}", "Solifenacin" ] ] ]
Imatinib (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Solifenacin (Compound) Imatinib (Compound) causes Atrial fibrillation (Side Effect) and Atrial fibrillation (Side Effect) is caused by Solifenacin (Compound) Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Troglitazone and Troglitazone may cause a moderate interaction that could exacerbate diseases when taken with Solifenacin 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 Solifenacin Imatinib 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 Solifenacin 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 Solifenacin 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 Solifenacin Imatinib may lead to a major life threatening interaction when taken with Cilostazol and Cilostazol may cause a moderate interaction that could exacerbate diseases when taken with Solifenacin Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Toremifene and Toremifene may lead to a major life threatening interaction when taken with Solifenacin
DB00792
DB00962
832
1,639
[ "DDInter1878", "DDInter1957" ]
Tripelennamine
Zaleplon
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.
Zaleplon is a sedative/hypnotic, mainly used for insomnia. It is known as a nonbenzodiazepine hypnotic. Zaleplon interacts with the GABA receptor complex and shares some of the pharmacological properties of the benzodiazepines. Zaleplon is a schedule IV drug in the United States.
Moderate
1
[ [ [ 832, 24, 1639 ] ], [ [ 832, 63, 13 ], [ 13, 24, 1639 ] ], [ [ 832, 24, 1609 ], [ 1609, 63, 1639 ] ], [ [ 832, 24, 100 ], [ 100, 24, 1639 ] ], [ [ 832, 74, 662 ], [ 662, 24, 1639 ] ], [ [ 832, 40, 649 ], [ 649, 63, 1639 ] ], [ [ 832, 35, 272 ], [ 272, 63, 1639 ] ], [ [ 832, 63, 475 ], [ 475, 25, 1639 ] ], [ [ 832, 63, 13 ], [ 13, 21, 29544 ], [ 29544, 60, 1639 ] ], [ [ 832, 24, 1609 ], [ 1609, 63, 13 ], [ 13, 24, 1639 ] ] ]
[ [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ], [ [ "Tripelennamine", "{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}", "Zaleplon" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ], [ [ "Tripelennamine", "{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}", "Zaleplon" ] ], [ [ "Tripelennamine", "{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}", "Zaleplon" ] ], [ [ "Tripelennamine", "{u} (Compound) resembles {v} (Compound)", "Clofedanol" ], [ "Clofedanol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ], [ [ "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}", "Zaleplon" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Zaleplon" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Weight increased" ], [ "Weight increased", "{u} (Side Effect) is caused by {v} (Compound)", "Zaleplon" ] ], [ [ "Tripelennamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cyproheptadine" ], [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Zaleplon" ] ] ]
Tripelennamine 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 Zaleplon Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Zaleplon Tripelennamine 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 Zaleplon Tripelennamine (Compound) resembles Carbinoxamine (Compound) and Tripelennamine 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 Zaleplon Tripelennamine (Compound) resembles Clofedanol (Compound) and Clofedanol may cause a moderate interaction that could exacerbate diseases when taken with Zaleplon 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 Zaleplon Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may lead to a major life threatening interaction when taken with Zaleplon Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine (Compound) causes Weight increased (Side Effect) and Weight increased (Side Effect) is caused by Zaleplon (Compound) Tripelennamine may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Cyproheptadine and Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Zaleplon
DB00443
DB01208
251
945
[ "DDInter195", "DDInter1705" ]
Betamethasone
Sparfloxacin
Betamethasone is a long-acting corticosteroid with immunosuppressive and antiinflammatory properties. It can be used topically to manage inflammatory skin conditions such as eczema, and parenterally to manage several disease states including autoimmune disorders. Betamethasone has potent glucocorticoid activity and negligible mineralocorticoid activity.
Sparfloxacin is a fluoroquinolone antibiotic indicated for bacterial infections. Sparfloxacin exerts its antibacterial activity by inhibiting DNA gyrase, a bacterial topoisomerase. DNA gyrase is an essential enzyme which controls DNA topology and assists in DNA replication, repair, deactivation, and transcription.
Major
2
[ [ [ 251, 25, 945 ] ], [ [ 251, 25, 739 ], [ 739, 1, 945 ] ], [ [ 251, 64, 1176 ], [ 1176, 1, 945 ] ], [ [ 251, 7, 5918 ], [ 5918, 45, 945 ] ], [ [ 251, 6, 4973 ], [ 4973, 45, 945 ] ], [ [ 251, 7, 12149 ], [ 12149, 46, 945 ] ], [ [ 251, 7, 7242 ], [ 7242, 57, 945 ] ], [ [ 251, 18, 16229 ], [ 16229, 57, 945 ] ], [ [ 251, 21, 28787 ], [ 28787, 60, 945 ] ], [ [ 251, 63, 1648 ], [ 1648, 23, 945 ] ] ]
[ [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} (Compound) resembles {v} (Compound)", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) upregulates {v} (Gene)", "SLC22A5" ], [ "SLC22A5", "{u} (Gene) is bound by {v} (Compound)", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) upregulates {v} (Gene)", "WRB" ], [ "WRB", "{u} (Gene) is upregulated by {v} (Compound)", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) upregulates {v} (Gene)", "PHKA1" ], [ "PHKA1", "{u} (Gene) is downregulated by {v} (Compound)", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) downregulates {v} (Gene)", "SPRED2" ], [ "SPRED2", "{u} (Gene) is downregulated by {v} (Compound)", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Sparfloxacin" ] ], [ [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sparfloxacin" ] ] ]
Betamethasone may lead to a major life threatening interaction when taken with Lomefloxacin and Lomefloxacin (Compound) resembles Sparfloxacin (Compound) Betamethasone may lead to a major life threatening interaction when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Sparfloxacin (Compound) Betamethasone (Compound) upregulates SLC22A5 (Gene) and SLC22A5 (Gene) is bound by Sparfloxacin (Compound) Betamethasone (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Sparfloxacin (Compound) Betamethasone (Compound) upregulates WRB (Gene) and WRB (Gene) is upregulated by Sparfloxacin (Compound) Betamethasone (Compound) upregulates PHKA1 (Gene) and PHKA1 (Gene) is downregulated by Sparfloxacin (Compound) Betamethasone (Compound) downregulates SPRED2 (Gene) and SPRED2 (Gene) is downregulated by Sparfloxacin (Compound) Betamethasone (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Sparfloxacin (Compound) Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Aldesleukin and Aldesleukin may cause a minor interaction that can limit clinical effects when taken with Sparfloxacin
DB00445
DB01155
322
872
[ "DDInter655", "DDInter813" ]
Epirubicin
Gemifloxacin
An anthracycline which is the 4'-epi-isomer of doxorubicin. The compound exerts its antitumor effects by interference with the synthesis and function of DNA.
Gemifloxacin is a quinolone antibacterial agent with a broad-spectrum activity that is used in the treatment of acute bacterial exacerbation of chronic bronchitis and mild-to-moderate pneumonia. It is available in oral formulations. Gemifloxacin acts by inhibiting DNA synthesis through the inhibition of both DNA gyrase and topoisomerase IV, which are essential for bacterial growth.
Moderate
1
[ [ [ 322, 24, 872 ] ], [ [ 322, 23, 739 ], [ 739, 1, 872 ] ], [ [ 322, 24, 956 ], [ 956, 1, 872 ] ], [ [ 322, 25, 945 ], [ 945, 40, 872 ] ], [ [ 322, 64, 1176 ], [ 1176, 1, 872 ] ], [ [ 322, 25, 246 ], [ 246, 1, 872 ] ], [ [ 322, 21, 29134 ], [ 29134, 60, 872 ] ], [ [ 322, 24, 869 ], [ 869, 23, 872 ] ], [ [ 322, 63, 141 ], [ 141, 23, 872 ] ], [ [ 322, 23, 112 ], [ 112, 23, 872 ] ] ]
[ [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lomefloxacin" ], [ "Lomefloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Norfloxacin" ], [ "Norfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} may lead to a major life threatening interaction when taken with {v}", "Gatifloxacin" ], [ "Gatifloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} (Compound) causes {v} (Side Effect)", "Flatulence" ], [ "Flatulence", "{u} (Side Effect) is caused by {v} (Compound)", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Topotecan" ], [ "Topotecan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Floxuridine" ], [ "Floxuridine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ], [ [ "Epirubicin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Metronidazole" ], [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ] ] ]
Epirubicin may cause a minor interaction that can limit clinical effects when taken with Lomefloxacin and Lomefloxacin (Compound) resembles Gemifloxacin (Compound) Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Norfloxacin and Norfloxacin (Compound) resembles Gemifloxacin (Compound) Epirubicin may lead to a major life threatening interaction when taken with Sparfloxacin and Sparfloxacin (Compound) resembles Gemifloxacin (Compound) Epirubicin may lead to a major life threatening interaction when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Gemifloxacin (Compound) Epirubicin may lead to a major life threatening interaction when taken with Gatifloxacin and Gatifloxacin (Compound) resembles Gemifloxacin (Compound) Epirubicin (Compound) causes Flatulence (Side Effect) and Flatulence (Side Effect) is caused by Gemifloxacin (Compound) Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Topotecan and Topotecan may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin Epirubicin may cause a moderate interaction that could exacerbate diseases when taken with Floxuridine and Floxuridine may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin Epirubicin may cause a minor interaction that can limit clinical effects when taken with Metronidazole and Metronidazole may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin
DB01240
DB05773
885
1,047
[ "DDInter657", "DDInter1848" ]
Epoprostenol
Trastuzumab emtansine
A prostaglandin that is a powerful vasodilator and inhibits platelet aggregation. It is biosynthesized enzymatically from prostaglandin endoperoxides in human vascular tissue. The sodium salt has been also used to treat primary pulmonary hypertension.
Trastuzumab emtansine, formerly called Trastuzumab-DM1 (T-DM1) is a first-in-class HER2 antibody drug conjugate (ADC) comprised of Genentech's trastuzumab antibody linked to ImmunoGen's cell-killing agent, DM1. T-DM1 combines two strategies-- anti-HER2 activity and targeted intracellular delivery of the potent anti-microtubule agent, DM1 (a maytansine derivative)--to produce cell cycle arrest and apoptosis. Trastuzumab emtansine is marketed under the brand name Kadcyla and is indicated for use in HER2-positive, metastatic breast cancer patients who have already used taxane and/or trastuzumab for metastatic disease or had their cancer recur within 6 months of adjuvant treatment. The FDA label has two precautions. First that trastuzumab emtansine and trastuzumab cannot be interchanged. Second that there is a black box warning of serious side effects such as hepatotoxicity, embryo-fetal toxicity, and cardiac toxicity.
Moderate
1
[ [ [ 885, 24, 1047 ] ], [ [ 885, 63, 848 ], [ 848, 24, 1047 ] ], [ [ 885, 24, 643 ], [ 643, 63, 1047 ] ], [ [ 885, 24, 1237 ], [ 1237, 24, 1047 ] ], [ [ 885, 40, 1061 ], [ 1061, 24, 1047 ] ], [ [ 885, 63, 1018 ], [ 1018, 25, 1047 ] ], [ [ 885, 25, 1409 ], [ 1409, 64, 1047 ] ], [ [ 885, 24, 936 ], [ 936, 64, 1047 ] ], [ [ 885, 64, 500 ], [ 500, 25, 1047 ] ], [ [ 885, 25, 4 ], [ 4, 25, 1047 ] ] ]
[ [ [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{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}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{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}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clomipramine" ], [ "Clomipramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{u} (Compound) resembles {v} (Compound)", "Treprostinil" ], [ "Treprostinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{u} may lead to a major life threatening interaction when taken with {v}", "Apixaban" ], [ "Apixaban", "{u} may lead to a major life threatening interaction when taken with {v}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{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}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{u} may lead to a major life threatening interaction when taken with {v}", "Enoxaparin" ], [ "Enoxaparin", "{u} may lead to a major life threatening interaction when taken with {v}", "Trastuzumab emtansine" ] ], [ [ "Epoprostenol", "{u} may lead to a major life threatening interaction when taken with {v}", "Omacetaxine mepesuccinate" ], [ "Omacetaxine mepesuccinate", "{u} may lead to a major life threatening interaction when taken with {v}", "Trastuzumab emtansine" ] ] ]
Epoprostenol 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 Trastuzumab emtansine Epoprostenol 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 Trastuzumab emtansine Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Clomipramine and Clomipramine may cause a moderate interaction that could exacerbate diseases when taken with Trastuzumab emtansine Epoprostenol (Compound) resembles Treprostinil (Compound) and Treprostinil may cause a moderate interaction that could exacerbate diseases when taken with Trastuzumab emtansine Epoprostenol may cause a moderate interaction that could exacerbate diseases when taken with Ticlopidine and Ticlopidine may lead to a major life threatening interaction when taken with Trastuzumab emtansine Epoprostenol may lead to a major life threatening interaction when taken with Apixaban and Apixaban may lead to a major life threatening interaction when taken with Trastuzumab emtansine Epoprostenol 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 Trastuzumab emtansine Epoprostenol may lead to a major life threatening interaction when taken with Enoxaparin and Enoxaparin may lead to a major life threatening interaction when taken with Trastuzumab emtansine Epoprostenol may lead to a major life threatening interaction when taken with Omacetaxine mepesuccinate and Omacetaxine mepesuccinate may lead to a major life threatening interaction when taken with Trastuzumab emtansine
DB00902
DB04861
104
1,592
[ "DDInter1168", "DDInter1271" ]
Methdilazine
Nebivolol
Methdilazine is a phenothiazine compound with antihistaminic activity. It is used in the treatment of various dermatoses to relieve pruritus.
Nebivolol is a racemic mixture of 2 enantiomers where one is a beta adrenergic antagonist and the other acts as a cardiac stimulant without beta adrenergic activity. Treatment with nebivolol leads to a greater decrease in systolic and diastolic blood pressure than [atenolol], [propranolol], or [pindolol]. Nebivolol and other beta blockers are generally not first line therapies as many patients are first treated with thiazide diuretics. Nebivolol was granted FDA approval on 17 December 2007.
Moderate
1
[ [ [ 104, 24, 1592 ] ], [ [ 104, 23, 1283 ], [ 1283, 23, 1592 ] ], [ [ 104, 23, 460 ], [ 460, 62, 1592 ] ], [ [ 104, 62, 417 ], [ 417, 23, 1592 ] ], [ [ 104, 24, 1528 ], [ 1528, 24, 1592 ] ], [ [ 104, 24, 1450 ], [ 1450, 63, 1592 ] ], [ [ 104, 63, 1419 ], [ 1419, 24, 1592 ] ], [ [ 104, 25, 497 ], [ 497, 24, 1592 ] ], [ [ 104, 40, 820 ], [ 820, 24, 1592 ] ], [ [ 104, 23, 1283 ], [ 1283, 63, 1479 ], [ 1479, 23, 1592 ] ] ]
[ [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Methdilazine", "{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}", "Nebivolol" ] ], [ [ "Methdilazine", "{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}", "Nebivolol" ] ], [ [ "Methdilazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Sucralfate" ], [ "Sucralfate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nebivolol" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Physostigmine" ], [ "Physostigmine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Methdilazine", "{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}", "Nebivolol" ] ], [ [ "Methdilazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Imatinib" ], [ "Imatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Methdilazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Iohexol" ], [ "Iohexol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Methdilazine", "{u} (Compound) resembles {v} (Compound)", "Alimemazine" ], [ "Alimemazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nebivolol" ] ], [ [ "Methdilazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nebivolol" ] ] ]
Methdilazine 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 Nebivolol Methdilazine 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 Nebivolol Methdilazine may cause a minor interaction that can limit clinical effects when taken with Sucralfate and Sucralfate may cause a minor interaction that can limit clinical effects when taken with Nebivolol Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Physostigmine and Physostigmine may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol Methdilazine 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 Nebivolol Methdilazine may cause a moderate interaction that could exacerbate diseases when taken with Imatinib and Imatinib may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol Methdilazine may lead to a major life threatening interaction when taken with Iohexol and Iohexol may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol Methdilazine (Compound) resembles Alimemazine (Compound) and Alimemazine may cause a moderate interaction that could exacerbate diseases when taken with Nebivolol Methdilazine may cause a minor interaction that can limit clinical effects when taken with Magnesium oxide and Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Nebivolol
DB01320
DB12010
651
214
[ "DDInter783", "DDInter785" ]
Fosphenytoin
Fostamatinib
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.
Fostamatinib has been investigated for the treatment and basic science of Rheumatoid Arthritis and Immune Thrombocytopenic Purpura (ITP). It was approved on April 17, 2018, under the trade name Tavalisse for use in ITP [L2644, FDA Label]. Fostamatinib has also been granted orphan drug status by the FDA . Recently, fostamatinib has been identified as a potential therapeutic for controlling acute respiratory distress syndrome (ARDS) in patients with severe COVID-19 through its ability to modulate the SYK kinase.[A235008, A235013, A235018]
Major
2
[ [ [ 651, 25, 214 ] ], [ [ 651, 25, 976 ], [ 976, 24, 214 ] ], [ [ 651, 63, 723 ], [ 723, 24, 214 ] ], [ [ 651, 40, 307 ], [ 307, 24, 214 ] ], [ [ 651, 24, 1250 ], [ 1250, 24, 214 ] ], [ [ 651, 64, 600 ], [ 600, 24, 214 ] ], [ [ 651, 24, 1421 ], [ 1421, 63, 214 ] ], [ [ 651, 25, 676 ], [ 676, 63, 214 ] ], [ [ 651, 62, 608 ], [ 608, 24, 214 ] ], [ [ 651, 63, 609 ], [ 609, 25, 214 ] ] ]
[ [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{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}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{u} (Compound) resembles {v} (Compound)", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pazopanib" ], [ "Pazopanib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fluconazole" ], [ "Fluconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betrixaban" ], [ "Betrixaban", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{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}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Lidocaine" ], [ "Lidocaine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fostamatinib" ] ], [ [ "Fosphenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Fostamatinib" ] ] ]
Fosphenytoin may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Fosphenytoin 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 Fostamatinib Fosphenytoin (Compound) resembles Modafinil (Compound) and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Pazopanib and Pazopanib may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Fosphenytoin may lead to a major life threatening interaction when taken with Fluconazole and Fluconazole may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Betrixaban and Betrixaban may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Fosphenytoin 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 Fostamatinib Fosphenytoin may cause a minor interaction that can limit clinical effects when taken with Lidocaine and Lidocaine may cause a moderate interaction that could exacerbate diseases when taken with Fostamatinib Fosphenytoin may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Fostamatinib
DB00982
DB09061
1,517
1,627
[ "DDInter991", "DDInter284" ]
Isotretinoin
Cannabidiol
Isotretinoin is a retinoid derivative of vitamin A used in the treatment of severe recalcitrant acne.[Label] It was most widely marketed under the brand name Accutane, which has since been discontinued. Isotretinoin is associated with major risks in pregnancy and is therefore only available under the iPLEDGE program in the United States. The first isotretinoin-containing product was FDA approved on 7 May 1982.
Cannabidiol, or CBD, is one of at least 85 active cannabinoids identified within the Cannabis plant. It is a major phytocannabinoid, accounting for up to 40% of the Cannabis plant's extract, that binds to a wide variety of physiological targets of the endocannabinoid system within the body. Although the exact medical implications are currently being investigated, CBD has shown promise as a therapeutic and pharmaceutical drug target. In particular, CBD has shown promise as an analgesic, anticonvulsant, muscle relaxant, anxiolytic, antipsychotic and has shown neuroprotective, anti-inflammatory, and antioxidant activity, among other currently investigated uses [A32477, A32469]. CBD's exact place within medical practice is still currently hotly debated, however as the body of evidence grows and legislation changes to reflect its wide-spread use, public and medical opinion have changed significantly with regards to its usefulness in a number of medical conditions ranging from anxiety to epilepsy. From a pharmacological perspective, Cannabis' (and CBD's) diverse receptor profile explains its potential application for such a wide variety of medical conditions. Cannabis contains more than 400 different chemical compounds, of which 61 are considered cannabinoids, a class of compounds that act upon endogenous cannabinoid receptors of the body . Cannabinoid receptors are utilized endogenously by the body through the endocannabinoid system, which includes a group of lipid proteins, enzymes, and receptors that are involved in many physiological processes. Through its modulation of neurotransmitter release, the endocannabinoid system regulates cognition, pain sensation, appetite, memory, sleep, immune function, and mood among many other bodily systems. These effects are largely mediated through two members of the G-protein coupled receptor family, cannabinoid receptors 1 and 2 (CB1 and CB2)[A32585,A32824]. CB1 receptors are found in both the central and peripheral nervous systems, with the majority of receptors localized to the hippocampus and amygdala of the brain. Physiological effects of using cannabis make sense in the context of its receptor activity as the hippocampus and amygdala are primarily involved with regulation of memory, fear, and emotion. In contrast, CB2 receptors are mainly found peripherally in immune cells, lymphoid tissue, and peripheral nerve terminals . Tetrahydrocannabinol (THC) and cannabidiol (CBD) are two types of cannabinoids found naturally in the resin of the marijuana plant, both of which interact with the cannabinoid receptors that are found throughout the body. Although THC and CBD have been the most studied cannabinoids, there are many others identified to date including cannabinol (CBN), cannabigerol (CBG), (CBDV), and (THCV) that can be found within the medical cannabis . While both CBD and THC are used for medicinal purposes, they have different receptor activity, function, and physiological effects. If not provided in their activated form (such as through synthetic forms of THC like or ), THC and CBD are obtained through conversion from their precursors, tetrahydrocannabinolic acid-A (THCA-A) and cannabidiolic acid (CBDA), through decarboxylation reactions. This can be achieved through heating, smoking, vaporization, or baking of dried unfertilized female cannabis flowers. The primary psychoactive component of Cannabis, delta 9-tetrahydrocannabinol (Δ9-THC), demonstrates its effects through weak partial agonist activity at Cannabinoid-1 (CB1R) and Cannabinoid-2 (CB2R) receptors. This activity results in the well-known effects of smoking cannabis such as increased appetite, reduced pain, and changes in emotional and cognitive processes. In contrast to THC's weak agonist activity, CBD has been shown to act as a negative allosteric modulator of the cannabinoid CB1 receptor, the most abundant G-Protein Coupled Receptor (GPCR) in the body . Allosteric regulation is achieved through the modulation of receptor activity on a functionally distinct site from the agonist or antagonist binding site which is clinically significant as direct agonists (such as THC) are limited by their psychomimetic effects such as changes to mood, memory, and anxiety. In addition to the well-known activity on CB1 and CB2 receptors, there is further evidence that CBD also activates 5-HT1A/2A/3A serotonergic and TRPV1–2 vanilloid receptors, antagonizes alpha-1 adrenergic and µ-opioid receptors, inhibits synaptosomal uptake of noradrenaline, dopamine, serotonin and gamma-aminobutyric acid (GABA), and cellular uptake of anandamide, acts on mitochondria Ca2+ stores, blocks low-voltage-activated (T-type) Ca2+ channels, stimulates activity of the inhibitory glycine-receptor, and inhibits activity of fatty amide hydrolase (FAAH) [A31555, A31574]. CBD is currently available in Canada within a 1:1 formulation with tetrahydrocannbinol (THC) (as the formulation known as "nabiximols") as the brand name product Sativex. It is approved for use as adjunctive treatment for symptomatic relief of spasticity in adult patients with multiple sclerosis (MS). Sativex was also given a conditional Notice of Compliance (NOC/c) for use as adjunctive treatment for the symptomatic relief of neuropathic pain in adult patients with multiple sclerosis and as adjunctive analgesic treatment for moderate to severe pain in adult patients with advanced cancer . In April 2018, a Food and Drug Administration advisory panel unanimously recommended approval of Epidiolex (cannabidiol oral solution) for the treatment of two rare forms of epilepsy - Lennox-Gastaut syndrome and Dravet syndrome, which are among the two most difficult types of epilepsy to treat [L2721, L2719]. Epidiolex was granted Orphan Drug designation as well as Fast Track Approval from the FDA for further study in these hard to treat conditions. Notably, phase 3 clinical trials of Epidiolex have demonstrated clinically significant improvement in Lennox-Gastaut syndrome and Dravet syndrome . On June 25th, 2018, Epidiolex was approved by the FDA to be the first CBD-based product available on the US market.
Moderate
1
[ [ [ 1517, 24, 1627 ] ], [ [ 1517, 24, 384 ], [ 384, 23, 1627 ] ], [ [ 1517, 24, 1613 ], [ 1613, 63, 1627 ] ], [ [ 1517, 63, 267 ], [ 267, 24, 1627 ] ], [ [ 1517, 25, 1669 ], [ 1669, 24, 1627 ] ], [ [ 1517, 64, 1101 ], [ 1101, 24, 1627 ] ], [ [ 1517, 24, 850 ], [ 850, 24, 1627 ] ], [ [ 1517, 25, 1510 ], [ 1510, 25, 1627 ] ], [ [ 1517, 24, 384 ], [ 384, 63, 723 ], [ 723, 23, 1627 ] ], [ [ 1517, 63, 267 ], [ 267, 24, 609 ], [ 609, 23, 1627 ] ] ]
[ [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon beta-1a" ], [ "Peginterferon beta-1a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Minocycline" ], [ "Minocycline", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ], [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idelalisib" ], [ "Idelalisib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aprepitant" ], [ "Aprepitant", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ], [ [ "Isotretinoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Naltrexone" ], [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cannabidiol" ] ] ]
Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may cause a minor interaction that can limit clinical effects when taken with Cannabidiol Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon beta-1a and Peginterferon beta-1a may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Isotretinoin may lead to a major life threatening interaction when taken with Minocycline and Minocycline may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Isotretinoin may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin and Brentuximab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Cannabidiol Isotretinoin may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Cannabidiol Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Idelalisib and Idelalisib may cause a moderate interaction that could exacerbate diseases when taken with Aprepitant and Aprepitant may cause a minor interaction that can limit clinical effects when taken with Cannabidiol Isotretinoin may cause a moderate interaction that could exacerbate diseases when taken with Naltrexone and Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may cause a minor interaction that can limit clinical effects when taken with Cannabidiol
DB00704
DB08903
267
996
[ "DDInter1263", "DDInter170" ]
Naltrexone
Bedaquiline
Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of naloxone. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence.
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
[ [ [ 267, 24, 996 ] ], [ [ 267, 21, 29267 ], [ 29267, 60, 996 ] ], [ [ 267, 24, 713 ], [ 713, 63, 996 ] ], [ [ 267, 24, 848 ], [ 848, 24, 996 ] ], [ [ 267, 63, 491 ], [ 491, 24, 996 ] ], [ [ 267, 24, 609 ], [ 609, 25, 996 ] ], [ [ 267, 25, 1377 ], [ 1377, 25, 996 ] ], [ [ 267, 63, 322 ], [ 322, 25, 996 ] ], [ [ 267, 24, 484 ], [ 484, 64, 996 ] ], [ [ 267, 63, 888 ], [ 888, 36, 996 ] ] ]
[ [ [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Naltrexone", "{u} (Compound) causes {v} (Side Effect)", "Alanine aminotransferase increased" ], [ "Alanine aminotransferase increased", "{u} (Side Effect) is caused by {v} (Compound)", "Bedaquiline" ] ], [ [ "Naltrexone", "{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" ] ], [ [ "Naltrexone", "{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" ] ], [ [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Peginterferon alfa-2a" ], [ "Peginterferon alfa-2a", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bedaquiline" ] ], [ [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may lead to a major life threatening interaction when taken with {v}", "Bedaquiline" ] ], [ [ "Naltrexone", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Bedaquiline" ] ], [ [ "Naltrexone", "{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}", "Bedaquiline" ] ], [ [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Bedaquiline" ] ], [ [ "Naltrexone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Bedaquiline" ] ] ]
Naltrexone (Compound) causes Alanine aminotransferase increased (Side Effect) and Alanine aminotransferase increased (Side Effect) is caused by Bedaquiline (Compound) Naltrexone 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 Naltrexone 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 Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Peginterferon alfa-2a and Peginterferon alfa-2a may cause a moderate interaction that could exacerbate diseases when taken with Bedaquiline Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Clarithromycin and Clarithromycin may lead to a major life threatening interaction when taken with Bedaquiline Naltrexone may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may lead to a major life threatening interaction when taken with Bedaquiline Naltrexone 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 Bedaquiline Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib and Entrectinib may lead to a major life threatening interaction when taken with Bedaquiline Naltrexone may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen (Compound) resembles Bedaquiline (Compound) and Tamoxifen may lead to a major life threatening interaction when taken with Bedaquiline
DB00855
DB01155
213
872
[ "DDInter72", "DDInter813" ]
Aminolevulinic acid
Gemifloxacin
A compound produced from succinyl-CoA and glycine as an intermediate in heme synthesis. It is used as a photochemotherapy for actinic keratosis. [PubChem]
Gemifloxacin is a quinolone antibacterial agent with a broad-spectrum activity that is used in the treatment of acute bacterial exacerbation of chronic bronchitis and mild-to-moderate pneumonia. It is available in oral formulations. Gemifloxacin acts by inhibiting DNA synthesis through the inhibition of both DNA gyrase and topoisomerase IV, which are essential for bacterial growth.
Major
2
[ [ [ 213, 25, 872 ] ], [ [ 213, 25, 956 ], [ 956, 1, 872 ] ], [ [ 213, 64, 1299 ], [ 1299, 1, 872 ] ], [ [ 213, 21, 28787 ], [ 28787, 60, 872 ] ], [ [ 213, 25, 392 ], [ 392, 63, 872 ] ], [ [ 213, 64, 1274 ], [ 1274, 24, 872 ] ], [ [ 213, 36, 842 ], [ 842, 24, 872 ] ], [ [ 213, 25, 401 ], [ 401, 24, 872 ] ], [ [ 213, 25, 959 ], [ 959, 25, 872 ] ], [ [ 213, 25, 868 ], [ 868, 64, 872 ] ] ]
[ [ [ "Aminolevulinic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Norfloxacin" ], [ "Norfloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Trovafloxacin" ], [ "Trovafloxacin", "{u} (Compound) resembles {v} (Compound)", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{u} (Compound) causes {v} (Side Effect)", "Dermatitis" ], [ "Dermatitis", "{u} (Side Effect) is caused by {v} (Compound)", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Lapatinib" ], [ "Lapatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Flurbiprofen" ], [ "Flurbiprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Methyl aminolevulinate" ], [ "Methyl aminolevulinate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{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}", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may lead to a major life threatening interaction when taken with {v}", "Gemifloxacin" ] ], [ [ "Aminolevulinic acid", "{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}", "Gemifloxacin" ] ] ]
Aminolevulinic acid may lead to a major life threatening interaction when taken with Norfloxacin and Norfloxacin (Compound) resembles Gemifloxacin (Compound) Aminolevulinic acid may lead to a major life threatening interaction when taken with Trovafloxacin and Trovafloxacin (Compound) resembles Gemifloxacin (Compound) Aminolevulinic acid (Compound) causes Dermatitis (Side Effect) and Dermatitis (Side Effect) is caused by Gemifloxacin (Compound) Aminolevulinic acid may lead to a major life threatening interaction when taken with Lapatinib and Lapatinib may cause a moderate interaction that could exacerbate diseases when taken with Gemifloxacin Aminolevulinic acid may lead to a major life threatening interaction when taken with Flurbiprofen and Flurbiprofen may cause a moderate interaction that could exacerbate diseases when taken with Gemifloxacin Aminolevulinic acid (Compound) resembles Methyl aminolevulinate (Compound) and Aminolevulinic acid may lead to a major life threatening interaction when taken with Methyl aminolevulinate and Methyl aminolevulinate may cause a moderate interaction that could exacerbate diseases when taken with Gemifloxacin Aminolevulinic acid 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 Gemifloxacin Aminolevulinic acid may lead to a major life threatening interaction when taken with Glipizide and Glipizide may lead to a major life threatening interaction when taken with Gemifloxacin Aminolevulinic acid 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 Gemifloxacin
DB00262
DB01059
552
956
[ "DDInter302", "DDInter1313" ]
Carmustine
Norfloxacin
A cell-cycle phase nonspecific alkylating antineoplastic agent. It is used in the treatment of brain tumors and various other malignant neoplasms. (From Martindale, The Extra Pharmacopoeia, 30th ed, p462) This substance may reasonably be anticipated to be a carcinogen according to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (From Merck Index, 11th ed)
A synthetic fluoroquinolone (fluoroquinolones) with broad-spectrum antibacterial activity against most gram-negative and gram-positive bacteria. Norfloxacin inhibits bacterial DNA gyrase.
Minor
0
[ [ [ 552, 23, 956 ] ], [ [ 552, 23, 872 ], [ 872, 40, 956 ] ], [ [ 552, 62, 1176 ], [ 1176, 1, 956 ] ], [ [ 552, 23, 1539 ], [ 1539, 1, 956 ] ], [ [ 552, 6, 7950 ], [ 7950, 45, 956 ] ], [ [ 552, 21, 29196 ], [ 29196, 60, 956 ] ], [ [ 552, 24, 1307 ], [ 1307, 23, 956 ] ], [ [ 552, 63, 1648 ], [ 1648, 23, 956 ] ], [ [ 552, 24, 1532 ], [ 1532, 62, 956 ] ], [ [ 552, 35, 37 ], [ 37, 62, 956 ] ] ]
[ [ [ "Carmustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ], [ [ "Carmustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Gemifloxacin" ], [ "Gemifloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Carmustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Carmustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} (Compound) resembles {v} (Compound)", "Norfloxacin" ] ], [ [ "Carmustine", "{u} (Compound) binds {v} (Gene)", "CYP1A2" ], [ "CYP1A2", "{u} (Gene) is bound by {v} (Compound)", "Norfloxacin" ] ], [ [ "Carmustine", "{u} (Compound) causes {v} (Side Effect)", "Paraesthesia" ], [ "Paraesthesia", "{u} (Side Effect) is caused by {v} (Compound)", "Norfloxacin" ] ], [ [ "Carmustine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Melphalan" ], [ "Melphalan", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ], [ [ "Carmustine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aldesleukin" ], [ "Aldesleukin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ], [ [ "Carmustine", "{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}", "Norfloxacin" ] ], [ [ "Carmustine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lomustine" ], [ "Lomustine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ] ] ]
Carmustine may cause a minor interaction that can limit clinical effects when taken with Gemifloxacin and Gemifloxacin (Compound) resembles Norfloxacin (Compound) Carmustine may cause a minor interaction that can limit clinical effects when taken with Moxifloxacin and Moxifloxacin (Compound) resembles Norfloxacin (Compound) Carmustine may cause a minor interaction that can limit clinical effects when taken with Ofloxacin and Ofloxacin (Compound) resembles Norfloxacin (Compound) Carmustine (Compound) binds CYP1A2 (Gene) and CYP1A2 (Gene) is bound by Norfloxacin (Compound) Carmustine (Compound) causes Paraesthesia (Side Effect) and Paraesthesia (Side Effect) is caused by Norfloxacin (Compound) Carmustine may cause a moderate interaction that could exacerbate diseases when taken with Melphalan and Melphalan may cause a minor interaction that can limit clinical effects when taken with Norfloxacin Carmustine may cause a moderate interaction that could exacerbate diseases when taken with Aldesleukin and Aldesleukin may cause a minor interaction that can limit clinical effects when taken with Norfloxacin Carmustine 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 Norfloxacin Carmustine (Compound) resembles Lomustine (Compound) and Carmustine may cause a moderate interaction that could exacerbate diseases when taken with Lomustine and Lomustine may cause a minor interaction that can limit clinical effects when taken with Norfloxacin
DB08932
DB09073
1,398
951
[ "DDInter1111", "DDInter1379" ]
Macitentan
Palbociclib
Macitentan is a dual endothelin receptor antagonist used in the treatment of pulmonary arterial hypertension. It was first approved by the FDA in 2013. Macitentan differs from its predecessor [bosentan] due to its lower risk of hepatotoxicity.
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
[ [ [ 1398, 24, 951 ] ], [ [ 1398, 24, 159 ], [ 159, 63, 951 ] ], [ [ 1398, 63, 600 ], [ 600, 24, 951 ] ], [ [ 1398, 64, 129 ], [ 129, 25, 951 ] ], [ [ 1398, 25, 1604 ], [ 1604, 64, 951 ] ], [ [ 1398, 25, 760 ], [ 760, 25, 951 ] ], [ [ 1398, 24, 159 ], [ 159, 62, 907 ], [ 907, 62, 951 ] ], [ [ 1398, 24, 351 ], [ 351, 23, 907 ], [ 907, 62, 951 ] ], [ [ 1398, 24, 1017 ], [ 1017, 25, 907 ], [ 907, 62, 951 ] ], [ [ 1398, 63, 600 ], [ 600, 23, 907 ], [ 907, 62, 951 ] ] ]
[ [ [ "Macitentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Macitentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Palbociclib" ] ], [ [ "Macitentan", "{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}", "Palbociclib" ] ], [ [ "Macitentan", "{u} may lead to a major life threatening interaction when taken with {v}", "Enzalutamide" ], [ "Enzalutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ] ], [ [ "Macitentan", "{u} may lead to a major life threatening interaction when taken with {v}", "Lumacaftor" ], [ "Lumacaftor", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ] ], [ [ "Macitentan", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may lead to a major life threatening interaction when taken with {v}", "Palbociclib" ] ], [ [ "Macitentan", "{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}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Macitentan", "{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}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Macitentan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ], [ [ "Macitentan", "{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}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Palbociclib" ] ] ]
Macitentan may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Palbociclib Macitentan 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 Palbociclib Macitentan may lead to a major life threatening interaction when taken with Enzalutamide and Enzalutamide may lead to a major life threatening interaction when taken with Palbociclib Macitentan may lead to a major life threatening interaction when taken with Lumacaftor and Lumacaftor may lead to a major life threatening interaction when taken with Palbociclib Macitentan may lead to a major life threatening interaction when taken with Cobicistat and Cobicistat may lead to a major life threatening interaction when taken with Palbociclib Macitentan 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 Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Palbociclib Macitentan 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 Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Palbociclib Macitentan may cause a moderate interaction that could exacerbate diseases when taken with Lorlatinib and Lorlatinib may lead to a major life threatening interaction when taken with Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Palbociclib Macitentan 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 Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Palbociclib
DB00884
DB01050
1,008
848
[ "DDInter1604", "DDInter900" ]
Risedronic acid
Ibuprofen
Risedronic acid is a third generation bisphosphonate that is used for the treatment of some forms of osteoperosis and Paget's disease[FDA Label][A959,A203111]. It functions by preventing resorption of bone[FDA Label].
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) derived from propionic acid and it is considered the first of the propionics. The formula of ibuprofen is 2-(4-isobutylphenyl) propionic acid and its initial development was in 1960 while researching for a safer alternative for aspirin. Ibuprofen was finally patented in 1961 and this drug was first launched against rheumatoid arthritis in the UK in 1969 and USA in 1974. It was the first available over-the-counter NSAID. On the available products, ibuprofen is administered as a racemic mixture. Once administered, the R-enantiomer undergoes extensive interconversion to the S-enantiomer _in vivo_ by the activity of the alpha-methylacyl-CoA racemase. In particular, it is generally proposed that the S-enantiomer is capable of eliciting stronger pharmacological activity than the R-enantiomer.
Moderate
1
[ [ [ 1008, 24, 848 ] ], [ [ 1008, 6, 7720 ], [ 7720, 45, 848 ] ], [ [ 1008, 21, 28773 ], [ 28773, 60, 848 ] ], [ [ 1008, 24, 286 ], [ 286, 62, 848 ] ], [ [ 1008, 40, 641 ], [ 641, 24, 848 ] ], [ [ 1008, 24, 416 ], [ 416, 63, 848 ] ], [ [ 1008, 63, 1512 ], [ 1512, 24, 848 ] ], [ [ 1008, 24, 1479 ], [ 1479, 25, 848 ] ], [ [ 1008, 63, 1274 ], [ 1274, 35, 848 ] ], [ [ 1008, 6, 7720 ], [ 7720, 45, 11531 ], [ 11531, 1, 848 ] ] ]
[ [ [ "Risedronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Risedronic acid", "{u} (Compound) binds {v} (Gene)", "PTGS2" ], [ "PTGS2", "{u} (Gene) is bound by {v} (Compound)", "Ibuprofen" ] ], [ [ "Risedronic acid", "{u} (Compound) causes {v} (Side Effect)", "Urethral disorder" ], [ "Urethral disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Ibuprofen" ] ], [ [ "Risedronic acid", "{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}", "Ibuprofen" ] ], [ [ "Risedronic acid", "{u} (Compound) resembles {v} (Compound)", "Pamidronic acid" ], [ "Pamidronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Risedronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Risedronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ], [ "Diclofenac", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ibuprofen" ] ], [ [ "Risedronic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may lead to a major life threatening interaction when taken with {v}", "Ibuprofen" ] ], [ [ "Risedronic acid", "{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" ] ], [ [ "Risedronic acid", "{u} (Compound) binds {v} (Gene)", "PTGS2" ], [ "PTGS2", "{u} (Gene) is bound by {v} (Compound)", "Carprofen" ], [ "Carprofen", "{u} (Compound) resembles {v} (Compound)", "Ibuprofen" ] ] ]
Risedronic acid (Compound) binds PTGS2 (Gene) and PTGS2 (Gene) is bound by Ibuprofen (Compound) Risedronic acid (Compound) causes Urethral disorder (Side Effect) and Urethral disorder (Side Effect) is caused by Ibuprofen (Compound) Risedronic acid 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 Ibuprofen Risedronic acid (Compound) resembles Pamidronic acid (Compound) and Pamidronic acid may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Risedronic acid may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Risedronic acid may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac and Diclofenac may cause a moderate interaction that could exacerbate diseases when taken with Ibuprofen Risedronic acid may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid and Acetylsalicylic acid may lead to a major life threatening interaction when taken with Ibuprofen Risedronic acid 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 Risedronic acid (Compound) binds PTGS2 (Gene) and PTGS2 (Gene) is bound by Carprofen (Compound) and Carprofen (Compound) resembles Ibuprofen (Compound)
DB00022
DB01611
268
1,487
[ "DDInter1408", "DDInter893" ]
Peginterferon alfa-2b
Hydroxychloroquine
Peginterferon alfa-2b is a form of recombinant interferon used as part of combination therapy to treat chronic Hepatitis C, an infectious liver disease caused by infection with Hepatitis C Virus (HCV). HCV is a single-stranded RNA virus that is categorized into nine distinct genotypes, with genotype 1 being the most common in the United States, and affecting 72% of all chronic HCV patients. Treatment options for chronic Hepatitis C have advanced significantly since 2011, with the development of Direct Acting Antivirals (DAAs) resulting in less use of Peginterferon alfa-2b. Peginterferon alfa-2b is derived from the alfa-2b moeity of recombinant human interferon and acts by binding to human type 1 interferon receptors. Activation and dimerization of this receptor induces the body's innate antiviral response by activating the janus kinase
Hydroxychloroquine is a racemic mixture consisting of an R and S enantiomer. Hydroxychloroquine is an aminoquinoline like [chloroquine]. It is a commonly prescribed medication in the treatment of uncomplicated malaria, rheumatoid arthritis, chronic discoid lupus erythematosus, and systemic lupus erythematosus. Hydroxychloroquine is also used for the prophylaxis of malaria in regions where chloroquine resistance is unlikely. It was developed during World War II as a derivative of [quinacrine] with less severe side effects. Chloroquine and hydroxychloroquine are both being investigated for the treatment of SARS-CoV-2. **The FDA emergency use authorization for hydroxychloroquine and [chloroquine] in the treatment of COVID-19 was revoked on 15 June 2020.** Hydroxychloroquine was granted FDA approval on 18 April 1955. A recent study reported a fatality in the group being treated with hydroxychloroquine for COVID-19.
Moderate
1
[ [ [ 268, 24, 1487 ] ], [ [ 268, 24, 663 ], [ 663, 23, 1487 ] ], [ [ 268, 24, 168 ], [ 168, 24, 1487 ] ], [ [ 268, 25, 139 ], [ 139, 24, 1487 ] ], [ [ 268, 24, 1468 ], [ 1468, 63, 1487 ] ], [ [ 268, 63, 1451 ], [ 1451, 24, 1487 ] ], [ [ 268, 25, 534 ], [ 534, 25, 1487 ] ], [ [ 268, 24, 1328 ], [ 1328, 64, 1487 ] ], [ [ 268, 24, 1555 ], [ 1555, 25, 1487 ] ], [ [ 268, 25, 1011 ], [ 1011, 64, 1487 ] ] ]
[ [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methotrexate" ], [ "Methotrexate", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Bortezomib" ], [ "Bortezomib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{u} may lead to a major life threatening interaction when taken with {v}", "Zidovudine" ], [ "Zidovudine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{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}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Interferon alfa-n1" ], [ "Interferon alfa-n1", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{u} may lead to a major life threatening interaction when taken with {v}", "Tramadol" ], [ "Tramadol", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aurothioglucose" ], [ "Aurothioglucose", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Oxaliplatin" ], [ "Oxaliplatin", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ] ], [ [ "Peginterferon alfa-2b", "{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}", "Hydroxychloroquine" ] ] ]
Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Methotrexate and Methotrexate may cause a minor interaction that can limit clinical effects when taken with Hydroxychloroquine Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Bortezomib and Bortezomib may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Peginterferon alfa-2b may lead to a major life threatening interaction when taken with Zidovudine and Zidovudine may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Peginterferon alfa-2b 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 Hydroxychloroquine Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Interferon alfa-n1 and Interferon alfa-n1 may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine Peginterferon alfa-2b may lead to a major life threatening interaction when taken with Tramadol and Tramadol may lead to a major life threatening interaction when taken with Hydroxychloroquine Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Aurothioglucose and Aurothioglucose may lead to a major life threatening interaction when taken with Hydroxychloroquine Peginterferon alfa-2b may cause a moderate interaction that could exacerbate diseases when taken with Oxaliplatin and Oxaliplatin may lead to a major life threatening interaction when taken with Hydroxychloroquine Peginterferon alfa-2b 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 Hydroxychloroquine
DB01033
DB08870
328
850
[ "DDInter1156", "DDInter228" ]
Mercaptopurine
Brentuximab vedotin
An antimetabolite antineoplastic agent with immunosuppressant properties. It interferes with nucleic acid synthesis by inhibiting purine metabolism and is used, usually in combination with other drugs, in the treatment of or in remission maintenance programs for leukemia.
Brentuximab vedotin, also known as Adcetris®, is an antibody-drug conjugate that combines an anti-CD30 antibody with the drug monomethyl auristatin E (MMAE). It is an anti-neoplastic agent used in the treatment of Hodgkin's lymphoma and systemic anaplastic large-cell lymphoma. Brentuximab vedotin was initially approved in 2011. In January 2012, the drug label was revised with a boxed warning of a condition known as progressive multifocal leukoencephalopathy and death due to opportunistic JC virus infection post-treatment. The U.S. Food and Drug Administration approved Adcetris in March 2018 to treat adult patients with previously untreated stage III or IV classical Hodgkin lymphoma (cHL) in combination with chemotherapy. Adcetris has also been previously approved by the FDA to treat Hodgkin's lymphoma after relapse, Hodgkin's lymphoma after stem cell transplantation when a patient has a high risk of relapse or progression, systemic anaplastic large cell lymphoma (ALCL) after the failure of other treatment regimens, and primary cutaneous ALCL after failure of other treatment regimens. Lymphoma is a malignancy that begins in the lymphatic system, which helps to combat infection and disease. Lymphoma may begin anywhere in the body and can spread to nearby lymph nodes. The two main types of lymphoma are Hodgkin lymphoma (also called Hodgkin disease) and non-Hodgkin lymphoma. Most individuals with Hodgkin's lymphoma have the classical type. In this type of lymphoma, large, abnormal lymphocytes (a type of white blood cell) are found in the lymph nodes called Reed-Sternberg cells. With early diagnosis and intervention, patients with Hodgkin lymphoma normally experience long-term remission. The ECHELON-1 study results demonstrated superior efficacy of the drug combined with a chemotherapy regimen compared to the previous standard of care. Importantly, bleomycin - a highly toxic agent - was completely removed from the regimen. This demonstrates meaningful progress in treatment for patients affected by this disease.
Moderate
1
[ [ [ 328, 24, 850 ] ], [ [ 328, 24, 496 ], [ 496, 63, 850 ] ], [ [ 328, 63, 611 ], [ 611, 24, 850 ] ], [ [ 328, 24, 259 ], [ 259, 24, 850 ] ], [ [ 328, 62, 1176 ], [ 1176, 24, 850 ] ], [ [ 328, 25, 770 ], [ 770, 24, 850 ] ], [ [ 328, 74, 482 ], [ 482, 24, 850 ] ], [ [ 328, 25, 1510 ], [ 1510, 64, 850 ] ], [ [ 328, 25, 507 ], [ 507, 25, 850 ] ], [ [ 328, 64, 695 ], [ 695, 25, 850 ] ] ]
[ [ [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hepatitis A Vaccine" ], [ "Hepatitis A Vaccine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dacarbazine" ], [ "Dacarbazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rilonacept" ], [ "Rilonacept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Moxifloxacin" ], [ "Moxifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{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}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tioguanine" ], [ "Tioguanine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Samarium (153Sm) lexidronam" ], [ "Samarium (153Sm) lexidronam", "{u} may lead to a major life threatening interaction when taken with {v}", "Brentuximab vedotin" ] ], [ [ "Mercaptopurine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clozapine" ], [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Brentuximab vedotin" ] ] ]
Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Hepatitis A Vaccine and Hepatitis A Vaccine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Dacarbazine and Dacarbazine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Rilonacept and Rilonacept may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Mercaptopurine may cause a minor interaction that can limit clinical effects when taken with Moxifloxacin and Moxifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Mercaptopurine 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 Brentuximab vedotin Mercaptopurine (Compound) resembles Tioguanine (Compound) and Mercaptopurine may cause a moderate interaction that could exacerbate diseases when taken with Tioguanine and Tioguanine may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin Mercaptopurine may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Brentuximab vedotin Mercaptopurine may lead to a major life threatening interaction when taken with Samarium (153Sm) lexidronam and Samarium (153Sm) lexidronam may lead to a major life threatening interaction when taken with Brentuximab vedotin Mercaptopurine may lead to a major life threatening interaction when taken with Clozapine and Clozapine may lead to a major life threatening interaction when taken with Brentuximab vedotin
DB00023
DB01234
305
1,220
[ "DDInter127", "DDInter513" ]
Asparaginase Escherichia coli
Dexamethasone
Asparaginase derived from _Escherichia coli_ (L-asparagine amidohydrolase, EC 3.5.1.1) is an enzyme responsible for the metabolism of L-asparagine, by catalyzing L-asparagine into L-aspartic acid and ammonia. It also facilitates the production of oxaloacetate which is needed for general cellular metabolism. Asparaginase from _E. coli_ has clinically shown to exhibit antitumor actions in models of leukaemias [A31996, A31997]. L-asparaginase of _E. coli_ is marketed under several different trade names, including Elspar, for the treatment of acute lymphoblastic leukemia (ALL) as part of a multi-agent chemotherapeutic regimen. It is available as intramuscular or intravenous injections. Therapeutic L-asparaginase from _E. coli_ works by depleting the levels
Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like [hydrocortisone] and [prednisolone]. Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.
Moderate
1
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[ [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Triamcinolone" ], [ "Triamcinolone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydrocortisone" ], [ "Hydrocortisone", "{u} (Compound) resembles {v} (Compound)", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stanozolol" ], [ "Stanozolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Bexarotene" ], [ "Bexarotene", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{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}", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ] ], [ [ "Asparaginase Escherichia coli", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Capmatinib" ], [ "Capmatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ] ] ]
Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Triamcinolone and Triamcinolone (Compound) resembles Dexamethasone (Compound) Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Hydrocortisone and Hydrocortisone (Compound) resembles Dexamethasone (Compound) Asparaginase Escherichia coli 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 Dexamethasone Asparaginase Escherichia coli 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 Dexamethasone Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Stanozolol and Stanozolol may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Bexarotene and Bexarotene may cause a moderate interaction that could exacerbate diseases when taken with Dexamethasone Asparaginase Escherichia coli 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 Dexamethasone Asparaginase Escherichia coli may lead to a major life threatening interaction when taken with Golimumab and Golimumab may lead to a major life threatening interaction when taken with Dexamethasone Asparaginase Escherichia coli may cause a moderate interaction that could exacerbate diseases when taken with Capmatinib and Capmatinib may lead to a major life threatening interaction when taken with Dexamethasone
DB08826
DB13915
1,292
689
[ "DDInter489", "DDInter146" ]
Deferiprone
Axicabtagene ciloleucel
Deferiprone is an oral iron chelator used as a second line agent in thalassemia syndromes when iron overload from blood transfusions occurs. Thalassemias are a type of hereditary anaemia due a defect in the production of hemoglobin. As a result, erythropoiesis, the production of new red blood cells, is impaired. FDA approved on October 14, 2011.
Axicabtagene ciloleucel is an anti-CD19 chimeric antigen receptor (CAR) T-cell therapy. The drug has a unique mechanism of action, as it utilizes the patient's own T cells, which play a central role in immune response to cancer. Once T-cells are collected from the patient, they are genetically engineered to express anti-CD19 CARs that recognize and kill cancer cells, and are infused back into the patient. Each dose of axicabtagene ciloleucel represent the patient's genetically modified T-cells. The development of resulted from early preclinical studies conducted by a group of researchers at the National Cancer Institute (NCI), who demonstrated that T cells expressing an anti-CD19 CAR can produce cytokines that efficiently kill leukemic cells _in vitro_. Axicabtagene ciloleucel was approved by the FDA on October 18th, 2017. It is marketed under the brand name Yescarta and is used to treat large B-cell lymphomas and follicular lymphoma in adults. Axicabtagene ciloleucel was later approved by the EMA on August 23, 2018.
Major
2
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[ [ [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Niraparib" ], [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{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}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Golimumab" ], [ "Golimumab", "{u} may lead to a major life threatening interaction when taken with {v}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{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}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ], [ "Strontium chloride Sr-89", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Efalizumab" ], [ "Efalizumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alemtuzumab" ], [ "Alemtuzumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Niraparib" ], [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ], [ "Strontium chloride Sr-89", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Axicabtagene ciloleucel" ] ], [ [ "Deferiprone", "{u} may lead to a major life threatening interaction when taken with {v}", "Olaparib" ], [ "Olaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Strontium chloride Sr-89" ], [ "Strontium chloride Sr-89", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Axicabtagene ciloleucel" ] ] ]
Deferiprone may lead to a major life threatening interaction when taken with Alemtuzumab and Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Axicabtagene ciloleucel Deferiprone may lead to a major life threatening interaction when taken with Niraparib and Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Axicabtagene ciloleucel Deferiprone 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 Axicabtagene ciloleucel Deferiprone may lead to a major life threatening interaction when taken with Golimumab and Golimumab may lead to a major life threatening interaction when taken with Axicabtagene ciloleucel Deferiprone 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 Axicabtagene ciloleucel Deferiprone may lead to a major life threatening interaction when taken with Alemtuzumab and Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 and Strontium chloride Sr-89 may cause a moderate interaction that could exacerbate diseases when taken with Axicabtagene ciloleucel Deferiprone may lead to a major life threatening interaction when taken with Efalizumab and Efalizumab may cause a moderate interaction that could exacerbate diseases when taken with Alemtuzumab and Alemtuzumab may cause a moderate interaction that could exacerbate diseases when taken with Axicabtagene ciloleucel Deferiprone may lead to a major life threatening interaction when taken with Niraparib and Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 and Strontium chloride Sr-89 may cause a moderate interaction that could exacerbate diseases when taken with Axicabtagene ciloleucel Deferiprone may lead to a major life threatening interaction when taken with Olaparib and Olaparib may cause a moderate interaction that could exacerbate diseases when taken with Strontium chloride Sr-89 and Strontium chloride Sr-89 may cause a moderate interaction that could exacerbate diseases when taken with Axicabtagene ciloleucel
DB00230
DB00662
784
717
[ "DDInter1516", "DDInter1873" ]
Pregabalin
Trimethobenzamide
Pregabalin is structurally similar to gamma-aminobutyric acid (GABA) - an inhibitory neurotransmitter. It may be used to manage neuropathic pain, postherpetic neuralgia, and fibromyalgia among other conditions. Although as per the FDA Label the mechanism of action has not been definitively characterized, there is evidence that pregabalin exerts its effects by binding to the α2δ subunit of voltage-dependent calcium channels.[A187190,L7066] Pregabalin is marketed by Pfizer under the trade name Lyrica and Lyrica Cr (extended release).[L1006,L7066] It may have dependence liability if misused but the risk appears to be highest in patients with current or past substance use disorders.
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
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[ [ [ "Pregabalin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ] ], [ [ "Pregabalin", "{u} (Compound) causes {v} (Side Effect)", "Disorientation" ], [ "Disorientation", "{u} (Side Effect) is caused by {v} (Compound)", "Trimethobenzamide" ] ], [ [ "Pregabalin", "{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" ] ], [ [ "Pregabalin", "{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" ] ], [ [ "Pregabalin", "{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}", "Trimethobenzamide" ] ], [ [ "Pregabalin", "{u} (Compound) causes {v} (Side Effect)", "Disorientation" ], [ "Disorientation", "{u} (Side Effect) is caused by {v} (Compound)", "Midazolam" ], [ "Midazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trimethobenzamide" ] ], [ [ "Pregabalin", "{u} (Compound) causes {v} (Side Effect)", "Headache" ], [ "Headache", "{u} (Side Effect) is caused by {v} (Compound)", "Papaverine" ], [ "Papaverine", "{u} (Compound) resembles {v} (Compound)", "Trimethobenzamide" ] ], [ [ "Pregabalin", "{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" ] ], [ [ "Pregabalin", "{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" ] ], [ [ "Pregabalin", "{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" ] ] ]
Pregabalin (Compound) causes Disorientation (Side Effect) and Disorientation (Side Effect) is caused by Trimethobenzamide (Compound) Pregabalin 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 Pregabalin 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 Pregabalin 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 Trimethobenzamide Pregabalin (Compound) causes Disorientation (Side Effect) and Disorientation (Side Effect) is caused by Midazolam (Compound) and Midazolam may cause a moderate interaction that could exacerbate diseases when taken with Trimethobenzamide Pregabalin (Compound) causes Headache (Side Effect) and Headache (Side Effect) is caused by Papaverine (Compound) and Papaverine (Compound) resembles Trimethobenzamide (Compound) Pregabalin 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) Pregabalin 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 Pregabalin 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)
DB00519
DB00586
1,638
1,512
[ "DDInter1843", "DDInter537" ]
Trandolapril
Diclofenac
Trandolapril is a non-sulhydryl prodrug that belongs to the angiotensin-converting enzyme (ACE) inhibitor class of medications. It is metabolized to its biologically active diacid form, trandolaprilat, in the liver. Trandolaprilat inhibits ACE, the enzyme responsible for the conversion of angiotensin I (ATI) to angiotensin II (ATII). ATII regulates blood pressure and is a key component of the renin-angiotensin-aldosterone system (RAAS). Trandolapril may be used to treat mild to moderate hypertension, to improve survival following myocardial infarction in clinically stable patients with left ventricular dysfunction, as an adjunct treatment for congestive heart failure, and to slow the rate of progression of renal disease in hypertensive individuals with diabetes mellitus and microalbuminuria or overt nephropathy.
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
[ [ [ 1638, 24, 1512 ] ], [ [ 1638, 21, 29231 ], [ 29231, 60, 1512 ] ], [ [ 1638, 24, 885 ], [ 885, 63, 1512 ] ], [ [ 1638, 63, 1271 ], [ 1271, 24, 1512 ] ], [ [ 1638, 1, 954 ], [ 954, 63, 1512 ] ], [ [ 1638, 25, 948 ], [ 948, 63, 1512 ] ], [ [ 1638, 35, 1144 ], [ 1144, 63, 1512 ] ], [ [ 1638, 1, 610 ], [ 610, 24, 1512 ] ], [ [ 1638, 25, 1510 ], [ 1510, 64, 1512 ] ], [ [ 1638, 24, 365 ], [ 365, 64, 1512 ] ] ]
[ [ [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Trandolapril", "{u} (Compound) causes {v} (Side Effect)", "Cardiac disorder" ], [ "Cardiac disorder", "{u} (Side Effect) is caused by {v} (Compound)", "Diclofenac" ] ], [ [ "Trandolapril", "{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}", "Diclofenac" ] ], [ [ "Trandolapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alteplase" ], [ "Alteplase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Trandolapril", "{u} (Compound) resembles {v} (Compound)", "Quinapril" ], [ "Quinapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Trandolapril", "{u} may lead to a major life threatening interaction when taken with {v}", "Potassium gluconate" ], [ "Potassium gluconate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Trandolapril", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nateglinide" ], [ "Nateglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Trandolapril", "{u} (Compound) resembles {v} (Compound)", "Enalapril" ], [ "Enalapril", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diclofenac" ] ], [ [ "Trandolapril", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may lead to a major life threatening interaction when taken with {v}", "Diclofenac" ] ], [ [ "Trandolapril", "{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}", "Diclofenac" ] ] ]
Trandolapril (Compound) causes Cardiac disorder (Side Effect) and Cardiac disorder (Side Effect) is caused by Diclofenac (Compound) Trandolapril 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 Diclofenac Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Alteplase and Alteplase may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac Trandolapril (Compound) resembles Quinapril (Compound) and Quinapril may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac Trandolapril may lead to a major life threatening interaction when taken with Potassium gluconate and Potassium gluconate may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac Trandolapril (Compound) resembles Nateglinide (Compound) and Trandolapril may cause a moderate interaction that could exacerbate diseases when taken with Nateglinide and Nateglinide may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac Trandolapril (Compound) resembles Enalapril (Compound) and Enalapril may cause a moderate interaction that could exacerbate diseases when taken with Diclofenac Trandolapril may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may lead to a major life threatening interaction when taken with Diclofenac Trandolapril 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 Diclofenac
DB05239
DB14723
866
159
[ "DDInter425", "DDInter1026" ]
Cobimetinib
Larotrectinib
Cobimetinib is an orally active, potent and highly selective small molecule inhibiting mitogen-activated protein kinase kinase 1 (MAP2K1 or MEK1), and central components of the RAS/RAF/MEK/ERK signal transduction pathway. It has been approved in Switzerland and the US, in combination with vemurafenib for the treatment of patients with unresectable or metastatic BRAF V600 mutation-positive melanoma.
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
[ [ [ 866, 24, 159 ] ], [ [ 866, 24, 1375 ], [ 1375, 24, 159 ] ], [ [ 866, 64, 307 ], [ 307, 24, 159 ] ], [ [ 866, 63, 597 ], [ 597, 24, 159 ] ], [ [ 866, 25, 1593 ], [ 1593, 24, 159 ] ], [ [ 866, 24, 1654 ], [ 1654, 63, 159 ] ], [ [ 866, 25, 1339 ], [ 1339, 63, 159 ] ], [ [ 866, 64, 1327 ], [ 1327, 25, 159 ] ], [ [ 866, 25, 1070 ], [ 1070, 25, 159 ] ], [ [ 866, 24, 1375 ], [ 1375, 63, 222 ], [ 222, 23, 159 ] ] ]
[ [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Cobimetinib", "{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" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Chloramphenicol" ], [ "Chloramphenicol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Cobimetinib", "{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}", "Larotrectinib" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Berotralstat" ], [ "Berotralstat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Larotrectinib" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Saquinavir" ], [ "Saquinavir", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ] ], [ [ "Cobimetinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Mipomersen" ], [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ] ], [ [ "Cobimetinib", "{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}", "Sibutramine" ], [ "Sibutramine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Larotrectinib" ] ] ]
Cobimetinib 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 Cobimetinib may lead to a major life threatening interaction when taken with Modafinil and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Chloramphenicol and Chloramphenicol may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Cobimetinib may lead to a major life threatening interaction when taken with Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Cobimetinib 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 Larotrectinib Cobimetinib may lead to a major life threatening interaction when taken with Berotralstat and Berotralstat may cause a moderate interaction that could exacerbate diseases when taken with Larotrectinib Cobimetinib may lead to a major life threatening interaction when taken with Saquinavir and Saquinavir may lead to a major life threatening interaction when taken with Larotrectinib Cobimetinib may lead to a major life threatening interaction when taken with Mipomersen and Mipomersen may lead to a major life threatening interaction when taken with Larotrectinib Cobimetinib 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 Sibutramine and Sibutramine may cause a minor interaction that can limit clinical effects when taken with Larotrectinib
DB09078
DB11901
1,228
913
[ "DDInter1036", "DDInter107" ]
Lenvatinib
Apalutamide
Lenvatinib is a receptor tyrosine kinase (RTK) inhibitor that inhibits the kinase activities of vascular endothelial growth factor (VEGF) receptors VEGFR1 (FLT1), VEGFR2 (KDR), and VEGFR3 (FLT4). Lenvatinib also inhibits other RTKs that have been implicated in pathogenic angiogenesis, tumor growth, and cancer progression in addition to their normal cellular functions, including fibroblast growth factor (FGF) receptors FGFR1, 2, 3, and 4; the platelet derived growth factor receptor alpha (PDGFRα), KIT, and RET. These receptor tyrosine kinases (RTKs) located in the cell membrane play a central role in the activation of signal transduction pathways involved in the normal regulation of cellular processes, such as cell proliferation, migration, apoptosis and differentiation, and in pathogenic angiogenesis, lymphogenesis, tumour
Apalutamide is a potent androgen receptor (AR) antagonist that selectively binds to the ligand-binding domain of AR and blocks AR nuclear translocation or binding to androgen response elements . It has been used in trials studying the treatment of Prostate Cancer, Hepatic Impairment, Prostatic Neoplasms, Castration-Resistant Prostate Cancer, and Prostatic Neoplasms, Castration-Resistant, among others. Exerting an antitumor action, apalutamide blocking the effect of androgens that promote tumor growth. It targets the AR ligand-binding domain and prevents AR nuclear translocation, DNA binding, and transcription of AR gene targets in prostate tumors . In mice bearing human CRPC xenograft models, apalutamide treatment produced tumor regressions in a dose-dependent manner that was more effective than that of or . Unlike bicalutamide, apalutamide antagonized AR-mediated signaling in AR overexpressing human CRPC cell lines . Androgen-deprivation therapy, or hormone therapy, can be used as part of maintenance therapy for patients with non-metastatic prostate cancer. Although most patients achieve therapeutic responses at the initial hormone therapy, many patients progress to non-metastatic castration-resistant (resistance to hormone therapy) prostate cancer which is the second-most common cause of cancer-related deaths in American males . Castration-resistant prostate cancer is often incurable, which poses significant clinical challenges for patients. Approximately 10 to 20 % of prostate cancer cases are castration-resistant, and up to 16% of these patients show no evidence of cancer metastasis at the time of castration-resistant diagnosis . Higher prostate-specific antigen (PSA) and shorter PSA doubling time (PSA DT) are associated with a higher risk for metastases and death . In a phase-2 multicenter open-label study, 89% of patients with non-metastatic, castration-resistant prostate cancer had ≥50% PSA decline at week 12 of apalutamide treatment . In a randomized trial, the median metastasis-free survival for patients taking apalutamide was 40.5 months compared to 16.2 months for patients taking a placebo . Apalutamide displayed good tolerability and safety profile in clinical studies. Apalutamide was approved in February 2018 by the FDA as Erleada for the treatment of patients with non-metastatic prostate cancer that is resistant to treatment with hormone therapy (castration-resistant). It is available as oral tablets. Apalutamide is the first FDA-approved treatment for non-metastatic, castration-resistant prostate cancer .
Moderate
1
[ [ [ 1228, 24, 913 ] ], [ [ 1228, 62, 112 ], [ 112, 23, 913 ] ], [ [ 1228, 63, 600 ], [ 600, 24, 913 ] ], [ [ 1228, 25, 877 ], [ 877, 63, 913 ] ], [ [ 1228, 24, 1619 ], [ 1619, 63, 913 ] ], [ [ 1228, 24, 1662 ], [ 1662, 24, 913 ] ], [ [ 1228, 64, 1487 ], [ 1487, 24, 913 ] ], [ [ 1228, 63, 879 ], [ 879, 25, 913 ] ], [ [ 1228, 25, 1375 ], [ 1375, 64, 913 ] ], [ [ 1228, 64, 702 ], [ 702, 25, 913 ] ] ]
[ [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Lenvatinib", "{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}", "Apalutamide" ] ], [ [ "Lenvatinib", "{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}", "Apalutamide" ] ], [ [ "Lenvatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Macimorelin" ], [ "Macimorelin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rucaparib" ], [ "Rucaparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Lenvatinib", "{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}", "Apalutamide" ] ], [ [ "Lenvatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Apalutamide" ] ], [ [ "Lenvatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lumateperone" ], [ "Lumateperone", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Lenvatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Lefamulin" ], [ "Lefamulin", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ], [ [ "Lenvatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Anagrelide" ], [ "Anagrelide", "{u} may lead to a major life threatening interaction when taken with {v}", "Apalutamide" ] ] ]
Lenvatinib 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 Apalutamide Lenvatinib 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 Apalutamide Lenvatinib may lead to a major life threatening interaction when taken with Macimorelin and Macimorelin may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Rucaparib and Rucaparib may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Lenvatinib 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 Apalutamide Lenvatinib may lead to a major life threatening interaction when taken with Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Apalutamide Lenvatinib may cause a moderate interaction that could exacerbate diseases when taken with Lumateperone and Lumateperone may lead to a major life threatening interaction when taken with Apalutamide Lenvatinib may lead to a major life threatening interaction when taken with Lefamulin and Lefamulin may lead to a major life threatening interaction when taken with Apalutamide Lenvatinib may lead to a major life threatening interaction when taken with Anagrelide and Anagrelide may lead to a major life threatening interaction when taken with Apalutamide
DB00543
DB08881
87
868
[ "DDInter82", "DDInter1925" ]
Amoxapine
Vemurafenib
Amoxapine, the <i>N</i>-demethylated derivative of the antipsychotic agent loxapine, is a dibenzoxazepine-derivative tricyclic antidepressant (TCA). TCAs are structurally similar to phenothiazines. They contain a tricyclic ring system with an alkyl amine substituent on the central ring. In non-depressed individuals, amoxapine does not affect mood or arousal, but may cause sedation. In depressed individuals, amoxapine exerts a positive effect on mood. TCAs are potent inhibitors of serotonin and norepinephrine reuptake. In addition, TCAs down-regulate cerebral cortical &beta;-adrenergic receptors and sensitize post-synaptic serotonergic receptors with chronic use. The antidepressant effects of TCAs are thought to be due to an overall increase in serotonergic neurotransmission. TCAs also block
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
[ [ [ 87, 25, 868 ] ], [ [ 87, 6, 12523 ], [ 12523, 45, 868 ] ], [ [ 87, 7, 6886 ], [ 6886, 57, 868 ] ], [ [ 87, 21, 29015 ], [ 29015, 60, 868 ] ], [ [ 87, 23, 112 ], [ 112, 23, 868 ] ], [ [ 87, 24, 480 ], [ 480, 24, 868 ] ], [ [ 87, 24, 760 ], [ 760, 63, 868 ] ], [ [ 87, 25, 1039 ], [ 1039, 24, 868 ] ], [ [ 87, 40, 867 ], [ 867, 24, 868 ] ], [ [ 87, 25, 478 ], [ 478, 25, 868 ] ] ]
[ [ [ "Amoxapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vemurafenib" ] ], [ [ "Amoxapine", "{u} (Compound) binds {v} (Gene)", "CYP2D6" ], [ "CYP2D6", "{u} (Gene) is bound by {v} (Compound)", "Vemurafenib" ] ], [ [ "Amoxapine", "{u} (Compound) upregulates {v} (Gene)", "MSMO1" ], [ "MSMO1", "{u} (Gene) is downregulated by {v} (Compound)", "Vemurafenib" ] ], [ [ "Amoxapine", "{u} (Compound) causes {v} (Side Effect)", "Eosinophilia" ], [ "Eosinophilia", "{u} (Side Effect) is caused by {v} (Compound)", "Vemurafenib" ] ], [ [ "Amoxapine", "{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" ] ], [ [ "Amoxapine", "{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" ] ], [ [ "Amoxapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ], [ "Cobicistat", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Amoxapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexfenfluramine" ], [ "Dexfenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Amoxapine", "{u} (Compound) resembles {v} (Compound)", "Olanzapine" ], [ "Olanzapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vemurafenib" ] ], [ [ "Amoxapine", "{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" ] ] ]
Amoxapine (Compound) binds CYP2D6 (Gene) and CYP2D6 (Gene) is bound by Vemurafenib (Compound) Amoxapine (Compound) upregulates MSMO1 (Gene) and MSMO1 (Gene) is downregulated by Vemurafenib (Compound) Amoxapine (Compound) causes Eosinophilia (Side Effect) and Eosinophilia (Side Effect) is caused by Vemurafenib (Compound) Amoxapine 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 Amoxapine 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 Amoxapine may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat and Cobicistat may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Amoxapine may lead to a major life threatening interaction when taken with Dexfenfluramine and Dexfenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Amoxapine (Compound) resembles Olanzapine (Compound) and Olanzapine may cause a moderate interaction that could exacerbate diseases when taken with Vemurafenib Amoxapine 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
DB00434
DB00985
13
1,443
[ "DDInter459", "DDInter562" ]
Cyproheptadine
Dimenhydrinate
Cyproheptadine is a potent competitive antagonist of both serotonin and histamine receptors. It is used primarily to treat allergic symptoms, though it is perhaps more notable for its use in appetite stimulation and its off-label use in the treatment of serotonin syndrome.
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
[ [ [ 13, 24, 1443 ] ], [ [ 13, 40, 11286 ], [ 11286, 1, 1443 ] ], [ [ 13, 24, 1376 ], [ 1376, 63, 1443 ] ], [ [ 13, 63, 357 ], [ 357, 1, 1443 ] ], [ [ 13, 24, 358 ], [ 358, 1, 1443 ] ], [ [ 13, 5, 11598 ], [ 11598, 44, 1443 ] ], [ [ 13, 6, 10104 ], [ 10104, 45, 1443 ] ], [ [ 13, 10, 11584 ], [ 11584, 49, 1443 ] ], [ [ 13, 21, 28705 ], [ 28705, 60, 1443 ] ], [ [ 13, 24, 662 ], [ 662, 24, 1443 ] ] ]
[ [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dimenhydrinate" ] ], [ [ "Cyproheptadine", "{u} (Compound) resembles {v} (Compound)", "Diphenylpyraline" ], [ "Diphenylpyraline", "{u} (Compound) resembles {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Cyproheptadine", "{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" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Benzatropine" ], [ "Benzatropine", "{u} (Compound) resembles {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Cyproheptadine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Orphenadrine" ], [ "Orphenadrine", "{u} (Compound) resembles {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Cyproheptadine", "{u} (Compound) treats {v} (Disease)", "allergic rhinitis" ], [ "allergic rhinitis", "{u} (Disease) is treated by {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Cyproheptadine", "{u} (Compound) binds {v} (Gene)", "HRH1" ], [ "HRH1", "{u} (Gene) is bound by {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Cyproheptadine", "{u} (Compound) palliates {v} (Disease)", "schizophrenia" ], [ "schizophrenia", "{u} (Disease) is palliated by {v} (Compound)", "Dimenhydrinate" ] ], [ [ "Cyproheptadine", "{u} (Compound) causes {v} (Side Effect)", "Drowsiness" ], [ "Drowsiness", "{u} (Side Effect) is caused by {v} (Compound)", "Dimenhydrinate" ] ], [ [ "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}", "Dimenhydrinate" ] ] ]
Cyproheptadine (Compound) resembles Diphenylpyraline (Compound) and Diphenylpyraline (Compound) resembles Dimenhydrinate (Compound) Cyproheptadine 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 Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Benzatropine and Benzatropine (Compound) resembles Dimenhydrinate (Compound) Cyproheptadine may cause a moderate interaction that could exacerbate diseases when taken with Orphenadrine and Orphenadrine (Compound) resembles Dimenhydrinate (Compound) Cyproheptadine (Compound) treats allergic rhinitis (Disease) and allergic rhinitis (Disease) is treated by Dimenhydrinate (Compound) Cyproheptadine (Compound) binds HRH1 (Gene) and HRH1 (Gene) is bound by Dimenhydrinate (Compound) Cyproheptadine (Compound) palliates schizophrenia (Disease) and schizophrenia (Disease) is palliated by Dimenhydrinate (Compound) Cyproheptadine (Compound) causes Drowsiness (Side Effect) and Drowsiness (Side Effect) is caused by Dimenhydrinate (Compound) 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 Dimenhydrinate
DB00341
DB01181
1,242
1,532
[ "DDInter343", "DDInter906" ]
Cetirizine
Ifosfamide
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
Ifosfamide is a chemotherapeutic agent chemically related to the nitrogen mustards and a synthetic analog of cyclophosphamide. It is active as an alkylating agent and an immunosuppressive agent.
Moderate
1
[ [ [ 1242, 24, 1532 ] ], [ [ 1242, 7, 5415 ], [ 5415, 46, 1532 ] ], [ [ 1242, 21, 28956 ], [ 28956, 60, 1532 ] ], [ [ 1242, 63, 1648 ], [ 1648, 24, 1532 ] ], [ [ 1242, 24, 684 ], [ 684, 24, 1532 ] ], [ [ 1242, 24, 481 ], [ 481, 63, 1532 ] ], [ [ 1242, 35, 827 ], [ 827, 24, 1532 ] ], [ [ 1242, 74, 701 ], [ 701, 24, 1532 ] ], [ [ 1242, 35, 623 ], [ 623, 63, 1532 ] ], [ [ 1242, 24, 695 ], [ 695, 25, 1532 ] ] ]
[ [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Cetirizine", "{u} (Compound) upregulates {v} (Gene)", "UBQLN2" ], [ "UBQLN2", "{u} (Gene) is upregulated by {v} (Compound)", "Ifosfamide" ] ], [ [ "Cetirizine", "{u} (Compound) causes {v} (Side Effect)", "Palpitations" ], [ "Palpitations", "{u} (Side Effect) is caused by {v} (Compound)", "Ifosfamide" ] ], [ [ "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}", "Ifosfamide" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Thioridazine" ], [ "Thioridazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quazepam" ], [ "Quazepam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Trazodone" ], [ "Trazodone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "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}", "Ifosfamide" ] ], [ [ "Cetirizine", "{u} (Compound) resembles {v} (Compound) and {u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Quetiapine" ], [ "Quetiapine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ] ], [ [ "Cetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clozapine" ], [ "Clozapine", "{u} may lead to a major life threatening interaction when taken with {v}", "Ifosfamide" ] ] ]
Cetirizine (Compound) upregulates UBQLN2 (Gene) and UBQLN2 (Gene) is upregulated by Ifosfamide (Compound) Cetirizine (Compound) causes Palpitations (Side Effect) and Palpitations (Side Effect) is caused by Ifosfamide (Compound) 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 Ifosfamide Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Thioridazine and Thioridazine may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Quazepam and Quazepam may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Cetirizine (Compound) resembles Trazodone (Compound) and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Trazodone and Trazodone may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide 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 Ifosfamide Cetirizine (Compound) resembles Quetiapine (Compound) and Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Quetiapine and Quetiapine may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide Cetirizine may cause a moderate interaction that could exacerbate diseases when taken with Clozapine and Clozapine may lead to a major life threatening interaction when taken with Ifosfamide
DB01110
DB09065
86
760
[ "DDInter1209", "DDInter424" ]
Miconazole
Cobicistat
Miconazole is a broad-spectrum azole antifungal with some activity against Gram-positive bacteria as well. It is widely used to treat mucosal yeast infections, including both oral and vaginal infections; although intravenous miconazole is no longer available, a wide variety of suppositories, creams, gels, and tablet-based products are available.[L14021, L14024, L14027, L14033, L14396] Miconazole is thought to act primarily through the inhibition of fungal CYP450 14α-lanosterol demethylase activity.[A203636, A203639] Miconazole was first synthesized in 1969 and first granted FDA approval on January 8, 1974, for sale by INSIGHT Pharmaceuticals as a topical cream.[A214523, L14021] It is currently available as a variety of prescription and over the counter products. Despite having been in clinical use for an extended period, resistance to m
Cobicistat, marketed under the name Tybost (formerly GS-9350), indicated for treating infection with human immunodeficiency virus (HIV). Although it does not have any anti-HIV activity, cobicistat acts as a pharmacokinetic enhancer by inhibiting cytochrome P450 3A isoforms (CYP3A) and therefore increases the systemic exposure of coadministered agents that are metabolized by CYP3A enzymes. More specifically, cobicistat is indicated to increase systemic exposure of atazanavir or darunavir (once daily dosing regimen) in combination with other antiretroviral agents in the treatment of HIV-1 infection. Increasing systemic exposure of anti-retrovirals (ARVs) without increasing dosage allows for better treatment outcomes and a decreased side effect profile.
Moderate
1
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[ [ [ "Miconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ] ], [ [ "Miconazole", "{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}", "Cobicistat" ] ], [ [ "Miconazole", "{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}", "Cobicistat" ] ], [ [ "Miconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Doravirine" ], [ "Doravirine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Cobicistat" ] ], [ [ "Miconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Alprazolam" ], [ "Alprazolam", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ] ], [ [ "Miconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fosaprepitant" ], [ "Fosaprepitant", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ] ], [ [ "Miconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ] ], [ [ "Miconazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levamlodipine" ], [ "Levamlodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ] ], [ [ "Miconazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Modafinil" ], [ "Modafinil", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cobicistat" ] ], [ [ "Miconazole", "{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}", "Cobicistat" ] ] ]
Miconazole 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 Cobicistat Miconazole 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 Cobicistat Miconazole may cause a minor interaction that can limit clinical effects when taken with Doravirine and Doravirine may cause a minor interaction that can limit clinical effects when taken with Cobicistat Miconazole may cause a moderate interaction that could exacerbate diseases when taken with Alprazolam and Alprazolam may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat Miconazole may cause a moderate interaction that could exacerbate diseases when taken with Fosaprepitant and Fosaprepitant may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat Miconazole may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat Miconazole may cause a moderate interaction that could exacerbate diseases when taken with Levamlodipine and Levamlodipine may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat Miconazole may cause a minor interaction that can limit clinical effects when taken with Modafinil and Modafinil may cause a moderate interaction that could exacerbate diseases when taken with Cobicistat Miconazole 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 Cobicistat
DB01124
DB11827
1,411
433
[ "DDInter1828", "DDInter669" ]
Tolbutamide
Ertugliflozin
Tolbutamide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It is structurally similar to acetohexamide, chlorpropamide and tolazamide and belongs to the sulfonylurea class of insulin secretagogues, which act by stimulating β cells of the pancreas to release insulin. Sulfonylureas increase both basal insulin secretion and meal-stimulated insulin release. Medications in this class differ in their dose, rate of absorption, duration of action, route of elimination and binding site on their target pancreatic β cell receptor. Sulfonylureas also increase peripheral glucose utilization, decrease hepatic gluconeogenesis and may increase the number and sensitivity of insulin receptors. Sulfonylureas are associated with weight gain, though less so than insulin. Due to their mechanism of action, sulfonylureas may cause hypoglycemia and require consistent food intake to
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
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[ [ [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "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}", "Ertugliflozin" ] ], [ [ "Tolbutamide", "{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" ] ], [ [ "Tolbutamide", "{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" ] ], [ [ "Tolbutamide", "{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" ] ], [ [ "Tolbutamide", "{u} (Compound) resembles {v} (Compound)", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Tolbutamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Cariprazine" ], [ "Cariprazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Tolbutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Delafloxacin" ], [ "Delafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Tolbutamide", "{u} may lead to a major life threatening interaction when taken with {v}", "Sparfloxacin" ], [ "Sparfloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ], [ [ "Tolbutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Methyldopa" ], [ "Methyldopa", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ertugliflozin" ] ] ]
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 Ertugliflozin Tolbutamide 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 Tolbutamide 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 Tolbutamide 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 Tolbutamide (Compound) resembles Glipizide (Compound) and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Tolbutamide may cause a moderate interaction that could exacerbate diseases when taken with Cariprazine and Cariprazine may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Tolbutamide may lead to a major life threatening interaction when taken with Delafloxacin and Delafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Tolbutamide may lead to a major life threatening interaction when taken with Sparfloxacin and Sparfloxacin may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin Tolbutamide may cause a minor interaction that can limit clinical effects when taken with Methyldopa and Methyldopa may cause a moderate interaction that could exacerbate diseases when taken with Ertugliflozin
DB00470
DB09118
530
1,580
[ "DDInter601", "DDInter1711" ]
Dronabinol
Stiripentol
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
Stiripentol is an antiepileptic agent that is an aromatic allylic alcohol drug, which makes it structurally unique from other antiepileptic drugs.[A19740, A250825] The clinical development and marketing of stiripentol were first delayed due to the drug's potent inhibitory effects on hepatic cytochrome P450 (CYP) enzymes. However, its clinical efficacy as adjunctive therapy for epilepsies stems from its inhibitory action on CYP enzymes, as stiripentol reduces the degradation of CYP-sensitive antiepileptic drugs, hence boosting their therapeutic efficacy. Stiripentol may also exhibit direct anticonvulsant properties, although the exact mechanism of action is fully understood. Approved in the US, Canada, and Europe, stiripentol is used to treat seizures associated with Dravet syndrome.[L880,L42500,L42510] It is marketed under the brand name Diacomit.
Moderate
1
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[ [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Dronabinol", "{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}", "Stiripentol" ] ], [ [ "Dronabinol", "{u} (Compound) resembles {v} (Compound)", "Nabilone" ], [ "Nabilone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brigatinib" ], [ "Brigatinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Stiripentol" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Dronabinol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pentoxyverine" ], [ "Pentoxyverine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Opium" ], [ "Opium", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Dronabinol", "{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}", "Ifosfamide" ], [ "Ifosfamide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Stiripentol" ] ], [ [ "Dronabinol", "{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}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Stiripentol" ] ] ]
Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Dronabinol 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 Stiripentol Dronabinol (Compound) resembles Nabilone (Compound) and Nabilone may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Brigatinib and Brigatinib may lead to a major life threatening interaction when taken with Stiripentol Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Ifosfamide and Ifosfamide may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Dronabinol may cause a moderate interaction that could exacerbate diseases when taken with Pentoxyverine and Pentoxyverine may cause a moderate interaction that could exacerbate diseases when taken with Opium and Opium may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Dronabinol 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 Ifosfamide and Ifosfamide may cause a moderate interaction that could exacerbate diseases when taken with Stiripentol Dronabinol 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 Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Stiripentol
DB00295
DB09241
475
1,629
[ "DDInter1244", "DDInter1186" ]
Morphine
Methylene blue
Morphine, the main alkaloid of opium, was first obtained from poppy seeds in 1805. It is a potent analgesic, though its use is limited due to tolerance, withdrawal, and the risk of abuse. Morphine is still routinely used today, though there are a number of semi-synthetic opioids of varying strength such as [codeine], [fentanyl], [methadone], [hydrocodone], [hydromorphone], [meperidine], and [oxycodone]. Morphine was granted FDA approval in 1941.
Methylene blue is an oxidation-reduction agent. The intravenous form of methylene blue is approved by the FDA for the treatment of pediatric and adult patients with acquired methemoglobinemia. Historically, it has been widely used in Africa to treat malaria, but now it disappeared when chloroquine (CQ) and other drugs entered the market. Its use as an urinary tract antiseptic has also been investigated. Methylthioninium chloride (INN, or methylene blue, proposed trade name Rember) is an investigational drug being developed by the University of Aberdeen and TauRx Therapeutics that has been shown in early clinical trials to be an inhibitor of Tau protein aggregation. The drug is of potential interest for the treatment of patients with Alzheimer's disease.
Major
2
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[ [ [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenobarbital" ], [ "Phenobarbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ketamine" ], [ "Ketamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Butalbital" ], [ "Butalbital", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nefazodone" ], [ "Nefazodone", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} may lead to a major life threatening interaction when taken with {v}", "Dezocine" ], [ "Dezocine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Venlafaxine" ], [ "Venlafaxine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ephedrine" ], [ "Ephedrine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} (Compound) resembles {v} (Compound) and {u} may lead to a major life threatening interaction when taken with {v}", "Oxymorphone" ], [ "Oxymorphone", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ], [ [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Valbenazine" ], [ "Valbenazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Methylene blue" ] ] ]
Morphine may lead to a major life threatening interaction when taken with Phenobarbital and Phenobarbital may cause a moderate interaction that could exacerbate diseases when taken with Methylene blue Morphine may cause a moderate interaction that could exacerbate diseases when taken with Ketamine and Ketamine may cause a moderate interaction that could exacerbate diseases when taken with Methylene blue Morphine may lead to a major life threatening interaction when taken with Butalbital and Butalbital may cause a moderate interaction that could exacerbate diseases when taken with Methylene blue Morphine may cause a moderate interaction that could exacerbate diseases when taken with Nefazodone and Nefazodone may lead to a major life threatening interaction when taken with Methylene blue Morphine may lead to a major life threatening interaction when taken with Dezocine and Dezocine may lead to a major life threatening interaction when taken with Methylene blue Morphine may cause a moderate interaction that could exacerbate diseases when taken with Venlafaxine and Venlafaxine may lead to a major life threatening interaction when taken with Methylene blue Morphine may cause a minor interaction that can limit clinical effects when taken with Ephedrine and Ephedrine may lead to a major life threatening interaction when taken with Methylene blue Morphine (Compound) resembles Oxymorphone (Compound) and Morphine may lead to a major life threatening interaction when taken with Oxymorphone and Oxymorphone may lead to a major life threatening interaction when taken with Methylene blue Morphine may cause a moderate interaction that could exacerbate diseases when taken with Valbenazine and Valbenazine may lead to a major life threatening interaction when taken with Methylene blue
DB08908
DB10429
713
200
[ "DDInter564", "DDInter282" ]
Dimethyl fumarate
Candida albicans
Dimethyl fumarate is an agent indicated for the treatment of relapsing forms of multiple sclerosis.[A253942,L43752] The mechanism of action of dimethyl fumarate in multiple sclerosis is not well understood. It is thought to involve dimethyl fumarate degradation to its active metabolite monomethyl fumarate (MMF) then MMF up-regulates the Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) pathway that is activated in response to oxidative stress. Dimethyl fumarate is marketed under the brand name Tecfidera, and it was the third oral disease-modifying agent for multiple sclerosis approved by the FDA, following [fingolimod] and [teriflunomide]. Prior to its FDA approval, dimethyl fumarate had been used in Germany for treatment of psoriasis.
Candida albicans is a fungus which can provoke allergic reactions. Candida albicans is used in allergenic testing.
Moderate
1
[ [ [ 713, 24, 200 ] ], [ [ 713, 63, 1096 ], [ 1096, 24, 200 ] ], [ [ 713, 64, 976 ], [ 976, 24, 200 ] ], [ [ 713, 24, 1019 ], [ 1019, 63, 200 ] ], [ [ 713, 24, 745 ], [ 745, 24, 200 ] ], [ [ 713, 25, 676 ], [ 676, 63, 200 ] ], [ [ 713, 63, 1096 ], [ 1096, 24, 1683 ], [ 1683, 24, 200 ] ], [ [ 713, 63, 1683 ], [ 1683, 63, 1096 ], [ 1096, 24, 200 ] ], [ [ 713, 64, 976 ], [ 976, 64, 1096 ], [ 1096, 24, 200 ] ], [ [ 713, 24, 1019 ], [ 1019, 63, 1683 ], [ 1683, 24, 200 ] ] ]
[ [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{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}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Daratumumab" ], [ "Daratumumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Upadacitinib" ], [ "Upadacitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{u} may lead to a major life threatening interaction when taken with {v}", "Tofacitinib" ], [ "Tofacitinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Mycophenolic acid" ], [ "Mycophenolic acid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ], [ [ "Dimethyl fumarate", "{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}", "Ustekinumab" ], [ "Ustekinumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Candida albicans" ] ] ]
Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Dimethyl fumarate may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Dimethyl fumarate 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 Candida albicans Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Daratumumab and Daratumumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Dimethyl fumarate may lead to a major life threatening interaction when taken with Upadacitinib and Upadacitinib may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Dimethyl fumarate may cause a moderate interaction that could exacerbate diseases when taken with Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Dimethyl fumarate may lead to a major life threatening interaction when taken with Tofacitinib and Tofacitinib may lead to a major life threatening interaction when taken with Mycophenolic acid and Mycophenolic acid may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans Dimethyl fumarate 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 Ustekinumab and Ustekinumab may cause a moderate interaction that could exacerbate diseases when taken with Candida albicans
DB00285
DB00431
1,100
1,503
[ "DDInter1927", "DDInter1072" ]
Venlafaxine
Lindane
Venlafaxine is an antidepressant and a serotonin and norepinephrine reuptake inhibitor (SNRI). Its active metabolite, [desvenlafaxine], works by blocking the reuptake of serotonin and norepinephrine, which are key neurotransmitters in mood regulation. Venlafaxine is officially approved to treat major depressive disorder (MDD), generalized anxiety disorder (GAD), social anxiety disorder, and panic disorder in adults. The immediate formulation of the drug, marketed as Effexor, was first approved by the FDA in 1993 and the extended-release formulation, Effexor XR, was later introduced in 1997. Venlafaxine has been used as a first-line treatment for MDD, GAD, social anxiety disorder, and panic disorder in Canada for many years. It was also considered a second-line treatment for obsessive-compulsive disorder (OCD).[A177226,A177235] Venl
An organochlorine insecticide that has been used as a pediculicide and a scabicide. Lindane has been banned in California, United Kingdom, Australia, and many western countries due to concerns about neurotoxicity and adverse effects on the environment. In Canada, Lindane is not recommmended as a first-line therapy due to reports of resistance, neurotoxicity, and bone marrow suppression, but has been approved by the FDA as a second-line therapy for topical treatment of pediculosis capitis (head lice), pediculosis pubis (pubic lice), or scabies in patients greater than two years of age who cannot tolerate or have failed first-line treatment. Lindane is still allowed for pharmaceutical use until 2015.
Moderate
1
[ [ [ 1100, 24, 1503 ] ], [ [ 1100, 21, 28703 ], [ 28703, 60, 1503 ] ], [ [ 1100, 24, 475 ], [ 475, 24, 1503 ] ], [ [ 1100, 25, 222 ], [ 222, 63, 1503 ] ], [ [ 1100, 24, 820 ], [ 820, 63, 1503 ] ], [ [ 1100, 25, 1466 ], [ 1466, 24, 1503 ] ], [ [ 1100, 1, 643 ], [ 643, 63, 1503 ] ], [ [ 1100, 64, 73 ], [ 73, 24, 1503 ] ], [ [ 1100, 63, 1648 ], [ 1648, 24, 1503 ] ], [ [ 1100, 25, 593 ], [ 593, 64, 1503 ] ] ]
[ [ [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ] ], [ [ "Venlafaxine", "{u} (Compound) causes {v} (Side Effect)", "Pruritus" ], [ "Pruritus", "{u} (Side Effect) is caused by {v} (Compound)", "Lindane" ] ], [ [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Morphine" ], [ "Morphine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ] ], [ [ "Venlafaxine", "{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}", "Lindane" ] ], [ [ "Venlafaxine", "{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}", "Lindane" ] ], [ [ "Venlafaxine", "{u} may lead to a major life threatening interaction when taken with {v}", "Phenylpropanolamine" ], [ "Phenylpropanolamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ] ], [ [ "Venlafaxine", "{u} (Compound) resembles {v} (Compound)", "Desvenlafaxine" ], [ "Desvenlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lindane" ] ], [ [ "Venlafaxine", "{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}", "Lindane" ] ], [ [ "Venlafaxine", "{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}", "Lindane" ] ], [ [ "Venlafaxine", "{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}", "Lindane" ] ] ]
Venlafaxine (Compound) causes Pruritus (Side Effect) and Pruritus (Side Effect) is caused by Lindane (Compound) Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Morphine and Morphine may cause a moderate interaction that could exacerbate diseases when taken with Lindane Venlafaxine 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 Lindane Venlafaxine 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 Lindane Venlafaxine may lead to a major life threatening interaction when taken with Phenylpropanolamine and Phenylpropanolamine may cause a moderate interaction that could exacerbate diseases when taken with Lindane Venlafaxine (Compound) resembles Desvenlafaxine (Compound) and Des Venlafaxine 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 Lindane Venlafaxine 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 Lindane Venlafaxine 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 Lindane
DB06616
DB08886
594
637
[ "DDInter224", "DDInter126" ]
Bosutinib
Asparaginase Erwinia chrysanthemi
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
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
[ [ [ 594, 24, 637 ] ], [ [ 594, 64, 1220 ], [ 1220, 24, 637 ] ], [ [ 594, 24, 850 ], [ 850, 24, 637 ] ], [ [ 594, 63, 267 ], [ 267, 24, 637 ] ], [ [ 594, 24, 159 ], [ 159, 63, 637 ] ], [ [ 594, 25, 1593 ], [ 1593, 24, 637 ] ], [ [ 594, 40, 883 ], [ 883, 24, 637 ] ], [ [ 594, 25, 384 ], [ 384, 63, 637 ] ], [ [ 594, 25, 1510 ], [ 1510, 25, 637 ] ], [ [ 594, 64, 1377 ], [ 1377, 25, 637 ] ] ]
[ [ [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Dexamethasone" ], [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Bosutinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Brentuximab vedotin" ], [ "Brentuximab vedotin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Bosutinib", "{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}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Bosutinib", "{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" ] ], [ [ "Bosutinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Crizotinib" ], [ "Crizotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Bosutinib", "{u} (Compound) resembles {v} (Compound)", "Gefitinib" ], [ "Gefitinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Bosutinib", "{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}", "Asparaginase Erwinia chrysanthemi" ] ], [ [ "Bosutinib", "{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" ] ], [ [ "Bosutinib", "{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}", "Asparaginase Erwinia chrysanthemi" ] ] ]
Bosutinib may lead to a major life threatening interaction when taken with Dexamethasone and Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Bosutinib may cause a moderate interaction that could exacerbate diseases when taken with Brentuximab vedotin and Brentuximab vedotin may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Bosutinib 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 Asparaginase Erwinia chrysanthemi Bosutinib 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 Bosutinib may lead to a major life threatening interaction when taken with Crizotinib and Crizotinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Bosutinib (Compound) resembles Gefitinib (Compound) and Gefitinib may cause a moderate interaction that could exacerbate diseases when taken with Asparaginase Erwinia chrysanthemi Bosutinib 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 Asparaginase Erwinia chrysanthemi Bosutinib 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 Bosutinib 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 Asparaginase Erwinia chrysanthemi
DB00916
DB01073
112
1,488
[ "DDInter1202", "DDInter745" ]
Metronidazole
Fludarabine
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.
Fludarabine is a chemotherapeutic agent used in the treatment of hematological malignancies. It is commonly marketed under the brand name Fludara.
Moderate
1
[ [ [ 112, 24, 1488 ] ], [ [ 112, 21, 28845 ], [ 28845, 60, 1488 ] ], [ [ 112, 62, 839 ], [ 839, 23, 1488 ] ], [ [ 112, 23, 1539 ], [ 1539, 62, 1488 ] ], [ [ 112, 23, 956 ], [ 956, 23, 1488 ] ], [ [ 112, 24, 36 ], [ 36, 63, 1488 ] ], [ [ 112, 63, 522 ], [ 522, 24, 1488 ] ], [ [ 112, 62, 51 ], [ 51, 24, 1488 ] ], [ [ 112, 24, 1072 ], [ 1072, 24, 1488 ] ], [ [ 112, 1, 458 ], [ 458, 24, 1488 ] ] ]
[ [ [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ] ], [ [ "Metronidazole", "{u} (Compound) causes {v} (Side Effect)", "Oedema" ], [ "Oedema", "{u} (Side Effect) is caused by {v} (Compound)", "Fludarabine" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Grepafloxacin" ], [ "Grepafloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fludarabine" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Ofloxacin" ], [ "Ofloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fludarabine" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Norfloxacin" ], [ "Norfloxacin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Fludarabine" ] ], [ [ "Metronidazole", "{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}", "Fludarabine" ] ], [ [ "Metronidazole", "{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}", "Fludarabine" ] ], [ [ "Metronidazole", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Daunorubicin" ], [ "Daunorubicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ] ], [ [ "Metronidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoniazid" ], [ "Isoniazid", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ] ], [ [ "Metronidazole", "{u} (Compound) resembles {v} (Compound)", "Tinidazole" ], [ "Tinidazole", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Fludarabine" ] ] ]
Metronidazole (Compound) causes Oedema (Side Effect) and Oedema (Side Effect) is caused by Fludarabine (Compound) Metronidazole may cause a minor interaction that can limit clinical effects when taken with Grepafloxacin and Grepafloxacin may cause a minor interaction that can limit clinical effects when taken with Fludarabine Metronidazole may cause a minor interaction that can limit clinical effects when taken with Ofloxacin and Ofloxacin may cause a minor interaction that can limit clinical effects when taken with Fludarabine Metronidazole may cause a minor interaction that can limit clinical effects when taken with Norfloxacin and Norfloxacin may cause a minor interaction that can limit clinical effects when taken with Fludarabine Metronidazole 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 Fludarabine Metronidazole 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 Fludarabine Metronidazole may cause a minor interaction that can limit clinical effects when taken with Daunorubicin and Daunorubicin may cause a moderate interaction that could exacerbate diseases when taken with Fludarabine Metronidazole may cause a moderate interaction that could exacerbate diseases when taken with Isoniazid and Isoniazid may cause a moderate interaction that could exacerbate diseases when taken with Fludarabine Metronidazole (Compound) resembles Tinidazole (Compound) and Tinidazole may cause a moderate interaction that could exacerbate diseases when taken with Fludarabine
DB00564
DB05294
1,236
1,069
[ "DDInter293", "DDInter1917" ]
Carbamazepine
Vandetanib
Carbamazepine, also known as Tegretol, is an anticonvulsant drug and analgesic drug used to control seizures and to treat pain resulting from trigeminal neuralgia. It was initially approved by the FDA in 1965. Aside from the above uses, this drug is also given to control the symptoms of bipolar 1. Interestingly, carbamazepine was the first anticonvulsant used to treat individuals with bipolar disorder.
Vandetanib is an oral once-daily kinase inhibitor of tumour angiogenesis and tumour cell proliferation with the potential for use in a broad range of tumour types. On April 6 2011, vandetanib was approved by the FDA to treat nonresectable, locally advanced, or metastatic medullary thyroid cancer in adult patients.
Moderate
1
[ [ [ 1236, 24, 1069 ] ], [ [ 1236, 63, 1195 ], [ 1195, 40, 1069 ] ], [ [ 1236, 6, 8374 ], [ 8374, 45, 1069 ] ], [ [ 1236, 21, 28719 ], [ 28719, 60, 1069 ] ], [ [ 1236, 25, 1135 ], [ 1135, 62, 1069 ] ], [ [ 1236, 24, 112 ], [ 112, 23, 1069 ] ], [ [ 1236, 40, 362 ], [ 362, 24, 1069 ] ], [ [ 1236, 25, 159 ], [ 159, 63, 1069 ] ], [ [ 1236, 25, 866 ], [ 866, 24, 1069 ] ], [ [ 1236, 24, 98 ], [ 98, 63, 1069 ] ] ]
[ [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vandetanib" ] ], [ [ "Carbamazepine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Erlotinib" ], [ "Erlotinib", "{u} (Compound) resembles {v} (Compound)", "Vandetanib" ] ], [ [ "Carbamazepine", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Vandetanib" ] ], [ [ "Carbamazepine", "{u} (Compound) causes {v} (Side Effect)", "Pain" ], [ "Pain", "{u} (Side Effect) is caused by {v} (Compound)", "Vandetanib" ] ], [ [ "Carbamazepine", "{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}", "Vandetanib" ] ], [ [ "Carbamazepine", "{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}", "Vandetanib" ] ], [ [ "Carbamazepine", "{u} (Compound) resembles {v} (Compound)", "Phenytoin" ], [ "Phenytoin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vandetanib" ] ], [ [ "Carbamazepine", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vandetanib" ] ], [ [ "Carbamazepine", "{u} may lead to a major life threatening interaction when taken with {v}", "Cobimetinib" ], [ "Cobimetinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Vandetanib" ] ], [ [ "Carbamazepine", "{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}", "Vandetanib" ] ] ]
Carbamazepine may cause a moderate interaction that could exacerbate diseases when taken with Erlotinib and Erlotinib (Compound) resembles Vandetanib (Compound) Carbamazepine (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Vandetanib (Compound) Carbamazepine (Compound) causes Pain (Side Effect) and Pain (Side Effect) is caused by Vandetanib (Compound) Carbamazepine 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 Vandetanib Carbamazepine 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 Vandetanib Carbamazepine (Compound) resembles Phenytoin (Compound) and Phenytoin may cause a moderate interaction that could exacerbate diseases when taken with Vandetanib Carbamazepine may lead to a major life threatening interaction when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Vandetanib Carbamazepine may lead to a major life threatening interaction when taken with Cobimetinib and Cobimetinib may cause a moderate interaction that could exacerbate diseases when taken with Vandetanib Carbamazepine 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 Vandetanib
DB00635
DB06643
1,573
1,136
[ "DDInter1515", "DDInter500" ]
Prednisone
Denosumab
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.
Denosumab is a novel, fully human IgG2 monoclonal antibody specific to receptor activator of nuclear factor kappa-B ligand (RANKL), suppresses bone resorption via inhibiting RANK-mediated activation of osteoclasts. It is the first and currently the only RANKL inhibitor approved to prevent osteoclast-mediated bone loss. Chemically, it consists of 2 heavy and 2 light chains, with each light chain consisting of 215 amino acids and each heavy chain consisting of 448 amino acids with 4 intramolecular disulfides. Denosumab was approved by the FDA approved on June 2010 for the treatment of osteoporosis in postmenopausal women. It further received additional indication approval to increase bone mass in men at high risk for fracture receiving androgen deprivation therapy for non-metastatic prostate cancer and women at high risk for fracture receiving adjuvant aromatase inhibitor therapy for breast cancer in September 2011 and in men with osteoporosis at high risk for fracture in September 2012.
Moderate
1
[ [ [ 1573, 24, 1136 ] ], [ [ 1573, 24, 1213 ], [ 1213, 24, 1136 ] ], [ [ 1573, 24, 1316 ], [ 1316, 63, 1136 ] ], [ [ 1573, 63, 1419 ], [ 1419, 24, 1136 ] ], [ [ 1573, 40, 251 ], [ 251, 24, 1136 ] ], [ [ 1573, 25, 1377 ], [ 1377, 24, 1136 ] ], [ [ 1573, 25, 1510 ], [ 1510, 63, 1136 ] ], [ [ 1573, 1, 1486 ], [ 1486, 24, 1136 ] ], [ [ 1573, 64, 1057 ], [ 1057, 24, 1136 ] ], [ [ 1573, 64, 1064 ], [ 1064, 25, 1136 ] ] ]
[ [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Dasatinib" ], [ "Dasatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Prednisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Durvalumab" ], [ "Durvalumab", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Prednisone", "{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}", "Denosumab" ] ], [ [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Prednisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Leflunomide" ], [ "Leflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Prednisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Teriflunomide" ], [ "Teriflunomide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Prednisone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Prednisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Etanercept" ], [ "Etanercept", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Denosumab" ] ], [ [ "Prednisone", "{u} may lead to a major life threatening interaction when taken with {v}", "Cladribine" ], [ "Cladribine", "{u} may lead to a major life threatening interaction when taken with {v}", "Denosumab" ] ] ]
Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Dasatinib and Dasatinib may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Prednisone may cause a moderate interaction that could exacerbate diseases when taken with Durvalumab and Durvalumab may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Prednisone 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 Denosumab Prednisone (Compound) resembles Betamethasone (Compound) and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Prednisone may lead to a major life threatening interaction when taken with Leflunomide and Leflunomide may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Prednisone may lead to a major life threatening interaction when taken with Teriflunomide and Teriflunomide may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Prednisone (Compound) resembles Methylprednisolone (Compound) and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Prednisone may lead to a major life threatening interaction when taken with Etanercept and Etanercept may cause a moderate interaction that could exacerbate diseases when taken with Denosumab Prednisone may lead to a major life threatening interaction when taken with Cladribine and Cladribine may lead to a major life threatening interaction when taken with Denosumab
DB00285
DB00758
1,100
1,347
[ "DDInter1927", "DDInter413" ]
Venlafaxine
Clopidogrel
Venlafaxine is an antidepressant and a serotonin and norepinephrine reuptake inhibitor (SNRI). Its active metabolite, [desvenlafaxine], works by blocking the reuptake of serotonin and norepinephrine, which are key neurotransmitters in mood regulation. Venlafaxine is officially approved to treat major depressive disorder (MDD), generalized anxiety disorder (GAD), social anxiety disorder, and panic disorder in adults. The immediate formulation of the drug, marketed as Effexor, was first approved by the FDA in 1993 and the extended-release formulation, Effexor XR, was later introduced in 1997. Venlafaxine has been used as a first-line treatment for MDD, GAD, social anxiety disorder, and panic disorder in Canada for many years. It was also considered a second-line treatment for obsessive-compulsive disorder (OCD).[A177226,A177235] Venl
Clopidogrel is a prodrug of a platelet inhibitor used to reduce the risk of myocardial infarction and stroke.[A180508,L7213] Clopidogrel is indicated to reduce the risk of myocardial infarction for patients with non-ST elevated acute coronary syndrome (ACS), patients with ST-elevated myocardial infarction, and in recent MI, stroke, or established peripheral arterial disease, It has been shown to be superior to [aspirin] in reducing cardiovascular outcomes in patients with cardiovascular disease and provides additional benefit to patients with acute coronary syndromes already taking aspirin. Clopidogrel was granted FDA approval on 17 November 1997.
Moderate
1
[ [ [ 1100, 24, 1347 ] ], [ [ 1100, 63, 1018 ], [ 1018, 25, 1347 ] ], [ [ 1100, 6, 7603 ], [ 7603, 45, 1347 ] ], [ [ 1100, 21, 28744 ], [ 28744, 60, 1347 ] ], [ [ 1100, 24, 888 ], [ 888, 23, 1347 ] ], [ [ 1100, 24, 1512 ], [ 1512, 24, 1347 ] ], [ [ 1100, 24, 578 ], [ 578, 63, 1347 ] ], [ [ 1100, 63, 1255 ], [ 1255, 24, 1347 ] ], [ [ 1100, 25, 121 ], [ 121, 24, 1347 ] ], [ [ 1100, 23, 752 ], [ 752, 24, 1347 ] ] ]
[ [ [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clopidogrel" ] ], [ [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ticlopidine" ], [ "Ticlopidine", "{u} may lead to a major life threatening interaction when taken with {v}", "Clopidogrel" ] ], [ [ "Venlafaxine", "{u} (Compound) binds {v} (Gene)", "CYP2B6" ], [ "CYP2B6", "{u} (Gene) is bound by {v} (Compound)", "Clopidogrel" ] ], [ [ "Venlafaxine", "{u} (Compound) causes {v} (Side Effect)", "Deafness" ], [ "Deafness", "{u} (Side Effect) is caused by {v} (Compound)", "Clopidogrel" ] ], [ [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tamoxifen" ], [ "Tamoxifen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Clopidogrel" ] ], [ [ "Venlafaxine", "{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}", "Clopidogrel" ] ], [ [ "Venlafaxine", "{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}", "Clopidogrel" ] ], [ [ "Venlafaxine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Urokinase" ], [ "Urokinase", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clopidogrel" ] ], [ [ "Venlafaxine", "{u} may lead to a major life threatening interaction when taken with {v}", "Fenfluramine" ], [ "Fenfluramine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Clopidogrel" ] ], [ [ "Venlafaxine", "{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}", "Clopidogrel" ] ] ]
Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Ticlopidine and Ticlopidine may lead to a major life threatening interaction when taken with Clopidogrel Venlafaxine (Compound) binds CYP2B6 (Gene) and CYP2B6 (Gene) is bound by Clopidogrel (Compound) Venlafaxine (Compound) causes Deafness (Side Effect) and Deafness (Side Effect) is caused by Clopidogrel (Compound) Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Tamoxifen and Tamoxifen may cause a minor interaction that can limit clinical effects when taken with Clopidogrel Venlafaxine 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 Clopidogrel Venlafaxine 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 Clopidogrel Venlafaxine may cause a moderate interaction that could exacerbate diseases when taken with Urokinase and Urokinase may cause a moderate interaction that could exacerbate diseases when taken with Clopidogrel Venlafaxine may lead to a major life threatening interaction when taken with Fenfluramine and Fenfluramine may cause a moderate interaction that could exacerbate diseases when taken with Clopidogrel Venlafaxine 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 Clopidogrel
DB00795
DB06210
50
72
[ "DDInter1725", "DDInter631" ]
Sulfasalazine
Eltrombopag
Sulfasalazine is an anti-inflammatory drug structurally related to salicylates and other non-steroidal anti-inflammatory drugs. It is indicated for managing inflammatory diseases such as ulcerative colitis and rheumatoid arthritis (RA).[L39065, A255582] Metabolized by intestinal bacteria, sulfasalazine is broken down into [mesalazine] and [sulfapyridine], 2 compounds that carry out the main pharmacological activity of sulfasalazine. Sulfasalazine was first used in 1940 for rheumatic polyarthritis, and has been firmly established itself as one fo the most useful disease-modifying antirheumatic drug (DMARD). Compared to the first line treatment of RA like methotrexate, sulfasalazine is almost as efficacious as methotrexate although with slightly less tolerability. However, sulfasalazine has less teratogenic side effects and faster onset of action compared to conventional DMARD. Sulf
Eltrombopag is used to treat low blood platelet counts in adults with chronic immune (idiopathic) thrombocytopenia (ITP), when certain other medicines, or surgery to remove the spleen, have not worked well enough. ITP is a condition that may cause unusual bruising or bleeding due to an abnormally low number of platelets in the blood. Eltrombopag has also been recently approved (late 2012) for the treatment of thrombocytopenia (low blood platelet counts) in patients with chronic hepatitis C to allow them to initiate and maintain interferon-based therapy.
Moderate
1
[ [ [ 50, 24, 72 ] ], [ [ 50, 6, 15333 ], [ 15333, 45, 72 ] ], [ [ 50, 24, 384 ], [ 384, 63, 72 ] ], [ [ 50, 63, 267 ], [ 267, 24, 72 ] ], [ [ 50, 24, 473 ], [ 473, 24, 72 ] ], [ [ 50, 25, 990 ], [ 990, 64, 72 ] ], [ [ 50, 25, 1070 ], [ 1070, 25, 72 ] ], [ [ 50, 6, 15333 ], [ 15333, 45, 467 ], [ 467, 24, 72 ] ], [ [ 50, 24, 384 ], [ 384, 63, 74 ], [ 74, 62, 72 ] ], [ [ 50, 24, 971 ], [ 971, 64, 74 ], [ 74, 62, 72 ] ] ]
[ [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{u} (Compound) binds {v} (Gene)", "SLCO1B1" ], [ "SLCO1B1", "{u} (Gene) is bound by {v} (Compound)", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{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}", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{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}", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Repaglinide" ], [ "Repaglinide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Lomitapide" ], [ "Lomitapide", "{u} may lead to a major life threatening interaction when taken with {v}", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{u} may lead to a major life threatening interaction when taken with {v}", "Mipomersen" ], [ "Mipomersen", "{u} may lead to a major life threatening interaction when taken with {v}", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{u} (Compound) binds {v} (Gene)", "SLCO1B1" ], [ "SLCO1B1", "{u} (Gene) is bound by {v} (Compound)", "Simvastatin" ], [ "Simvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{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}", "Boceprevir" ], [ "Boceprevir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Eltrombopag" ] ], [ [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Gilteritinib" ], [ "Gilteritinib", "{u} may lead to a major life threatening interaction when taken with {v}", "Boceprevir" ], [ "Boceprevir", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Eltrombopag" ] ] ]
Sulfasalazine (Compound) binds SLCO1B1 (Gene) and SLCO1B1 (Gene) is bound by Eltrombopag (Compound) Sulfasalazine 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 Eltrombopag Sulfasalazine 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 Eltrombopag Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Repaglinide and Repaglinide may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Sulfasalazine may lead to a major life threatening interaction when taken with Lomitapide and Lomitapide may lead to a major life threatening interaction when taken with Eltrombopag Sulfasalazine may lead to a major life threatening interaction when taken with Mipomersen and Mipomersen may lead to a major life threatening interaction when taken with Eltrombopag Sulfasalazine (Compound) binds SLCO1B1 (Gene) and SLCO1B1 (Gene) is bound by Simvastatin (Compound) and Simvastatin may cause a moderate interaction that could exacerbate diseases when taken with Eltrombopag Sulfasalazine 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 Boceprevir and Boceprevir may cause a minor interaction that can limit clinical effects when taken with Eltrombopag Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Gilteritinib and Gilteritinib may lead to a major life threatening interaction when taken with Boceprevir and Boceprevir may cause a minor interaction that can limit clinical effects when taken with Eltrombopag
DB01050
DB01203
848
699
[ "DDInter900", "DDInter1255" ]
Ibuprofen
Nadolol
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) derived from propionic acid and it is considered the first of the propionics. The formula of ibuprofen is 2-(4-isobutylphenyl) propionic acid and its initial development was in 1960 while researching for a safer alternative for aspirin. Ibuprofen was finally patented in 1961 and this drug was first launched against rheumatoid arthritis in the UK in 1969 and USA in 1974. It was the first available over-the-counter NSAID. On the available products, ibuprofen is administered as a racemic mixture. Once administered, the R-enantiomer undergoes extensive interconversion to the S-enantiomer _in vivo_ by the activity of the alpha-methylacyl-CoA racemase. In particular, it is generally proposed that the S-enantiomer is capable of eliciting stronger pharmacological activity than
Nadolol is a nonselective beta adrenal receptor blocker that is used to lower blood pressure.[L7922,L7925] Nonselective beta adrenal receptor blockers may no longer be first line in the treatment of hypertension as newer generations of beta adrenal receptor blockers have higher selectivity and offer better rates of adverse effects. Nadolol was granted FDA approval on 10 December 1979.
Moderate
1
[ [ [ 848, 24, 699 ] ], [ [ 848, 24, 729 ], [ 729, 1, 699 ] ], [ [ 848, 63, 887 ], [ 887, 1, 699 ] ], [ [ 848, 6, 4973 ], [ 4973, 45, 699 ] ], [ [ 848, 21, 29316 ], [ 29316, 60, 699 ] ], [ [ 848, 24, 578 ], [ 578, 62, 699 ] ], [ [ 848, 24, 416 ], [ 416, 23, 699 ] ], [ [ 848, 64, 1479 ], [ 1479, 23, 699 ] ], [ [ 848, 23, 286 ], [ 286, 62, 699 ] ], [ [ 848, 63, 251 ], [ 251, 24, 699 ] ] ]
[ [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nadolol" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Penbutolol" ], [ "Penbutolol", "{u} (Compound) resembles {v} (Compound)", "Nadolol" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Pindolol" ], [ "Pindolol", "{u} (Compound) resembles {v} (Compound)", "Nadolol" ] ], [ [ "Ibuprofen", "{u} (Compound) binds {v} (Gene)", "ABCB1" ], [ "ABCB1", "{u} (Gene) is bound by {v} (Compound)", "Nadolol" ] ], [ [ "Ibuprofen", "{u} (Compound) causes {v} (Side Effect)", "Sweating" ], [ "Sweating", "{u} (Side Effect) is caused by {v} (Compound)", "Nadolol" ] ], [ [ "Ibuprofen", "{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}", "Nadolol" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Kanamycin" ], [ "Kanamycin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ] ], [ [ "Ibuprofen", "{u} may lead to a major life threatening interaction when taken with {v}", "Acetylsalicylic acid" ], [ "Acetylsalicylic acid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ] ], [ [ "Ibuprofen", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Magnesium hydroxide" ], [ "Magnesium hydroxide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Nadolol" ] ], [ [ "Ibuprofen", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Betamethasone" ], [ "Betamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Nadolol" ] ] ]
Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Penbutolol and Penbutolol (Compound) resembles Nadolol (Compound) Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Pindolol and Pindolol (Compound) resembles Nadolol (Compound) Ibuprofen (Compound) binds ABCB1 (Gene) and ABCB1 (Gene) is bound by Nadolol (Compound) Ibuprofen (Compound) causes Sweating (Side Effect) and Sweating (Side Effect) is caused by Nadolol (Compound) Ibuprofen 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 Nadolol Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Kanamycin and Kanamycin may cause a minor interaction that can limit clinical effects when taken with Nadolol Ibuprofen may lead to a major life threatening interaction when taken with Acetylsalicylic acid and Acetylsalicylic acid may cause a minor interaction that can limit clinical effects when taken with Nadolol Ibuprofen may cause a minor interaction that can limit clinical effects when taken with Magnesium hydroxide and Magnesium hydroxide may cause a minor interaction that can limit clinical effects when taken with Nadolol Ibuprofen may cause a moderate interaction that could exacerbate diseases when taken with Betamethasone and Betamethasone may cause a moderate interaction that could exacerbate diseases when taken with Nadolol
DB06715
DB09420
239
1,074
[ "DDInter1500", "DDInter953" ]
Potassium Iodide
Iodide I-123
Saturated solution of Potassium Iodide (SSKI) is used pharmaceutically for emergency use in patients experiencing acute symptoms of severe hyperthyroidism (also known as thyroid storm or thyrotoxic crisis). SSKI can also be used for radioiodine-contamination emergencies or in preparation of thyrotoxic patients for thyroidectomy.
Iodide I-123 (as sodium Iodide I-123) is a radioactive isotope of iodine used in nuclear medicine for the diagnostic study of thyroid disease. Following oral administration, I-123 is absorbed through the gastrointestinal tract and is taken up by the thyroid gland. After incorporation, a gamma camera is used to detect the decay by electron capture to tellurium-123. Iodine is commonly used in thyroid function diagnostic tests as this gland normally absorbs iodine through the diet for formation of the thyroid hormones triiodothyronine (T3) and its prohormone, thyroxine (T4). Radioactive I-123 in particular is effective for this use as its half-life of approximately 13.13 h (hours) is ideal for the 24-h (hour) iodine uptake test and it has a reduced radiation burden as compared to I-131.
Moderate
1
[ [ [ 239, 24, 1074 ] ], [ [ 239, 24, 1399 ], [ 1399, 63, 1074 ] ], [ [ 239, 63, 914 ], [ 914, 24, 1074 ] ], [ [ 239, 24, 1399 ], [ 1399, 63, 516 ], [ 516, 24, 1074 ] ], [ [ 239, 63, 914 ], [ 914, 25, 500 ], [ 500, 24, 1074 ] ], [ [ 239, 21, 30821 ], [ 30821, 60, 161 ], [ 161, 24, 1074 ] ], [ [ 239, 63, 914 ], [ 914, 64, 126 ], [ 126, 24, 1074 ] ], [ [ 239, 63, 914 ], [ 914, 63, 50 ], [ 50, 24, 1074 ] ], [ [ 239, 24, 1399 ], [ 1399, 64, 777 ], [ 777, 24, 1074 ] ], [ [ 239, 24, 116 ], [ 116, 24, 1004 ], [ 1004, 63, 1074 ] ] ]
[ [ [ "Potassium Iodide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{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}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Levocetirizine" ], [ "Levocetirizine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ], [ "Diflunisal", "{u} may lead to a major life threatening interaction when taken with {v}", "Enoxaparin" ], [ "Enoxaparin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{u} (Compound) causes {v} (Side Effect)", "Goitre" ], [ "Goitre", "{u} (Side Effect) is caused by {v} (Compound)", "Sulfadiazine" ], [ "Sulfadiazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Diflunisal" ], [ "Diflunisal", "{u} may lead to a major life threatening interaction when taken with {v}", "Warfarin" ], [ "Warfarin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{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}", "Sulfasalazine" ], [ "Sulfasalazine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Lithium carbonate" ], [ "Lithium carbonate", "{u} may lead to a major life threatening interaction when taken with {v}", "Iopromide" ], [ "Iopromide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ], [ [ "Potassium Iodide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-131" ], [ "Iodide I-131", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Phenyl salicylate" ], [ "Phenyl salicylate", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Iodide I-123" ] ] ]
Potassium Iodide may cause a moderate interaction that could exacerbate diseases when taken with Lithium carbonate and Lithium carbonate may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Potassium Iodide 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 Iodide I-123 Potassium Iodide may cause a moderate interaction that could exacerbate diseases when taken with Lithium carbonate and Lithium carbonate may cause a moderate interaction that could exacerbate diseases when taken with Levocetirizine and Levocetirizine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Potassium Iodide may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal and Diflunisal may lead to a major life threatening interaction when taken with Enoxaparin and Enoxaparin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Potassium Iodide (Compound) causes Goitre (Side Effect) and Goitre (Side Effect) is caused by Sulfadiazine (Compound) and Sulfadiazine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Potassium Iodide may cause a moderate interaction that could exacerbate diseases when taken with Diflunisal and Diflunisal may lead to a major life threatening interaction when taken with Warfarin and Warfarin may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Potassium Iodide 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 Sulfasalazine and Sulfasalazine may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Potassium Iodide may cause a moderate interaction that could exacerbate diseases when taken with Lithium carbonate and Lithium carbonate may lead to a major life threatening interaction when taken with Iopromide and Iopromide may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123 Potassium Iodide may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-131 and Iodide I-131 may cause a moderate interaction that could exacerbate diseases when taken with Phenyl salicylate and Phenyl salicylate may cause a moderate interaction that could exacerbate diseases when taken with Iodide I-123
DB11760
DB12941
119
466
[ "DDInter1742", "DDInter481" ]
Talazoparib
Darolutamide
Talazoparib is an inhibitor of mammalian polyadenosine 5’-diphosphoribose polymerases (PARPs), enzymes responsible for regulating essential cellular functions, such as DNA transcription and DNA repair. Developed by Pfizer, talazoparib was first approved by the FDA in October 2018 and by the EMA in June 2019. It was approved by Health Canada in September 2020. Talazoparib is currently used in the treatment of BRCA-mutated breast cancer and HRR-mutated prostate cancer.[L47236, L47301, L47306]
Darolutamide is a nonsteroidal androgen receptor antagonist for the treatment of castrate-resistant, non-metastatic prostate cancer (nmCRPC). This condition occurs in the majority of patients with advanced prostate cancer who have been treated with androgen receptor antagonists. Though prior treatment for prostate cancer has been successful for these patients, the cancer eventually progresses to become resistant to existing therapies. This warrants further treatment. The goal of treatment with darolutamide is to delay the progression of prostate cancer to metastatic disease, increasing quality of life and life expectancy for those with advanced prostate cancer.[A189054,A189063] Darolutamide was developed by Bayer HealthCare Pharmaceuticals Inc. and approved by the FDA on July 30th, 2019.
Moderate
1
[ [ [ 119, 24, 466 ] ], [ [ 119, 63, 1623 ], [ 1623, 23, 466 ] ], [ [ 119, 64, 122 ], [ 122, 23, 466 ] ], [ [ 119, 24, 484 ], [ 484, 23, 466 ] ], [ [ 119, 24, 738 ], [ 738, 24, 466 ] ], [ [ 119, 63, 392 ], [ 392, 24, 466 ] ], [ [ 119, 24, 1043 ], [ 1043, 63, 466 ] ], [ [ 119, 64, 609 ], [ 609, 24, 466 ] ], [ [ 119, 63, 412 ], [ 412, 25, 466 ] ], [ [ 119, 24, 1339 ], [ 1339, 64, 466 ] ] ]
[ [ [ "Talazoparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Talazoparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isavuconazonium" ], [ "Isavuconazonium", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Talazoparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Verapamil" ], [ "Verapamil", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Talazoparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Entrectinib" ], [ "Entrectinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ] ], [ [ "Talazoparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Niraparib" ], [ "Niraparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Talazoparib", "{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}", "Darolutamide" ] ], [ [ "Talazoparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glecaprevir" ], [ "Glecaprevir", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Talazoparib", "{u} may lead to a major life threatening interaction when taken with {v}", "Clarithromycin" ], [ "Clarithromycin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Darolutamide" ] ], [ [ "Talazoparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Eluxadoline" ], [ "Eluxadoline", "{u} may lead to a major life threatening interaction when taken with {v}", "Darolutamide" ] ], [ [ "Talazoparib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Berotralstat" ], [ "Berotralstat", "{u} may lead to a major life threatening interaction when taken with {v}", "Darolutamide" ] ] ]
Talazoparib may cause a moderate interaction that could exacerbate diseases when taken with Isavuconazonium and Isavuconazonium may cause a minor interaction that can limit clinical effects when taken with Darolutamide Talazoparib may lead to a major life threatening interaction when taken with Verapamil and Verapamil may cause a minor interaction that can limit clinical effects when taken with Darolutamide Talazoparib may cause a moderate interaction that could exacerbate diseases when taken with Entrectinib and Entrectinib may cause a minor interaction that can limit clinical effects when taken with Darolutamide Talazoparib may cause a moderate interaction that could exacerbate diseases when taken with Niraparib and Niraparib may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Talazoparib 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 Darolutamide Talazoparib may cause a moderate interaction that could exacerbate diseases when taken with Glecaprevir and Glecaprevir may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Talazoparib may lead to a major life threatening interaction when taken with Clarithromycin and Clarithromycin may cause a moderate interaction that could exacerbate diseases when taken with Darolutamide Talazoparib may cause a moderate interaction that could exacerbate diseases when taken with Eluxadoline and Eluxadoline may lead to a major life threatening interaction when taken with Darolutamide Talazoparib may cause a moderate interaction that could exacerbate diseases when taken with Berotralstat and Berotralstat may lead to a major life threatening interaction when taken with Darolutamide
DB01023
DB01177
409
77
[ "DDInter716", "DDInter904" ]
Felodipine
Idarubicin
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.
An orally administered anthracycline antineoplastic. The compound has shown activity against breast cancer, lymphomas and leukemias, together with the potential for reduced cardiac toxicity.
Moderate
1
[ [ [ 409, 24, 77 ] ], [ [ 409, 6, 6017 ], [ 6017, 45, 77 ] ], [ [ 409, 6, 3588 ], [ 3588, 46, 77 ] ], [ [ 409, 7, 6952 ], [ 6952, 46, 77 ] ], [ [ 409, 7, 6692 ], [ 6692, 57, 77 ] ], [ [ 409, 21, 28803 ], [ 28803, 60, 77 ] ], [ [ 409, 63, 1010 ], [ 1010, 24, 77 ] ], [ [ 409, 24, 392 ], [ 392, 63, 77 ] ], [ [ 409, 25, 129 ], [ 129, 63, 77 ] ], [ [ 409, 24, 401 ], [ 401, 24, 77 ] ] ]
[ [ [ "Felodipine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Idarubicin" ] ], [ [ "Felodipine", "{u} (Compound) binds {v} (Gene)", "CYP2C9" ], [ "CYP2C9", "{u} (Gene) is bound by {v} (Compound)", "Idarubicin" ] ], [ [ "Felodipine", "{u} (Compound) binds {v} (Gene)", "TNNC1" ], [ "TNNC1", "{u} (Gene) is upregulated by {v} (Compound)", "Idarubicin" ] ], [ [ "Felodipine", "{u} (Compound) upregulates {v} (Gene)", "MCOLN1" ], [ "MCOLN1", "{u} (Gene) is upregulated by {v} (Compound)", "Idarubicin" ] ], [ [ "Felodipine", "{u} (Compound) upregulates {v} (Gene)", "CGRRF1" ], [ "CGRRF1", "{u} (Gene) is downregulated by {v} (Compound)", "Idarubicin" ] ], [ [ "Felodipine", "{u} (Compound) causes {v} (Side Effect)", "Anaemia" ], [ "Anaemia", "{u} (Side Effect) is caused by {v} (Compound)", "Idarubicin" ] ], [ [ "Felodipine", "{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}", "Idarubicin" ] ], [ [ "Felodipine", "{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}", "Idarubicin" ] ], [ [ "Felodipine", "{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}", "Idarubicin" ] ], [ [ "Felodipine", "{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}", "Idarubicin" ] ] ]
Felodipine (Compound) binds CYP2C9 (Gene) and CYP2C9 (Gene) is bound by Idarubicin (Compound) Felodipine (Compound) binds TNNC1 (Gene) and TNNC1 (Gene) is upregulated by Idarubicin (Compound) Felodipine (Compound) upregulates MCOLN1 (Gene) and MCOLN1 (Gene) is upregulated by Idarubicin (Compound) Felodipine (Compound) upregulates CGRRF1 (Gene) and CGRRF1 (Gene) is downregulated by Idarubicin (Compound) Felodipine (Compound) causes Anaemia (Side Effect) and Anaemia (Side Effect) is caused by Idarubicin (Compound) Felodipine 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 Idarubicin Felodipine 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 Idarubicin Felodipine 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 Idarubicin Felodipine 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 Idarubicin
DB00467
DB00945
1,467
1,479
[ "DDInter644", "DDInter20" ]
Enoxacin
Acetylsalicylic acid
A broad-spectrum 6-fluoronaphthyridinone antibacterial agent (fluoroquinolones) structurally related to nalidixic acid.
Also known as _Aspirin_, acetylsalicylic acid (ASA) is a commonly used drug for the treatment of pain and fever due to various causes. Acetylsalicylic acid has both anti-inflammatory and antipyretic effects. This drug also inhibits platelet aggregation and is used in the prevention of blood clots stroke, and myocardial infarction (MI) [FDA label]. Interestingly, the results of various studies have demonstrated that long-term use of acetylsalicylic acid may decrease the risk of various cancers, including colorectal, esophageal, breast, lung, prostate, liver and skin cancer . Aspirin is classified as a _non-selective cyclooxygenase (COX) inhibitor_ [A32682, A177268] and is available in many doses and forms, including chewable tablets, suppositories, extended release formulations, and others . Acetylsalicylic acid is a very common cause of accidental poisoning in young children. It should be kept out of reach from young children, toddlers, and infants [FDA label].
Moderate
1
[ [ [ 1467, 24, 1479 ] ], [ [ 1467, 63, 1684 ], [ 1684, 23, 1479 ] ], [ [ 1467, 40, 246 ], [ 246, 63, 1479 ] ], [ [ 1467, 40, 1299 ], [ 1299, 24, 1479 ] ], [ [ 1467, 24, 1283 ], [ 1283, 63, 1479 ] ], [ [ 1467, 25, 959 ], [ 959, 63, 1479 ] ], [ [ 1467, 25, 891 ], [ 891, 24, 1479 ] ], [ [ 1467, 24, 1512 ], [ 1512, 24, 1479 ] ], [ [ 1467, 64, 251 ], [ 251, 24, 1479 ] ], [ [ 1467, 1, 1539 ], [ 1539, 63, 1479 ] ] ]
[ [ [ "Enoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Enoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Caffeine" ], [ "Caffeine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Gatifloxacin" ], [ "Gatifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Trovafloxacin" ], [ "Trovafloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Enoxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Magnesium oxide" ], [ "Magnesium oxide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "Enoxacin", "{u} may lead to a major life threatening interaction when taken with {v}", "Glipizide" ], [ "Glipizide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ], [ [ "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}", "Acetylsalicylic acid" ] ], [ [ "Enoxacin", "{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}", "Acetylsalicylic acid" ] ], [ [ "Enoxacin", "{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}", "Acetylsalicylic acid" ] ], [ [ "Enoxacin", "{u} (Compound) resembles {v} (Compound)", "Ofloxacin" ], [ "Ofloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Acetylsalicylic acid" ] ] ]
Enoxacin may cause a moderate interaction that could exacerbate diseases when taken with Caffeine and Caffeine may cause a minor interaction that can limit clinical effects when taken with Acetylsalicylic acid Enoxacin (Compound) resembles Gatifloxacin (Compound) and Gatifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Enoxacin (Compound) resembles Trovafloxacin (Compound) and Trovafloxacin may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Enoxacin may cause a moderate interaction that could exacerbate diseases when taken with Magnesium oxide and Magnesium oxide may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid Enoxacin may lead to a major life threatening interaction when taken with Glipizide and Glipizide may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid 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 Acetylsalicylic acid Enoxacin 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 Acetylsalicylic acid Enoxacin 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 Acetylsalicylic acid Enoxacin (Compound) resembles Ofloxacin (Compound) and Ofloxacin may cause a moderate interaction that could exacerbate diseases when taken with Acetylsalicylic acid
DB00705
DB11978
441
124
[ "DDInter496", "DDInter822" ]
Delavirdine
Glasdegib
A potent, non-nucleoside reverse transcriptase inhibitor with activity specific for HIV-1.
Glasdegib, also known as PF-04449913, is a small-molecule hedgehog signaling inhibitor selected under the group of benzimidazoles. In early research, benzimidazoles attracted large interest as they represented a class of inhibitors with low molecular weight, potent inhibitory activity, and lacking unstable functionality. The great lipophilicity of this group of compounds brought interest to further modification. This analysis concluded that the presence of p-cyano ureas presented good physicochemical and pharmacokinetic properties from which glasdegib was developed. Glasdegib was developed by Pfizer Inc and approved on November 21, 2018 by the FDA for the treatment of Acute Myeloid Leukemia (AML). Glasdegib targets cancerous cells by inhibiting the sonic hedgehog receptor smoothened (SMO), a transmembrane protein involved in the Hedgehog (Hh) signaling cascade. Aberrant of Hh signaling is one of the main pathophysiologies of AML, with observed overexpression or constitutive activation of SMO.[A258498,A258503] Although the efficacy of glasdegib monotherapy is limited, the landmark Phase 2 Bright AML 1003 trial showed a superior overall survival and complete response when glasdegib is combined with low dose cytarabine. Currently, the current gold standard of AML in older patients is still venetoclax with hypomethylation agents, new clinical combinations of glasdegib are being tested in hope of replacing venetoclax due to glasdegib's more favorable side effects profile.
Major
2
[ [ [ 441, 25, 124 ] ], [ [ 441, 25, 1135 ], [ 1135, 23, 124 ] ], [ [ 441, 23, 466 ], [ 466, 62, 124 ] ], [ [ 441, 24, 26 ], [ 26, 24, 124 ] ], [ [ 441, 63, 752 ], [ 752, 24, 124 ] ], [ [ 441, 25, 629 ], [ 629, 24, 124 ] ], [ [ 441, 25, 159 ], [ 159, 63, 124 ] ], [ [ 441, 64, 134 ], [ 134, 24, 124 ] ], [ [ 441, 24, 1619 ], [ 1619, 63, 124 ] ], [ [ 441, 23, 896 ], [ 896, 24, 124 ] ] ]
[ [ [ "Delavirdine", "{u} may lead to a major life threatening interaction when taken with {v}", "Glasdegib" ] ], [ [ "Delavirdine", "{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}", "Glasdegib" ] ], [ [ "Delavirdine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Darolutamide" ], [ "Darolutamide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Glasdegib" ] ], [ [ "Delavirdine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Afatinib" ], [ "Afatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ] ], [ [ "Delavirdine", "{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}", "Glasdegib" ] ], [ [ "Delavirdine", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ] ], [ [ "Delavirdine", "{u} may lead to a major life threatening interaction when taken with {v}", "Larotrectinib" ], [ "Larotrectinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ] ], [ [ "Delavirdine", "{u} may lead to a major life threatening interaction when taken with {v}", "Vinorelbine" ], [ "Vinorelbine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ] ], [ [ "Delavirdine", "{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}", "Glasdegib" ] ], [ [ "Delavirdine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Etoposide" ], [ "Etoposide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Glasdegib" ] ] ]
Delavirdine 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 Glasdegib Delavirdine may cause a minor interaction that can limit clinical effects when taken with Darolutamide and Darolutamide may cause a minor interaction that can limit clinical effects when taken with Glasdegib Delavirdine may cause a moderate interaction that could exacerbate diseases when taken with Afatinib and Afatinib may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib Delavirdine 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 Glasdegib Delavirdine may lead to a major life threatening interaction when taken with Sirolimus and Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib Delavirdine may lead to a major life threatening interaction when taken with Larotrectinib and Larotrectinib may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib Delavirdine may lead to a major life threatening interaction when taken with Vinorelbine and Vinorelbine may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib Delavirdine 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 Glasdegib Delavirdine may cause a minor interaction that can limit clinical effects when taken with Etoposide and Etoposide may cause a moderate interaction that could exacerbate diseases when taken with Glasdegib
DB00330
DB06723
238
115
[ "DDInter689", "DDInter58" ]
Ethambutol
Aluminum hydroxide
Ethambutol is a bacteriostatic agent indicated alongside medications such as [isoniazid], [rifampin], and [pyrazinamide] in the treatment of pulmonary tuberculosis. Ethambutol was first described in the literature in 1961. It was developed out of a need for therapies active against isoniazid resistant strains of _Mycobacterium tuberculosis_. Ethambutol was granted FDA approval on 6 November 1967.
Aluminum hydroxide is an inorganic salt used as an antacid. It is a basic compound that acts by neutralizing hydrochloric acid in gastric secretions. Subsequent increases in pH may inhibit the action of pepsin. An increase in bicarbonate ions and prostaglandins may also confer cytoprotective effects.
Moderate
1
[ [ [ 238, 24, 115 ] ], [ [ 238, 21, 28882 ], [ 28882, 60, 115 ] ], [ [ 238, 24, 1468 ], [ 1468, 62, 115 ] ], [ [ 238, 24, 1487 ], [ 1487, 24, 115 ] ], [ [ 238, 21, 28882 ], [ 28882, 60, 1573 ], [ 1573, 23, 115 ] ], [ [ 238, 24, 1468 ], [ 1468, 21, 29803 ], [ 29803, 60, 115 ] ], [ [ 238, 7, 10670 ], [ 10670, 46, 478 ], [ 478, 24, 115 ] ], [ [ 238, 18, 3883 ], [ 3883, 57, 28 ], [ 28, 63, 115 ] ], [ [ 238, 7, 10670 ], [ 10670, 46, 1178 ], [ 1178, 23, 115 ] ], [ [ 238, 24, 14 ], [ 14, 63, 1072 ], [ 1072, 23, 115 ] ] ]
[ [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} (Compound) causes {v} (Side Effect)", "Body temperature increased" ], [ "Body temperature increased", "{u} (Side Effect) is caused by {v} (Compound)", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Hydroxychloroquine" ], [ "Hydroxychloroquine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} (Compound) causes {v} (Side Effect)", "Body temperature increased" ], [ "Body temperature increased", "{u} (Side Effect) is caused by {v} (Compound)", "Prednisone" ], [ "Prednisone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Ponatinib" ], [ "Ponatinib", "{u} (Compound) causes {v} (Side Effect)", "Venous thrombosis" ], [ "Venous thrombosis", "{u} (Side Effect) is caused by {v} (Compound)", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} (Compound) upregulates {v} (Gene)", "KLHL21" ], [ "KLHL21", "{u} (Gene) is upregulated by {v} (Compound)", "Nilotinib" ], [ "Nilotinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} (Compound) downregulates {v} (Gene)", "TARBP1" ], [ "TARBP1", "{u} (Gene) is downregulated by {v} (Compound)", "Bisacodyl" ], [ "Bisacodyl", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} (Compound) upregulates {v} (Gene)", "KLHL21" ], [ "KLHL21", "{u} (Gene) is upregulated by {v} (Compound)", "Trifluoperazine" ], [ "Trifluoperazine", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aluminum hydroxide" ] ], [ [ "Ethambutol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Rosuvastatin" ], [ "Rosuvastatin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Isoniazid" ], [ "Isoniazid", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Aluminum hydroxide" ] ] ]
Ethambutol (Compound) causes Body temperature increased (Side Effect) and Body temperature increased (Side Effect) is caused by Aluminum hydroxide (Compound) Ethambutol may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib may cause a minor interaction that can limit clinical effects when taken with Aluminum hydroxide Ethambutol may cause a moderate interaction that could exacerbate diseases when taken with Hydroxychloroquine and Hydroxychloroquine may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide Ethambutol (Compound) causes Body temperature increased (Side Effect) and Body temperature increased (Side Effect) is caused by Prednisone (Compound) and Prednisone may cause a minor interaction that can limit clinical effects when taken with Aluminum hydroxide Ethambutol may cause a moderate interaction that could exacerbate diseases when taken with Ponatinib and Ponatinib (Compound) causes Venous thrombosis (Side Effect) and Venous thrombosis (Side Effect) is caused by Aluminum hydroxide (Compound) Ethambutol (Compound) upregulates KLHL21 (Gene) and KLHL21 (Gene) is upregulated by Nilotinib (Compound) and Nilotinib may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide Ethambutol (Compound) downregulates TARBP1 (Gene) and TARBP1 (Gene) is downregulated by Bisacodyl (Compound) and Bisacodyl may cause a moderate interaction that could exacerbate diseases when taken with Aluminum hydroxide Ethambutol (Compound) upregulates KLHL21 (Gene) and KLHL21 (Gene) is upregulated by Trifluoperazine (Compound) and Trifluoperazine may cause a minor interaction that can limit clinical effects when taken with Aluminum hydroxide Ethambutol may cause a moderate interaction that could exacerbate diseases when taken with Rosuvastatin and Rosuvastatin may cause a moderate interaction that could exacerbate diseases when taken with Isoniazid and Isoniazid may cause a minor interaction that can limit clinical effects when taken with Aluminum hydroxide
DB01234
DB09038
1,220
1,450
[ "DDInter513", "DDInter636" ]
Dexamethasone
Empagliflozin
Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like [hydrocortisone] and [prednisolone]. Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.
Empagliflozin is an inhibitor of sodium-glucose co-transporter-2 (SGLT2), the transporters primarily responsible for the reabsorption of glucose in the kidney. It is used clinically as an adjunct to diet and exercise, often in combination with other drug therapies,[L13673,L13679,L11479] for the management of type 2 diabetes mellitus. The first known inhibitor of SGLTs, phlorizin, was isolated from the bark of apple trees in 1835 and researched extensively into the 20th century, but was ultimately deemed inappropriate for clinical use given its lack of specificity and significant gastrointestinal side effects. Attempts at overcoming these limitations first saw the development of O-glucoside analogs of phlorizin (e.g. [remogliflozin etabonate]), but these molecules proved relatively pharmacokinetically unstable. The development of C-glucoside phlorizin analogs remedied the issues observed in the previous generation, and led to the FDA approval of [canagliflozin] in 2013 and both [dapagliflozin] and empagliflozin in 2014. As the most recently approved of the "flozin" drugs, empagliflozin carries the highest selectivity for SGLT2 over SGLT1 (approximately 2700-fold). Empagliflozin was further approved by the EMA in March 2022 and Health Canada in April 2022, making it the first and only approved treatment in Europe and Canada for adults with symptomatic chronic heart failure regardless of ejection fraction.[L40783,L13916]
Moderate
1
[ [ [ 1220, 24, 1450 ] ], [ [ 1220, 40, 1103 ], [ 1103, 23, 1450 ] ], [ [ 1220, 63, 461 ], [ 461, 24, 1450 ] ], [ [ 1220, 23, 659 ], [ 659, 63, 1450 ] ], [ [ 1220, 24, 192 ], [ 192, 63, 1450 ] ], [ [ 1220, 64, 872 ], [ 872, 24, 1450 ] ], [ [ 1220, 24, 165 ], [ 165, 24, 1450 ] ], [ [ 1220, 1, 1486 ], [ 1486, 24, 1450 ] ], [ [ 1220, 62, 688 ], [ 688, 24, 1450 ] ], [ [ 1220, 40, 870 ], [ 870, 24, 1450 ] ] ]
[ [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Timolol" ], [ "Timolol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Vilanterol" ], [ "Vilanterol", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Esterified estrogens" ], [ "Esterified estrogens", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{u} may lead to a major life threatening interaction when taken with {v}", "Gemifloxacin" ], [ "Gemifloxacin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Tolvaptan" ], [ "Tolvaptan", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Methylprednisolone" ], [ "Methylprednisolone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{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}", "Empagliflozin" ] ], [ [ "Dexamethasone", "{u} (Compound) resembles {v} (Compound)", "Fludrocortisone" ], [ "Fludrocortisone", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Empagliflozin" ] ] ]
Dexamethasone (Compound) resembles Amcinonide (Compound) and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Empagliflozin Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Timolol and Timolol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Dexamethasone may cause a minor interaction that can limit clinical effects when taken with Vilanterol and Vilanterol may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Esterified estrogens and Esterified estrogens may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Dexamethasone may lead to a major life threatening interaction when taken with Gemifloxacin and Gemifloxacin may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Dexamethasone may cause a moderate interaction that could exacerbate diseases when taken with Tolvaptan and Tolvaptan may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Dexamethasone (Compound) resembles Methylprednisolone (Compound) and Methylprednisolone may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin Dexamethasone 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 Empagliflozin Dexamethasone (Compound) resembles Fludrocortisone (Compound) and Fludrocortisone may cause a moderate interaction that could exacerbate diseases when taken with Empagliflozin
DB00988
DB09564
817
1,296
[ "DDInter584", "DDInter930" ]
Dopamine
Insulin degludec
One of the catecholamine neurotransmitters in the brain. It is derived from tyrosine and is the precursor to norepinephrine and epinephrine. Dopamine is a major transmitter in the extrapyramidal system of the brain, and important in regulating movement. A family of receptors (receptors, dopamine) mediate its action.
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
[ [ [ 817, 24, 1296 ] ], [ [ 817, 24, 1411 ], [ 1411, 24, 1296 ] ], [ [ 817, 63, 1645 ], [ 1645, 24, 1296 ] ], [ [ 817, 40, 532 ], [ 532, 24, 1296 ] ], [ [ 817, 24, 1385 ], [ 1385, 63, 1296 ] ], [ [ 817, 1, 874 ], [ 874, 24, 1296 ] ], [ [ 817, 24, 1411 ], [ 1411, 62, 1103 ], [ 1103, 23, 1296 ] ], [ [ 817, 24, 659 ], [ 659, 64, 17 ], [ 17, 24, 1296 ] ], [ [ 817, 63, 1645 ], [ 1645, 62, 1103 ], [ 1103, 23, 1296 ] ], [ [ 817, 63, 104 ], [ 104, 63, 274 ], [ 274, 23, 1296 ] ] ]
[ [ [ "Dopamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Dopamine", "{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" ] ], [ [ "Dopamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Dopamine", "{u} (Compound) resembles {v} (Compound)", "Dobutamine" ], [ "Dobutamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Dopamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Semaglutide" ], [ "Semaglutide", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Dopamine", "{u} (Compound) resembles {v} (Compound)", "Epinephrine" ], [ "Epinephrine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Insulin degludec" ] ], [ [ "Dopamine", "{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" ] ], [ [ "Dopamine", "{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" ] ], [ [ "Dopamine", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Metformin" ], [ "Metformin", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Amcinonide" ], [ "Amcinonide", "{u} may cause a minor interaction that can limit clinical effects when taken with {v}", "Insulin degludec" ] ], [ [ "Dopamine", "{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" ] ] ]
Dopamine 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 Dopamine may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Dopamine (Compound) resembles Dobutamine (Compound) and Dobutamine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Dopamine may cause a moderate interaction that could exacerbate diseases when taken with Semaglutide and Semaglutide may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Dopamine (Compound) resembles Epinephrine (Compound) and Epinephrine may cause a moderate interaction that could exacerbate diseases when taken with Insulin degludec Dopamine 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 Dopamine 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 Dopamine may cause a moderate interaction that could exacerbate diseases when taken with Metformin and Metformin may cause a minor interaction that can limit clinical effects when taken with Amcinonide and Amcinonide may cause a minor interaction that can limit clinical effects when taken with Insulin degludec Dopamine 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
DB00615
DB00990
690
1,547
[ "DDInter1589", "DDInter705" ]
Rifabutin
Exemestane
A broad-spectrum antibiotic that is being used as prophylaxis against disseminated Mycobacterium avium complex infection in HIV-positive patients.
Exemestane is an oral steroidal aromatase inhibitor used in the adjuvant treatment of hormonally-responsive (also called hormone-receptor-positive, estrogen-responsive) breast cancer in postmenopausal women. It irreversibly binds to the active site of the enzyme resulting in permanent inhibition.
Moderate
1
[ [ [ 690, 24, 1547 ] ], [ [ 690, 24, 891 ], [ 891, 40, 1547 ] ], [ [ 690, 6, 8374 ], [ 8374, 45, 1547 ] ], [ [ 690, 21, 28757 ], [ 28757, 60, 1547 ] ], [ [ 690, 25, 1017 ], [ 1017, 63, 1547 ] ], [ [ 690, 24, 98 ], [ 98, 63, 1547 ] ], [ [ 690, 40, 463 ], [ 463, 63, 1547 ] ], [ [ 690, 62, 1101 ], [ 1101, 24, 1547 ] ], [ [ 690, 25, 629 ], [ 629, 24, 1547 ] ], [ [ 690, 24, 891 ], [ 891, 1, 1343 ], [ 1343, 40, 1547 ] ] ]
[ [ [ "Rifabutin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exemestane" ] ], [ [ "Rifabutin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} (Compound) resembles {v} (Compound)", "Exemestane" ] ], [ [ "Rifabutin", "{u} (Compound) binds {v} (Gene)", "CYP3A4" ], [ "CYP3A4", "{u} (Gene) is bound by {v} (Compound)", "Exemestane" ] ], [ [ "Rifabutin", "{u} (Compound) causes {v} (Side Effect)", "Dyspepsia" ], [ "Dyspepsia", "{u} (Side Effect) is caused by {v} (Compound)", "Exemestane" ] ], [ [ "Rifabutin", "{u} may lead to a major life threatening interaction when taken with {v}", "Lorlatinib" ], [ "Lorlatinib", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exemestane" ] ], [ [ "Rifabutin", "{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}", "Exemestane" ] ], [ [ "Rifabutin", "{u} (Compound) resembles {v} (Compound)", "Rifampicin" ], [ "Rifampicin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exemestane" ] ], [ [ "Rifabutin", "{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}", "Exemestane" ] ], [ [ "Rifabutin", "{u} may lead to a major life threatening interaction when taken with {v}", "Sirolimus" ], [ "Sirolimus", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Exemestane" ] ], [ [ "Rifabutin", "{u} may cause a moderate interaction that could exacerbate diseases when taken with {v}", "Prednisolone" ], [ "Prednisolone", "{u} (Compound) resembles {v} (Compound)", "Loteprednol" ], [ "Loteprednol", "{u} (Compound) resembles {v} (Compound)", "Exemestane" ] ] ]
Rifabutin may cause a moderate interaction that could exacerbate diseases when taken with Prednisolone and Prednisolone (Compound) resembles Exemestane (Compound) Rifabutin (Compound) binds CYP3A4 (Gene) and CYP3A4 (Gene) is bound by Exemestane (Compound) Rifabutin (Compound) causes Dyspepsia (Side Effect) and Dyspepsia (Side Effect) is caused by Exemestane (Compound) Rifabutin may lead to a major life threatening interaction when taken with Lorlatinib and Lorlatinib may cause a moderate interaction that could exacerbate diseases when taken with Exemestane Rifabutin 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 Exemestane Rifabutin (Compound) resembles Rifampicin (Compound) and Rifampicin may cause a moderate interaction that could exacerbate diseases when taken with Exemestane Rifabutin 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 Exemestane Rifabutin may lead to a major life threatening interaction when taken with Sirolimus and Sirolimus may cause a moderate interaction that could exacerbate diseases when taken with Exemestane Rifabutin may cause a moderate interaction that could exacerbate diseases when taken with Prednisolone and Prednisolone (Compound) resembles Loteprednol (Compound) and Loteprednol (Compound) resembles Exemestane (Compound)